Date of Graduation

2017

Document Type

Dissertation

Degree Type

PhD

College

College of Education and Human Services

Department

Counseling, Rehabilitation Counseling & Counseling Psychology

Committee Chair

Margaret K Glenn

Committee Co-Chair

James Bartee

Committee Member

John Blake

Committee Member

Jeff Daniels

Committee Member

Melissa Olfert

Committee Member

Cathy Yura

Abstract

The Chronic Care Model (CCM) is an evidenced based healthcare management system that encompasses a multidimensional approach to healthcare for the treatment of patients with chronic conditions. A component of this model is collaborative care. The tenets of the biopsychosocial model are central to collaborative care and evidenced-based health care interventions. These interventions provide integrated, patient-centered healthcare delivered by a multidisciplinary healthcare team. Recent research has indicated that psychologists can play a vital role on such teams. The purpose of this exploratory pilot study was to subject the Biopsychosocial Endorsement Questionnaire (BEQ) to preliminary statistical analysis and to pilot its effectiveness for predicting physician referrals to psychologists. Principal axis factoring was used to determine if subscales from the BEQ could be identified as predictor variables for use in subsequent analyses. Hierarchical regression analysis was used to determine the amount of variance in physician referrals to psychologists that could be accounted for by the BEQ subscales physician-patient relationship and collaborative care. Results of the analysis are that 18% of the variance in physician referrals could be accounted for by these two subscales, with the physician-patient relationship subscale being the strongest predictor of physician referrals. This study was successful at providing a preliminary answer to the question of whether or not physicians might endorse the biopsychosocial conceptual framework. It also provides support for further refinement of the Biopsychosocial Endorsement Questionnaire (BEQ) and the inclusion of biopsychosocial principles in future research that seeks to explain the complex relationships of factors impacting physician-initiated collaborative behavior. Although an a priori analysis deemed the sample size appropriate for the primary regression analysis, the study may have been underpowered and unable to detect specific, independent contributions of variables.

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