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Complete Lifestyle Medicine Intervention Program-Ontario: Implementation Protocol for a Rural Study.

Kush Patel¹, Lisa Allen², Karine Boucher³

¹Northern Ontario School of Medicine University, Sudbury, ON, Canada.

JMIR Research Protocols

|December 31, 2024

Summary

The Complete Lifestyle Medicine Intervention Program-Ontario (CLIP-ON) improves health for rural patients with chronic diseases by focusing on lifestyle changes. This study evaluates its effectiveness and implementation in Northern Ontario.

Keywords:

barriers chronic disease feasibility holistic medicine implementation lifestyle medicine nutrition, exercise opportunities relationships risky substance use rural medicine self-compassion sleep stress reduction substance use web-based platform wellness whole health

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Area of Science:

Public Health
Preventive Medicine
Health Services Research

Background:

Chronic diseases are rising due to sedentary lifestyles and poor health choices.
Lifestyle medicine offers effective prevention and treatment but is underutilized.
The Complete Lifestyle Medicine Intervention Program-Ontario (CLIP-ON) was created to address this gap in Northern Ontario.

Purpose of the Study:

To evaluate the CLIP-ON program's implementation and effectiveness for chronic disease patients in Parry Sound, Ontario.
To assess changes in lifestyle behaviors and health outcomes.
To understand enrollment, retention, and interdisciplinary team engagement.

Main Methods:

Observational cohort study using the RE-AIM framework and a hybrid type II mixed methods design.
22-week program with group sessions and individual consultations (physicians, health coaches, kinesiologists, dietitians).
Pre- and postintervention assessments of anthropometric, cardiometabolic, and lifestyle variables; surveys; focus groups; and interviews.

Main Results:

First cohort enrolled in late 2023, currently under evaluation; second cohort began mid-2024.
Mixed methods analysis planned at enrollment, program completion (22 weeks), and 6-month follow-up.
Focus groups will assess effectiveness and implementation post-intervention; data analysis in early 2025.

Conclusions:

The study protocol offers insights into implementing lifestyle medicine programs in rural settings.
Findings will inform future advancements and establish a scalable model for lifestyle medicine interventions.
The CLIP-ON program aims to improve health outcomes and engagement for individuals with chronic conditions.