Shared Medical Appointment (SMA) Content

SMA Curricula, Note Templates, and Clinical Resources: Ready-to-use materials built from 1,000+ real SMA sessions at Massachusetts General Hospital / Harvard Medical School.

The curricula, note templates, and resources described on this page were developed by Dr. Jacob Mirsky and his team at Massachusetts General Hospital's Healthy Lifestyle Program and refined through more than 1,000 SMA sessions delivered by 20 primary care providers. These are not pilot program materials or AI-generated slide decks; they are time-tested materials that have been continuously refined through real-world clinical use since 2020.

Published research on these programs has demonstrated self-reported improvements in a wide range of behaviors, high levels of patient satisfaction, reductions in home blood pressure readings, and more (see research findings below).

SMA programs across the world can now license these materials directly from Mass General Brigham to efficiently launch or scale their own SMA programming using evidence-based time-tested content.

Research Findings from MGH Healthy Lifestyle Program SMA

What the Research Shows: The MGH Healthy Lifestyle Program SMA curricula have been studied in peer-reviewed research, with findings published in multiple journals. Here are some highlights:

Blood Pressure Reductions

(Mirsky et al., 2022)

Patients completing the Hypertension SMA series showed meaningful reductions in home blood pressure readings — without increasing medication burden.

Line graph showing blood pressure measurements over days, with shaded areas representing the VGV Series for systolic and diastolic blood pressure, indicating a decreasing trend.

Medication De-prescribing

(Mirsky et al., 2022)

The program enabled providers to safely reduce or eliminate medications for a significant proportion of participants, a rare outcome in chronic disease management.

Bar graph comparing patient percentages during and after VGVs, showing reduced, no change, increased, and changed class categories.

Healthy Behavior Changes

(Mirsky et al., 2023)

Participants reported self-assessed improvements across multiple health behaviors, including diet, physical activity, and stress management.

Bar chart comparing responses of two groups regarding health behaviors and outcomes. The first group attended 1-4 LMVGVs, and the second attended 5+ LMVGVs. Categories include: ate healthy, increased physical activity, lost weight, reduced stress, lowered blood pressure, slept better, lowered blood sugars, reduced medications, did not make changes, and others. The chart shows percentages for each category, with some statistically significant differences marked with asterisks.

Publications

Cover page of a research article titled 'Hypertension Control and Medication Titration Associated With Lifestyle Medicine Virtual Group Visits and Home Blood Pressure Monitoring' by authors Jacob B. Mirsky, Tiffany X. V. Bui, Connor B. Grady, Jaclyn A. Pagliaro, and Ami Bhatt.

Journal: American Journal of Lifestyle Medicine

Year: 2022

Key Finding: Virtual SMA, coupled with Health and Wellness Coaching and Home Blood Pressure Monitoring, are associated with improved blood pressure control and medication deprescribing.

PubMed link

Screenshot of a medical article titled 'Long-Term Medication Changes After Hypertension-Focused Lifestyle Medicine Shared Medical Appointment Program' by Jacob Mirsky, MD, MA, with a header 'Letter to the Editor'.

Journal: American Journal of Lifestyle Medicine

Year: 2024

Key Finding: Sustained reductions in antihypertensive medication regimens two years after completing a virtual SMA series on hypertension.

PubMed link

Title page of research paper titled 'Patient Perspectives on Lifestyle Medicine Virtual Group Visits' with authors Dana Vigue, Jacob Mirsky, Suzanne Brodney, and Anne N. Thorndike.

Journal: American Journal of Lifestyle Medicine

Year: 2023

Key Finding: Virtual SMA programming are associated with a wide range of self-reported healthy behavior changes including eating healthier, increasing physical activity, and losing weight.

PubMed link

Title slide of a research presentation titled 'Lifestyle Medicine Virtual Group Visits: Patient Attendance and Perceived Benefits,' authored by Jacob Mirsky, MD, Suzanne Brodney, PhD, Veronica Boratyn, and Anne N. Thorndike, MD, MPH.

Journal: American Journal of Lifestyle Medicine

Year: 2024

Key Finding: Virtual SMA are attended by patients interested in focusing on healthy lifestyle changes and 98% of respondents who attended at least 5 sessions indicated they would recommend the programming to friends or family.

PubMed link

Excerpt from a research paper listing authors related to primary care patient referrals and virtual lifestyle medicine appointments.

Journal: Preventive Medicine Reports

Year: 2025

Key Finding: Virtual SMA are attended by a diverse patient population, with higher enrollment and attendance in older patients and female patients.

PubMed link

More Free SMA Curricula: Here are two additional free curricula developed by other leading programs:

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