<qa>  What is the name of the group that will be enrolled in the study?This cluster randomized trial in 10 primary care clinics 5 intervention and 5 control will test the hypothesis that an intervention based on diffusion of innovations theory, and targeting provider treatment actions, will increase the prevalence of BP control to Joint National Committee-7JNC-7 recommended levels in African American patients greater than 14090 mm Hg or greater 13080 mm Hg if the patient has diabetes. The uncertainty reduction tools in the Uncertainty Reduction to Accelerate Diffusion URAD practices will include: 24-hour ambulatory BP monitoring, electronic bottle-cap monitoring of medication adherence, and medication and lifestyle counseling. The Usual Practice UP physicians will receive education about the guidelines and a placebo chart form indicating the patient is being followed in a BP control study. The 10 participating clinics represent a large, multi-site private group practice and a public health care system. Sixty-seven patients per clinic 670 total will be enrolled when the intervention is initiated, and their BP and self-reported medication and lifestyle adherence will be monitored for two years. Sixty percent of the sample will be African American, and the study will have 90 power to detect a difference of 20 in the prevalence of hypertension control in the African Americans as a result of the intervention 50 control in URAD clinics vs. 30 control UP clinics. Secondary endpoints will include BP measurements by study staff under standardized conditions, physician treatment intensification actions, patient adherence, characteristics of doctor-patient communication associated with treatment action, use of the URAD components, and physician knowledge and beliefs about the JNC 7 guidelines and their relationship to BP control. Analysis of secondary endpoints will include race. The research team has collaborated with both health systems in previous studies, and is experienced in conducting hypertension control and behavioral intervention studies in the target population. 