Development and Evaluation of a Health Behavior Change Clinic in Primary Care: An Interdisciplinary Partnership.
Scott J NymanMark E VogelGrant M HellerJennifer R HellaRose A IllesHeather A KirkpatrickPublished in: Journal of clinical psychology in medical settings (2023)
Providing effective healthy behavior change interventions within primary care presents numerous challenges. Obesity, tobacco use, and sedentary lifestyle negatively impact the health quality of numerous medical patients, particularly in underserved patient populations with limited resources. Primary Care Behavioral Health (PCBH) models, which incorporate a Behavioral Health Consultant (BHC), can offer point-of-contact psychological consultation, treatment, and also provide opportunities for interdisciplinary psychologist-physician clinical partnerships to pair a BHC's health behavior change expertise with the physician's medical care. Such models can also enhance medical training programs by providing resident physicians with live, case-based learning opportunities when partnered with a BHC to address patient health behaviors. We will describe the development, implementation, and preliminary outcomes of a PCBH psychologist-physician interdisciplinary health behavior change clinic within a Family Medicine residency program. Patient outcomes revealed significant reductions (p < .01) in weight, BMI, and tobacco use. Implications and future directions are discussed.
Keyphrases
- primary care
- healthcare
- public health
- mental health
- health information
- physical activity
- emergency department
- metabolic syndrome
- weight loss
- body mass index
- health promotion
- type diabetes
- end stage renal disease
- insulin resistance
- chronic kidney disease
- general practice
- ejection fraction
- cardiovascular disease
- newly diagnosed
- patient safety
- social media
- human health
- skeletal muscle
- genetic diversity
- peritoneal dialysis
- virtual reality