Shared Medical Appointments (SMAs) in Lifestyle Medicine Practice: An Expert Consensus Statement From the American College of Lifestyle Medicine.

IF 1.9 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American Journal of Lifestyle Medicine Pub Date : 2026-10-01 DOI:10.1177/15598276261485880

Paula Gardiner, Beth Frates, Richard M Rosenfeld, Kristi Artz, Matthew Badgett, Jonathan P Bonnet, Kathleen E Findlay, Jeffrey Geller, Meagan L Grega, Mahima Gulati, Kathryn Hansen, Padmaja Patel, Isabel Roth, Deepa Sannidhi, Marianne J Sumego, Kara L Staffier, Micaela C Karlsen

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Abstract

Objective: To identify statements of consensus on the use of shared medical appointments (SMAs) to improve quality of care and patient health outcomes in lifestyle medicine practice especially for prevention, treatment, and management of chronic disease.

Methods: A multidisciplinary panel of experts in shared medical appointments (SMAs) followed an a priori protocol for developing consensus statements. Using an iterative, online Delphi process, panel members reported levels of agreement and statements were classified as consensus, near consensus, or no consensus.

Results: The panel identified 106 candidate statements addressing: (1) Definitions and General Concepts, (2) Lifestyle Medicine and Behavior Change, (3) Research and Quality Improvement Outcomes, (4) Delivery Models, (5) Group Cohesiveness, (6) Billing and Documentation, (7) Staffing Models, and (8) Training. After 3 iterations of an online Delphi survey, revisions, and removal of duplicative statements, 56 statements met criteria for consensus. Nine statements met near consensus, and 41 statements did not reach consensus.

Conclusion: There is broad consensus among panel members that implementing SMAs highlighting lifestyle medicine has high patient satisfaction, is reimbursable, and can provide high-quality medical care. These specific consensus statements can be used to inform policy and prioritize areas for future research.

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