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Health Behavior Changes in a Lifestyle Medicine Program: A Convergent Mixed Methods Study
Julia M L Pangalangan1, Elizabeth P Frates2, Michelle Tollefson3
1University of Colorado Anschutz, Aurora, USA.
Behavior Modification
|May 22, 2026
Summary
The PAVING the Path to Wellness program, a lifestyle medicine intervention, significantly improved key health behaviors like nutrition, physical activity, and stress management in participants. This study highlights the program
Area of Science:
- Lifestyle Medicine
- Public Health
- Behavioral Science
Background:
- Global chronic disease burden is increasing despite public health initiatives.
- Lifestyle medicine offers evidence-based behavioral interventions for disease prevention and management.
- The lifestyle medicine field requires validated tools to assess program effectiveness.
Purpose of the Study:
- To evaluate the preliminary effectiveness of the PAVING the Path to Wellness program.
- To assess the program's impact on six core lifestyle medicine health behaviors.
- To examine the program's influence on determinants of health behaviors, such as self-efficacy and attitudes.
Main Methods:
- Convergent mixed methods study design.
- Pre-post evaluation of 19 PAVING program cohorts (n=126) using the Lifestyle Medicine Health Behavior (LMHB) scale.
- Semi-structured interviews to assess impacts on behavioral determinants.
Main Results:
- Significant improvements in self-reported nutrition, physical activity, sleep, social connection, stress management, and avoidance of risky substances.
- Positive influence on determinants of health behaviors, including attitudes, perceived norms, and self-efficacy.
- The PAVING program demonstrated preliminary effectiveness in promoting health behaviors.
Conclusions:
- The PAVING program shows promise as an effective group-based lifestyle medicine intervention.
- This study provides a blueprint for evaluating other lifestyle medicine and health promotion programs.
- Effective program evaluation is crucial for translating research into practice.
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