PATIENT CENTERED POPULATION HEALTH IMPROVEMENT PLAN3
Contributing Factors
From the above results, it can be observed that for each intervention implemented by the
given PHII for PTSD and TBI, variations were reported in terms outcome achievements. While
the success of a PHII is largely dependent on the quality and frequency of interventions, there is
also a need to address social determinants of health such as an individual’s literacy levels, culture
and personal behaviors for the purpose of ensuring optimum patient compliance and participation
(Hill et al., 2017).
Prior to in any form PHII intervention, program, there is a need to educate participants on
the nature and consequences of their health concerns and the range of best practice interventions
which can be used to manage the same. Often participants demonstrate low compliance to PHII
programs due to inadequate health literacy and lack of awareness concerning the benefits
associated with participation (Barton et al., 2018). Indeed, it can be observed that Headspace, did
not attempt to educate participants on the outcomes associated with each intervention, which
may be a reason why participants were not aware of the advantages in meditations and thus
demonstrated low rates of engagement. Additionally, as per the trans-theoretical model,
individuals are most likely to demonstrate resistance to health behavior change. To address the
same, program formulates must not only educate participants but must also obtain feedback from
them in order to understand any grievances (Hashemzadeh et al., 2019). Lack of the same is
likely to pave the way for participant dissatisfaction and attrition – as evidenced in the high rates
of exercise program dropouts, possibly due to age-associated inability to engage strenuous
activities (Tseng et al., 2017). Lastly, it can be observed that despite incorporating psychological
assessments, Headspace did not seem to prioritize comprehensive health assessments and
structure their interventions based on results of the same. Comprehensive health assessments

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