Evidence mapPaperPMID 40044210Full record

ArticleBMJ open2025

Role of workplace culture in successful lifestyle medicine implementation: a qualitative case series among health systems in the USA.

Neve Durrwachter, Meghan L Ames, Joel Gittelsohn, Tyler A Hemmingson, Melissa M Reznar, Kara L Staffier, Samantha M Sundermeir, Bruce Weeks, Micaela C Karlsen

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Neve DurrwachterJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Meghan L AmesJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.ORCID http://orcid.org/0000-0002-0083-8159
Joel GittelsohnJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Tyler A HemmingsonAmerican College of Lifestyle Medicine, Chesterfield, Missouri, USA.
Melissa M ReznarOakland University, Rochester, Michigan, USA.ORCID http://orcid.org/0000-0002-6304-3943
Kara L StaffierAmerican College of Lifestyle Medicine, Chesterfield, Missouri, USA.ORCID http://orcid.org/0000-0003-0998-1178
Samantha M SundermeirJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Bruce WeeksAmerican College of Lifestyle Medicine, Chesterfield, Missouri, USA.
Micaela C KarlsenAmerican College of Lifestyle Medicine, Chesterfield, Missouri, USA mkarlsen@lifestylemedicine.org.ORCID http://orcid.org/0000-0002-9365-151X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study investigated how workplace culture may affect the development of lifestyle medicine (LM) programming in health systems to inform the successful growth of LM programs. No study has examined how the impact of workplace culture (shared knowledge, values and behaviours within an organisation) affects practitioners' abilities to engage in LM.

designA cross-sectional, multiple case study investigation of the implementation of LM in five health systems was conducted by administering semi-structured in-depth interviews (n=45) from May 2022 to January 2023. Following the transcription of interviews verbatim, narrative reports depicting each health system's experience with LM were drafted and collectively reviewed by the research team who discussed emerging themes.

settingFive health systems across the USA that have implemented LM were selected based on diversity in size, location, payer model, and patient population.

participantsAdministrative leaders, physicians and other personnel involved in the LM programming from selected health systems were invited to participate.

resultsThe implementation of LM is facilitated when practices such as forming social groups, visually advertising LM and offering plant-based cafeteria items are present to support core values, such as trust, gratitude, collaboration and optimism.

conclusionsLM implementation can be supported by health system clinicians and administrators striving to make their workplaces more supportive and synergetic so that they can take advantage of all available resources. Future research should further explore this relationship between cultural factors and resource availability.

Indexed as

Health PromotionLife StyleOrganizational CultureWorkplaceCross-Sectional StudiesHumansInterviews as TopicQualitative ResearchUnited StatesBurnout, ProfessionalImplementation ScienceQUALITATIVE RESEARCH

Identifiers

PMID40044210
PMCPMC11883603

What Socratic holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.