Department of Clinical Health Psychology, Ascension Genesys Hospital, Grand Blanc, MI, USA.
Departments of Family Medicine and Psychiatry, Michigan State University College of Human Medicine, Lansing, MI, USA.
J Clin Psychol Med Settings. 2023 Dec;30(4):909-923. doi: 10.1007/s10880-023-09945-5. Epub 2023 Mar 4.
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.
在初级保健中提供有效的健康行为改变干预措施存在诸多挑战。肥胖、吸烟和久坐的生活方式对许多医疗患者的健康质量产生负面影响，尤其是在资源有限的服务不足的患者群体中。初级保健行为健康 (PCBH) 模式，整合了行为健康顾问 (BHC)，可以提供即时的心理咨询、治疗，并为跨学科的心理学家-医生临床合作提供机会，将 BHC 的健康行为改变专业知识与医生的医疗服务相结合。这些模式还可以通过为住院医师提供与 BHC 合作解决患者健康行为问题的实时、基于案例的学习机会来增强医学培训项目。我们将描述在家庭医学住院医师培训计划中建立的一个 PCBH 心理学家-医生跨学科健康行为改变诊所的发展、实施和初步结果。患者结果显示体重、BMI 和吸烟的显著减少（p <.01）。讨论了影响和未来方向。
