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

IF 3 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Meghan L Ames, Samantha M Sundermeir, Kara L Staffier, Bruce Weeks, Melissa M Reznar, Tyler Hemmingson, Shannon Frattaroli, Joel Gittelsohn, Micaela C Karlsen
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Abstract

Background: Lifestyle 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).

Methods: Eight 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.

Results: Four 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.

Conclusion: Continuing 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.

Abstract Image

促进卫生系统内生活方式医学实践的教育策略:美国卫生系统的多个案例研究。
背景:生活方式医学(LM)是一个循证医学领域,在治疗和预防主要疾病和死亡原因方面是有效的。尽管有明显的影响,但很少有医生和其他医疗保健专业人员定期实施LM。继续教育可能是提高从业者的知识、信心和LM实践的有效途径,但是在如何利用教育内容和策略来有效地提高LM采用方面存在空白。本研究的目的是确定促进LM在卫生系统(HS)实施的教育策略。方法:8名美国HSs参与了本多病例研究。我们对领导和实施LM项目的HS员工进行了深入的半结构化访谈(n = 68,每个HS有6-8名员工)。访谈包括关于LM实施和教育策略的问题。转录本按照框架分析方法进行分析。通过定量和定性分析评估背书力度。结果:四个主题领域被确定为有效的LM继续教育的关键内容。在行为改变咨询方面进行进一步教育的必要性得到了最强烈的支持。其他主题包括LM定义和证据、推荐机会和业务发展技能。我们确定了十种促进LM的继续教育策略。对试点项目、员工健康和人际教育活动(包括同伴学习、实践社区和主管学习/指导)的支持最为强烈。结论:继续教育可以促进社会科学的实施。教育策略应该强调培养行为改变咨询技能的培训,利用员工健康试点项目,培养人际学习。
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来源期刊
Translational Behavioral Medicine
Translational Behavioral Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -
CiteScore
6.80
自引率
0.00%
发文量
87
期刊介绍: Translational Behavioral Medicine publishes content that engages, informs, and catalyzes dialogue about behavioral medicine among the research, practice, and policy communities. TBM began receiving an Impact Factor in 2015 and currently holds an Impact Factor of 2.989. TBM is one of two journals published by the Society of Behavioral Medicine. The Society of Behavioral Medicine is a multidisciplinary organization of clinicians, educators, and scientists dedicated to promoting the study of the interactions of behavior with biology and the environment, and then applying that knowledge to improve the health and well-being of individuals, families, communities, and populations.
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