Confidence And Connectedness: A Mixed Methods Study On Patients Managing Co-Occuring Physical And Behavioral Health Conditions

<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>

Name thesis:degree_name

Doctor of Education (EdD)

Level thesis:degree_level

Dissertation

Discipline thesis:degree_discipline

Education

Year dc:date.available

2015

Author dc:creator

• Fifield, Peter Young

Contributors dc:contributor

• Carey Clark
• Michelle Collay
• Steven Arnault

• Team-based care
• Relational Coordination
• confidence
• chronic disease management
• mental health
• Educational Leadership
• Health Psychology
• Health Services Research
• Medicine and Health Sciences

Repository record dc:identifier

https://dune.une.edu/theses/32

OAI identifier oai:identifier

oai:dune.une.edu:theses-1031