PREVENT: a digital tool to tailor diet and activity counseling in rural primary care
Official title: Evaluation of a Novel Technology to Support Tailored Health Behavior Counseling in Rural Primary Care Clinics
Run by Washington University School of Medicine · NCT06397729 · Data updated 2026-11-12
This pilot will test whether the PREVENT digital tool helps low-income rural adults with obesity get more personalized diet and physical activity advice during primary care visits.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 64 Years |
| Sex | All |
| Enrollment | 100 (estimated) |
| Sponsor | Washington University School of Medicine Academic / other |
| Locations | 1 site (St Louis, Missouri) |
| Status | Recruiting |
| Started | November 1, 2024 |
| Main results expected | June 30, 2027 |
| Study ends | July 30, 2027 |
| Registry record updated | July 17, 2026 |
| Trial ID | NCT06397729 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–64 with household income below 200% of the federal poverty level, BMI ≥30, who receive care from Missouri Highlands Healthcare and can consent are the intended participants.
✕Probably not a fit
Patients who do not meet the age, income, or BMI criteria, do not receive care at participating clinics, or lack access to participate in the clinic-based digital workflow are unlikely to benefit from this project.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinic-randomized hybrid pilot will enroll about 100 low-income adults with obesity receiving care in Missouri Highlands Healthcare clinics to test the PREVENT digital health tool. PREVENT aggregates patient-reported measures and electronic health record data to visually support clinicians and community health workers in delivering tailored physical activity and healthy-eating goals and local resources. The study uses a wait-list control design and measures both implementation outcomes (feasibility, workflow fit, counseling quality) and preliminary effectiveness on motivation, behavior change, and cardiovascular health indicators. Investigators will combine quantitative measures and implementation process data to understand how the tool performs in low-resourced rural primary care settings.
Why it matters
Potential benefit: If successful, PREVENT could make counseling more personalized and actionable, increasing patients' motivation and improving diet, activity, weight, and other cardiovascular health measures.
How similar studies have gone: Prior digital and tailored behavior-change interventions have shown modest improvements in diet and physical activity, but few have tested tailored point-of-care tools in low-resource rural primary care settings.
Who can join: the full rules
Show full inclusion / exclusion criteria
Patient Inclusion Criteria: * Aged 18-64 years at baseline * 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) Provider Inclusion Criteria: • 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.
Where it's running
-
Washington University in St. Louis
St Louis, Missouri, United States Recruiting
Study contacts
- Principal investigator: Maura Kepper, PhD — Washington University School of Medicine
- Study coordinator: Maura Kepper, PhD
- Email: kepperm@wustl.edu
- Phone: 314-935-0142
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Postpartum program to prevent cardiometabolic problems after preeclampsia
This study will test a 9-month app-based support program to lower blood pressure and help with weight loss in first-time mothers who recently had preeclampsia.
-
Pre-screening to identify adults who may be eligible for future metabolic and mental health opportunities.
This prescreening will see if adults with metabolic conditions or mental health disorders qualify for upcoming clinical opportunities by collecting health history, basic tests, and a doctor interview.
-
Inspire HER: a heart-health and stress-support program for Black women
This project will test whether the Inspire HER lifestyle program helps Black women with higher heart disease risk improve heart health and manage stress.
-
Park-based fitness program for older adults
This study is testing whether a fitness program in local parks can help older adults aged 50 and up improve their heart health and stay active.
-
Survey to determine eligibility for cardiovascular and obesity clinical trials
This study is trying to see if people with heart issues or obesity can join new clinical trials by having them fill out a survey and undergo some health checks.
-
Investigating inflammation in cardiometabolic health
This study is trying to see how inflammation affects people’s heart and metabolic health by comparing blood samples from lean, overweight, and obese volunteers.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.