Mirsky Jacob, Brodney Suzanne, Boratyn Veronica, Thorndike Anne N
Division of General Internal Medicine, Massachusetts General Hospital, Boston, MA, USA.
Harvard Medical School, Boston, MA, USA.
Am J Lifestyle Med. 2023 Oct 26;19(5):773-778. doi: 10.1177/15598276231208164. eCollection 2025 Jul.
Lifestyle Medicine Virtual Group Visits (LMVGVs) can be implemented in health systems to address chronic disease care gaps. This study assessed whether patients' attendance patterns at primary care-based LMVGVs were associated with self-reported changes in lifestyle behaviors. Patients who were scheduled for LMVGVs between September 2020 and April 2022 (N = 261) were mailed a survey between February and April 2022; 124 (48%) respondents completed the survey, and 111 with complete data were included. Mean age (SD) was 60.6 (12.5) years, 73% were female, and 83% were White. Twelve respondents (11%) attended 0, 51 (46%) attended 1-4, and 48 (43%) attended ≥5 LMVGVs. Compared to respondents who attended 1-4 LMVGVs, those who attended ≥5 LMVGVs reported eating healthier (85% vs 41%; < .001), increasing physical activity (71% vs 37%; < .001), and losing weight (53% vs 25%; < .01). Most respondents who attended 1-4 LMVGVs (75%) and ≥5 LMVGVs (89%) reported maintaining lifestyle changes "some" or "a lot." LMVGV-based programs may be a scalable strategy for promoting healthy behavior change for improved chronic disease care.
生活方式医学虚拟小组问诊（LMVGVs）可在卫生系统中实施，以解决慢性病护理差距问题。本研究评估了以初级保健为基础的LMVGVs患者的就诊模式是否与自我报告的生活方式行为变化相关。2020年9月至2022年4月期间安排参加LMVGVs的患者（N = 261）于2022年2月至4月收到一份调查问卷；124名（48%）受访者完成了调查，其中111名数据完整的受访者被纳入研究。平均年龄（标准差）为60.6（12.5）岁，73%为女性，83%为白人。12名受访者（11%）参加了0次，51名（46%）参加了1 - 4次，48名（43%）参加了≥5次LMVGVs。与参加1 - 4次LMVGVs的受访者相比，参加≥5次LMVGVs的受访者报告饮食更健康（85%对41%；P <.001）、增加了体育活动（71%对37%；P <.001）以及体重减轻（53%对25%；P <.01）。大多数参加1 - 4次LMVGVs（75%）和≥5次LMVGVs（89%）的受访者报告“部分”或“很大程度上”保持了生活方式的改变。基于LMVGVs的项目可能是一种可扩展的策略，用于促进健康行为改变以改善慢性病护理。
