Table 7.
Treatment: Statements That Reached Consensus.
| Number a | Statement | Mean | Outliers |
|---|---|---|---|
| 53 | Primary care clinicians should advocate for a predominately whole food, plant-based eating pattern | 7.8 | 0 |
| 54 | The optimal lifestyle medicine practice educates patients about the benefits of a predominately whole food plant-based eating pattern and addresses the other pillars of lifestyle medicine through assessment, education, and appropriate intervention | 7.9 | 1 |
| 55 | The optimal lifestyle medicine practice strives to use the 6 pillars of lifestyle medicine as treatment for chronic diseases such as obesity, type 2 diabetes, cardiovascular diseases, and other conditions impacted by lifestyle that involve chronic inflammation | 8.1 | 1 |
| 56 | The optimal form of lifestyle medicine treatment may vary based on patient characteristics, but may include elements of intensive therapeutic lifestyle change, shared medical appointments, and/or individual counseling | 7.9 | 1 |
| 57 | Lifestyle modifications are the first-line of treatment in the standard of care for managing many chronic diseases; including obesity, type 2 diabetes, cardiovascular diseases, and other conditions impacted by lifestyle | 8.5 | 1 |
| 58 | Clinicians should use motivational interviewing to elicit change in lifestyle behaviors that impact health and function | 7.8 | 0 |
| 59 | Clinicians should assess patient readiness for change using established methods as part of any plan to implement lifestyle medicine | 8.3 | 1 |
| 60 | The transtheoretical model of change (precontemplation, contemplation, preparation, action, and maintenance) is a common, and effective, way to efficiently assess patient readiness to change during an office encounter | 8.3 | 1 |
| 62 | Appropriate deprescribing of medications is an essential part of safe and effective lifestyle intervention treatment | 7.6 | 1 |
| 67 | Lifestyle medicine success can be measured by using traditional biomarkers, such as body weight, blood pressure, and conventional labs (e.g., lipid panel, hemoglobin A1c, kidney and liver function, HS-CRP, etc.,) and by patient-reported measures (e.g., quality of life, physical activity vital sign, etc.,) | 8 | 0 |
| 68 | When indicated, lifestyle medicine should be used in conjunction with conventional medical interventions that have well-established clinical benefits | 8.2 | 1 |
| 69b | Treatment success in lifestyle medicine is ideally based upon patient outcomes; including the extent to which the patient’s symptoms and conditions are improved or remission is achieved | 7.6 | 1 |
| 84 | The success of lifestyle medicine interventions can be measured by the level of patient engagement in behavioral modification for desired health habits via goal setting and meeting SMART (specific, measurable, achievable, relevant, and time-bound) goals, along with improvements in pertinent patient biometrics | 7.4 | 1 |
aNumber in the initial list of candidate statements.