American journal of lifestyle medicine · 2026
Meaning, Purpose, and Spirituality in the Clinical Practice of Lifestyle Medicine.
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Braman Marc, Anandarajah Gowri, Apata Olusegun, Batiste Columbus, Bernal Deborah L, Cavalcante Vaisnava, Dysinger Wayne, Corrêa Fernandes Clara, Feldstein Bruce, Harrison Raquel, Heckman Celeste, Kapadia Ami, Koopal Will, Lianov Liana, Lundman Jennifer, Martin Amarilis A, Phillips Edward M, Saluja Jasdeep, Satterfield Susan, Stout Ron, Smith Valerie, Suhie Michele M, True Cheryl, Wells Christina, Yates Tracy, Jonas Wayne
Аннотация
BACKGROUND: Meaning, purpose, and spirituality (MPS) are central to human experience and closely linked to health behaviors, well-being, and clinical outcomes. Despite strong evidence and growing policy support, MPS remains underutilized in routine care. It is vital to the practice of whole-person lifestyle medicine (WPLM), where sustained behavior change depends on deeply held motivations.
OBJECTIVE: To synthesize current evidence and expert consensus from a national MPS summit and translate it into practical guidance for integrating MPS into WPLM clinical practice.
APPROACH: We summarize evidence for MPS as a driver of health, review definitions, and propose clinically feasible workflows, interprofessional team roles, and implementation tools (e.g., HOPE Note/PHI, FICA, HOPE, CLEAR). We outline community partnerships, documentation practices, and referral pathways, and address policy and payment environments that enable scalable, equitable adoption.
FINDINGS: MPS-informed care strengthens therapeutic alliance, resilience, adherence, and patient satisfaction; aligns lifestyle goals with "what matters" to the patient; and fits naturally within team-based, whole-person models. Brief structured or conversational assessments can be embedded in intake, follow-up, and transitions, while documentation and huddles propagate insights across teams. Group medical visits and links to community programs extend continuity and belonging. Payment alignment (e.g., group visits, coaching, value-based models) and fit-for-purpose metrics are pivotal for scale. The six-pillar framework of lifestyle medicine (LM) has not previously included spirituality, but recent revisions now allow for initial integration of MPS and progress toward a more complete WPLM.
CONCLUSIONS: Integrating MPS is not an optional add-on but a foundational component of quality WPLM practice. Clinicians can begin with small, repeatable steps-brief inquiry, purposeful documentation, warm referrals-while systems pursue policy, payment, and measurement alignment.
IMPLICATIONS FOR PRACTICE AND RESEARCH: Priorities include establishing standardized, functionally accurate definitions; incorporating MPS components into clinical LM frameworks; conducting implementation studies across settings and populations; developing acceptable accountability metrics; and evaluating effects on clinician well-being.
OBJECTIVE: To synthesize current evidence and expert consensus from a national MPS summit and translate it into practical guidance for integrating MPS into WPLM clinical practice.
APPROACH: We summarize evidence for MPS as a driver of health, review definitions, and propose clinically feasible workflows, interprofessional team roles, and implementation tools (e.g., HOPE Note/PHI, FICA, HOPE, CLEAR). We outline community partnerships, documentation practices, and referral pathways, and address policy and payment environments that enable scalable, equitable adoption.
FINDINGS: MPS-informed care strengthens therapeutic alliance, resilience, adherence, and patient satisfaction; aligns lifestyle goals with "what matters" to the patient; and fits naturally within team-based, whole-person models. Brief structured or conversational assessments can be embedded in intake, follow-up, and transitions, while documentation and huddles propagate insights across teams. Group medical visits and links to community programs extend continuity and belonging. Payment alignment (e.g., group visits, coaching, value-based models) and fit-for-purpose metrics are pivotal for scale. The six-pillar framework of lifestyle medicine (LM) has not previously included spirituality, but recent revisions now allow for initial integration of MPS and progress toward a more complete WPLM.
CONCLUSIONS: Integrating MPS is not an optional add-on but a foundational component of quality WPLM practice. Clinicians can begin with small, repeatable steps-brief inquiry, purposeful documentation, warm referrals-while systems pursue policy, payment, and measurement alignment.
IMPLICATIONS FOR PRACTICE AND RESEARCH: Priorities include establishing standardized, functionally accurate definitions; incorporating MPS components into clinical LM frameworks; conducting implementation studies across settings and populations; developing acceptable accountability metrics; and evaluating effects on clinician well-being.