Integrating Lifestyle Medicine Into a Doctor of Physical Therapy Curriculum: A Four-Year Longitudinal Program Evaluation of Student Wellness, Psychological Capital, and Social Networks

Doctor of Physical Therapy (DPT) students encounter substantial academic and psychological challenges, yet there is limited consensus on effective interventions. This 4-year longitudinal program evaluation describes the integration of lifestyle medicine into both curricular and co-curricular components of a DPT program, and examines associated changes in student wellness, psychological capital, and social network development. Guided by the Social Ecological Model, the programmatic assessment highlights the multifaceted influences on student wellness, extending responsibility beyond the individual to include faculty, institutional leaders, external partners, and policy makers. Outcome measures comprised the 5 Factor Wellness Inventory (FFWEL), Psychological Capital (PsyCap) Questionnaire, and Social Network Peer Connection analyses across 4 student cohorts. Results revealed increased peer network connections and cohesion over time, emphasizing the significance of social support and collaborative learning. Improvements in FFWEL and PsyCap scores further indicate progress in well-being. These findings demonstrate the effectiveness of intentional, multi-level strategies for collective well-being, and underscore the utility of the Social Ecological Model. The results presented offer a foundation for preparing graduates to promote lifestyle medicine in varied professional contexts.