{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T05:54:58Z","timestamp":1781848498323,"version":"3.54.5"},"reference-count":29,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background and objectives<\/jats:title>\n                    <jats:p>Non-communicable diseases are leading causes of morbidity and mortality worldwide. Lifestyle behaviors, such as poor diet, physical inactivity, and tobacco use, contribute substantially to this burden. Lifestyle medicine (LM) emphasizes evidence-based behavioral interventions to prevent and manage chronic diseases. However, little is known about LM education among family medicine residents in Saudi Arabia, particularly in the Jazan region. This study aimed to assess the effects of a structured LM educational intervention on the knowledge and attitudes of family medicine residents in the Jazan region.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A pilot pre- and post-intervention design was implemented among 67 residents enrolled in a post-graduate family medicine program in the Jazan region during May 2025. A validated questionnaire covering eight knowledge domains and five attitude dimensions related to LM was administered before and after training. The intervention was performed in a single day. An 8-h intensive program provided a comprehensive introduction to LM and health coaching through a blended learning approach incorporating lectures, workshops, and case-based scenarios. Facilitated by International Board of Lifestyle Medicine-certified consultant family physicians, the curriculum leveraged expert instruction and multimedia tools to deliver evidence-based training on the Six Pillars of Lifestyle Medicine. Data were analyzed using descriptive and comparative statistics to evaluate the changes between pre- and post-intervention responses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The median total knowledge score increased from 23.0 (IQR 19.0\u201329.0) at baseline to 29.0 (IQR 27.0\u201331.0) following the intervention. Knowledge improved across the majority of domains, notably nutrition, physical activity, and health coaching. Knowledge improved among 82.1% of participants. A total of 56.7% demonstrated a positive shift in attitudes toward LM principles, which may translate into greater willingness to counsel patients on lifestyle modification and prioritize preventive care during routine clinical encounters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The educational intervention significantly improved residents\u2019 knowledge and moderately enhanced their attitudes toward LM. The findings of this pilot study underscore the importance of incorporating structured LM training into family medicine residency programs nationwide to strengthen preventive care competencies and support the goals of Saudi Vision 2030.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1817798","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T05:48:37Z","timestamp":1781848117000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of a lifestyle education program on family medicine residents\u2019 knowledge and attitudes: A pre- and post-intervention study"],"prefix":"10.3389","volume":"14","author":[{"given":"Amal J.","family":"Alfaifi","sequence":"first","affiliation":[{"name":"Family Medicine Department, Jazan Health Cluster","place":["Jazan, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Altherwi","sequence":"additional","affiliation":[{"name":"Family Medicine Department, Jazan Health Cluster","place":["Jazan, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Musa M.","family":"Altherwi","sequence":"additional","affiliation":[{"name":"Family Medicine Department, Jazan Health Cluster","place":["Jazan, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamoud","family":"Elneami","sequence":"additional","affiliation":[{"name":"Family Medicine Department, Jazan Health Cluster","place":["Jazan, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulrahman Y.","family":"Sumayli","sequence":"additional","affiliation":[{"name":"Family Medicine Department, Jazan Health Cluster","place":["Jazan, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sulaiman","family":"Hamdi","sequence":"additional","affiliation":[{"name":"Family Medicine Department, Jazan Health Cluster","place":["Jazan, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali Ibrahim","family":"Ali","sequence":"additional","affiliation":[{"name":"Family Medicine Department, Jazan Health Cluster","place":["Jazan, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim M.","family":"Gosadi","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, College of Medicine, Jazan University","place":["Jazan, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Majed A.","family":"Ryani","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, College of Medicine, Jazan University","place":["Jazan, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayman Afify","family":"Konswa","sequence":"additional","affiliation":[{"name":"Prince Sultan Military Hospital","place":["Riyadh, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,19]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jare.2025.09.022","article-title":"The global burden of non-communicable diseases attributable to behavioral risk factors and its trends from 1990 to 2021","author":"Geng","year":"2025","journal-title":"J Adv Res"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1801","DOI":"10.1186\/s12889-025-22421-z","article-title":"Examining factors contributing to mortality in Saudi Arabia: proposing effective healthcare management approaches","volume":"25","author":"Aljarid","year":"2025","journal-title":"BMC Public Health"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"329","DOI":"10.5144\/0256-4947.2024.329","article-title":"Estimating the prevalence of select non-communicable diseases in Saudi Arabia using a population-based sample: econometric analysis with natural language processing","volume":"44","author":"Alghnam","year":"2024","journal-title":"Ann Saudi Med"},{"key":"ref4","article-title":"World Health Survey Saudi Arabia (KSAWHS)","author":"Arabia","year":"2019"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12902-024-01724-z","article-title":"Prevalence and short-term clinical impacts of new-onset diabetes mellitus among patients with COVID-19 in Jazan region, Saudi Arabia","volume":"24","author":"Mohamed","year":"2024","journal-title":"BMC Endocr Disord"},{"key":"ref6","first-page":"580","article-title":"Association between non-communicable diseases and physical activity level in older adults visiting primary health care centers in Jizan, Saudi Arabia","volume-title":"Saudi Medical Journal","author":"Hakami","year":"2023"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"269","DOI":"10.1177\/15598276231202970","article-title":"American College of Lifestyle Medicine Expert Consensus Statement: lifestyle medicine for optimal outcomes in primary care","volume":"18","author":"Grega","year":"2023","journal-title":"Am J Lifestyle Med"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1016\/j.mayocpiqo.2023.10.002","article-title":"Supporting sustainable health behavior change: the whole is greater than the sum of its parts","volume":"8","author":"Matthews","year":"2024","journal-title":"Mayo Clin Proc Innov Qual Outcomes"},{"key":"ref9","first-page":"15598276251362806","article-title":"Lifestyle Medicine Education in Health Professionals Curricula: A Systematic Review and Meta-Analysis","volume-title":"Am J Lifestyle Med.","author":"Ibrahim","year":"2025"},{"key":"ref10","volume-title":"Health Sector Transformation Program: Delivery Plan 2020\u20132021","year":"2021"},{"key":"ref11","volume-title":"Saudi Board for Family Medicine: Curriculum 2024","year":"2024"},{"key":"ref12","volume-title":"Lifestyle Medicine Fellowship Program","year":"2021"},{"key":"ref13","first-page":"e0308499","article-title":"State of lifestyle medicine education in Saudi medical schools: a descriptive study","volume-title":"Plos One.","author":"Almansour","year":"2024"},{"key":"ref14","first-page":"1","volume-title":"Analytic Medical Education Transformation: Lifestyle Medicine in Undergraduate and Graduate Medical Education, Fellowship, and Continuing Medical Education","author":"Rea","year":"2021"},{"key":"ref15","first-page":"10","article-title":"Supplement: curriculum the innovation, implementation, and dissemination of the lifestyle medicine residency curriculum (LMRC) in graduate medical education","volume-title":"American Journal of Lifestyle Medicine","author":"Miller","year":"2025"},{"key":"ref16","first-page":"bmjnph-2025-001479","article-title":"Persistent gaps in nutrition education in UK medical schools: a triangulated review of curricula, student perception and the evidence base","author":"Shiach","year":"2026","journal-title":"BMJ"},{"key":"ref17","first-page":"2024","volume-title":"Saudi Commission for Health Specialties (SCFHS). Saudi Board for Family Medicine: Curriculum","year":"2024"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/20523211.2024.2449051","article-title":"Transforming healthcare: Saudi Arabia\u2019s vision 2030 healthcare model","volume":"18","author":"Suleiman","year":"2025","journal-title":"J Pharm Policy Pract"},{"key":"ref19","first-page":"347","article-title":"Transformation of health care and the new model of care in Saudi Arabia: Kingdom\u2019s Vision 2030","volume-title":"Journal of Medicine and Life","author":"Chowdhury","year":"2021"},{"key":"ref20","first-page":"1652","article-title":"Development of valid and reliable questionnaire to evaluate knowledge, attitude, and practices (KAP) of lifestyle medicine domains","volume-title":"Healthcare J MDPI","author":"Kap","year":"2024"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"451","DOI":"10.1016\/j.mayocpiqo.2024.07.003","article-title":"Lifestyle medicine in medical education: maximizing impact","volume":"8","author":"Frates","year":"2024","journal-title":"Mayo Clin Proc Innov Qual Outcomes"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"e12824","DOI":"10.7717\/peerj.12824","article-title":"Effectiveness of interactive teaching intervention on medical students\u2019 knowledge and attitudes toward stem cells, their therapeutic uses, and potential research applications","volume":"10","author":"Abdulrazeq","year":"2022","journal-title":"PeerJ"},{"key":"ref23","first-page":"1","article-title":"New model of care approach at primary health care","volume-title":"Journal of Clinical Nursing Reports","author":"Trad","year":"2023"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1111\/j.1365-2923.2009.03440.x","article-title":"Identity, identification and medical education: why should we care?","volume":"44","author":"Monrouxe","year":"2010","journal-title":"Med Educ"},{"key":"ref25","volume-title":"The Saudi model of care. Ministry of Health, Kingdom of Saudi Arabia","year":""},{"key":"ref26","first-page":"1","article-title":"A brief introduction to the COM-B model of behaviour and the PRIME theory of motivation","volume-title":"Qeios.","author":"West","year":"2020"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1186\/s41043-025-00827-0","article-title":"Burden of non-communicable diseases in South Asia: a decomposition analysis","volume":"44","author":"Pradhan","year":"2025","journal-title":"J Heal Popul Nutr"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1080\/16549716.2025.2580758","article-title":"Prevalence of cardiometabolic diseases in sub-Saharan Africa: a systematic review and meta-analysis review and meta-analysis","volume":"18","author":"Cassambai","year":"2025","journal-title":"Glob Health Action"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"e70182","DOI":"10.1002\/hsr2.70182","article-title":"The effect of an educational program on the knowledge and attitude of medical sciences students about social determinants of health in Iranian university students: a quasi-experimental study","volume":"7","author":"Amini-Rarani","year":"2024","journal-title":"Health Sci Rep"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1817798\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T05:48:39Z","timestamp":1781848119000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1817798\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,19]]},"references-count":29,"alternative-id":["10.3389\/fpubh.2026.1817798"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2026.1817798","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,19]]},"article-number":"1817798"}}