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An Evaluation Of Integrated Primary Care (Ipc), Ipc Plus Shared Medical Appointments, And Ipc Plus Individual Behavioral Health Care On Diabetes Management, Eric Franco
PCOM Psychology Dissertations
As the health care system continues to evolve, the challenges related to successfully treating chronic conditions persist. To address these challenges, supplemental treatments, such as the shared medical appointment (SMA) and behavioral health care (BHC), have been implemented to provide patients with additional levels of psychoeducation and support in addition to treatment by their physician. The total sample used in this study was 118. The purpose of this study was to evaluate the effectiveness of integrated primary care (IPC), IPC plus SMA, and IPC plus BHC to determine if supplemental treatment combined with IPC produced greater improvement in patients with …
The Influence Of Patient-Practitioner Orientation On Practitioners’ Self-Perception Of Adhering To A Motivational Interviewing Style Of Communication In Medical Settings, Brian Ashenfelter
The Influence Of Patient-Practitioner Orientation On Practitioners’ Self-Perception Of Adhering To A Motivational Interviewing Style Of Communication In Medical Settings, Brian Ashenfelter
PCOM Psychology Dissertations
As of 2012, approximately 117 million adults have experienced at least one chronic illness (CDC; 2014). Healthy lifestyle choices can reduce the probability of developing particular chronic conditions, such as diabetes, heart disease, and specific forms of cancer (CDC; 2014). Individuals with chronic conditions may continue engaging in unhealthy lifestyle choices, despite having knowledge of the adverse ramifications. This includes nicotine use, dieting, and a sedentary lifestyle with limited physical activity. There are various manners in which primary care practitioners can address lifestyle choices with their patients. Motivational interviewing (MI) is a patientcentered approach, which is used to facilitate readiness …
Primary Care Physicians’ Ability To Detect Ptsd, John Michael Della Porta
Primary Care Physicians’ Ability To Detect Ptsd, John Michael Della Porta
PCOM Psychology Dissertations
Posttraumatic stress disorder (PTSD) is a complex condition that has many medical and mental health sequelae. Research has shown that PTSD patients are often not accurately identified, particularly in primary care settings. The result of this underdetection is that these patients often utilize more health care resources. This investigation sought to determine whether the complex nature of PTSD, particularly the frequent presence of comorbid physical symptoms that may overshadow PTSD, makes the disorder difficult to detect in primary care settings. Other factors that could contribute to this underdetection were also investigated. A two-group between-subjects design was utilized for this investigation, …
Medical Students' Recognition Of Patients' Behavioral Health Needs, Jason J. Jaegly
Medical Students' Recognition Of Patients' Behavioral Health Needs, Jason J. Jaegly
PCOM Psychology Dissertations
This dissertation study is designed to add to the knowledge base about physician training in the integrated primary care environment by examining if relationships exist between students’ years of training in an osteopathic medical school, empathy in patient-care situations, stigma toward people with mental illness, and attitudes toward collaborative care for behavioral health. In addition, the relationships between medical students’ attitudes toward collaborative care for behavioral health, factors that influence their referral decision making, recognition of a hypothetical patient in need of a potential behavioral health referral, current year in medical training, and demographic characteristics were explored. This is important …
The Effectiveness Of Various Reminder Systems On Appointment-Keeping Adherence In A University-Based Primary-Care Setting, Frank M. Mirarchi
The Effectiveness Of Various Reminder Systems On Appointment-Keeping Adherence In A University-Based Primary-Care Setting, Frank M. Mirarchi
PCOM Psychology Dissertations
Treatment nonadherence is a significant problem that can affect not only the healthcare industry, but also more importantly, a patient’s health. Appointment-keeping adherence is expected to supersede all other types of adherence in terms of its importance and sequence. Various interventions have been used to treat nonadherence including appointment-keeping nonadherence within medical practices. Some of these interventions include different types of reminders (phone, letter, cards, etc.) and different types of therapy (motivational interviewing (MI) and cognitive behavioral therapy). Both reminders and MI have been effective in the past in treating appointment-keeping nonadherence. Therefore, will an MI-formatted letter reminder improve appointment-keeping …