<p><strong>Conclusions</strong>:<strong> </strong>The level of adherence to lifestyle modifications was found to be Moderate. Knowledge of lifestyle modifications, self-efficacy, adherence to antihypertensive medication, education level, and BMI were key determinants of adherence. Increasing the awareness of lifestyle modifications, fostering self-efficacy, and encouraging consistent medication adherence are crucial for improving adherence to lifestyle modifications among hypertensive patients.&nbsp;</p>