RecruitingNot ApplicableNCT06397729

Evaluation of a Novel Technology to Support Tailored Health Behavior Counseling in Rural Primary Care Clinics

Sponsor

Washington University School of Medicine

Enrollment

100 participants

Start Date

Nov 1, 2024

Study Type

INTERVENTIONAL

Conditions

Obesity Cardiovascular Diseases

Summary

This project will conduct a pilot hybrid study that examines the implementation (Aims 1 \& 2) and preliminary effectiveness (Aim 3) of PREVENT, a digital health intervention, among patients with overweight/obesity (N=100) using a clinic-randomized design. The central hypothesis of the study is that PREVENT will be feasible and show improvements in health behavior counseling and the patient experience that will improve patients' motivation to change, and their CVH health behaviors and outcomes.

Eligibility

Min Age: 18 YearsMax Age: 64 Years

Inclusion Criteria6

Aged 18-64 years at baseline
Low income (household income <200% FPL)
At risk for poor CVH (body mass index greater than or equal to 30)
Receiving care from the Missouri Highlands Healthcare
Ability to understand and willingness to sign an IRB approved written informed consent document (or that of legally authorized representative, if applicable)
All providers and clinic staff (physicians, nurses, community health workers, clinic staff, clinic research associates) in the Missouri Highlands Healthcare Clinics are eligible to participate.

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Interventions

BEHAVIORALWait-List Control

Will receive routine clinical care. After completion of follow-up measures, control participants will receive a behavior change prescription via the PREVENT tool

BEHAVIORALPREVENT Tool

PREVENT is a novel Health Information Technology tool designed to promote physical activity and healthy food intake among overweight/obese patients at the point of care. PREVENT automates the delivery of personalized, evidence-based behavior change recommendations and provides an interactive map of community resources to help the care team link patients to resources in their community. PREVENT follows up with patients electronically and communicates progress on behavior change to the care team.