Skip to main content

Main menu

  • Home
  • Current Issue
  • Content
    • Current Issue
    • Early Access
    • Multimedia
    • Podcast
    • Collections
    • Past Issues
    • Articles by Subject
    • Articles by Type
    • Supplements
    • Plain Language Summaries
    • Calls for Papers
  • Info for
    • Authors
    • Reviewers
    • Job Seekers
    • Media
  • About
    • Annals of Family Medicine
    • Editorial Staff & Boards
    • Sponsoring Organizations
    • Copyrights & Permissions
    • Announcements
  • Engage
    • Engage
    • e-Letters (Comments)
    • Subscribe
    • Podcast
    • E-mail Alerts
    • Journal Club
    • RSS
    • Annals Forum (Archive)
  • Contact
    • Contact Us
  • Careers

User menu

  • My alerts

Search

  • Advanced search
Annals of Family Medicine
  • My alerts
Annals of Family Medicine

Advanced Search

  • Home
  • Current Issue
  • Content
    • Current Issue
    • Early Access
    • Multimedia
    • Podcast
    • Collections
    • Past Issues
    • Articles by Subject
    • Articles by Type
    • Supplements
    • Plain Language Summaries
    • Calls for Papers
  • Info for
    • Authors
    • Reviewers
    • Job Seekers
    • Media
  • About
    • Annals of Family Medicine
    • Editorial Staff & Boards
    • Sponsoring Organizations
    • Copyrights & Permissions
    • Announcements
  • Engage
    • Engage
    • e-Letters (Comments)
    • Subscribe
    • Podcast
    • E-mail Alerts
    • Journal Club
    • RSS
    • Annals Forum (Archive)
  • Contact
    • Contact Us
  • Careers
  • Follow annalsfm on Twitter
  • Visit annalsfm on Facebook
Meeting ReportMixed methods research

Patient Perceptions of a Lifestyle Medicine Clinic in Southwest Virginia

Emily Cox, Michelle Rockwell, John Epling, Beth Polk, Nathaniel Lambert and David Bowers
The Annals of Family Medicine November 2024, 22 (Supplement 1) 7082; DOI: https://doi.org/10.1370/afm.22.s1.7082
Emily Cox
CHES, MPH, MS, RD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Michelle Rockwell
PhD, RD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
John Epling
MD, MSEd
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Beth Polk
MD, FAAFP, dipABLD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Nathaniel Lambert
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
David Bowers
BA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • eLetters
  • Info & Metrics
  • PDF
Loading

Abstract

Context Lifestyle Medicine (LM) is an evidence-based approach to prevention and treatment of chronic disease by addressing six pillars: physical activity, nutrition, sleep and stress management (recovery), connection, and substance use. There is limited research on implementation of LM in medically underserved communities.

Objective To assess patient perceptions of a primary care-based LM clinic.

Study Design and Analysis Survey; t-test and chi-square tests to evaluate variation by race and income status, approximated by having Medicaid, based on the clinic’s goal of reaching underserved community members. Setting: LM Clinic in the SW Virginia safety net.

Population Studied Patients who were referred to or attended the LM clinic between 5/1/22 and 5/31/24 (n=575). Instrument: REDCap survey administered electronically or by phone.

Outcome Measures Demographics; ratings of motivators, barriers, and effectiveness; experience (Net Promotor Score)

Results The survey had a 40% response rate (n=230, 65% age 35-64 years, 77% female, 18% racial minority, 20% Medicaid (low income)). The 23 respondents (10%) who were referred but did not attend any LM clinic visits were more likely to have low-income (31%) than those who attended visits (p<0.01). Of the 69 respondents (30%) who attended 1 visit and the 138 (59%) who attended 2+ visits, ”my doctor recommended it” was the most common attendance motivator (75%), while busyness was the most frequently reported barrier (28%). Experience with the LM clinic was rated 7 +/− 2.7 out of 10. Respondents agreed or strongly agreed that LM visits resulted in improvements in physical activity (65%), nutrition (71%), recovery (48%), connectedness (37%), and substance use (34%). Respondents who identify as a racial minority reported greater improvements in LM pillars than White respondents (18 vs. 16 out of 25, p=.05). Motivators and barriers were similar across race and income status, however, racial minorities reported greater incidence of forgetting their appointment (75% vs 5%, p<0.01) as a barrier and low-income respondents more frequently reported a personal desire to focus on lifestyle changes (72% vs 50%, p<.05) as a motivator, and busyness (46% vs 23%, p<0.01) as a barrier.

Conclusion The LM clinic was perceived as effective.

The survey highlighted motivators and barriers unique to this underserved population that will be used to inform efforts to quality of care in primary-care based LM clinics.

  • © 2024 Annals of Family Medicine, Inc. For the private, noncommercial use of one individual user of the Web site. All other rights reserved.
Previous
Back to top

In this issue

The Annals of Family Medicine: 22 (Supplement 1)
The Annals of Family Medicine: 22 (Supplement 1)
Vol. 22, Issue Supplement 1
20 Nov 2024
  • Table of Contents
  • Index by author
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on Annals of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Patient Perceptions of a Lifestyle Medicine Clinic in Southwest Virginia
(Your Name) has sent you a message from Annals of Family Medicine
(Your Name) thought you would like to see the Annals of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
9 + 2 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Patient Perceptions of a Lifestyle Medicine Clinic in Southwest Virginia
Emily Cox, Michelle Rockwell, John Epling, Beth Polk, Nathaniel Lambert, David Bowers
The Annals of Family Medicine Nov 2024, 22 (Supplement 1) 7082; DOI: 10.1370/afm.22.s1.7082

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Get Permissions
Share
Patient Perceptions of a Lifestyle Medicine Clinic in Southwest Virginia
Emily Cox, Michelle Rockwell, John Epling, Beth Polk, Nathaniel Lambert, David Bowers
The Annals of Family Medicine Nov 2024, 22 (Supplement 1) 7082; DOI: 10.1370/afm.22.s1.7082
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
  • eLetters
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Optimizing Medical Legal Partnerships for sustainable public funding through the tele-legal model
  • Evaluating Patient Experiences with a Virtual Triage and Assessment Centre in Renfrew County, Ontario, Canada
Show more Mixed methods research

Similar Articles

Content

  • Current Issue
  • Past Issues
  • Early Access
  • Plain-Language Summaries
  • Multimedia
  • Podcast
  • Articles by Type
  • Articles by Subject
  • Supplements
  • Calls for Papers

Info for

  • Authors
  • Reviewers
  • Job Seekers
  • Media

Engage

  • E-mail Alerts
  • e-Letters (Comments)
  • RSS
  • Journal Club
  • Submit a Manuscript
  • Subscribe
  • Family Medicine Careers

About

  • About Us
  • Editorial Board & Staff
  • Sponsoring Organizations
  • Copyrights & Permissions
  • Contact Us
  • eLetter/Comments Policy

© 2025 Annals of Family Medicine