Evidence mapPaperPMID 40966455Full record

ArticleTranslational behavioral medicine2025

Education strategies to facilitate lifestyle medicine practice within health systems: a multiple case study of US health systems.

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

Abstract read
In one paragraph

Article in Translational behavioral medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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.

Meghan L AmesDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.ORCID 0000-0002-0083-8159
Samantha M SundermeirDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.ORCID 0000-0003-4471-0621
Kara L StaffierAmerican College of Lifestyle Medicine, Chesterfield, MO, United States.
Bruce Weeks
Melissa M ReznarDepartment of Health Sciences, Oakland University, Rochester, MI, United States.ORCID 0000-0002-6304-3943
Tyler HemmingsonAmerican College of Lifestyle Medicine, Chesterfield, MO, United States.ORCID 0009-0000-9251-345X
Shannon FrattaroliDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
Joel GittelsohnDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.ORCID 0000-0003-2761-3280
Micaela C KarlsenAmerican College of Lifestyle Medicine, Chesterfield, MO, United States.ORCID 0000-0002-9365-151X

Funding

American College of Lifestyle Medicine
6 · The paper itself

Abstract

backgroundLifestyle medicine (LM) is an evidence-based field of medicine that is effective in treating and preventing leading causes of morbidity and mortality. Despite demonstrated impact, few physicians and other healthcare professionals regularly implement LM. Continuing education may be an effective avenue for improving practitioner knowledge, confidence, and practice of LM, but there is a gap in the understanding of how educational content and strategies can be utilized to effectively increase LM adoption. The purpose of this study is to identify educational strategies that facilitate the implementation of LM in health systems (HS).

methodsEight US HSs participated in this multiple case study. We conducted in-depth, semi-structured interviews (n = 68 total; 6-8 within each HS) with HS employees leading and delivering LM programs. Interviews included questions about LM implementation and educational strategies. Transcripts were analyzed following the framework analysis approach. Strength of endorsement was assessed through quantitative and qualitative analysis.

resultsFour topic areas were identified as critical content for effective continuing education in LM. The need for further education in behavior change counseling received the strongest endorsement. Other topics included LM definition and evidence, referral opportunities, and business development skills. Ten types of continuing educational strategies were identified that facilitate LM. There was the strongest endorsement for pilot programs, employee wellness, and interpersonal educational activities, including peer-learning, communities-of-practice, and supervisor-learning/mentorship.

conclusionContinuing education can facilitate LM implementation in HSs. Educational strategies should emphasize training that builds skills in behavior change counseling, leverages employee wellness pilot programs, and nurtures interpersonal learning.

Indexed as

Delivery of Health CareEducation, ContinuingHealth PersonnelLife StyleHumansQualitative ResearchUnited Statescontinuing medical educationimplementation sciencelifestyle medicinequalitative research

Identifiers

PMID40966455
PMCPMC12448416

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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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.