• This Lifestyle Medicine introductory course provides a foundation of theoretical and practical knowledge and skills, as well as an opportunity to plan strategies and practice techniques for assisting patients with positive health behavior changes. All parts of this training are free, including registration, learning, testing, and a certificate of completion. This course is intended for primary-care physicians, nurses, and allied health professionals in training and in practice.

    This Lifestyle Medicine course was developed in partnership with Bar-Ilan University, the Brookfield Centre for Lifestyle Medicine, the European Lifestyle Medicine Organization, the Institute of Lifestyle Medicine at Harvard, the Israeli Society of Family Medicine - Lifestyle Medicine Section, the Lifestyle Medical Education Collaborative, and the USC School of Medicine Greenville.  Like all NextGenU.org courses, the course is competency-based; this course utilizes competencies from the Lifestyle Medicine Program Curriculum Outline of the American College of Lifestyle Medicine and the Israeli Society of Family Medicine - Lifestyle Medicine Section. In addition, the Lifestyle Medicine course uses resources from accredited world-class organizations, including the American College of Lifestyle Medicine, the American College of Preventive Medicine, the American College of Sports Medicine, the U.S. Centers for Disease Control and Prevention, the U.S. National Institutes of Health, and the World Health Organization. The course developer is Lilach Malatskey, MD, MHA, Chairman of the Israeli Society of Lifestyle Medicine of the Family Physicians Association, who received substantial input from the Executive Members of the Israeli Society of Family Medicine, Lifestyle Medicine Section. Significant feedback was also received from our Advisory Group members, Ioannis Arkadianos, MD; Erica Frank, MD, MPH; Ioan Hanes, MD; Jenny Lee, MD, PhD, MPH; Dr. Ifeoma Monye, MBBS, DCH, DFFP, DRCOG, FRCGP;  Edward M. Phillips, MD; Verena Rossa-Roccor, MD; Mary Rudolf, MB, BS, BSc, FRCPCH, FAAP; Jennifer Trilk, PhD; and Stefania Ubaldi, MD, PhD. 

    For a publication on this course’s efficacy, see “NextGenU.org’s Free, Globally Available Online Training in Lifestyle Medicine,” (2017), American Journal of Lifestyle Medicine, https://doi.org/10.1177/1559827616682444; see also “Building Public Health Capacity through Online Global Learning,” (2018), Open Praxis, to see more research related to NextGenU.org’s educational model, click on NextGenU.org’s publication page. Subscribe to our newsletter to be notified of future updates, new courses, and to be part of our community.

    There are two components to this course. 

    The first component involves completing the modules and which provide: 

    • An introduction to the principles of lifestyle medicine, and an understanding of the effects of physical activity, nutrition, sleep, stress, and sexuality on health; 
    • Overviews of smoking cessation and alcohol use disorders; 
    • Skills to develop and implement action plans for lifestyle medicine in both clinical and personal settings.


    In order to receive a certificate of completion, you will need to also complete the second, skills-based component of the course, which requires you to identify a person (could be a patient or an acquaintance) who would like to make one or more lifestyle changes. During this course, you will meet with this person 3 times and practice strategies you have learned to help others make behavioral changes. You may meet in person or via video conferencing. You will also need to identify a mentor with professional health care training at least at the bachelor’s level (a college degree), and with a certificate or other specific training in Lifestyle Medicine, who can provide you with feedback on the assignments you submit about your relationship with your patient. 

    The results of your assessments will be provided to you, and we can report your testing information and share your work with anyone you request (school, employer, etc.). The evaluation you provide at the course’s conclusion will help us improve the training for future students. We hope you find this Lifestyle Medicine course a wonderful learning experience!

    Approximate time for completion of this course is 206 hours at an average reading rate of 144 words/minute.

    Before you begin the course, please take a moment to take the short knowledge Pre-test below. It allows us to assess various aspects of the course itself and is mandatory to receive your certificate upon completion of the course. 

    The course requires the completion of peer and mentored activities. At the end of each lesson, there is a practice quiz. At the end of the course, after you’ve completed each lesson, quiz, and activity, you’ll have access to a final exam, and a chance to assess the training. Once you’ve passed that last test, you will be able to download a certificate of completion from NextGenU.org and our course’s co-sponsoring organizations (listed above). We keep all of your personal information confidential, never sell any of your information, and only use anonymized data for research purposes, and we are also happy to report your testing information and share your work with anyone (your school, employer, etc.) at your request. We hope that you will find this a rewarding learning experience, and we count on your feedback to help us improve this training for future students.

    Engaging with this Course

    You may browse this course for free to learn for your personal enrichment; there are no requirements.

    To obtain a certificate
    • Show in the registration fields that you have the appropriate prerequisites to be certified. This course requires the learner to have already obtained a college-level degree. 
    • Take the brief pre-test.
    • Complete all the reading requirements.
    • Complete all quizzes and pass with a 70% with unlimited attempts.
    • Complete 1 peer activity and associated certification quizzes.
    • Find a mentor and complete the 8 required mentor activities.
    • Successfully complete the final exam with a minimum of 70%  and a maximum of 3 attempts.
    • Complete the self and course evaluation forms.

    To obtain credit 
    • Complete all requirements listed above for the certificate. 
    • Your learning institution or workplace should approve the partner-university-sponsored NextGenU.org course for educational credit, as they would for their learner taking a course anywhere.  
    • NextGenU.org is happy to provide your institution with:
      • a link to and description of the course training, so they can see all its components, including the cosponsoring universities and other professional organization cosponsors;
      • your grade on the final exam;
      • your work products (e.g. peer and mentored activities), and any other required or optional shared materials that you produce and authorize to share with them;  
      • your evaluations -- course, self, peer, and mentor assessments;
      • a copy of your certificate of completion, with the co-sponsoring universities and other organizations listed.

    To obtain a degree co-sponsored with NextGenU.org, registrants must be enrolled in a degree program as a student of a NextGenU.org institutional partner. If you think that your institution might be interested in offering a degree with NextGenU.org  contact us

    We hope that you will find this a rewarding learning experience, and we count on your assessment and feedback to help us improve this training for future students.

    Next Steps

    • Take the short knowledge pre-test below. It allows us to assess various aspects of the course itself.
    • Complete the registration form.
    • Complete the survey on your health practices, as this will allow us to study any personal behavioral changes that happened during the time you took this behavioral change course.
    • Begin the course with Module 1: Introduction to Lifestyle Medicine. In each lesson, read the description, complete all required readings and any required activity, and take the corresponding quizzes.

    This course meets nationally approved standards of education developed for the addiction/substance use disorders counseling profession. This course's participants are assured that the continuing education (CE) credits provided will be accepted toward national credentialing by the NAADAC Certification Commission for Addiction Professionals (NCC AP), as well as by many of the individual state licensing/certification bodies in the addiction and other helping professions.
  • Before starting this first module, please take a moment to take the short knowledge Pre-test above. It allows us to assess various aspects of the course, and you must receive your certificate upon completion.

    First, do no harm. — Hippocratic oath 

    This module introduces the foundational concepts of lifestyle medicine, introducing all six pillars (nutrition, physical activity, sleep, stress management, substance use, and relationships/social connectedness) while emphasizing the role of physician health, advocacy, and planetary health in promoting sustainable lifestyle interventions. It establishes lifestyle medicine as an evidence-based approach to preventing and treating chronic disease through behavior change.

    Instructional Goals covered in this module:
    • Introduction to Lifestyle Medicine.

    Approximate time required for the readings for this module (at 144 words/minute): 35 hours and 40 minutes.

  • This module provides in-depth exploration of behavior change theories, models, and practical applications essential for supporting patients in modifying health behaviors. It covers psychological, social, and environmental factors influencing behavior change across all lifestyle medicine pillars, with emphasis on motivation, self-efficacy, goal-setting, and the critical role of social support and relationships in sustaining change.

    Knowing is not enoughwe must apply. Willing is not enoughwe must do.  Johann Wolfgang von Goethe

    MOODY AIR FORCE BASE, Ga. -- Airmen use different types of cardiovascular machines Jan. 5. Cardiovascular exercises develop your heart and lungs; many consider it to be the most important component in a workout program. (U.S. Air Force photo/Senior Airman Stephanie Mancha)(RELEASED)

    Instructional Goals covered in this module: 
    • Fundamentals of Health Behavior Change.

    Approximate time required for the readings for this module (at 144 words/minute): 34 hours and 16 minutes.

  • Two people, seated at a table, talking, as indicated by speech bubbles.
    Learning Objectives

    Upon completion of the first lesson of Module 2, students should be able to:

    • Apply motivational interviewing, cognitive behavioral, and positive psychology techniques.
    • Match interventions to patient stage of change
    • Examine patient readiness and motivation for behavior change
    • Develop stage-appropriate counseling strategies

    Approximate time required for the readings for this lesson (at 144 words/minute): 1 hour

    Click here to start this lesson

  • This module covers the science, assessment, and prescription of physical activity as a cornerstone of lifestyle medicine. It addresses physical activity's role in preventing and treating chronic diseases, provides evidence-based guidelines for exercise prescription, and explores the social dimensions of physical activity, including group exercise, team sports, and active transportation that simultaneously promote fitness and social connection.

    Those who think they have no time for bodily exercise will sooner or later have to find time for illness. — Edward Stanley, Earl of Derby (1873)

    Instructional Goals covered in this module: 
    • Physical Activity Science and Prescription.

    Approximate time required for the readings for this module (at 144 words/minute): 25 hours and 4 minutes.

  • This module provides comprehensive coverage of nutrition science, dietary assessment, and evidence-based nutrition interventions for health promotion and disease management. It addresses nutrition's central role in lifestyle medicine while exploring the social and relational dimensions of eating including family meals, cultural food traditions, and commensality, recognizing that eating is both a biological necessity and a profoundly social activity.

    Let food be thy medicine and medicine be thy food. — Hippocrates

    Instructional Goals covered in this module:
    • Nutrition Science, Assessment and Prescription (and Obesity)

    Approximate time required for the readings for this module (at 144 words/minute): 32 hours and 33 minutes.

  • This module covers sleep science, assessment of sleep disorders, and evidence-based interventions to optimize sleep health. It addresses sleep as a critical lifestyle medicine pillar affecting all aspects of health while exploring the relational context of sleep, including partner sleep dynamics, relationship quality's impact on sleep, and how sleep problems affect intimate relationships and family functioning.

    Instructional Goals covered in this module: 

    • Sleep Health Science and Interventions.

    Approximate time required for the readings for this module (at 144 words/minute): 12 hours and 52 minutes.

  • This module addresses tobacco use as a critical lifestyle medicine pillar, covering the health effects of tobacco, evidence-based cessation strategies, and the role of healthcare providers in supporting tobacco cessation. It emphasizes the social dimensions of tobacco use including the influence of social networks on smoking behavior, the importance of partner and family support in cessation, and strategies for navigating social smoking contexts.

    Tobacco kills up to half of its users. - World Health Organization (2016)

    Instructional Goals covered in this module:
    • Fundamentals of Tobacco Cessation

    Approximate time required for the readings for this module (at 144 words/minute): 20 hours and 36 minutes.

  • This module comprehensively addresses substance use including alcohol, cannabis, opioids, stimulants, and other substances as a critical lifestyle medicine pillar. It covers screening, brief interventions, harm reduction approaches, and treatment for substance use disorders while emphasizing the bidirectional relationships between substance use and social connections, the role of relationship stress in substance use, and the critical importance of social support in recovery.

    "What are you doing here?" he asked the drunkard... "Drinking," replied the drunkard, with a gloomy expression. "Why are you drinking?" the little prince asked. "To forget," replied the drunkard. "To forget what?" inquired the little prince, who was already feeling sorry for him. "To forget that I'm ashamed," confessed the drunkard, hanging his head. "What are you ashamed of?" inquired the little prince, who wanted to help. "Of drinking!" concluded the drunkard... - Antoine de Saint-Exupéry, "The Little Prince."

    Instructional Goals covered in this module:
    • Managing Risky Alcohol Use.

    Approximate time required for the readings for this module (at 144 words/minute): 8 hours and 47 minutes.

  • This module addresses stress management and mental health as critical lifestyle medicine pillars, covering the bidirectional relationships between stress and health, screening for mental health conditions, evidence-based interventions including mindfulness, and the fundamental role of social connectedness in mental health. It integrates positive psychology concepts and addresses modern challenges including social media effects, recognizing that mental health and social connection are inseparable.

    "God, grant me the serenity to accept the things I cannot change, Courage to change the things I can, And wisdom to know the difference." - Reinhold Niebuhr, The Serenity Prayer

    Instructional Goals covered in this module: 
    • Emotional and Mental Well-Being Assessment and Interventions

    People accept stress as an inevitable part of their lives, but exposure to chronic high levels leads to various forms of significant stress-induced morbidity.  

    In this module, you will learn how to identify a stressed patient and how to help him/her manage emotional and mental well-being.

    Upon completion of this module, students should be able to:

    • Understand the basic elements of stress response and the relationship between emotional distress and poor health.
    • Describe the components of emotional wellness self-management.
    • Use screening tools for stress, depression, and anxiety.
    • Understand how skills of mindfulness-based stress reduction (MBSR) and other approaches can help patients intervene in stress reactions and better care for themselves.
    • Demonstrate the ability to manage depression and anxiety in patients with comorbidities.
    • Be familiar with the unique stressors associated with being a physician, along with the possible ways of coping with stress, and describe the role of the provider in facilitating the emotional well-being of patients.

    Approximate time required for the readings for this module (at 144 words/minute): 11 hours and 44 minutes.

  • This module addresses sexuality as an integral component of health and well-being across the lifespan, emphasizing the relational dimensions of sexual health. It covers the bidirectional relationships between sexuality and overall health, communication about sexual concerns, and management of common sexual health issues, recognizing that healthy sexuality encompasses physical, emotional, mental, and social dimensions fundamentally connected to relationship quality and social connectedness.

    Sexual health working definition: “... a state of physical, emotional, mental and social well-being in relation to sexuality; it is not merely the absence of disease, dysfunction or infirmity. Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination, and violence. For sexual health to be attained and maintained, the sexual rights of all persons must be respected, protected, and fulfilled.”  The World Health Organization (2006)

    Instructional Goals covered in this module: 
    • Sexuality and Health

    Approximate time required for the readings for this module (at 144 words/minute): 6 hours and 44 minutes.

  • This module provides practical strategies for implementing lifestyle medicine in clinical settings, covering health promotion in practices, leveraging interdisciplinary teams, connecting with community resources, optimizing office systems, and developing comprehensive implementation plans. It emphasizes implementing interventions across all six pillars including social connection through group visits, social prescribing, and community partnerships that address both individual health and social isolation.

    “People are generally better persuaded by the reasons which they have themselves discovered than by those which have come into the minds of others.” - Blaise Pascal

    Instructional Goals covered in this module:
    • Implementing Lifestyle Medicine

    Approximate time required for the readings for this module (at 144 words/minute): 17 hours and 44 minutes.

  • To take the final exam, you must complete all quizzes and complete all the required activities. 

    To access the exam, click on the name of the exam provided above. On the following screen, click the Attempt Quiz button to respond to the questions.

  • In this section, you can provide feedback about this course to help us make NextGenU.org better. Once evaluations are completed, you will be able to download your certificate of completion.

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