Disclosures: Alexandra E. Fogarty, MD: No financial relationships or conflicts of interest

Objective: The objective of this study was to assess the feasibility of an intensive lifestyle medicine program in patients with musculoskeletal conditions

Design: Prospective feasibility studySetting : Tertiary academic medical centerParticipants : Patients were eligible if they were ≥18 years old and diagnosed with musculoskeletal and lifestyle-related condition(s), having completed standard of care treatment. Patients were excluded if they were unable to participate, medically unstable, pregnant, or were not interested in making a lifestyle change.

Interventions: Patients enrolled in an interprofessional intensive lifestyle medicine program led by physiatrist with options to interface with an acupuncturist, dietician, massage therapist, psychologist, physical therapist, and smoking cessation specialist. Interprofessional team conferences were held bi-monthly.

Main Outcome Measures: Feasibility was measured by participation and goal attainment. Secondary outcomes included longitudinal collection of metabolic labs, risk of sleep apnea, and Patient Reported Outcomes Measurement Information System (PROMIS) including behavioral health, pain interference and function measures at baseline and discharge from the program.

Results: Eighty percent completed the program, and 62% of those patients met their goal. Patients who completed the program presented for 26.2 ± 10.6 average total visits over a mean of 191 ± 88 days. Mean ± SD admission laboratory values were as follows: HbA1c: 6.0% ± 0.8 (range: 4.7-7.8%); hs-CRP: 7.7 ± 12.1 mg/dL (range: 0.3-49.1 mg/dL); and vitamin D: 32.0 ng/mL ± 14.2 (range: 11.5-64.0 ng/mL). There was a minimally clinical important difference in PROMIS Anxiety scores in patients who completed the program (mean difference -3.5 points; p=.03) but not for other PROMIS domains or in patients who self-discharged prior to completing the program (p>.05).Conclusions: An intensive lifestyle medicine program for patients with musculoskeletal conditions is feasible. With training in lifestyle intervention, physiatrists are well-suited to lead interprofessional teams aimed to assist patients to make lifestyle changes.

Level of Evidence: Level III

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PM&R Meeting Abstracts - https://pmrjabstracts.org/abstract/feasibility-of-an-intensive-interprofessional-lifestyle-medicine-program-for-patients-with-musculoskeletal-conditions-in-the-setting-of-lifestyle-related-chronic-disease/