Table 5 Themes and Codes identified within analysis

 Managing blood pressure at home

 Home monitoring an empowering process

 Home monitoring overcomes the problem of clinical inertia

 Home monitoring could save (or cost) time

 Patients may get obsessed with monitoring their blood pressure

 Home monitoring might be anxiety provoking

 Usual practice for managing high blood pressure

 Currently no system for recording home readings in practice

 Are home readings accurate?

 Home monitoring overcomes problems of white coat hypertension

 Useful that home readings are emailed to practitioners

 A system for responding to emails from HOME BP

 Agreeing medication changes in advance

 Understanding medication changes in advance may be empowering for patients

 Concerns about choosing medication changes in advance

 Potential solutions to problems with choosing medication changes in advance

 Does the baseline medication review need to be longer to allow explanation of medication changes?

 Supporting patients using HOME BP

 Useful that HOME BP provides support with behaviour change

 Supporters role with behaviour change viewed as important

 Supporter’s guide accessible

 Practitioners value building patient autonomy (avoiding dependence on practitioners)

 Perceptions of non-directive support using CARE

 Perceptions of congratulating patients using CARE

 Perceptions of reassuring patients using CARE

 Desire to see the patient intervention

 Lack of time to provide support