Predictors of Patient Engagement With an Interprofessional Lifestyle Medicine Program.

Autor:	Cheng AL; Department of Orthopaedic Surgery, Division of Physical Medicine and Rehabilitation, Washington University in St. Louis School of Medicine, St Louis, MO, USA (AC, MD, AM, CL, DH).; Department of Surgery, Division of Public Health Sciences, Washington University in St. Louis School of Medicine, St Louis, MO, USA (AC, ES)., Dwivedi ME; Department of Orthopaedic Surgery, Division of Physical Medicine and Rehabilitation, Washington University in St. Louis School of Medicine, St Louis, MO, USA (AC, MD, AM, CL, DH)., Martin A; Department of Orthopaedic Surgery, Division of Physical Medicine and Rehabilitation, Washington University in St. Louis School of Medicine, St Louis, MO, USA (AC, MD, AM, CL, DH)., Leslie CG; Department of Orthopaedic Surgery, Division of Physical Medicine and Rehabilitation, Washington University in St. Louis School of Medicine, St Louis, MO, USA (AC, MD, AM, CL, DH)., Pashos MM; Department of Orthopaedic Surgery, Division of Physical Medicine and Rehabilitation, University of Missouri School of Medicine, Columbia, MO, USA (MP, VD)., Donahue VB; Department of Orthopaedic Surgery, Division of Physical Medicine and Rehabilitation, University of Missouri School of Medicine, Columbia, MO, USA (MP, VD)., Huecker JB; Department of Orthopaedic Surgery, Division of Physical Medicine and Rehabilitation, University of Missouri School of Medicine, Columbia, MO, USA (MP, VD)., Salerno EA; Department of Surgery, Division of Public Health Sciences, Washington University in St. Louis School of Medicine, St Louis, MO, USA (AC, ES)., Steger-May K; Center for Biostatistics and Data Science, Washington University in St. Louis School of Medicine, St Louis, MO, USA (JH, KS)., Hunt DM; Department of Orthopaedic Surgery, Division of Physical Medicine and Rehabilitation, Washington University in St. Louis School of Medicine, St Louis, MO, USA (AC, MD, AM, CL, DH).
Jazyk:	angličtina
Zdroj:	American journal of lifestyle medicine [Am J Lifestyle Med] 2023 Dec 23, pp. 15598276231222877. Date of Electronic Publication: 2023 Dec 23.
DOI:	10.1177/15598276231222877
Abstrakt:	Background: Changes in lifestyle habits can reduce morbidity and mortality, but not everyone who can benefit from lifestyle intervention is ready to do so. Purpose: To describe characteristics of patients who did and did not engage with a lifestyle medicine program, and to identify predictors of engagement. Methods: This was a single-center, retrospective cohort study of 276 adult patients who presented for consultation to a goal-directed, individualized, interprofessional lifestyle medicine program. The primary outcome was patients' extent of engagement. Candidate predictors considered in multivariable multinomial logistic regression models included baseline sociodemographic, psychological, and health-related variables. Results: A predictor of full engagement over no engagement was having private or Medicare insurance (rather than Medicaid, other, or no insurance) (OR 4.2 [95% CI 1.3-14.2], P = .021). A predictor of partial engagement over no engagement was having a primary goal to lose weight (OR 3.1 [1.1-8.4], P = .026). Conclusions: System-level efforts to support coverage of lifestyle medicine services by all insurers may improve equitable engagement with lifestyle medicine programs. Furthermore, when assessing patients' readiness to engage with a lifestyle medicine program, clinicians should consider and address their goals of participation. Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (Copyright © 2023 The Author(s).)
Databáze:	MEDLINE
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