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The Wahls Behavior Change Model for Complex Chronic Diseases: A Clinician's Guide
Journal article   Open access   Peer reviewed

The Wahls Behavior Change Model for Complex Chronic Diseases: A Clinician's Guide

Alaina N Elliott-Wherry, Jennifer E Lee, Amy M Pearlman and Terry L Wahls
Degenerative neurological and neuromuscular disease, Vol.12, pp.111-125
01/01/2022
DOI: 10.2147/DNND.S370173
PMCID: PMC9469801
PMID: 36110247
url
https://doi.org/10.2147/DNND.S370173View
Published (Version of record) Open Access

Abstract

Behavior change models are used to understand and intervene on health-related behaviors and outcomes. However, there is a gap in the literature regarding how to create and maintain behavior change in patients with complex chronic diseases such as Multiple Sclerosis (MS). To address this gap, the Wahls Behavior ChangeTM Model (WBCM) (The trademark applies to subsequent mention of the model.) was developed based on existing behavior change theory, empirical evidence, and extensive clinical experience caring for patients with complex chronic diseases. A patient-centered, comprehensive, and multimodal approach, this model provides a framework for understanding and implementing lifestyle behavior change. The overall goals of this paper are to: (1) review existing behavior change theories; (2) introduce the WBCM, including the model’s 11 Principles for behavior change in patients with complex chronic diseases; and (3) share how providers can be trained to implement the WBCM. The WBCM can potentially improve short- and longer-term function and quality of life outcomes for people with complex chronic diseases.

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