Healthcare Professionals’ Perceptions of Lifestyle Medicine in Specialized Care: A Survey-Based Study in a Dutch Hospital

Lifestyle Medicine (LM) offers promise for managing chronic diseases, yet its implementation in healthcare remains limited. Successful implementation requires understanding healthcare professionals' (HCPs) perceptions, given their roles in advising patients and referring to lifestyle interventions. This study explores how HCPs at a Dutch academic hospital perceive LM. We conducted an anonymous online survey of physicians, nurses, and other HCPs in adult specialized care. We assessed perceptions of LM, how these varied across professional roles, and barriers and facilitators to implementation. We thematically analyzed free-text responses to identify factors influencing perceptions of lifestyle medicine. Of 303 participants, 14% were familiar with LM and 19% reported never discussing lifestyle with patients. However, 92% supported prioritizing lifestyle changes in healthcare and 69% prioritized implementing lifestyle programs in their hospital. 71% felt confident initiating lifestyle conversations, and 45% in promoting behavior change. Main barriers to discussing lifestyle included limited time (43%) and unclear referral pathways (38%). Thematic analysis generally revealed a positive perception of LM, but some questioned its suitability in specialized care. Most HCPs support LM, but LM's role in specialized care requires clearer analysis and articulation. Greater awareness, practical support, and training seem key for successful implementation.