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Methods: A multidisciplinary panel of experts in shared medical appointments (SMAs) followed an a priori protocol for developing consensus statements. Using an iterative, online Delphi process, panel members reported levels of agreement and statements were classified as consensus, near consensus, or no consensus. Results: The panel identified 106 candidate statements addressing: (1) Definitions and General Concepts, (2) Lifestyle Medicine and Behavior Change, (3) Research and Quality Improvement Outcomes, (4) Delivery Models, (5) Group Cohesiveness, (6) Billing and Documentation, (7) Staffing Models, and (8) Training. After 3 iterations of an online Delphi survey, revisions, and removal of duplicative statements, 56 statements met criteria for consensus. Nine statements met near consensus, and 41 statements did not reach consensus. Conclusion: There is broad consensus among panel members that implementing SMAs highlighting lifestyle medicine has high patient satisfaction, is reimbursable, and can provide high-quality medical care. These specific consensus statements can be used to inform policy and prioritize areas for future research.<\/jats:p>","DOI":"10.1177\/15598276261485880","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T22:10:01Z","timestamp":1790892601000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Shared Medical Appointments (SMAs) in Lifestyle Medicine Practice: An Expert Consensus Statement From the American College of Lifestyle Medicine"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3663-000X","authenticated-orcid":false,"given":"Paula","family":"Gardiner","sequence":"first","affiliation":[{"name":"University of Massachusetts Chan Medical School"},{"name":"Cambridge Health Alliance"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beth","family":"Frates","sequence":"additional","affiliation":[{"name":"Harvard Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3557-3795","authenticated-orcid":false,"given":"Richard M.","family":"Rosenfeld","sequence":"additional","affiliation":[{"name":"SUNY Downstate Health Sciences University"},{"name":"American College of Lifestyle Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristi","family":"Artz","sequence":"additional","affiliation":[{"name":"University Hospitals Cleveland Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Badgett","sequence":"additional","affiliation":[{"name":"Cleveland Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1917-0048","authenticated-orcid":false,"given":"Jonathan P.","family":"Bonnet","sequence":"additional","affiliation":[{"name":"Ardmore Institute of Health"},{"name":"Stanford University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen E.","family":"Findlay","sequence":"additional","affiliation":[{"name":"Western Wisconsin Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Geller","sequence":"additional","affiliation":[{"name":"Integrated Center for Group Medical Visits"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meagan L.","family":"Grega","sequence":"additional","affiliation":[{"name":"Kellyn Foundation"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6726-4163","authenticated-orcid":false,"given":"Mahima","family":"Gulati","sequence":"additional","affiliation":[{"name":"UConn Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Hansen","sequence":"additional","affiliation":[{"name":"Vanderbilt University Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Padmaja","family":"Patel","sequence":"additional","affiliation":[{"name":"American College of Lifestyle Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4502-3041","authenticated-orcid":false,"given":"Isabel","family":"Roth","sequence":"additional","affiliation":[{"name":"The University of North Carolina at Chapel Hill School of Nursing"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepa","family":"Sannidhi","sequence":"additional","affiliation":[{"name":"University of California San Diego School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianne J.","family":"Sumego","sequence":"additional","affiliation":[{"name":"Cleveland Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0998-1178","authenticated-orcid":false,"given":"Kara L.","family":"Staffier","sequence":"additional","affiliation":[{"name":"American College of Lifestyle Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9365-151X","authenticated-orcid":false,"given":"Micaela C.","family":"Karlsen","sequence":"additional","affiliation":[{"name":"American College of Lifestyle Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,1]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2026.308427"},{"key":"e_1_3_4_3_2","unstructured":"Fast facts: health and economic costs of chronic conditions. 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