American College of Lifestyle Medicine Expert Consensus Statement: Lifestyle Medicine for Optimal Outcomes in Primary Care.

Autor:	Grega ML; St. Luke's University Health Network, Easton, PA, USA; Kellyn Foundation, Tatamy, PA, USA (MLG)., Shalz JT; Lifestyle Medicine Department, St. Luke's Health System, Boise ID, USA (JTS)., Rosenfeld RM; Department of Otolaryngology, SUNY Downstate Health Science University, Brooklyn, NY, USA (RMR)., Bidwell JH; Department of Preventive Medicine, University of Mississippi Medical Center, Jackson, MI, USA (JHB)., Bonnet JP; Palo Alto VA Health Care, Palo Alto, CA, USA; Department of Medicine and Division of Primary Care and Population Health, Stanford University School of Medicine, Stanford, CA, USA (JPB)., Bowman D; Department of Pediatrics, Howard University College of Medicine, Washington, DC, USA; Lifestyle Med Revolution, LLC, Upper Marlboro, MD, USA (DB)., Brown ML; Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD, USA (MLB)., Dwivedi ME; Department of Orthopaedic Surgery, Division of Physical Medicine and Rehabilitation, Washington University Living Well Center, St. Louis, MO, USA (MED)., Ezinwa NM; Loma Linda University Health Care, Redlands, CA, USA (NME)., Kelly JH; Loma Linda University, Loma Linda, CA, USA; Lifestyle Health Education Inc., Rocky Mount, VA, USA (JHK)., Mechley AR; University of Cincinnati College of Medicine, Cincinnati, OH, USA (ARM)., Miller LA; Department of Psychiatry & Behavioral Medicine, Medical College of Wisconsin, Milwaukee, WI, USA (LAM)., Misquitta RK; Department of Lifestyle Medicine, The Permanente Medical Group, Sacramento, CA, USA (RKM)., Parkinson MD; P3 Health, Pittsburgh, PA, USA (MDP)., Patel D; Community Health Center, Inc., Meriden, CT, USA; Connecticut Lifestyle Medicine, CT, USA (DP)Community Health Center, Inc., Middletown, CT, USA (DP)., Patel PM; Lifestyle Medicine Center, Midland Health, Midland, TX, USA (PMP)., Studer KR; Preventive Medicine, Loma Linda University Health, Loma Linda, CA, USA (KRS)., Karlsen MC; Department of Research, American College of Lifestyle Medicine, Chesterfield, MO, USA; Departments of Applied Nutrition and Global Public Health, University of New England, Biddeford, ME, USA (MCK).
Jazyk:	angličtina
Zdroj:	American journal of lifestyle medicine [Am J Lifestyle Med] 2023 Oct 25; Vol. 18 (2), pp. 269-293. Date of Electronic Publication: 2023 Oct 25 (Print Publication: 2024).
DOI:	10.1177/15598276231202970
Abstrakt:	Objective: Identify areas of consensus on integrating lifestyle medicine (LM) into primary care to achieve optimal outcomes. Methods: Experts in both LM and primary care followed an a priori protocol for developing consensus statements. Using an iterative, online process, panel members expressed levels of agreement with statements, resulting in classification as consensus, near consensus, or no consensus. Results: The panel identified 124 candidate statements addressing: (1) Integration into Primary Care, (2) Delivery Models, (3) Provider Education, (4) Evidence-base for LM, (5) Vital Signs, (6) Treatment, (7) Resource Referral and Reimbursement, (8) Patient, Family, and Community Involvement; Shared Decision-Making, (9) Social Determinants of Health and Health Equity, and (10) Barriers to LM. After three iterations of an online Delphi survey, statement revisions, and removal of duplicative statements, 65 statements met criteria for consensus, 24 for near consensus, and 35 for no consensus. Consensus was reached on key topics that included LM being recognized as an essential component of primary care in patients of all ages, including LM as a foundational element of health professional education. Conclusion: The practice of LM in primary care can be strengthened by applying these statements to improve quality of care, inform policy, and identify areas for future research. Competing Interests: The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Richard M. Rosenfeld, MD, MPH, MBA, DipABLM (Methodologist): Director of Guidelines and Quality, ACLM; prior Chief Medical Officer, ABLM. Jonathan P. Bonnet, MD, MPH, FAAFP, FACLM, CAQSM, DipABOM, DipABLM (Panel Member): Consultant to AAFP's Lifestyle Medicine Tool Kit (Ardmore Institute of Health Grant)—Consultant to Emory Lifestyle Medicine and Wellness for Teaching Kitchen (Ardmore Institute of Health Grant)—Co-chair of ACLM Board Review Course—Advisory Board of Forfend Health—ABLM Board Member—Co-author of Lifestyle Medicine Handbook: The Power of Healthy Habits—AJLM CME Question Writer. David Bowman, MD, DipABLM (Panel Member): Board of Directors for ACLM. Amy R. Mechley, MD, FAAFP, FACCLM, Dip ABLM, DipABFM (Panel Member): Investor in Poplar Health-ABLM Board member and ABLM Chair-elect. Rajiv K. Misquitta, MD, FACP, Dipl. ABLM (Panel Member): Co-author of a book on plant-based eating called “Healthy Heart healthy Planet.” Michael D. Parkinson, MD, MPH, FACPM (Panel Member) Advisor to employers, health care organizations, numerous startups and Pivio (formerly CHIP - Complete Health Improvement Program). Padmaja M. Patel, MD, FACLM, DipABLM (Panel Member): Investor in Poplar Health and Nudj Health. Advisory board of member of Nudj Health. Karen R. Studer, MD, MBA, MPH, FACPM, DipABOM, DipABLM, Lifestyle Medicine Intensivist (Panel Member):10% FTE for Lifestyle Medicine Residency Curriculum (LMRC) work, a joint product by (LLUH) and ACLM. (Copyright © 2023 The Author(s).)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu