BookJeffrey I. Mechanick, Robert F. Kushner, editors.
Summary: Building on the groundbreaking work Lifestyle Medicine (2016), this unique new book bridges the gap between theory and practice by providing detailed information on the real-world development and creation of a Lifestyle Medicine Center, whether independently or as part of an established medical program or department. Part one sets the stage by establishing the rationale for creating a Lifestyle Medicine Center as well as the medical and economic burden it seeks to alleviate. The construction of the physical facility and all of the myriad details of the program and its key players are covered in part two, from the structural to the aesthetic, including informatics, developing patient resources and education tools, current technologies and applications, the role of the dietitian and exercise physiologist, inpatient consultation, the importance of community engagement, and more. Part three is comprised of case studies of existing, successful Lifestyle Medicine Centers across the country, with detailed descriptions of their history, development, programs and challenges. Chapters are supported with plentiful figures, tables and useful links. The burden of chronic disease in the U.S. and globally is growing, with pervasive direct and indirect multi-scale adverse effects on health and well-being, economics, and quality of life. Notwithstanding the remarkable progress in biomedical technology, the role of lifestyle medicine in managing chronic disease in a preventive care model is paramount; however, the relevant and effective education in lifestyle medicine is lacking. Translating the theory into action steps, instantiated by case studies with critical interpretations and problem-solving tools, Creating a Lifestyle Medicine Center is the go-to resource for family and primary care physicians, internal medicine physicians, and all clinical specialties interested in planning and developing a lifestyle medicine program.
Contents:
Intro
Foreword
References
Preface
Contents
Contributors
Part I: Introduction
1: Statement of Purpose
Introduction
The Strategic Target: Chronic Disease
The Tactical Plan: A Lifestyle Medicine Center
Research
Clinical Practice
Education
The Deliverable: A how-to Medical Textbook on Lifestyle Medicine
References
2: The Burden of Chronic Disease and the Role of Lifestyle Medicine
Introduction
The Epidemiology and Contributions of Non-communicable Diseases
Creating a New Paradigm for and Redefining Lifestyle Medicine Update on Recommendations for Lifestyle Medicine
Sleep and Stress
Conclusion
References
3: Translating Knowledge and Implementing a Successful Lifestyle Medicine Center
Introduction
Implementation Modalities
Research
Clinical Practice
Education
Materialization: Conceptualization Variables
Environment
Chronic Disease Care Models
Cardiovascular Disease
Cancer
Cognitive Health
Materialization: Operationalization Variables
Planning
Building
Managing
Conclusion
References
Part II: Concepts 4: Implementation Science Across Lifestyle Medicine Interventions
The Research-to-Practice Gap
Fundamentals of Implementation Science
Theories, Frameworks, and Models
Implementation Outcomes and Strategies
Methods and Study Designs
Specific Recommendations
Engage a Broad Range of Stakeholders to Coproduce Knowledge Regarding Implementation
Build Capacity to Optimize Delivery of Lifestyle Interventions
Training and Resources for the Science of Implementation
Conclusion
References
5: Models for Caring for Patients with Complex Lifestyle, Medical, and Social Needs Introduction
Overview of Current State of the US Healthcare System
Overview of Lifestyle Factors Impacting Health
Comprehensive Care Physician Program and Center for Medicare and Medicaid Innovation Study
The Comprehensive Care, Community and Culture Program
Preliminary Findings Concerning Unmet Social Needs
Design of C4P Healthy Living Program
Element 1: Healthy Eating Curriculum
Element 2: Physical Activities
Element 3: Community Gardens
Element 4: Social Engagement
Healthy Living Program Evaluation
Dissemination of the C4P and the Healthy Living Programs Cost and Scalability Factors
How to Start a Healthy Living Program
References
6: The Role of Physical Infrastructure on Health and Well-Being
Introduction
Environmental Health
The Built Environment
Urban Planning and Design for Health
Social Determinants of Health
Health in All Policies
Conclusion
References
7: Preventive Medicine and Problem-Solving in Populations
Introduction
Define the Problem
Measure the Magnitude of the Problem
Identify Key Determinants of the Problem
Identify and Prioritize Strategic Interventions