Methods

This study will take place in 24 practices within the AAFP-NRN and two affiliated practice-based research networks (PBRNs):

This project will consist of a two-level randomized controlled trial. First level randomization will be performed at the practice level. This will allow the research team to study the impact of involving both clinicians and office staff working on personal changes (i.e., creating the “healthy” office) – a central theme of AIM – on the translation of the project’s educational tools to patients.

Second level of randomization will occur at the patient level to evaluate the effectiveness of providing feedback to patients and clinicians of novel physiologic measures on patients making lifestyle changes. These measures may be responsive to changes in lifestyle more quickly than other traditional measures.