Using PREVENT, a digital tool to improve heart‑healthy counseling in rural primary care
Adapting and Testing a Novel Digital Health Tool (PREVENT) to Improve Health Behavior Counseling and Cardiovascular Health in Rural Primary Care Clinics
This trial will test whether PREVENT, a clinic‑based digital tool, helps adults aged 18–64 with obesity in rural, low‑income communities get better counseling and resources to lower their heart disease risk.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 60 (estimated) |
| Ages | 18 Years to 64 Years |
| Sex | All |
| Sponsor | Washington University School of Medicine Academic / other |
| Locations | 1 site (St Louis, Missouri) |
| Trial ID | NCT06063564 on ClinicalTrials.gov |
What this trial studies
The trial adapts and implements PREVENT, a digital health tool that visually combines patient‑reported information and electronic health record data to guide in‑visit counseling. Participants with BMI ≥30 receiving care from Missouri Highlands clinics will be assigned to immediate use of PREVENT or a wait‑list control. During visits, PREVENT delivers tailored physical activity and healthy‑eating goals, resource referrals, and prompts for follow‑up. Outcomes focus on counseling quality, connection to resources, and measures of cardiovascular risk–related behaviors over follow‑up.
Who should consider this trial
Good fit: Adults aged 18–64 with a BMI of 30 or greater who receive primary care through Missouri Highlands and can provide informed consent are the ideal candidates.
Not a fit: People without obesity, those outside the 18–64 age range, patients not receiving care at participating Missouri Highlands clinics, or those unable to attend clinic visits or engage with the tool are unlikely to benefit.
Why it matters
Potential benefit: If successful, PREVENT could help patients receive more personalized counseling, concrete resources, and follow‑up that support healthier eating, more physical activity, and lower cardiovascular risk.
How similar studies have performed: Similar clinic‑based digital decision‑support and tailored counseling tools have shown modest improvements in counseling quality and health behaviors, while PREVENT’s specific adaptation for rural, low‑income clinics is relatively novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Aged 18-64 years at baseline * a BMI ≥ 30 * Receiving care from the Missouri Highlands. * Ability to understand and willingness to sign an IRB approved written informed consent document (or that of legally authorized representative, if applicable).
Where this trial is running
St Louis, Missouri
- Washington University in St. Louis — St Louis, Missouri, United States (Recruiting)
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.