The DREAMS Framework for Clinical Practice, Education, Research and Community Outreach: Operationalizing the Six Pillars of Lifestyle Medicine

Lifestyle Medicine (LM) is increasingly recognized as a foundational approach to the prevention, treatment, and potential reversal of chronic non-communicable diseases through six core pillars. However, translating these pillars into a consistent, practical, and scalable framework for clinical practice, education, research, and community engagement remains a challenge. This paper introduces the DREAMS (Diet and Nutrition, Relationships and Social Connectedness, Exercise and Physical Activity, Avoidance of Harmful Substances, Mental Wellbeing and Stress Management, and Sleep Optimization) framework as an integrative, operational approach designed to unify and apply the six pillars of LM. Structured as a memorable acronym, the framework has the potential to enhance recall, support education, and facilitate delivery of cross-pillar multimodal lifestyle interventions across diverse settings. The DREAMS framework offers a practical pathway for advancing the implementation and global impact of LM and provides a foundation for future research and evaluation.