The intervention had no statistically significant effect on sitting time or sit-to-stand transitions. Participation improved perceived wellness in the absence of behavior change.

Participants have a shared goal of maximizing gait and balance so persons with MS can participate in valued life roles. Understanding the differences in the behavioral decisions and optimizing skill sets in shared decision-making and self-management may enhance the therapeutic partnership and engagement in gait- and balance-enhancing behaviors. Implications for Rehabilitation Persons with MS and physical therapists have a shared goal of maximizing gait and balance so persons with MS can participate in valued activities and life roles, or more poetically, keep their lived world large. Knowledge that persons with MS aim to challenge themselves by pushing but respecting limits can provide physical therapists with greater insight in helping persons with MS resolve uncertainty, set meaningful goals, and build the routines and resilience needed for engagement in gait- and balance-enhancing behaviors. Enriching skill sets in shared decision-making, behavior change and self-management may optimize the physical therapist toolbox.

The orientation towards Integrative Medicine for a majority of US dietitians is in the awareness and learning phases of adoption.

Studies of health providers suggest that satisfaction with life is related to their values and sense of purpose which is best achieved when their professional role is in harmony with personal philosophy. Cross-sectional surveys suggest that personal health beliefs and practices of health professionals influence their clinical counseling practices. However, little is known about the influence of health philosophy on the personal satisfaction with life for dietitians. This study recruited a randomly selected, cross-sectional sample to complete a self-administered online survey. An exploratory factor analysis of was conducted for 479 participants resulting in a two-factor solution, clinical (α = 0.914) and wellness (α = 0.894) perceptions of health. An index score for the following valid and reliable scales were calculated: satisfaction with life, health conception, and healthy lifestyle and personal control. Pearson correlation coefficients between scores were analyzed to determine the degree of relationship. Potential mediators were explored with multiple regression. The relationships between variables were tested with structural equation modeling using a multigroup comparison between genders. The male participants were removed from the overall model and were separately evaluated. Health philosophy that is oriented toward wellness, was positively and significantly associated with life satisfaction, r(462) = 0.103, p < 0.05. Participants with higher Healthy Lifestyle and Personal Control scores reported greater life satisfaction, r(462) = 0.27, p = 0.000. Healthy lifestyle alone predicted 8.8% of the variance in life satisfaction (R2 = 0.088, df 1462, p = 0.005). SEM confirmed the model had goodness-of-fit (χ2 = 2.63, p = 0.453). The satisfaction with life of dietitians is directly and positively influenced by a greater wellness orientation and personal healthy lifestyle practices. The effect of practice and lifestyle on life satisfaction appears to be greater for men.

Background:The goal of nutrition-focused preventive services is to impact health outcomes for the individuals receiving counselling and education. To date, there has been no comprehensive evaluation of personal lifestyles and satisfaction with life of Registered Dietitians Nutritionists. Methods:The study aims were to evaluate the reliability of the English version of the Healthy Lifestyle and Personal Control Questionnaire (HLPCQ) and to determine their relationship to satisfaction with life in a random sample of US dietitians (n=493). The HLPCQ was administered online to US dietitians in October 2016 and resulted in a sevenfactor solution, and these dimensions were compared to dietitian's beliefs about health and nutrition to determine construct validity.Findings: Cronbach's coefficients for the full scale were 0.824, and seven subscales varied from 0.464 to 0.853. Discriminant analysis was used to differentiate between participants' gender, health behaviors, and health philosophy on satisfaction with life. Health-related behaviors were positively and significantly associated with SWL. Conclusion: The health behaviors that predicted life satisfaction were routine physical activities, and socialemotional support behaviors. The identification of the key determinants influencing life satisfaction is essential for designing personal health interventions to improve lifespan wellness for allied health professionals.