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Multidisciplinary Approach to Obesity Management: A Case Report

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The Wahls Behavior Change Model for Complex Chronic Diseases: A Clinician's Guide.

Alaina N Elliott-Wherry¹, Jennifer E Lee², Amy M Pearlman³

¹Department of Community and Behavioral Health, University of Iowa College of Public Health, Iowa City, IA, USA.

Degenerative Neurological and Neuromuscular Disease

|September 16, 2022

Summary

The Wahls Behavior Change Model (WBCM) offers a new framework for lifestyle changes in complex chronic diseases like Multiple Sclerosis (MS). This patient-centered approach aims to improve patient function and quality of life.

Keywords:

adherence chronic conditions guidelines health promotion lifestyle medicine multiple sclerosis

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Area of Science:

Health Behavior Change
Chronic Disease Management
Lifestyle Medicine

Background:

Behavior change models are crucial for health interventions but lack specific application for complex chronic diseases.
Multiple Sclerosis (MS) presents unique challenges for sustained behavior modification.
A need exists for a structured approach to facilitate lifestyle behavior change in patients with chronic conditions.

Purpose of the Study:

To review existing behavior change theories.
To introduce the Wahls Behavior Change Model (WBCM), detailing its 11 Principles.
To outline provider training for WBCM implementation.

Main Methods:

Development of the WBCM integrating behavior change theory, empirical evidence, and clinical experience.
A patient-centered, comprehensive, and multimodal framework for lifestyle intervention.
Review of existing behavior change literature and clinical case examples.

Main Results:

The WBCM provides a structured framework for understanding and implementing lifestyle behavior change.
The model's 11 Principles are designed for patients with complex chronic diseases.
Potential for improved short- and longer-term outcomes in function and quality of life.

Conclusions:

The WBCM addresses a critical gap in managing behavior change for complex chronic diseases.
Implementation of the WBCM can empower patients and healthcare providers.
The model shows promise for enhancing patient outcomes in chronic disease management.