The Pathways Model for Improved Health and Wellness
The Pathways Model was developed by Angele McGrady and Donald Moss (Pathways to illness, pathways to health, Springer, New York, NY, 2013), as an integrative model for improving health and remediating illness. The Pathways Model utilizes a coaching-based approach to assess the individual’s readiness for health-supportive changes and articulates a three-level plan for enhancing health and wellness. The Pathways Model begins with the formation of an “alliance for health” with each prospective patient. The Pathways self-care plan is a personally forged and committed program for self-directed changes, in coordination with professional support.
The Pathways Level One plan includes self-directed lifestyle changes and behavioral change to restore the body’s biological rhythms. Level One activities are simple and practical, reflecting the individual’s life experience and choices. The Level Two plan involves acquiring specific skills for improved coping and self-regulation. Level Two activities can be supported by educational resources and community programs, such as a relaxation training CD, community-based mindfulness or meditation classes, or instruction at a yoga or wellness center. The Pathways Level Three plan consists of interventions delivered by a trained health care professional, including health psychologists, psychotherapists, physicians, physical therapists, nutritionists, herbalists, naturopaths, acupuncturists, and others.
This chapter promotes the inclusion of religious and spiritual practices at each Level in the Pathways Model, and advocates for including complementary therapies in the Pathways Model.
KeywordsPathways Model Lifestyle medicine Coaching Complementary therapies Spirituality
- Brown, K. W., & Ryan, R. M. (2004). Fostering healthy self-regulation from within and without: A self-determination theory perspective. In P. A. Linley & S. Joseph (Eds.), Positive psychology in practice (pp. 105–124). Hoboken, NJ: Wiley.Google Scholar
- Maslow, A. H. (1968). Toward a psychology of being (3rd ed.). New York, NY: Wiley.Google Scholar
- McGrady, A., & Moss, D. (2013). Pathways to illness, pathways to health. New York, NY: Springer. https://doi.org/10.1007/978-1-4419-1379-1.
- Moss, D. (Ed.). (1999). Humanistic and transpersonal psychology: A historical and biographical sourcebook. Westport, CT: Greenwood.Google Scholar
- Moss, D., McGrady, A., Davies, T., & Wickramasekera, I. (Eds.). (2003). Handbook of mind-body medicine in primary care. Thousand Oaks, CA: Sage.Google Scholar
- National Center for Complementary and Alternative Medicine. (2002). Basic and preclinical research on complementary and alternative medicine. Program Announcement Number PA-02-124. Retrieved from http://grants.nih.gov/grants/guide/pa-files/PA-02-124.html
- National Center for Complementary and Integrative Health. (2016). Complementary alterative or integrative health. What’s in a name? Retrieved from https://nccih.nih.gov/health/integrative-health
- National Center for Health Statistics. (2016). Mortality in the US, 2015. NCHS Data Brief No. 267. Retrieved from https://www.cdc.gov/nchs/products/databriefs/db267.htm
- National Institutes of Health. (2015). Basic and preclinical research on complementary and alternative medicine (CAM) (R15). Program Announcement Number PA-06-064. Retrieved from http://archives.nih.gov/asites/grants/09-17-2015/grants/guide/pa-files/PA-06-064.html
- Ornish, D. (1996). Dr. Dean Ornish’s program for reversing heart disease. New York, NY: Ivy Books/Ballantine Books.Google Scholar
- Ornish, D., Scherwitz, L., Billings, J., Brown, S. E., Gould, K. L., Merritt, T. A., & Brand, R. J. (1998). Intensive lifestyle changes for reversal of coronary heart disease. Five-year follow-up of the Lifestyle Heart Trial. Journal of the American Medical Association, 280, 2001–2007.CrossRefGoogle Scholar
- Phelps, C. (2014). The lived experience of individuals with Type 2 diabetes who have sustained successful lifestyle change and achieved long-term positive health outcomes: A detailed look at the female experience (Doctoral dissertation). Retrieved from the ProQuest dissertation database (UMI No. 3642969).Google Scholar
- Ryan, R. M., & Deci, E. L. (2002). An overview of self-determination theory: An organismic-dialectical perspective. In E. L. Deci & R. M. Ryan (Eds.), Handbook of self-determination research (pp. 3–36). Rochester, NY: The University of Rochester Press.Google Scholar
- Sagner, M., Katz, D., Egger, G., Lianov, L., Schulz, K. H., Braman, M., et al. (2014). Lifestyle medicine potential for reversing a world of chronic disease epidemics: From cell to community. International Journal of Clinical Practice, 68(11), 1289–1292. https://doi.org/10.1111/ijcp.12509 CrossRefPubMedGoogle Scholar
- Shaffer, F., & Moss, D. (2006). Biofeedback. In C.-S. Yuan, E. J. Bieber, & B. A. Bauer (Eds.), Textbook of complementary and alternative medicine (2nd ed., pp. 291–312). Abingdon, Oxfordshire, UK: Informa Healthcare.Google Scholar
- Spence, G. B., & Oades, L. B. (2011). Coaching with self-determination in mind: Using theory to advance evidence-based coaching practice. International Journal of Evidence Based Coaching and Mentoring, 9(2), 37–55.Google Scholar
- Thorpe, K., Florence, C., Howard, D., & Joski, P. (2004). The impact of obesity in rising health spending. Health Affairs, Suppl Web Exclusives, W4-480-6.Google Scholar
- Wolever, R. Q., Dreusicke, M., Fikkan, J., Hawkins, T. V., Yeung, S., Rakefield, J., et al. (2010). Integrative health coaching for patients with Type 2 diabetes: A randomized clinical trial. The Diabetes Educator, 36(4), 629–639. https://doi.org/10.1177/0145721710371523 CrossRefPubMedGoogle Scholar