Sebastian Harenberg, Gary Sforzo, Rosie Hunter, Erika Jackson, Margaret Moore
{"title":"The Well-Being Coaching Inventory (WCI): Questionnaire Development and Validation.","authors":"Sebastian Harenberg, Gary Sforzo, Rosie Hunter, Erika Jackson, Margaret Moore","doi":"10.1177/15598276251320573","DOIUrl":"10.1177/15598276251320573","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the present study was to psychometrically test and validate the Well-being Coaching Inventory (WCI), a proposed measure of interconnected, whole-person well-being in the context of health and wellness coaching (HWC).</p><p><strong>Methods: </strong>Initially 49 items, the WCI was conceived with 4 dimensions: Mind, Body, Work, and Life. The inventory was evaluated in 3 sequential studies to test: (a) face validity, (b) convergent validity, and (c) predictive validity. Expert judgment, correlational analyses, and factor analyses were techniques applied to collected WCI data.</p><p><strong>Results: </strong>After statistical evaluation (n = 261) of fit to each dimension, the WCI was shortened to 20 items that demonstrated convergent validity. Further use of confirmatory factor analyses and exploratory structural equation model in a large sample study (n = 531) provided additional support for the inventory's convergent validity. Through correlation analyses to theoretically related concepts predictive validity was established.</p><p><strong>Conclusions: </strong>The WCI is a valid, applicable, and reliable scale for use in HWC research and practice. It is an instrument that will aid HWC practitioners and researchers as a central outcome measure for their practice.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251320573"},"PeriodicalIF":1.5,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Integrating Lifestyle Medicine Content into Health Professions Programs.","authors":"Zipporah Brown, Kelly Freeman, Anu M Räisänen","doi":"10.1177/15598276251321418","DOIUrl":"10.1177/15598276251321418","url":null,"abstract":"<p><p>Lifestyle medicine (LM) has demonstrated clinical efficacy when utilized within chronic disease guidelines where lifestyle interventions are recommended. Integrating LM content into health professions education, such as doctor of occupational and physical therapy programs, is critically important to empower future clinicians to adequately implement therapeutic lifestyle interventions to improve their patient's health outcomes. The American College of Lifestyle Medicine Partial Academic Pathway was developed to facilitate the integration of LM content into health professions programs. In this article, we describe the Partial Academic Pathway pilot, which began in the fall of 2022 and concluded in the fall of 2023. In addition, we describe the role of two health professions, occupational therapy and physical therapy, in health promotion and management of lifestyle-related conditions. Finally, we provide an example of how LM competencies were implemented into a doctor of physical therapy curriculum. As the students learning about LM enter the workforce, they have the potential to support their patients' health through therapeutic lifestyle interventions while reducing healthcare costs and improving patient satisfaction.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251321418"},"PeriodicalIF":1.5,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11840824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lifestyle Medicine Reimbursement is Improving.","authors":"Padmaja Patel","doi":"10.1177/15598276251321430","DOIUrl":"https://doi.org/10.1177/15598276251321430","url":null,"abstract":"","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251321430"},"PeriodicalIF":1.5,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cooking up Knowledge: Empowering High School Students Through a Food Literacy Boot Camp.","authors":"Amelia Sullivan, Kayla Parsons, Mona Therrien-Genest, Kathryn Yerxa","doi":"10.1177/15598276251319254","DOIUrl":"10.1177/15598276251319254","url":null,"abstract":"<p><p>Adolescents in rural communities are subject to higher rates of chronic diseases. Food literacy, the knowledge and skillset to make informed health behaviors, has been identified as a critical influence in disease prevention. This mixed-method experimental study evaluated the Food Literacy Boot Camp's effectiveness, feasibility, and likeability in promoting healthy lifestyle choices, including diet, physical activity, food preparation, and food safety skills among adolescents. Outcomes were assessed using the Expanded Food and Nutrition Education (EFNEP) 6th - 12th Grade EFNEP Youth Questionnaire, distributed before and after the intervention. Qualitative methods assessed likeability. Following the program, participants had statistically significant improvements in sugar-sweetened beverage intake (<i>P</i> = 0.004), healthy eating choices when dining out (<i>P</i> = 0.002), physical activity (<i>P</i> = 0.010), hand washing (<i>P</i> = 0.028), inclination to wash fruits and vegetables (<i>P</i> = 0.008) and using separate cutting boards for raw meats and fresh produce (<i>P</i> = 0.046). Four major qualitative themes emerged: (1) Comprehensive Health and Wellness Education, (2) Practical Skill Development, (3) Knowledge and Behavior Change, and (4) Successful Student Engagement and Positive Endorsement. Overall, the Food Literacy Boot Camp successfully improved participants' food literacy skills.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251319254"},"PeriodicalIF":1.5,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11826820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cognitive Decline and Vitamins.","authors":"Sneha Baxi Srivastava","doi":"10.1177/15598276251319728","DOIUrl":"10.1177/15598276251319728","url":null,"abstract":"<p><p>Dementia and cognitive decline are concerning conditions, especially because they coincide with great uncertainty and have no cure. Scientists continue to explore these conditions in order to better understand their causes and identify potential treatments. Numerous interventions have been studied, from various diets to medications, supplements, and vitamins. There are many scientific and nonscientific articles that discuss what may lead to these conditions and how to address them. However, researchers are still trying to understand the actual and complex causes of dementia and cognitive decline; the available medications primarily focus on symptoms but do not \"cure\" the conditions (and also come with their own controversies); and much of the nonscientific literature contains recommendations that are not supported by strong empirical evidence. This article briefly reviews the data about how vitamin B and E in dementia and cognitive decline.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251319728"},"PeriodicalIF":1.5,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822773/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Examining U.S. Adults Risk Perceptions and Skin Protection Behaviors Using the 2022 HINTS Database.","authors":"Madison Etzel, Nada Eldawy, Sahar Kaleem, Austin Lent, Adrienne Dean, Ayden Dunn, Paige Brinzo, Samantha Jimenez, Lea Sacca","doi":"10.1177/15598276251319292","DOIUrl":"10.1177/15598276251319292","url":null,"abstract":"<p><strong>Background: </strong>This study aims to provide a general overview of cancer risk perceptions and reported sunburns to prevent sunburn and reduce the long-term risk of developing skin cancer.</p><p><strong>Methods: </strong>Data were obtained from the 2022 Health Information National Trends Survey 6 and analysis was carried out with SPSS. Descriptive statistics were conducted to explore sociodemographic characteristics, cancer risk perceptions, and behaviors surrounding sunburns in our sample. Associations between number of sunburns and sociodemographic variables were reported using multinomial regression analysis.</p><p><strong>Results: </strong>When asked how confident patients felt about their ability to take good care of their own health, most respondents felt either very confident (44.0%) or completely confident (27.3%). When asked how often they experienced a sunburn in the past 12 months, 2.1% reported experiencing more than 6 sunburns, 30.3% reported having between 1-5 sunburns, and 67.6% reported experiencing no sunburns. Using multinomial regression analysis, statistically significant associations were reported between number of sunburns and age, gender, occupation status, marital status, education, Hispanic origin, race, and income level.</p><p><strong>Conclusion: </strong>The results of our study reinforce the need for public health interventions that effectively disseminate information on skin cancer risk across ethnic minority groups, especially in underserved communities within the U.S.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251319292"},"PeriodicalIF":1.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11806446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Registered Dietitian Nutritionists as Leaders in Lifestyle and Culinary Medicine.","authors":"Kelly Wilson, Abigail McCleery","doi":"10.1177/15598276251316845","DOIUrl":"10.1177/15598276251316845","url":null,"abstract":"<p><p>Registered Dietitian Nutritionists (RDNs) are uniquely positioned to lead in Lifestyle Medicine, Culinary Medicine and Food is Medicine, overlapping initiatives currently gaining momentum in health care. To become a credentialed practitioner, RDNs must demonstrate competency as outlined in The Scope and Standards of Practice defined by the Commission on Dietetic Registration (CDR), the credentialing agency for the Academy of Nutrition and Dietetics. Many CDR competencies align with the interventional and operational components necessary to deliver and direct effective Lifestyle Medicine (LM) and Culinary Medicine (CM) initiatives. Capitalizing on the skills and expertise of RDNs trained in LM and CM is an effective strategy to address the Quintuple Aim of better health care outcomes, lower cost, improved patient satisfaction, improved provider wellbeing and the advancement of health equity. Successful examples like <i>Cooking with Plants</i>, Trinity Health Ann Arbor's virtual CM series, showcase the positive impact of RDN-led CM initiatives on culinary literacy and health behavior change. This article provides an overview of the <i>Cooking with Plants</i> program and practical guidance for initiating similar programs at other institutions. Guidance includes strategies for assessing community needs, identifying funding sources, engaging stakeholders, and developing and evaluating curriculum.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251316845"},"PeriodicalIF":1.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11806448/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kimberly Siu, Isabel Martinez Leal, Natalia I Heredia, Jessica T Foreman, Jessica P Hwang
{"title":"Lifestyle Attitudes and Habits in a Case Series of Patients With Cancer and Metabolic Syndrome.","authors":"Kimberly Siu, Isabel Martinez Leal, Natalia I Heredia, Jessica T Foreman, Jessica P Hwang","doi":"10.1177/15598276251319262","DOIUrl":"10.1177/15598276251319262","url":null,"abstract":"<p><p>Metabolic syndrome (MetS) is associated with increased cancer risk and poor cancer prognosis. The current study applied a mixed methods approach to better understand attitudes about making lifestyle changes and current dietary and physical activity behaviors among cancer patients with MetS at a cancer center and to explore the suitability of brief lifestyle questionnaires to help providers understand their patients' lifestyle attitudes and habits. Qualitative interviews were used to obtain patients' perspectives about lifestyle changes, and 3 quantitative questionnaires-the Readiness Ruler, Rate Your Plate, and the International Physical Activity Questionnaire-Short Form (IPAQ-SF)-were used to measure patients' readiness for lifestyle change, dietary habits, and physical activity levels, respectively. Nineteen patients participated in interviews, and 18 patients completed the questionnaires. Interview findings indicated that patients generally prioritized lifestyle changes over medication use, desired collaboration and coordination between multidisciplinary care teams and patient, and desired tailored interventions and practical implementation strategies to manage MetS. Questionnaire findings indicated that most patients agreed with the importance of lifestyle changes and expressed confidence in making them, reporting healthy food choices and high physical activity levels. A multidisciplinary approach tailored to patients' readiness, preferences, and constraints is recommended for effective MetS management in patients with cancer.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251319262"},"PeriodicalIF":1.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11806445/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Robert Zarr, Wing Yi Chan, Bing Han, Erika Estrada, Haoyuan Zhong, Deborah A Cohen
{"title":"Association Between Nature Attitudes and Physical Activity in Youth From Low-Income Families.","authors":"Robert Zarr, Wing Yi Chan, Bing Han, Erika Estrada, Haoyuan Zhong, Deborah A Cohen","doi":"10.1177/15598276251319002","DOIUrl":"10.1177/15598276251319002","url":null,"abstract":"<p><p>We conducted a clinical trial on nature prescriptions measuring baseline moderate-to-vigorous physical activity (MVPA). 433 children between 6-16 years old completed baseline measures (49.2% female, 50.8% male). Participants self-identified as Latino (88.2%), African-American (9.7%), Asian (0.5%), and other or unknown (1.6%). The mean BMI% was 94.9 (SD 6.2), and mean age is 10.4 years (SD 2.7). The mean MVPA was 16.6 minutes, the mean daily accelerometer wear time was 728.8 minutes (SD 126.6), and the average number of days the participant wore the accelerometer for >8 hours (per day) was 6.8 (SD 3.8). Multivariate regression analysis showed that age was not associated with MVPA. However, boys engaged in 38 more minutes of MVPA per week than girls (<i>P</i> < .0001). Season was associated with MVPA with 5.4 more minutes of MVPA/day in the Fall (<i>P</i> < .01) and 4.8 more minutes in Spring (<i>P</i> < .01) as compared to winter and summer. Participant attitude toward nature was significantly associated with MVPA. One unit of positive increase in individual attitude toward nature was associated with 3 additional minutes of MVPA per day (β = 3.1, <i>P</i> < .001), or 21.7 minutes per week.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251319002"},"PeriodicalIF":1.5,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11803595/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}