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. 2022 Oct 7;18(1):118–130. doi: 10.1177/15598276221131524

Table 9.

Lifestyle Medicine and Mainstream Medicine.

Instructions: Please rate your level of agreement, or disagreement, with the following questions about lifestyle medicine practice as it relates to mainstream medicine, overall
Statement (Respondents, N = 351) Likert category, % Agree, % (Response, mean) a
Agree (strongly) Neutral Disagree (strongly) Not ABLM certified b ABLM diplomate P-Value c
All primary care physicians should be trained in the principles and practice of lifestyle medicine (n = 351) 97 (75) 2 <1 98 (1.28) 96 (1.29) .742
All physicians, regardless of specialty, should be trained in principles and practice of lifestyle medicine (e.g., as part of the ACGME common program requirements) (n = 350) 93 (60) 4 3 (<1) 91 (1.50) 93 (1.51) .882
All primary care physicians should be trained in ITLC (n = 340) 47 (22) 28 25 (4) 52 (2.41) 45 (2.71) .021
All physicians, regardless of specialty, should be trained in ITLC (n = 339) 28 (12) 30 43 (10) 33 (2.89) 25 (3.26) .002
Anything less than ITLC (e.g., fellowship training) runs the risk of making lifestyle medicine, in general, appear less effective than it really is in managing chronic disease (n = 339) 21 (4) 27 52 (9) 16 (3.42) 24 (3.32) .499
Any use and implementation of lifestyle medicine by physicians, even if not meeting the standards for ITLC, is still beneficial and should be encouraged (n = 350) 94 (51) 5 <1 96 (1.53) 93 (1.57) .678

Abbreviations: ABLM, American Board of Lifestyle Medicine; ITLC, intensive therapeutic lifestyle change.

aAgree percentage includes “agree” and “strongly agree” responses; mean is from 1 (agree strongly) to 5 (disagree strongly).

b37% of respondents identified as not certified by ABLM; 63% identified as diplomates of ABLM.

cIndependent-samples Mann–Whitney U test.