Lifestyle Medicine Practitioners Implementing a Greater Proportion of Lifestyle Medicine Experience Less Burnout

Pollard, Kathryn J.; Gittelsohn, Joel; Patel, Padmaja; Lianov, Liana; Freeman, Kelly J.; Staffier, Kara; Pauly, Kaitlyn; Karlsen, Micaela

doi:10.1177/08901171231182875

Cited by 6 publications

(3 citation statements)

References 48 publications

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“…The answer to the benefits of walking the talk in health care is in the title of these ACLM proponent’s article: “Lifestyle Medicine Practitioners Implementing a Greater Proportion of Lifestyle Medicine Experience Less Burnout.” 12 These researchers found 90% of those practicing lifestyle reported it improved their profession satisfaction due to enjoyment of teaching and better engaging in relationships. Pollard concludes that “increased feelings of accomplishment due to improved patient outcomes and reduced depersonalization contribute to reduced burnout.” These results provide a persuasive case for the health benefits that can accrue to patients and providers alike when lifestyle behaviors are explored together.…”

Section: A Broader Reach For Lifestyle Medicinementioning

confidence: 99%

The “Best of 2023 List” of Health Promotion Researchers

Terry

2023

Am J Health Promot

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Each year the editorial team of the American Journal of Health Promotion selects our “Best of the Year List” of health promotion studies from the prior year. This editorial features the Editor’s Picks Awards, the Editor in Chief Awards, the Michael P. O’Donnell Award and the Dorothy Nyswander Award for the best research and writing published in 2023 in this journal. Our criteria for selection includes: whether the study addresses a topic of timely importance in health promotion, the research question is clearly stated and the study methods used are well executed; whether the paper is often cited and downloaded; if the study findings offer a unique contribution to the literature; and if the paper is well-written and enjoyable to read. Awardees in 2023 offered new insights into legal issues related to obesity and LGBTQ+ discrimination, the role of employers in the use of lifestyle medicine and the influence of Cannabis use on depression and suicide behaviors. This “best of 2023 list” featured studies based in communities, health systems, workplaces and schools and includes case studies and qualitative and quantitative research methods that enabled researchers to better explain what amplifies or hampers well-being.

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Section: A Broader Reach For Lifestyle Medicinementioning

confidence: 99%

The “Best of 2023 List” of Health Promotion Researchers

Terry

2023

Am J Health Promot

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“…Systematic implementation of LM faces various challenges, including inadequate leadership support and clinician training in the inner setting and patient preferences and reimbursement complexities in the outer setting [ 19 , 20 , 22 , 25 ]. A 2019 survey of ACLM members assessed respondents’ current practice of LM, including reimbursement, quality measures, and patient outcomes [ 26 ]. In reviewing findings (published elsewhere), ACLM leadership and consultants determined that greater critical richness and additional details could be achieved through a qualitative examination of a subset of US health care systems with LM programs.…”

Section: Introductionmentioning

confidence: 99%

Lifestyle Medicine Implementation in 8 Health Systems: Protocol for a Multiple Case Study Investigation

Ames,

Karlsen,

Sundermeir

et al. 2024

JMIR Res Protoc

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Background Lifestyle medicine (LM) is the use of therapeutic lifestyle changes (including a whole-food, plant-predominant eating pattern; regular physical activity; restorative sleep; stress management; avoidance of risky substances; and positive social connection) to prevent and treat chronic illness. Despite growing evidence, LM is still not widely implemented in health care settings. Potential challenges to LM implementation include lack of clinician training, staffing concerns, and misalignment of LM services with fee-for-service reimbursement, but the full range of factors facilitating or obstructing its implementation and long-term success are not yet understood. To learn important lessons for success and failure, it is crucial to understand the experiences of different LM programs. Objective This study aims to describe in depth the protocol used to identify barriers and facilitators impacting the implementation of LM in health systems. Methods The study team comprises team members at the American College of Lifestyle Medicine (ACLM), including staff and researchers with expertise in public health, LM, and qualitative research. We recruited health systems that were members of the ACLM Health Systems Council. From among 15 self-nominating health systems, we selected 7 to represent a diversity of geographic location, type, size, expertise, funding, patients, and LM services. Partway through the study, we recruited 1 additional contrasting health system to serve as a negative case. For each case, we conducted in-depth interviews, document reviews, site visits (limited due to the COVID-19 pandemic), and study team debriefs. Interviews lasted 45-90 minutes and followed a semistructured interview guide, loosely based on the Consolidated Framework for Implementation Research (CFIR) model. We are constructing detailed case narrative reports for each health system that are subsequently used in cross-case analyses to develop a contextually rich and detailed understanding of various predetermined and emergent topics. Cross-case analyses will draw on a variety of methodologies, including in-depth case familiarization, inductive or deductive coding, and thematic analysis, to identify cross-cutting themes. Results The study team has completed data collection for all 8 participating health systems, including 68 interviews and 1 site visit. We are currently drafting descriptive case narratives, which will be disseminated to participating health systems for member checking and shared broadly as applied vignettes. We are also conducting cross-case analyses to identify critical facilitators and barriers, explore clinician training strategies to facilitate LM implementation, and develop an explanatory model connecting practitioner adoption of LM and experiences of burnout. Conclusions This protocol paper offers real-world insights into research methods and practices to identify barriers and facilitators to the implementation of LM in health systems. Findings can advise LM implementation across various health system contexts. Methodological limitations and lessons learned can guide the execution of other studies with similar methodologies. International Registered Report Identifier (IRRID) DERR1-10.2196/51562

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“…Lifestyle Medicine (LM) is a medical specialty that uses therapeutic lifestyle interventions as a primary modality to treat chronic conditions like cardiovascular disease, type 2 diabetes, and obesity [ 9 ]. It is an emerging field of medicine in which practitioners treat chronic conditions by using evidence-based lifestyle interventions that incorporate the six pillars/domains of LM: 1) a whole-food, plant-predominant eating pattern, 2) physical activity, 3) restorative sleep, 4) stress management, 5) risky substance avoidance, and 6) positive social connections [ 10 ].…”

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confidence: 99%