Health Behavior Changes in a Lifestyle Medicine Program: A Convergent Mixed Methods Study.

IF 2.2 3区心理学 Q3 PSYCHOLOGY, CLINICAL

Behavior Modification Pub Date : 2026-11-01 Epub Date: 2026-05-21 DOI:10.1177/01454455261437752

Julia M L Pangalangan, Elizabeth P Frates, Michelle Tollefson, Charlotte V Farewell, Ella Abramonte, Ashley Brooks-Russell, Jini E Puma

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引用次数: 0

Abstract

Despite public health efforts and technological advancements, the global burden of lifestyle-related chronic diseases continues to grow. Lifestyle medicine, a discipline that leverages evidence-based behavioral interventions to prevent and manage chronic disease, presents a promising path to address this epidemic. Thus far, the lifestyle medicine field lacks comprehensive and validated tools to assess program effectiveness. This convergent mixed methods study fills a gap in research by examining the preliminary effectiveness of a promising lifestyle medicine program, the PAVING the Path to Wellness program. PAVING the Path to Wellness (PAVING program) is a group-based health promotion program centered on improving health behaviors, including physical activity, nutrition, sleep, substance use, stress management, and social connection. This pre-post evaluation aimed to assess (1) the preliminary effects of the PAVING program on the six lifestyle medicine health behaviors using the Lifestyle Medicine Health Behavior (LMHB) scale with 19 cohorts of PAVING groups (n = 126) and (2) the impacts of the PAVING program on determinants of health behaviors (attitudes, perceived norms, and self-efficacy, etc.) through semi-structured interviews. The program positively influenced determinants of behavior and significantly improved self-reported nutrition, physical activity, sleep, social connection, stress, and avoidance of risky substances. This mixed methods pilot study captures the impact of a group-based lifestyle medicine program and provides an evaluation blueprint for other lifestyle medicine and health promotion programs to more effectively translate from research to practice.

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生活方式医学项目中的健康行为改变：一项融合混合方法研究。

尽管公共卫生努力和技术进步，但与生活方式有关的慢性疾病的全球负担继续增加。生活方式医学是一门利用循证行为干预措施来预防和管理慢性病的学科，为解决这一流行病提供了一条有希望的途径。到目前为止，生活方式医学领域缺乏全面和有效的工具来评估项目的有效性。这个融合的混合方法研究填补了研究的空白，通过检查一个有前途的生活方式医学计划的初步有效性，铺就健康之路计划。铺路健康之路（铺路计划）是一个以群体为基础的健康促进计划，其重点是改善健康行为，包括身体活动、营养、睡眠、物质使用、压力管理和社会关系。本前-后评估旨在评估：(1)采用生活方式医学健康行为量表（LMHB）对19个pave组（n = 126）进行的摊铺计划对六种生活方式医学健康行为的初步影响；(2)通过半结构化访谈评估摊铺计划对健康行为决定因素（态度、感知规范和自我效能等）的影响。该计划积极影响了行为的决定因素，并显著改善了自我报告的营养、身体活动、睡眠、社会联系、压力和避免危险物质。这项混合方法的试点研究抓住了以群体为基础的生活方式医学项目的影响，并为其他生活方式医学和健康促进项目提供了一个评估蓝图，以更有效地从研究转化为实践。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Behavior Modification PSYCHOLOGY, CLINICAL-

CiteScore

5.30

自引率

0.00%

发文量

期刊介绍： For two decades, researchers and practitioners have turned to Behavior Modification for current scholarship on applied behavior modification. Starting in 1995, in addition to keeping you informed on assessment and modification techniques relevant to psychiatric, clinical, education, and rehabilitation settings, Behavior Modification revised and expanded its focus to include treatment manuals and program descriptions. With these features you can follow the process of clinical research and see how it can be applied to your own work. And, with Behavior Modification, successful clinical and administrative experts have an outlet for sharing their solutions in the field.