Digital Lifestyle Medicine: Designing, Delivering, and Scaling for Impact

2021 ◽  
pp. 155982762110292
Author(s):  
Leanne Mauriello ◽  
Kristi Artz
Keyword(s):  
Behavior Change ◽  
Success Factors ◽  
Scientific Evidence ◽  
Multidisciplinary Care ◽  
Successful Implementation ◽  
Lifestyle Behaviors ◽  
Team Behavior ◽  
Lifestyle Medicine ◽  
Multidisciplinary Care Team ◽  
Digital Delivery

Digital Lifestyle Medicine (DLM) is a consumer-centric model of care which elevates the importance of daily behaviors in preventing and reversing chronic disease using virtual and digital modalities to reach patients in the context where lifestyle behaviors occur and empower them to stay well. DLM is health care reimagined, designed to inspire patients to live their best life by enabling skill-building, self-efficacy, and sustainable behavior change supported by peers, scientific-evidence, and a multidisciplinary team of lifestyle medicine (LM) clinicians. Importantly, it requires insights and collaboration from healthcare experts and technology entrepreneurs to provide a profoundly different “user experience” layered with context, relevance, and scalability. Using examples from our DLM practice, we describe how key components of LM practice, including a multidisciplinary care team, behavior change support, health coaching, and peer support, are prime for digital delivery. We conclude by providing preliminary patient outcomes to date, key success factors, and opportunities for enhancement and expansion to inform the adoption and successful implementation of DLM across the collective of LM practice.

scholarly journals Lifestyle Medicine—An Emerging New Discipline

2015 ◽  
Vol 11 (2) ◽  
pp. 114
Author(s):  
Robert F Kushner ◽  
Jeffrey I Mechanick ◽  
◽  
Keyword(s):  
Chronic Disease ◽  
Behavior Change ◽  
Cardiovascular Health ◽  
Essential Element ◽  
Primary Source ◽  
Health Risk Behaviors ◽  
Noncommunicable Diseases ◽  
Lifestyle Behaviors ◽  
Lifestyle Medicine ◽  
Ideal Cardiovascular Health

Unhealthful lifestyle behaviors are a primary source of the global burden of noncommunicable diseases (NCDs) and account for about 63 % of all global deaths. Recently, there has been an increased interest in evaluating the benefit of adhering to low-risk lifestyle behaviors and ideal cardiovascular health metrics. Although a healthful lifestyle has repeatedly been shown to improve mortality, the population prevalence of healthy living remains low. The new discipline of lifestyle medicine has recently emerged as a systematized approach for the management of chronic disease. The practice of lifestyle medicine requires skills and competency in addressing multiple health risk behaviors and improving self-management. This article focuses on the effects of a healthful lifestyle on chronic disease and defining lifestyle medicine as a unique discipline. It also reviews the role of effective provider–patient communication as an essential element for fostering behavior change—the main component of lifestyle medicine. The principles of communication and behavior change are skill based and are grounded in scientific theories and models. Communication and counseling must be contextualized to the patients’ economic situation, access to care, social support, culture, and health literacy.

scholarly journals Design and Implementation of a Lifestyle Medicine Curriculum in Undergraduate Medical Education

2019 ◽  
Vol 13 (6) ◽  
pp. 574-585 ◽  
Author(s):  
Jennifer L. Trilk ◽  
Ihsan A. Elkhider ◽  
Irfan Asif ◽  
April Buchanan ◽  
John Emerson ◽  
...  
Keyword(s):  
Health Care ◽  
South Carolina ◽  
Chronic Diseases ◽  
Clinical Skills ◽  
Scientific Evidence ◽  
Morbidity And Mortality ◽  
Lifestyle Behaviors ◽  
Design Development ◽  
Unhealthy Lifestyle ◽  
Lifestyle Medicine

While scientific evidence demonstrates conclusive associations between unhealthy lifestyle behaviors and increased morbidity and mortality related to noncommunicable chronic diseases (NCDs), most physicians are not formally taught the root causes of NCDs nor how to counsel patients regarding their lifestyle behaviors for disease prevention and treatment. Since its inception in 2012, the University of South Carolina School of Medicine Greenville has designed, developed, and implemented an innovative, formalized lifestyle medicine curriculum to provide required undergraduate medical student training with a graduating program-level goal to “Deliver total health care using lifestyle medicine to prevent and treat morbidity and mortality related to chronic diseases.” The process was guided by the Association of American Medical Colleges’ Core Entrustable Professional Activities (required for graduates entering residency) and aimed to satisfy the Quadruple Aim components of better outcomes, lower cost, improved patient experience, and improved physician experience. Four essential instructional design phases, Analysis, Design, Development, and Evaluation, were used as systematic steps to create and deploy the curriculum. This article describes the evidence-based approach used and offers guidance to other undergraduate medical schools that may wish to implement lifestyle medicine training to improve physicians’ medical knowledge and clinical skills for optimum health care.

Lifestyle Medicine—An Emerging New Discipline

2015 ◽  
Vol 11 (01) ◽  
pp. 36 ◽  
Author(s):  
Robert F Kushner ◽  
Jeffrey I Mechanick ◽  
◽  
Keyword(s):  
Chronic Disease ◽  
Behavior Change ◽  
Cardiovascular Health ◽  
Essential Element ◽  
Primary Source ◽  
Health Risk Behaviors ◽  
Noncommunicable Diseases ◽  
Lifestyle Behaviors ◽  
Lifestyle Medicine ◽  
Ideal Cardiovascular Health

Unhealthful lifestyle behaviors are a primary source of the global burden of noncommunicable diseases (NCDs) and account for about 63 % of all global deaths. Recently, there has been an increased interest in evaluating the benefit of adhering to low-risk lifestyle behaviors and ideal cardiovascular health metrics. Although a healthful lifestyle has repeatedly been shown to improve mortality, the population prevalence of healthy living remains low. The new discipline of lifestyle medicine has recently emerged as a systematized approach for the management of chronic disease. The practice of lifestyle medicine requires skills and competency in addressing multiple health risk behaviors and improving self-management. This article focuses on the effects of a healthful lifestyle on chronic disease and defining lifestyle medicine as a unique discipline. It also reviews the role of effective provider–patient communication as an essential element for fostering behavior change—the main component of lifestyle medicine. The principles of communication and behavior change are skill based and are grounded in scientific theories and models. Communication and counseling must be contextualized to the patients’ economic situation, access to care, social support, culture, and health literacy.

Analisis Benchmarking Terhadap Kinerja Perusahaan Kontraktor Di Dinas Pupr Kota Blitar

REVITALISASI ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 56
Author(s):  
Dessy Kusuma Wardani ◽  
Edy Swasono
Keyword(s):  
Consumer Satisfaction ◽  
Success Factors ◽  
Successful Implementation ◽  
Company Performance ◽  
Community Satisfaction ◽  
Construction Work ◽  
Acquisition Rate ◽  
One Year ◽  
Construction Product

This study aims to identify the dominant factors of the successful implementation of benchmarking on the performance of contracting companies and test the significance of the application of benchmarking on the performance of contracting companies. The research sample was saturated samples of 65 qualified contractor companies. The method and type of research used were correlational methods of multiple regression analysis using SPPS. The results of the study concluded that 1.Benchmarking significantly influences the performance of contracting companies in the Blitar City DPUPR; 1. The ranking of success factors for the Blitar City contractor companies in the process of implementing benchmarking (1) planning, (2) data collection, (3) acception and action and (4) analysis; 2.Benchmarking has proven to significantly improve company performance as measured by increasing (1) Corporate Finance (2) Company productivity, (3) DPUPR Consumer Satisfaction, (4) Community Satisfaction, (5) Quality of the company's construction technical personnel, (6) Satisfaction employee work, (7) Project acquisition rate in one year, (8) Effective completion of construction work, (9) Construction product quality.

scholarly journals Protocol for a hybrid type 2 cluster randomized trial of trauma-focused cognitive behavioral therapy and a pragmatic individual-level implementation strategy

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Aaron R. Lyon ◽  
Michael D. Pullmann ◽  
Shannon Dorsey ◽  
Carol Levin ◽  
Larissa M. Gaias ◽  
...  
Keyword(s):  
Mental Health ◽  
Cost Effectiveness ◽  
Behavior Change ◽  
Implementation Strategy ◽  
Youth Mental Health ◽  
Successful Implementation ◽  
Individual Level ◽  
Implementation Outcomes ◽  
Cluster Randomized

Abstract Background More than two-thirds of youth experience trauma during childhood, and up to 1 in 5 of these youth develops posttraumatic stress symptoms that significantly impair their functioning. Although trauma-focused cognitive behavior therapy (TF-CBT) has a strong evidence base, it is rarely adopted, delivered with adequate fidelity, or evaluated in the most common setting where youth access mental health services—schools. Given that individual behavior change is ultimately required for successful implementation, even when organizational factors are firmly in place, focusing on individual-level processes represents a potentially parsimonious approach. Beliefs and Attitudes for Successful Implementation in Schools (BASIS) is a pragmatic, motivationally focused multifaceted strategy that augments training and consultation and is designed to target precise mechanisms of behavior change to produce enhanced implementation and youth clinical outcomes. This study protocol describes a hybrid type 2 effectiveness-implementation trial designed to concurrently evaluate the main effects, mediators, and moderators of both the BASIS implementation strategy on implementation outcomes and TF-CBT on youth mental health outcomes. Methods Using a cluster randomized controlled design, this trial will assign school-based mental health (SMH) clinicians and schools to one of three study arms: (a) enhanced treatment-as-usual (TAU), (b) attention control plus TF-CBT, or (c) BASIS+TF-CBT. With a proposed sample of 120 SMH clinicians who will each recruit 4–6 youth with a history of trauma (480 children), this project will gather data across 12 different time points to address two project aims. Aim 1 will evaluate, relative to an enhanced TAU condition, the effects of TF-CBT on identified mechanisms of change, youth mental health outcomes, and intervention costs and cost-effectiveness. Aim 2 will compare the effects of BASIS against an attention control plus TF-CBT condition on theoretical mechanisms of clinician behavior change and implementation outcomes, as well as examine costs and cost-effectiveness. Discussion This study will generate critical knowledge about the effectiveness and cost-effectiveness of BASIS—a pragmatic, theory-driven, and generalizable implementation strategy designed to enhance motivation—to increase the yield of evidence-based practice training and consultation, as well as the effectiveness of TF-CBT in a novel service setting. Trial registration ClinicalTrials.gov registration number NCT04451161. Registered on June 30, 2020.

Quality 4.0 conceptualisation and theoretical understanding: a global exploratory qualitative study

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Jiju Antony ◽  
Olivia McDermott ◽  
Michael Sony
Keyword(s):  
Critical Success Factors ◽  
Success Factors ◽  
Full Range ◽  
Senior Management ◽  
Successful Implementation ◽  
Motivating Factors ◽  
Theoretical Understanding ◽  
Content Type ◽  
Critical Success ◽  
Management Professionals

PurposeQuality 4.0 has a unique potential to create a competitive advantage for organisations by improving customer experience and enhancing profitability. The purpose of this study is to examine Quality 4.0, the9; benefits, motivating factors, critical success factors and the skills required by quality professionals in the successful implementation of Quality 4.0. The study also investigates the organisational readiness factors9 and challenges that need to be addressed before Quality 4.0 adoption and assess their importance.Design/methodology/approachA qualitative interview approach was utilised by interviewing a panel of senior management, engineering and continuous improvement (CI); professionals working in leading companies in Asia, Europe and America who are currently deploying Quality 4.0.FindingsThis study provides a theoretical base for the Quality 4.0 body of knowledge in terms of an organisation’s adoption and overcoming implementation challenges and providing examples of Quality 4.0 application. Organisations can use this study to understand what Quality 4.0 means to industry, the benefits and motivating factors for implementing, the Critical Success Factors, challenges, the organisational readiness factors and the role of leadership in a Quality 4.0 deployment. In addition, the study looks at the skills required by future Quality 4.0 professionals in terms of hard skills, soft skills and a curriculum for educating future quality management professionals. The respondents cited that predictive analytics, sensors and tracking, and electronic feedback loops are the most critical technologies for driving Quality 4.0.Research limitations/implicationsOne of the limitations of this research was that as this area is a nascent area the researchers were limited in their literature review. The second limitation was that the study was based on 12 interviews. A more comprehensive longitudinal study would yield more data so that better and robust conclusions can be derived from the study.Originality/valueThis is the first empirical study on Quality 4.0, which captures the viewpoints of senior management professionals on a full range of topics related to Quality 4.0 motivation for deployment, implementation and readiness for its adoption.

scholarly journals Using Dry Ports to Facilitate International Trade in Iran; A Model of Success Factors for Implementation of Dry Ports

2016 ◽  
Vol 10 (3) ◽  
pp. 155
Author(s):  
Sayyed Hassan Hatami Nasab ◽  
Ali Sanayei ◽  
S. F. Amiri Aghdaei ◽  
Ali Kazemi
Keyword(s):  
Structural Equation ◽  
Success Factors ◽  
Gap Analysis ◽  
Production Costs ◽  
Equation Modeling ◽  
Successful Implementation ◽  
Container Transport ◽  
Complicated Process ◽  
Dry Ports ◽  
Do So

<p>As coastal production costs in many countries, producers are moving inland to remain competitive with other<br />countries. Also, container transport volumes continue to grow, the sea flow generates almost proportional inland<br />flow; the links with hinterland will become critical factors for the seaports functionality. Development of dry<br />ports is an important part of intermodal transport which play an important role in improving hinterlands.<br />Successful implementation dry port depends on identification and description of required capabilities to develop<br />advanced intermediate terminal, discover existing deficiency in these capabilities and their effects of each other.<br />This article fill the gaps of implementation of dry ports by offering a conceptual model. To do so, this current<br />study is done in a complicated process in five stages of: review of literature, Delphi, Gap analysis, fuzzy<br />Dematel and Structural equation modeling (SEM). 17 indexes of Delphi model were extracted and classified in 8<br />groups. The identified gap and causal relations enabled presentation of a model which was tested and verified by<br />Partial Least Squares (PLS).</p>

Is This the First Adherence-Focused Multidisciplinary Care Team App?

2016 ◽  
Vol 51 (1) ◽  
pp. 94-95
Author(s):  
Bill G. Felkey ◽  
Brent I. Fox
Keyword(s):  
Multidisciplinary Care ◽  
Care Team ◽  
Multidisciplinary Care Team

scholarly journals Implementation and Evaluation of a Digitally Enabled Precision Public Health Intervention to Reduce Inappropriate Gabapentinoid Prescription: Cluster Randomized Controlled Trial (Preprint)

2021 ◽  
Author(s):  
Andre Q Andrade ◽  
Jean-Pierre Calabretto ◽  
Nicole L Pratt ◽  
Lisa M Kalisch-Ellett ◽  
Gizat M Kassie ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Behavior Change ◽  
General Practitioners ◽  
Controlled Trial ◽  
Mode Of Delivery ◽  
Audit And Feedback ◽  
Professional Behavior ◽  
Randomized Controlled ◽  
Cluster Randomized ◽  
Digital Delivery

BACKGROUND Digital technologies can enable rapid targeted delivery of audit and feedback interventions at scale. Few studies have evaluated how mode of delivery affects clinical professional behavior change and none have assessed the feasibility of such an initiative at a national scale. OBJECTIVE The aim of this study was to develop and evaluate the effect of audit and feedback by digital versus postal (letter) mode of delivery on primary care physician behavior. METHODS This study was developed as part of the Veterans’ Medicines Advice and Therapeutics Education Services (MATES) program, an intervention funded by the Australian Government Department of Veterans’ Affairs that provides targeted education and patient-specific audit with feedback to Australian general practitioners, as well as educational material to veterans and other health professionals. We performed a cluster randomized controlled trial of a multifaceted intervention to reduce inappropriate gabapentinoid prescription, comparing digital and postal mode of delivery. All veteran patients targeted also received an educational intervention (postal delivery). Efficacy was measured using a linear mixed-effects model as the average number of gabapentinoid prescriptions standardized by defined daily dose (individual level), and number of veterans visiting a psychologist in the 6 and 12 months following the intervention. RESULTS The trial involved 2552 general practitioners in Australia and took place in March 2020. Both intervention groups had a significant reduction in total gabapentinoid prescription by the end of the study period (digital: mean reduction of 11.2%, <i>P</i>=.004; postal: mean reduction of 11.2%, <i>P</i>=.001). We found no difference between digital and postal mode of delivery in reduction of gabapentinoid prescriptions at 12 months (digital: –0.058, postal: –0.058, <i>P</i>=.98). Digital delivery increased initiations to psychologists at 12 months (digital: 3.8%, postal: 2.0%, <i>P</i>=.02). CONCLUSIONS Our digitally delivered professional behavior change intervention was feasible, had comparable effectiveness to the postal intervention with regard to changes in medicine use, and had increased effectiveness with regard to referrals to a psychologist. Given the logistical benefits of digital delivery in nationwide programs, the results encourage exploration of this mode in future interventions.

Sign in / Sign up

Export Citation Format

Share Document