Supporting Self-Management of Healthy Behaviors Among People With Diabetes, Kidney Disease, and Hypertension (SMART-HABITS-4-Health): A Pilot Trial of a Blood Pressure Monitoring Intervention Leveraging Social Incentives and Gamification

Inclusion Criteria

Inclusion Criteria: * diagnosis of chronic kidney disease (any stage), hypertension, diabetes * followed at University of Pennsylvania nephrology practice * aged 18 years or over. - * own a smart device (smartphone or tablet) capable of connecting to the internet and has Bluetooth enabled technology * able to comprehend English. * a mean blood pressure reading of \<180/100 mmHg in person study visit * able and willing to provide informed consent Exclusion Criteria: * inability to provide consent or read or speak English * inability to self-monitor (e.g., diagnosis of dementia, cognitive impairment, physically unable to set up BP cuff and machine) * already participating in another blood pressure study or intervention trial * vulnerable populations, living in a long-term care or rehabilitation institution, * if likely to have their care transferred to another facility outside participating clinic areas during the course of the study * planning to travel or live consecutively out of the country for more than one month * mean blood pressure reading of \>180/100 mmHg at in person study visit * hypertension not managed by the nephrologist in Penn Medicine * any other reason they do not expect to be able to complete the study.