Explanation for the choice of comparators {6b}
The comparator for this study is usual care in nine matched control clinics. Usual care is a common comparator for pragmatic trials, as it captures a wide, realistic range of practice scenarios and controls for changes that may occur within the cohort and the healthcare system [Identical procedures will be used for mailing brochures to participants in the matched clinic pairs to ensure comparable rollout and address potential temporal changes within the delivery system. Specifically, at the time an intervention clinic starts the intervention, we will implement the same procedure set-up as outlined in the “