Lifestyle medicine (Hoboken, N.J.)最新文献

{"title":"Noninvasive multichannel urodynamic system: Obtaining cutaneous electrical signals from the human urinary bladder","authors":"Jonas F. Kurniawan,&nbsp;Sanghee Lee,&nbsp;Hoang-Kim Le,&nbsp;Andrew K. L. Nguyen,&nbsp;Nathan L. J. Sit,&nbsp;Timothy Pham,&nbsp;Boris Tjhia,&nbsp;Ryan Gottlieb,&nbsp;Carleen Li,&nbsp;Andrew J. Shin,&nbsp;Hassler Bueno Garcia,&nbsp;Vincent M. Wu,&nbsp;Tris R Mendoza,&nbsp;Thomas DiPina,&nbsp;Gladys Ornelas,&nbsp;George Chiang,&nbsp;Christina A. M. Jamieson,&nbsp;Yahir Santiago-Lastra,&nbsp;Todd P. Coleman","doi":"10.1002/lim2.93","DOIUrl":"10.1002/lim2.93","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>We developed a high-resolution and noninvasive multichannel urodynamic system combined with a novel signal-processing algorithm tailored to extract electromyographic (EMG) activity from the urinary bladder. We utilized a flexible noninvasive biopotential recording system to collect an array of EMG signals from the urinary bladder of human subjects. This study also presents the use of an existing artifact rejection methodology to autonomously extract an EMG signal from an environment prone to motion artifacts.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.93","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135819395","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":"The impact of social media usage on lifestyle behaviors and health","authors":"Gregory Cohen,&nbsp;Ernesto Medina,&nbsp;Daniel Handysides,&nbsp;Huma Shah,&nbsp;Adam Arechiga,&nbsp;Wendy Shih","doi":"10.1002/lim2.94","DOIUrl":"10.1002/lim2.94","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Despite the increasing popularity of social media, little research has been conducted on its impact on lifestyle behaviors and health outcomes among adults. This study aimed to investigate whether more frequent social media screen time use is associated with poorer lifestyle behaviors, overweight or obesity, and depressive symptoms. Additionally, this study examined the potential use of social media to positively influence health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An anonymous one-time survey was conducted among English-speaking social media users aged 18–34 in Southern California. Self-reported height and weight were used to calculate body mass index (BMI), and the Patient Health Questionnaire-9 (PHQ-9) was used to estimate the severity of depressive symptoms. A cumulative risk score for lifestyle behaviors was also tallied. Three focus groups were held with a subset of the survey population to gain insights on social media, lifestyle behaviors, and health. A mixed method analysis was used to analyze the data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The survey data of 86 complete cases showed a positive correlation (<i>r</i> = 0.421; <i>p</i> &lt; 0.001; 95% confidence interval [CI] [0.223, 0.585]) among PHQ-9 depression scores and negative correlation (<i>r</i> = −0.230; <i>p</i> = 0.033; 95% CI [−0.426, −0.12]) for BMI compared to actual social media screen time usage, respectively. However, social media screen time usage ≥3 h showed no association for either BMI, depressive symptoms, or cumulative risk score. Participants viewed social media as a “<i>double-edged sword</i>,” providing benefits such as “<i>connection</i>” and “<i>information sharing</i>,” but also having a negative impact on mental health (theme 1). Participants also believed public health needs to take a more proactive role in using social media, while social media platforms should manage the “<i>authenticity</i>” of content and modify their “<i>algorithms</i>” to improve health and lifestyle practices (theme 2).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study suggested that social media may have some protective benefits related to becoming overweight or obese as indicated by the focus group participants, but further research is needed on the relationship between social media screen time usage and adult mental health. Social media platforms may have the potential to promote positive lifestyle behaviors and improve health if used properly.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.94","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135371833","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":"The effects of exercise on sleep disturbances and cancer-related fatigue for female breast cancer survivors receiving adjuvant hormone therapy: A systematic review","authors":"Anna Rose McGrorry,&nbsp;Amy Paterson,&nbsp;Nicola Peddie","doi":"10.1002/lim2.92","DOIUrl":"https://doi.org/10.1002/lim2.92","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Breast cancer is the most common type of cancer, accounting for 15% of all new cases. Hormone therapy (HT) is extremely effective in reducing breast cancer recurrence. However, adherence to HT medication is often poor due to negative side effects such as fatigue and sleep disturbances. Physical activity has been identified as a possible intervention to improve quality of life and reduce side effects of HT.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The objective of this systematic review was to summarise evidence of exercise interventions for women being treated with HT for breast cancer.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Electronic searches were conducted from inception to March 2022 using Medline, SPORTdiscus, Embase, Scopus, PsycINFO and Web of Science databases. Searches included a combination of terms related to breast cancer, exercise, sleep disturbances, fatigue and HT.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Ten eligible papers were identified, and their quality was assessed. Type, frequency, duration and intensity of exercise interventions varied. Exercise types included aerobics, strength/resistance training, walking and yoga. Heterogeneity of data made it difficult to draw conclusions. However, aerobic exercise interventions provide clear improvements in fatigue and sleep disturbances.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This review identified a lack of consistency in exercise recommendations for women being treated for breast cancer. It identifies that aerobic exercise can successfully improve fatigue and sleep disturbances, consistent with existing literature. Exercise has a range of benefits for this population, including improving psychological well-being and quality of life. Clinicians should strongly advocate for engagement in exercise to promote overall physical and psychological well-being in women being treated for breast cancer.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.92","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68180659","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":"A healthy lifestyle is a social lifestyle: The vital link between social connection and health outcomes","authors":"Andrew S. Proctor,&nbsp;Abigail Barth,&nbsp;Julianne Holt-Lunstad","doi":"10.1002/lim2.91","DOIUrl":"https://doi.org/10.1002/lim2.91","url":null,"abstract":"<p>Social connection impacts physical health in a variety of ways, including longevity. A diverse and robust body of evidence demonstrates the importance of social connection as a key element of lifestyle relevant to health. Among this evidence, data illustrate the mechanisms linking social connection to health, emphasizing how aspects of social connection impact traditional behavioral lifestyle-related activities directly and indirectly. The evolving landscape of social engagement through digital technologies further suggests important implications for one's social lifestyle on population health. This evidence points to the importance of considering how social connection impacts health across the lifespan and the need for policy, programming, and other strategies as part of prevention and mitigation efforts to improve social health.</p>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.91","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68180909","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":"Strength and multiple types of physical activity predict cognitive function independent of low muscle mass in NHANES 1999–2002","authors":"Kristi L. Storoschuk,&nbsp;Ryan Gharios,&nbsp;Gregory D. M. Potter,&nbsp;Andrew J. Galpin,&nbsp;Benjamin T. House,&nbsp;Thomas R. Wood","doi":"10.1002/lim2.90","DOIUrl":"https://doi.org/10.1002/lim2.90","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Multiple domains of cognitive function decline with age, resulting in a significant burden on quality of life and the healthcare system. Recent studies increasingly point to links between muscle mass, particularly low muscle mass, and risk of cognitive decline. However, complex relationships exist between muscle mass, muscle function, physical activity, and overall health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data from 1,424 adults 60+ years old in the 1999-2000 and 2001-2002 editions of the National Health and Nutrition Examination Survey (NHANES) were used to investigate the relationship between low muscle mass and cognitive function after accounting for strength, physical activity, and nutritional and metabolic risk factors for cognitive decline.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Muscle strength and physical activity independently predicted performance in the digit symbol substitution test, with muscle mass and muscle strength explaining 0.5% and 5% of the variance in cognitive function, respectively. In graphical network analyses, the association between low muscle mass and cognitive function appeared to be primarily mediated by neuromuscular function. Physical activity was associated with strength but, surprisingly, not muscle mass, which was instead more closely related to total mass.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Low muscle mass is a relatively poor predictor of cognitive function after accounting for physical activity and strength in older individuals from a representative population dataset in the US. Future studies should account for the way in which muscle mass is accrued, which is likely to confound any association between muscle mass and health outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.90","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68180649","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":"Compassionate communities as the foundation of the next healthcare revolution","authors":"Julian Abel,&nbsp;Thomas R. Wood","doi":"10.1002/lim2.89","DOIUrl":"10.1002/lim2.89","url":null,"abstract":"<p>Community matters, a lot. More than individual choices and more than most medicines. As we will show in this special issue, community and harmonious social relationships are deeply embedded into all of animal evolution but particularly in humans, the most social of animals. Community matters because our survival as a species is dependent on it. This has always been the case and is the case now, for the survival of our planet and life on it. A sense of belonging is one of the most powerful human drives we seek, and this can be found in relationships with family, friends, communities, workplaces and educational institutions, amongst others. But where is the evidence that community matters to the health of the individual and society as a whole? Once you look for it, it is everywhere. It is found in meta-analyses showing the beneficial impact of good social relationships and the detrimental impact of loneliness and social isolation. It is found in our biochemistry, our genomics, our immune system and our emotions. It is found in public health and community development research. And when community is seen as a therapeutic tool and applied to individuals and community alike, the results are transformative. This is not just for people who are unwell but for everyone.</p><p>Despite the accumulation of evidence, we appear to have forgotten the impact that communities have on our health. At least, some of us have. Many Indigenous cultures know the importance of community and have done for tens of thousands of years. This knowledge is passed down from generation to generation in their history, their culture and their stories. It is local, with wisdom of how to thrive in a connected state within nature, within the ecology of food. Community, and our interconnectedness with others, is where we can find greater meaning and purpose in our lives, which themselves are significant contributors to individual health. As the evidence presented in this special issue suggests, however, this is no longer the case in many Westernised individualistic societies, where the burden of non-communicable disease related to a lack of social support and community now threatens entire healthcare systems.</p><p>This special issue of <i>Lifestyle Medicine</i> brings together world-leading researchers in the fields of community and social connection who have summarised their latest findings. The topics covered build a full picture of the impact of community on health, starting with the extraordinary findings on the impact of positive social relationships by Julianne Holt-Lunstad and colleagues. Professors Slavich and Cole, along with Summer Mendelkoch, describe the intricate web of how social relationships affect the internal workings of the body in their ground-breaking work on human social relationships. Along with Julian Abel, Professor Allan Kellehear, the founding father of compassionate cities and public health palliative care, discusses the implications for the practice of p","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.89","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42959514","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":"Attitudes of hospital patients regarding removal of processed and unprocessed red meats from menus to support sustainable healthcare targets: A single-centre survey","authors":"Melissa Truman,&nbsp;Laura-Jane Smith,&nbsp;Shireen Kassam","doi":"10.1002/lim2.87","DOIUrl":"10.1002/lim2.87","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The production and consumption of red and processed meat negatively impacts individual and planetary health. The 2021 Lancet countdown on health and climate change report stated that 842,000 deaths annually are due to excess red meat consumption, whilst its production is responsible for more than 50% of food-related greenhouse gas emissions. As part of the National Health Service's net-zero emissions strategy, King's College Hospital has committed to transitioning to a plant-based food environment and removing processed red meat from menus.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To ascertain patients' attitudes to the removal of processed and unprocessed red meat from menus</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material and methods</h3>\u0000 \u0000 <p>We conducted a survey of 118 patients using in-person interviews.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Most patients did not consider serving processed red meat (74%) or unprocessed red meat (66.1%) important to them and most patients (77.9%) were neutral or supportive of removing processed red meat from menus to reduce the risk of cancer. Most patients (67%) were also supportive of removing unprocessed red meat from menus to combat climate change. The majority would choose chicken or fish in place of red meat.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These data show that patients would support the removal of red meat from hospital menus, but more education is required to support patients to select plant-based options.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.87","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49322246","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":"Patient partnerships, equality and the ‘long tail’ of the COVID-19 pandemic","authors":"Jai Prashar","doi":"10.1002/lim2.86","DOIUrl":"10.1002/lim2.86","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Patient partnerships are vitally important in improving healthcare delivery, however they are underutilised for this purpose.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Here, I discuss how the COVID-19 pandemic has presented challenges for health equity but has also presented unique opportunities for enhancing the role of the service user in driving evidence generation, tackling inequality and service design.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The COVID-19 pandemic has highlighted and exacerbated inequality in healthcare. Existing legislation and literature on patient involvement and inequality is largely limited in scope. However, co-production of evidence with service users and carers, as well as incorporating advocacy and involving these groups in service design, all have significant potential to achieve meaningful integration of their views and preferences in healthcare.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>There is significant scope to move beyond ‘lip service’ in patient involvement within healthcare. The COVID-19 pandemic has highlighted the importance of, as well as the potential for, substantive participation of patients and the public in healthcare design and delivery.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.86","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43616691","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":"Narrative review – Barriers and facilitators to promotion of physical activity in primary care","authors":"Callum Leese,&nbsp;Kirstin Abraham,&nbsp;Blair H Smith","doi":"10.1002/lim2.81","DOIUrl":"10.1002/lim2.81","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> The objective</h3>\u0000 \u0000 <p>to provide an overview of the literature on the barriers and facilitators to physical activity (PA) promotion in primary care, as experienced by practitioners and patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A search strategy of the English-language literature was conducted in EMBASE, MEDLINE and the COCHRANE LIBRARY. Search terms were primary care OR general practice OR family medicine OR family practitioner AND physical activity OR exercise AND barriers OR facilitators. Databases were searched from inception until 21 October 2022.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>After screening, 63 articles were included within the summary and content analysis of this review. Analysis of the barriers to the implementation of PA highlighted four main themes perceived by practitioners: time, knowledge/skills, resources/support and financial implications. Analysis of the patient perspective identified themes which were categorised into individual (pre-existing health conditions, knowledge of benefits of PA, time/capacity), societal (social support and cultural norms) and environmental (availability of facilities and weather).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>As the importance of PA increases through the manifestation of sedentary behaviour-related disease, a combined primary care and public health approach to increase PA is required. By identifying the main barriers to PA promotion in primary care, resources and funding can be directed to address this. This is particularly relevant in the United Kingdom, with the re-negotiation of the primary care contract and the changes to healthcare delivery as a consequence of the Covid-19 pandemic. Throughout this review, we have explored ways of addressing the identified barriers through evidence-based interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.81","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47793214","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":"Scaling group consultations – the fourth healthcare revolution: A call to action to save primary care","authors":"Fraser Birrell,&nbsp;Denis Collen,&nbsp;Muir Gray","doi":"10.1002/lim2.80","DOIUrl":"10.1002/lim2.80","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>Compelling arguments support scaling of group consultations across the National Health Service (NHS) and globally. We need to recognise self-care is the most important type of care for people with long-term health problems. Healthcare systems like the NHS are essential for diagnosis, acute care and initiating optimal therapy but people are on their own over 99.95% of waking hours. We must accept and encourage the contribution that other people with the same long-term health problems can make and enable both types of care through face-to-face and virtual group consultations.  Patients and communities need agency and choice to implement and access these patient-centred and codesigned care models. This can bring system benefits, mapped to healthcare's quintuple aim, to those electing to use group consultations and even those who do not. The process of both training and delivering group consultation models can create and sustain compassionate communities and this ‘Fourth Healthcare Revolution’ may be exactly what is needed to save primary care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.80","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45415650","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}