Table 3.

CELM Prescriptions for Lifestyle Medicine Practitioners Based on Short-, Medium-, and Long-Term Outcomes.

CELM Theme	Short-Term Practice Enhancement	Medium-Term Practice Enhancement	Long-Term Practice Enhancement
Community engagement	• Organize focus groups in partnership with community organizations to set LM priorities for the community and identify issues facing vulnerable groups in your community • Engage diverse patients in the clinic visit (eg, motivational interviewing, patient-centered care); learn from your patients the key community-level barriers for healthy lifestyle and develop shared strategies for addressing barriers	• Convene a community advisory board that includes diverse representation from public, private, health care, economic, and social sectors as well as patients • Work with board and members of a vulnerable community to develop a lifestyle medicine outreach and engagement strategy • Identify opportunities in your LM programming to engage non–health care stakeholders—for example, high school students, volunteers, patient advocate (eg, social media campaigns, data evaluation, anthropometric measurements)	• Create job opportunities in the clinic for marginalized communities (lay health worker, patient advocate, coach training) • Recruit patients from diverse groups who have successfully achieved LM change to serve as volunteers or trained/paid coaches to motivate and engage peers in clinical and community settings • Hold regular community town halls and community advisory board meetings to share knowledge, success stories, and collectively troubleshoot areas for improvement
Intersectoral partnerships	• Identify key stakeholders—for example, patients, administrators, food pantries, church group, YMCA representative, and so on—who could help inform and broaden the health-equity focus of your practice • Become a community citizen: identify coalitions, power agents, and nonprofit groups already in place; consider serving on local boards and pitching your work to health-oriented groups in the community to build networks, credibility, and visibility	• Strengthen partnerships with entities such as local grocery stores, local schools, and policymakers to enable programs such as grocery store tours, food pharmacies, media messaging, and advertising	• Create processes in partnership with local health professions and medical residency programs, including social workers, engaging a regular stream of students and volunteers to expand and sustain outreach efforts • Create strong networks with local mayor and congressional representatives to present community data, pushing for needed built environment changes such as bike trails and farmers’ markets
Multilevel approaches	• Begin holding group and family lifestyle medicine visits • Identify the most common places where vulnerable patients eat, work, and move; develop strategies to organize educational workshops or community events at these locations	• Create a map of community-level resources supporting lifestyle medicine that can help patients navigate healthier choices • Hold community potlucks in partnership with local YMCA or churches featuring healthy, plant-based foods	• Utilize technology, via processes such as text-message systems or app-based platforms, to engage groups of patients outside the clinic in healthy living practices
Cultural responsiveness	• Learn about your patient’s culture and values during the clinical encounter; acknowledge and link the care provided to those values • Respect the cultural practices that inform a patient’s dietary practices; refrain from “extremist” dietary advice that is misaligned with a patient’s culture; be able to meet patients halfway • Ask patients from diverse groups for advice on how to reach and connect with more patients in need of lifestyle medicine	• Arrange local lay health worker or promotora groups to hold cultural competency trainings for clinical staff • Survey patients on their perception of respect, bias, and tolerance perceived in your practice • Research and provide recipes and activity advice that include culturally tailored foods, flavors, and spices	• Employ a community health worker or health coach representing diverse/vulnerable communities to work with your staff and patients • Hire diverse staff and health care providers, who represent vulnerable communities, to promote comfort and trust in patients

Abbreviations: CELM, community-engaged lifestyle medicine; LM, lifestyle medicine.