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The mean adherence rate was higher on the App, 92%, than the EM, 78% (p0.001). The mean difference in adherence rates between these methods was 14% (95% Confidence Interval -23%, -5%). These findings illustrate a lack of agreement between technological interventions used for measuring adherence in cardiovascular patient populations, with higher adherence rates observed with the App compared to EM. These findings are salient given the increased reliance on telehealth due to the ongoing COVID-19 pandemic. These findings illustrate a lack of agreement betw