<p><strong>Methods</strong>: A facility-based cross-sectional study was conducted from April 24 to May 23, 2024, in hypertension sentinel site health facilities in Bahir Dar City, Northwest Ethiopia. A total of 421 adult hypertensive patients on treatment for at least 6 months were selected using a systematic random sampling technique. Data collection involved a pretested and structured questionnaire administered through Computer-Assisted Personal Interviews (CAPI) and patient chart reviews using the ODK tool. Data were analyzed using SPSS, and logistic regression was employed to identify factors associated with adherence to lifestyle modifications.&nbsp;</p>