Date of Submission


Degree Type


Degree Name

Doctor of Psychology (PsyD)



Department Chair

Robert A DiTomasso, PhD, ABPP

First Advisor

Stacey Cahn, PhD, Chairperson

Second Advisor

Robert A DiTomasso, PhD, ABPP

Third Advisor

Deborah Chiumento, PsyD


Escalating prevalence rates and rising economic costs of chronic illnesses necessitate a better understanding of factors affecting patient adherence in the primary care setting. Despite technological advances and evidenced-based treatments, clinical outcomes are often poor. Data drawn from archival data of the “A Healthier You” wellness program designed to serve a predominately underserved population were examined to assess whether or not positive predictors of adherence could moderate the impact of negative predictors such as depression. Limitations of the study methodology precluded significant interpretations but suggested significant discrepancies between patient and physician perceptions of trust in the relationship and the satisfaction with medical services. Results supported trust and satisfaction as essential components of the patient-physician relationship construct.