Degree Name
MA (Master of Arts)
Program
Psychology
Date of Award
5-2025
Committee Chair or Co-Chairs
Aubrey Dueweke
Committee Members
Aubrey Dueweke, Diana Morelen, Stacey Williams
Abstract
A recent meta-analysis indicated a 19.7% dropout rate from outpatient mental health care. Andersen’s Behavioral Model of Health Services identifies predisposing, enabling, and need factors as potential predictors of treatment dropout. The Primary Care Behavioral Health (PCBH) model aims to improve accessibility of mental health care but research on dropout in this setting is lacking. This study examined bivariate relationships between Andersen's factors and dropout in PCBH, and interviewed participants about their intentions to attend subsequent PCBH visits. No statistically significant bivariate relationships were found, likely due to small sample size (n = 15). Reflexive Thematic Analysis identified two themes (i.e., facilitators and barriers) and four subthemes in participants’ responses about treatment attendance: patient-level facilitators, treatment-level facilitators, patient-level barriers, and external barriers. While quantitative findings were non-significant, qualitative themes highlight areas for improving PCBH treatment attendance and service delivery.
Document Type
Thesis - embargo
Recommended Citation
Sindoni, Mara W., "Exploring Predictors of Treatment Dropout in Primary Care Behavioral Health Using Andersen’s Behavioral Model of Health Services" (2025). Electronic Theses and Dissertations. Paper 4522. https://dc.etsu.edu/etd/4522
Copyright
Copyright by the authors.