• Amrik Singh Khalsa, Carla K Miller, Kyung E Rhee, and HyunYi Cho.
• Division of Primary Care Pediatrics, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205, USA. Amrik.Khalsa@nationwidechildrens.org.
• J Gen Intern Med. 2025 Jan 21.

AbstractHealthy lifestyle behaviors play a significant role in promoting cardiovascular health. Primary care clinicians (PCCs) are tasked with promoting cardiovascular health through the assessment of lifestyle behaviors and the use of behavior change counseling. However, PCCs face several barriers including a lack of training in counseling techniques. We propose a framework to guide the development of a patient-centered digital communication bundle that can aid PCCs in helping their patients create and sustain feasible lifestyle changes. Our framework proposes that this digital communication bundle contains the following features: assess and analyze an individual's cardiovascular health status; communicate personalized information in a health-literacy-friendly, visual format; assess behavioral components of change (e.g., motivation) that can inform the PCC's approach in guiding behavior change; provide PCCs with brief, behavior change counseling prompts that are grounded in motivational interviewing; and assess and address potential structural, socioeconomic, and environmental barriers, thereby fostering resilience in patients' lifestyle change efforts. We highlight the available research to support the need for such a tool and its potential ability to guide PCCs while also promoting behavior change in a patient-centered manner.© 2025. The Author(s), under exclusive licence to Society of General Internal Medicine.

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