Thesis
Healthy Lifestyles: How a Community-Based Intervention is Helping Low-Income Patients Battle Chronic Disease
(2018)
Abstract
Background: This project aimed to evaluate a weekly group medical visit provided at a federally qualified health center, called Healthy Lifestyles + Open Source Wellness. The weekly group provides guided movement, mindful meditation, nutritious snacks, health education, group health coaching, and clinical monitoring for low-income patients with chronic conditions. The group aims to promote positive lifestyle changes to manage and treat various chronic conditions, such as diabetes, hypertension, chronic pain and obesity.
Methods: Interviews were conducted with four staff members, six steadily engaged patients, and seven disengaged patients who visited and did not return to the group. Weekly observations of the group medical visits were also made over eight months.
Results: The camaraderie and social support was the most valued aspect of the weekly group. Patients also expressed enjoyment of the guided movement, the practical information learned, and access to health professionals. A conflicting schedule, lack of transportation, and misinformation provided by the clinic staff were the most apparent themes for the patients who did not return to the group.
Discussion: Suggestions to help solve these issues with patient retention include public transportation vouchers and improved communication among the referring providers and clinic staff. Since connection was the largest value expressed, the activities should aim to foster socialization and communication between patients. In addition, the monthly surveys that the patients complete should be simplified and allow constructive feedback for the group.
Keywords
- Chronic disease,
- chronic conditions,
- lifestyle medicine,
- nutrition,
- exercise,
- physical activity,
- mindfulness,
- connection,
- community,
- social support,
- health coaching,
- low-income,
- group medical visit,
- shared medical visit
Disciplines
Publication Date
Summer August 15, 2018
Degree
Masters of Science in Behavioral Health
Advisor
Dr. Kelly McDermott
Citation Information
Gina Baik. "Healthy Lifestyles: How a Community-Based Intervention is Helping Low-Income Patients Battle Chronic Disease" (2018) Available at: http://works.bepress.com/gina-baik/1/