20 research outputs found
Supplemental Material - Provider-Perceived Value of Interprofessional Team Meetings as a Core Element of a Lifestyle Medicine Program: A Mixed-Methods Analysis of One Center’s Experience
No full textSupplemental Material for Provider-Perceived Value of Interprofessional Team Meetings as a Core Element of a Lifestyle Medicine Program: A Mixed-Methods Analysis of One Center’s Experience by Abby L. Cheng, Elsa M. Snider, Heidi Prather, Nikole L. Dougherty, Myisha Wilcher-Roberts, and Devyani M. Hunt in American Journal of Lifestyle Medicine</p
<b>Supplemental Material - Predictors of Patient Engagement With an Interprofessional Lifestyle Medicine Program</b>
No full textSupplemental Material for Predictors of Patient Engagement With an Interprofessional Lifestyle Medicine Program by Abby L Cheng, Mollie E Dwivedi, Adriana Martin, Christina G Leslie, Madeline M Pashos, Viola B Donahue, Julia B Huecker, Elizabeth A Salerno, Karen Steger-May, and Devyani M Hunt in American Journal of Lifestyle Medicine.</p
Reliability and Agreement of Hip Range of Motion and Provocative Physical Examination Tests in Asymptomatic Volunteers
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Poster 224 Hip Range of Motion for Specific Hip Disorders: An Important Parameter to Assess in Patients With Low Back Pain
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Core program elements for equitable, effective participation in a lifestyle medicine program for chronic musculoskeletal pain
No full textBackground: Despite growing interest in using lifestyle medicine to address chronic musculoskeletal pain, challenges remain in equitably and effectively delivering lifestyle-related interventions to this population. Objective: To identify program elements that affect engagement with, and effective delivery of, a lifestyle medicine program for patients with chronic musculoskeletal pain and metabolic comorbidities. It was hypothesized that patients with more social disadvantage engage with proportionately greater group (vs. individual) and telehealth (vs. in-person) programming. Design: Mixed methods study. Setting: Lifestyle medicine program within a tertiary care academic center. Participants: Adults with chronic musculoskeletal pain and obesity-related metabolic comorbidities who presented to a musculoskeletal-oriented lifestyle medicine program. Interventions: Not applicable. Main outcome measures: Logistic regression tested whether patients\u27 level of social disadvantage (operationalized as national Area Deprivation Index [ADI] percentile) is associated with their proportion of program engagement via group (compared to individual) and telehealth (compared to in-person) visits. Semistructured interviews among a subgroup of 38 patients explored other program elements that patients perceived to affect equitable and effective program implementation. Results: Among 205 patients (median [interquartile range] age 60 [50–67] years, 169 [82%] female, 145 [71%] White race), worse social disadvantage was associated with an increased proportion of engagement via group (compared to individual) visits (odds ratio [OR], 1.13 per 10-unit increase in national ADI percentile [95% confidence interval (CI), 1.07–1.20], p \u3c.001) and via telehealth (compared to in-person) visits (OR, 1.13 [1.07–1.20], p \u3c.001). Patient-perceived keys for effective participation included the program\u27s holistic, interprofessional, goal-oriented approach and genuine kindness and care by knowledgeable program clinicians. Some patients requested long-term periodic program check-ins to facilitate maintenance of lifestyle changes. Improved insurance coverage, clinic expansion to multiple sites, and after-hours programming would improve access for some patients. Conclusions: Group visits (using shared medical appointments) and telehealth visits improve equitable access to lifestyle medicine interventions
Provider-Perceived Value of Interprofessional Team Meetings as a Core Element of a Lifestyle Medicine Program: A Mixed-Methods Analysis of One Center’s Experience
No full textInterprofessional care improves outcomes for medically complex patients and may be a valuable addition to standard lifestyle medicine practice, but implementation barriers exist. The purpose of this study was to explore the key features, perceived impact, and implementation considerations related to holding interprofessional team meetings as part of an intensive lifestyle medicine program. In this mixed-methods study, focus groups were conducted with 15 lifestyle medicine clinicians from various healthcare disciplines who had participated in interprofessional team meetings. Quantitative descriptive statistics of the meeting minutes were also calculated. Clinician-perceived benefits from participating in interprofessional team meetings included increased acquisition of knowledge, access to other clinicians, collaborative decision-making, patient satisfaction, and achievement of patient-centered goals. Participants described the importance of preparing an agenda for the interprofessional team meetings in advance, but a major implementation challenge was the time required to prepare for and conduct the meetings. Commitment and financial support by organization and program leadership were reported as key facilitators to implementing the meetings. Clinicians perceive significant value from incorporation of interprofessional team meetings into an intensive lifestyle medicine program, but successful implementation of meetings requires investment from all levels within a healthcare system
