![]() ![]() Seeking to promote healthy behavior change in primary care while also addressing health care disparities, the Primary Care Behavioral Health (PCBH) model (Reiter et al., 2018 Robinson & Reiter, 2016 Robinson & Strosahl, 2009 Sandoval et al., 2017) offers a service delivery framework to initially assess and treat mental health concerns as well as healthy behavior change goals all within the primary care clinic, which may reduce treatment barriers of time, transportation, and finances often encountered with external referrals to community-based mental health providers (Ogbeide et al., 2018 O’Loughlin et al., 2019). However, raising health literacy levels alone has not directly led to healthy behavior change (Harrison et al., 1992), further underscoring the importance of accessible, affordable, and comprehensive interdisciplinary approaches to effectively promote and achieve healthy lifestyle behavior formation and maintenance while serving to address and mitigate individual and contextual factors leading to health disparities (Barclift et al., 2016). Low health literacy rates, prevalent in underserved patient populations (Hasnain-Wynia & Wolf, 2010), are associated with tobacco smoking, elevated stress levels, and overall poor physical health (Dominick et al., 2013 Hoover et al., 2015). Further, racially and ethnically diverse and underserved patient populations experience unique challenges and considerations with regard to cardiovascular health, dietary patterns, exercise adherence, and tobacco dependence (Bowers, 2015 Orzech et al., 2013 Sheffer et al., 2012). Tobacco smoking rates are often elevated in younger, less educated, and ethnic minority populations (Okuyemi, et al., 2007). Tobacco use is considered the world’s leading source of preventable disease (Samet, 2013), with United States mortality rates for both male and female tobacco smokers approximately three times higher than those who never smoked (Courtney, 2015). Obesity is considered a global pandemic (Blüher, 2019 Jones, 2020 Swinburn et al., 2011), yet multiple health benefits and reduced medical comorbidities are observed when elevated body weight returns to healthy levels (Haase et al., 2021). Tobacco use, obesity, and sedentary lifestyles have long been associated with a myriad of medical and mental health complications (Avila et al., 2015 Baskaran et al., 2019 King, 2013 Kopelman, 2007 Kuper et al., 2002 Manson et al., 2004 Uhlenhopp et al., 2020 Vallance, et al., 2018). Implications and future directions are discussed. Patient outcomes revealed significant reductions ( p < .01) in weight, BMI, and tobacco use. 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. 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. 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. ![]() Obesity, tobacco use, and sedentary lifestyle negatively impact the health quality of numerous medical patients, particularly in underserved patient populations with limited resources. My only regret is not attending sooner.Providing effective healthy behavior change interventions within primary care presents numerous challenges. The scheduling flexibility has been a great added benefit, working around my busy work schedule. The environment these two professionals created make for a truly wonderful atmosphere to attend therapy. The PRC Sam, is extremely helpful and pleasant to work with. Leaving each visit feeling refreshed, stronger and hopeful for the future. The benefits of attending therapy and conducting a personalized exercise plan relative to my recovery have impacted my day to day life for the better. ![]() The professionalism and knowledge shine throughout each visit. The treatment I have received under the care of the PT Arathi, has been second to none. Ultimately leaving me feeling neglected and disappointed in physical therapy entirely. Over the years I have attempted physical therapy three other times previously. Injuries sustained to my back and hip over a period of five years led me to PT Solutions of South Indianapolis. ![]()
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