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Brief interactive lifestyle preventive education in the primary care clinic: protocol for a randomized clinical trial

D. Arroyo, D. Keyes, D. Steinberger, G. Abdulshafi, A. Jafri, H. Hasan, A. Nassar, A. Karn et al.

medRxiv, 2025

350 participants

Abstract

Introduction It is widely accepted that prevention is far more impactful than curative medicine concerning overall health efficacy. The primary care setting faces the challenges of increasingly important time constraints and conflicting priorities; however, prevention is a priority for improving health outcomes. In a previous pilot study, we investigated the impact of a simple instructional video on patients willingness to change in the emergency department setting. The initial intervention was passive, requiring subjects to watch a video without interaction. The current study evaluates the practicality and impact of bringing a brief interactive educational video intervention to patients at their primary care clinic visit. Materials and methods This is a randomized, non-blinded prospective study of education for adult patients presenting to the primary care clinic immediately following their primary care appointment. Patients will be randomized to receive the interactive intervention video during this encounter with the practitioner in the clinic. The video is interactive because it asks the patients to answer simple questions about the content in the video to keep them engaged. For instance, if the participant indicates that they do not smoke, the video will "skip" the smoking cessation education and move directly to the other prevention domains. Afterwards, all patients will be presented with a questionnaire about their readiness and confidence to initiate lifestyle…

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Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 2 of 5 (High · randomized trial). Randomized trials of a reasonable size are the strongest single-study design. Reported size: 350 participants or records.

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