The National Academies of Sciences, Engineering, and Medicine (NASEM) provides a definition of high- quality primary care in their 2021 paper, “[High quality] primary care provides comprehensive, person-centered, relationship-based care that considers the needs and preferences of individuals, families, and communities.” Anyone who has ever worked in the fast-paced and often chaotic primary care setting knows this is a lofty and most likely an aspirational “north star.” The question then becomes, how do we work towards making this more of a reality? One such strategy is helping clinicians develop contextual interviewing skills in which they learn how to conceptualize patients’ health values through patients’ “love-work-play” context. In this one of a kind presentation, the presenters will provide a short didactic and then launch into a contextual interview role play in which frequent pauses are taken to discuss what questions could be asked next in order to see in “real-time” an effective love-work-play interview.
Brooke Steadman DO, Primary Care Physician, Community Health of Central Washington, Yakima, WA
Bridget Beachy PsyD, Director of Primary Care Behavioral Health, Community Health of Central Washington, Yakima, WA
Cahill, A., Martin, M., Beachy, B., Bauman, D., & Howard-Young, J. (2024). The contextual interview: a cross-cutting patient-interviewing approach for social context. Medical education online, 29(1), 2295049. https://doi.org/10.1080/10872981.2023.2295049
Hayes, L. J., & Fryling, M. J. (2019). Functional and descriptive contextualism. Journal of Contextual Behavioral Science, 14, 119–126. https://doi.org/10.1016/j.jcbs.2019.09.002
Reiter, J. T., Dobmeyer, A. C., & Hunter, C. L. (2018). The Primary Care Behavioral Health (PCBH) Model: An Overview and Operational Definition. Journal of Clinical Psychology in Medical Settings, 1 -18. https://doi.org/10.1007/s10880-017-9531-x
Robinson, P. J., Gould, D. A., & Strosahl, K. D. (2010). Real behavior change in primary care: Improving patient outcomes & increasing job satisfaction. Oakland, CA: New Harbinger Publications, Inc.
Bauman, D., Beachy, B. & Ogbeide, S. A. (2018). Stepped care and behavioral approaches for diabetes management in integrated primary care. In W. O’Donahue & A. Maragakis (Eds), Principle-based stepped care and brief psychotherapy for integrated care settings. New York, NY: Springer Science, Business Media, LLC.