{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T11:07:20Z","timestamp":1779188840213,"version":"3.51.4"},"reference-count":90,"publisher":"SAGE Publications","issue":"1_suppl","license":[{"start":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T00:00:00Z","timestamp":1772668800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"American College of Lifestyle Medicine"},{"name":"Ardmore Institute of Health"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Lifestyle Medicine"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Approach<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>MPS-informed care strengthens therapeutic alliance, resilience, adherence, and patient satisfaction; aligns lifestyle goals with \u201cwhat matters\u201d 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Integrating MPS is not an optional add-on but a foundational component of quality WPLM practice. Clinicians can begin with small, repeatable steps\u2014brief inquiry, purposeful documentation, warm referrals\u2014while systems pursue policy, payment, and measurement alignment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Practice and Research<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  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