Amplifying the Step Monitoring to improve ARTERial health strategy (SMARTER amplify)

People with type 2 diabetes and high blood pressure are often not active enough to benefit their health and prevent heart attack and stroke. We developed a way to help people become active. It involves keeping track of 'steps' with a step counter or pedometer, writing the numbers down on paper or on line, reviewing them with your doctor, and then deciding on a 'step count prescription' with him or her. We tested this approach and it worked to increase step counts and reduce blood sugars. However, more impact would be better. We would like to test the effect of adding on other strategies to the step count prescription. This would include telephone calls from a health coach, on-line or app-based step count tracking and motivational messaging, and peer support. We will look at different combinations of these and their effects on steps, blood sugar, and blood pressure.