Treating chronic illness is becoming increasingly team based, yet most team building concepts relate to the team as a dichotomous unit: the medical team and the patient. Patients are expected to be “engaged” and “activated” members of the team, yet there is a gap in knowledge regarding how patients most effectively integrate into the team. Exacerbating the complexity of patient as team member is the multifaceted, ever-changing mood state of patients with co-occurring medical and mental health conditions. The medical field is well aware of the correlations between mental health and chronic illnesses. The purpose of this study is to investigate, from the patient’s perspective, what factors influence the patient’s sense of connectedness to the patient’s care team and how these factors mediate the patient’s positive health behaviors relative to self-care. Findings from a mixed-methods approach showed that the level of perceived confidence relative to self-care of chronic illness was mediated by the presence of a mental health diagnosis. Mixed-methods data also showed that high levels of patient confidence relative to self-care of their chronic illness had no statistical connection to patient’s increased sense of connectedness to their care team.
","abstract_html":"<p>Treating chronic illness is becoming increasingly team based, yet most team building concepts relate to the team as a dichotomous unit: the medical team and the patient. Patients are expected to be “engaged” and “activated” members of the team, yet there is a gap in knowledge regarding how patients most effectively integrate into the team. Exacerbating the complexity of patient as team member is the multifaceted, ever-changing mood state of patients with co-occurring medical and mental health conditions. The medical field is well aware of the correlations between mental health and chronic illnesses. The purpose of this study is to investigate, from the patient’s perspective, what factors influence the patient’s sense of connectedness to the patient’s care team and how these factors mediate the patient’s positive health behaviors relative to self-care. Findings from a mixed-methods approach showed that the level of perceived confidence relative to self-care of chronic illness was mediated by the presence of a mental health diagnosis. Mixed-methods data also showed that high levels of patient confidence relative to self-care of their chronic illness had no statistical connection to patient’s increased sense of connectedness to their care team. </p>","abstract_has_math":false,"creators":["Fifield, Peter Young"],"institution":null,"degree_name":"Doctor of Education (EdD)","degree_level":"Dissertation","degree_discipline":"Education","degree_department":null,"school":null,"contributors":["Carey Clark","Michelle Collay","Steven Arnault"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2015,"date_issued":"2015-08-01T07:00:00Z","date_published":"2015-08-01T07:00:00Z","updated_at":"2026-07-24T05:21:05Z","subjects":["Team-based care","Relational Coordination","confidence","chronic disease management","mental health","Educational Leadership","Health Psychology","Health Services Research","Medicine and Health Sciences"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://dune.une.edu/theses/32","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Carey Clark","Michelle Collay","Steven Arnault"]},{"key":"dc:creator","label":"Author","values":["Fifield, Peter Young"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.available","label":"Dc Date Available","values":["2016-08-30T07:00:00Z"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Education"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Dissertation"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Doctor of Education (EdD)"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Team-based care","Relational Coordination","confidence","chronic disease management","mental health","Educational Leadership","Health Psychology","Health Services Research","Medicine and Health Sciences"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://dune.une.edu/theses/32"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Treating chronic illness is becoming increasingly team based, yet most team building concepts relate to the team as a dichotomous unit: the medical team and the patient. Patients are expected to be “engaged” and “activated” members of the team, yet there is a gap in knowledge regarding how patients most effectively integrate into the team. Exacerbating the complexity of patient as team member is the multifaceted, ever-changing mood state of patients with co-occurring medical and mental health conditions. The medical field is well aware of the correlations between mental health and chronic illnesses. The purpose of this study is to investigate, from the patient’s perspective, what factors influence the patient’s sense of connectedness to the patient’s care team and how these factors mediate the patient’s positive health behaviors relative to self-care. Findings from a mixed-methods approach showed that the level of perceived confidence relative to self-care of chronic illness was mediated by the presence of a mental health diagnosis. Mixed-methods data also showed that high levels of patient confidence relative to self-care of their chronic illness had no statistical connection to patient’s increased sense of connectedness to their care team.
"]},{"key":"dc:title","label":"Title","values":["Confidence And Connectedness: A Mixed Methods Study On Patients Managing Co-Occuring Physical And Behavioral Health Conditions"]}]}],"canonical_facts":{"dc:contributor":["Carey Clark","Michelle Collay","Steven Arnault"],"dc:creator":["Fifield, Peter Young"],"dc:date.available":["2016-08-30T07:00:00Z"],"dc:description.abstract":["Treating chronic illness is becoming increasingly team based, yet most team building concepts relate to the team as a dichotomous unit: the medical team and the patient. Patients are expected to be “engaged” and “activated” members of the team, yet there is a gap in knowledge regarding how patients most effectively integrate into the team. Exacerbating the complexity of patient as team member is the multifaceted, ever-changing mood state of patients with co-occurring medical and mental health conditions. The medical field is well aware of the correlations between mental health and chronic illnesses. The purpose of this study is to investigate, from the patient’s perspective, what factors influence the patient’s sense of connectedness to the patient’s care team and how these factors mediate the patient’s positive health behaviors relative to self-care. Findings from a mixed-methods approach showed that the level of perceived confidence relative to self-care of chronic illness was mediated by the presence of a mental health diagnosis. Mixed-methods data also showed that high levels of patient confidence relative to self-care of their chronic illness had no statistical connection to patient’s increased sense of connectedness to their care team.
"],"dc:identifier":["https://dune.une.edu/theses/32"],"dc:subject":["Team-based care","Relational Coordination","confidence","chronic disease management","mental health","Educational Leadership","Health Psychology","Health Services Research","Medicine and Health Sciences"],"dc:title":["Confidence And Connectedness: A Mixed Methods Study On Patients Managing Co-Occuring Physical And Behavioral Health Conditions"],"thesis:degree_discipline":["Education"],"thesis:degree_level":["Dissertation"],"thesis:degree_name":["Doctor of Education (EdD)"]},"updated_at":"2026-07-24T05:21:05Z"}