1.9 Professional role & scope of practice

Lifestyle interventions are likely best accomplished by physicians working with nutritionists/dietitians, exercise physiologists, behavioural therapists, and a variety of other health care professionals. While the majority of lifestyle interventions will take place facilitated by primary care physicians in a medical home-type setting, it is likely that there is a place for specialists with more extensive training in […]

1.8 Practitioners personal behaviour and role modelling

Practitioners’ abilities to motivate patients to adopt healthy habits can be enhanced by practicing and demonstrating healthy personal lifestyles. Practitioners with healthy personal practices are more likely to discuss prevention with their patients. (Frank et al., 2000). 

1.7 Cultural considerations

What is culturally responsive care? By Carteret (2010)  The term culturally responsive care is defined as an extension of patient centred-care that includes paying particular attention to social and cultural factors in managing medical encounters with patients from very different social and cultural backgrounds. The word “responsiveness” places emphasis on the capacity to respond. In practice, this boils down to health care providers utilising a set […]

1.6 SMA lite – Introduction to SMA (and the peer group)

Shared Medical Appointments (SMAs) are ‘consecutive individual medical visits carried out in a supportive group setting of similar patients where all can listen, interact, and learn’. SMAs involve a medical practitioner (e.g. GP or specialist) consulting with patients sequentially among a group of patients who can interact throughout the consultation, under the guidance and direction of a […]

1.5 LM practice – Practice processes

In this module, we provide a systematic approach to gather biometric measures and vital signs that can inform your clinical practice and assist in screening and diagnosing lifestyle-related risk factors. We talk through the SNAP guidelines your nursing staff can apply to each care planning consultation. Lastly, we look at strategies to create and sustain clinical Lifestyle Medicine interventions by continuously improving your practice and leveraging your internal and external resources. 

1.4 LM practice and MOC

Egger et al. (2017, p. 11) provide some practice principles for Lifestyle Medicine. They provide a starting point for practice in the field and include the following:  Consider the lifestyle influences on chronic diseases.  Regard obesity (and other known risk factors) as signs for further investigation for chronic disease risk (but don’t disregard those who are not […]

1.2 LM evidence

Where possible, we use evidence-based information to make recommendations for lifestyle-based prescriptions. However, as lifestyle interventions in medicine are a growth area, there is still much to be learned and much that is difficult to objectify. Although specific prescriptions for different lifestyle-based ailments are now emerging, there has only recently been an appreciation of the general […]

3.1 Physical activity

Insufficient physical activity is a major contributor to the disease burden. Globally, 1.6 million deaths can be attributed to insufficient physical activity. Regular physical activity can prevent and treat non-communicable diseases such as type 2 diabetes, cardiovascular disease, some cancers, overweight and obesity and rheumatoid conditions amongst others. Physical activity has immediate and long-term health […]

2.1 Behaviour change techniques & practice

Litt et al. (2017, p. 77 & 80) state behaviour change is not just about motivation. C.O.M.P.L.I.A.N.C.E is a useful acronym to think about the range of factors that influence lifestyle-related behaviour (considers the factor and strategy): 

1.3 Introduction to LM

Understanding the aetiology of disease is a significant part of primary health care. Yet, in chronic multifactorial diseases, our knowledge about causality is often less than in other medical areas. Research provides only probabilities, not straight causal relationships; a simple measurement of risk can give a probability estimate but is rather limited as a curative guide. At the outset, […]

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