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家庭医学诊所中的生活方式医学实施

Lifestyle Medicine Implementation in Family Medicine Clinic.

作者信息

Bashir Kiren, Johnson-Gonzalez Courtney B, Dhiman Akshima, Crawford Timothy N, Lee Jennifer S

机构信息

Wright State University Boonshoft School of Medicine, Dayton, OH, USA (KB, CBJ, AD, TNC, JSL).

Wright State Physicians Family Medicine Health Center, Dayton, OH, USA (TNC, JSL).

出版信息

Am J Lifestyle Med. 2024 Oct 4:15598276241289316. doi: 10.1177/15598276241289316.

Abstract

Lifestyle medicine, a patient-centered approach promoting healthy lifestyle behaviors, is an evidence-based tool for preventing and treating chronic diseases. It has been shown to reduce the burden of physical and psychological diseases. Despite this, clinical implementation is lagging, with physicians facing barriers effectively encouraging lifestyle change. This project studies the Lifestyle Medicine Assessment (LMA) tool regarding ease of implementation and influence on patient motivation, perception of lifestyle changes, and satisfaction. A two-pronged approach was conducted. First, the implementation time was recorded for multiple encounters (N = 42). Next, a different subset of patients (N = 22) receiving the LMA completed a pre- and post-encounter survey about their motivation to change, perception of lifestyle changes on well-being, and visit satisfaction. A control group (N = 21) also received these surveys. The average time of application was 7.12 min. Intragroup scores for motivation to change were significantly higher in the LMA group post-intervention ( .001), but not in the control group. These results show the potential benefits of the LMA tool in a clinical setting, demonstrating realistically achievable implementation times and increased patient motivation regarding better lifestyle choices. Providers should consider using the LMA tool to promote lifestyle change within their practice.

摘要

生活方式医学是一种以患者为中心、促进健康生活方式行为的方法,是预防和治疗慢性病的循证工具。研究表明,它能减轻身心疾病的负担。尽管如此,临床应用仍滞后,医生在有效鼓励生活方式改变方面面临障碍。本项目研究生活方式医学评估(LMA)工具在实施的便利性以及对患者动机、生活方式改变认知和满意度的影响。采用了双管齐下的方法。首先,记录多次问诊(N = 42)的实施时间。其次,接受LMA的另一组不同患者(N = 22)在问诊前后完成了关于他们改变动机、生活方式改变对幸福感的认知以及就诊满意度的调查。一个对照组(N = 21)也接受了这些调查。平均应用时间为7.12分钟。干预后,LMA组内改变动机的得分显著更高(P <.001),但对照组没有。这些结果显示了LMA工具在临床环境中的潜在益处,表明实施时间切实可行,且患者对更好生活方式选择的动机增强。医疗服务提供者应考虑在其诊疗工作中使用LMA工具来促进生活方式改变。

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