Date of Graduation

Summer 8-10-2018

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Behavioral Health (MSBH)


School of Nursing and Health Professions

First Advisor

Dr. Kelly McDermott

Second Advisor

Dr. Kathleen Raffel


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.