Development and testing of a short form of the patient. Patient activation scores have been robustly demonstrated to predict a number of health behaviours. Jessica livingstonthomas 1,2, matthew jeffers 1,2, carine nguemeni 1,2, molly shoichet 3, cindi morshead 3, dale corbett 1,2. The iowa stopgap measure was first submitted by the insurance division on june 7, 2017, to the centers for medicare and medicaid services cms as a waiver application under section 32 of the patient protection and affordable care act aca 42 u. Factors associated with patient activation in an australian population. Patient activation measures zdeveloped by judith hibbard, jean stockard, and martin tusler at the university of oregon and eldon r. Raw scores are converted to activation scores using a published. Measuring and documenting client engagement through the patient activation measure 10 pam 10, a tenitem survey that helps identify the knowledge, skills, and confidence level of an indiv idual towards their health and healthcare coaching individuals to increase engagement activation in their healthcare including. This study used a version of the sdsca questionnaire that included items assessing five.
Main outcome measures patients completed the patient activation measure, the kidney. Development and testing of a short form of the patient activation. In this study the pam was translated into a dutch version. Below are some statements that people sometimes make when they talk about their health.
For lunu mediciad beneficiaries, coaches will first encourage individuals to utilize. Patient activation to address chronic pain and opioid. A item surveybased scale called the short form of the pam that groups patients. Psychometric evaluation of the german version of the. Each item has four response options from 1 strongly disagree to 4 strongly. The pain catastrophizing scale pcs42 is a item scale that measures the degree to which individuals catastrophize, ie, ruminateworry about, magnify, and feel helpless in the face of painful experiences.
The pammhs psychometric properties equal those of the original item pam. However, to date, preclinical research has focused. The patient activation measure pam is a commercial product which assesses an individuals knowledge, skill, and confidence for managing ones health and healthcare. The pam is used across the healthcare industry to determine the level at which a patient is activated in her own care. Individuals who measure high on this assessment typically understand the importance of taking a proactive role in managing their health and have the skills and confidence to do so. Development of the patient activation measure for mental. Determinants of activation for selfmanagement in patients. For those continuing the study, exposure ranged from 3. Independent evaluation of the feasibility of using the. Can increasing patient activation improve the outcomes of. The patient activation measure pam is a patientreported measure that has been validated in the united kingdom. Principal measures were the item patient activation measure pam, and the 20item patient assessment of chronic illness care pacic instrument.
A item questionnaire which assesses engagement in leisure, household, and work activities of varying intensities for the past 7 days. Supporting collaborative health tracking in the hospital. All of the infit and outfit statistics for the item version of the pam fall well within the 0. Patient activation measure gauges the knowledge, skills and confidence essential to managing ones own health and healthcare item questionnaire. During their office visit, intervention group patients n 23 were given a tailored pai based on their stage, which consisted of an information booklet and focused discussion with the. In general, more items need to be added to cover the upper end of the trait. Health to utilize the insignia health patient activation measure 10 survey pam 10, a 10. The purpose of this study was to assess the validity of pam english version among englishspeaking adults with cardiac conditions in singapore. Kido casting styles incantation abandonment eishohaki a class of kido incantation where the kido practitioner forgoes using a spoken incantation at all.
The sequence of events included a pretreatment assessment, a baseline phase, 8 weekly vret sessions using a standardized treatment protocol, a posttreatment assessment, and 1 and 3month followup assessments. The patient activation measure pam is a 22item measure that assesses patient knowledge, skill, and con. D from ict, 1991,matunga, mumbai, india, in organic chemistry, the thesis topic was synthesis of novel pyrethroid analogues, currently he is working with glenmark pharmaceuticals ltd, research centre as principal scientist, process research. We used the item version of the patient activation measure pam. While it decreases the time needed to release the kido, it drastically weakens the spell.
The purpose of the study was to examine the efficacy of virtual reality exposure therapy vret to treat driving phobia using a multiple baseline acrosssubjects design. Measures used are the friends and family test fft46 to measure satisfaction with care, the international physical activity questionnaire ipaq47 to measure physical activity and the item patient activation measure pam. The items have response options ranging from 1strongly disagree to 4 strongly agree with an option to respond as not applicable. The aim of this study was to translate the original american version of the pam into german and to test the psychometric properties of the german version in an elderly, multimorbid population. However, the patients mental status worsened, and she became comatose. The item version of the pam was used in all four european studies. Psychometric properties of the patient activation measure. This construct was measured using the item patient activation measure pam hibbard et al. When patient activation levels change, health outcomes and. Since the disclosure of its validity and reliability, the short version of the pam, consisting of items pam hibbard et al.
The pam is a item questionnaire that measures patient activation 25. Activation can predict utilization and health outcomes two years into the future for diabetics % change for a 1 point change in pam score. Whether the measure was codeveloped with patients, a critical stage in the design and implementation of truly personcentred measures. The analysis yielded a item measure that has psychometric properties similar to the original 22item version. Insigniahealth,llcproprietarya ndconfidential2015 forusewithavalidli censeonly. The 22item pam was developed using rasch psychometric methods and is an interval level, unidimensional, guttmanlike measure. Methods development and testing of a short form of the patient activation measure judith h. The patient activation measure pam, developed by hibbard et al.
Mahoney, jean stockard, and martin tusler objective. A reliable and responsive item scale that measures selfmanagement attitudes and behaviors. The patient activation measure consists of thirteen statements about. The patient activation measure is a valid, highly reliable, unidimensional, probabilistic guttmanlike scale that reflects a developmental model of activation.
This was sent electronically to rheumatologists and nephrologists. Measure cspam,8 the caregiver activation measure cam,9 patient activation measure for mental health pammh10 and parentpatient activation measure ppam. The american short form patient activation measure pam is a item instrument which assesses patient or consumer selfreported knowledge, skills and confidence for selfmanagement of ones health or chronic condition. Kaiser care management institute, phd dissertation. The pam consists of statements relating to patients beliefs about health care, confidence in their management of health related tasks, and selfassessed knowledge of their condition. September 12, 2017 patient activation is a key concept in the push for patientcentered care, but is often conflated with the notion of driving patient engagement. Respondents use a fourpoint likerttype scale of agreement or disagreement to respond to each item. License pam pam reliably predicts future er visits, hospital admissions and readmissions, medication adherence and more. Over a decade of research on the patient activation measure survey guides how best to increase activation and improve outcomes. Methods nonparametric anova was used to determine the association between patient activation and patientassessed quality of care in low and high patient activation groups at baseline 2008, and. It is a powerful and reliable measure of patient activation.
Items are scored on a fivepoint likert scale, and the total score range is 052. Apha2017 abstracts of contributed papers journal of the. Our objective was to adapt the physical health patient activation measure pam for use among people with mental health conditions pammh. Independent variables were sociodemographic variables, selfreported health status, depression, anxiety, illness perception, social support, disease severity, and comorbidities. This measure has established validity, with lowtomoderate cronbachs alpha values 0. Using the patient activation measure to improve outcomes. The pam is a item questionnaire that measures patient activation. Patient activation measure pam insignia health enus.
The patient activation measure pam consists of items and assesses patient or consumer selfreported knowledge, skills, and confidence. The patient was given broadspectrum antibiotics for the treatment of sepsis andor bacterial meningitis. A item survey was designed to collect data using item development guidelines for surveys. Psychometric evaluation of the german version of the patient. The relationship between the patient activation measure, future health outcomes, and health care utilization among patients with diabetes. The item patient activation measure pam was asked of all adults age 18 and over and was.
Conclusions patient activation measure short form pam performs well in some areas, but not all. A previous publication described the development and testing of the patient activation measure pam, which assesses patient selfreported knowledge, skill, and confidence for selfmanagement of ones health or chronic condition hibbard et al. Each item is rated 14 strongly disagree 1 to strongly agree4 and a total raw score is generated 052. What is the patient activation measure in patientcentered. The efficacy of virtual reality exposure therapy to treat. Have a look at development of the patient activation measure pam. While anyone well versed in kido can use this technique, it is most effective when done by a skilled practitioner, otherwise the spell could. Development testing of a short form of the patient. Data came from three studies among people with chronic mental health conditions and were combined in rasch analyses. They were then categorized into one of four patient activation stages based on their responses to the item patient activation measure in the baseline survey. Patient activation is calculated on a 0100 score, with 100 as the highest. Full text development and early feasibility testing of a.
Conditions of participation for home health agencies, 45044591 201700283. Using the patient activation measure to improve outcomes and control costs judith h. Development and pilot testing of an integrated, webbased. Using activation measure to inform care protocols rooming process back pain mammograms. A cover letter explaining the study purpose, improving patient care, was emailed by lsi, and included the link to the survey. The main outcome was activation for selfmanagement, measured with the item patient activation measure pam.
For each statement patients are required to say how. September 12, 2017 patient activation is a key concept in the push for patient centered care, but is often conflated with the notion of driving patient engagement. Here we report, to our knowledges, the first case of a patient who developed bipolar disorder with psychotic features after malaria infection. Validation of the german version of the patient activation measure.
Patient activation, motivational interviewing and positive psychology provides the fundamentals of three essential tools that health coaches can use to measure and monitor activation levels, elicit behavior change, move clients along the path to selfmanagement and have a positive impact on health outcomes and utilization. We investigate how online social networks osn can change health behaviour by blending theories from health behaviour and participation in osns, which. Demographic characteristics are collected at baseline only and will be used as explanatory factors. Patient activation reflects an individuals perceived ability to manage his or her illness and health behaviors, and act as an effective patient hibbard et al. Randomized controlled trial of a patient activation tool. The patient activation measure pam is a item instrument for measuring patient beliefs, knowledge and confidence for engaging in a wide range of health behaviors. Measuring patient activation is of value at the individual level e. The patient activation measure pam consists of items and assesses patient or consumer selfreported knowledge, skills, and confidence for selfmanagement of ones health or chronic condition. Eating nutritious foods and being more physically active prevents significant illnesses such as cardiac disease, stroke, and diabetes. Conceptualizing and measuring activation in patients and consumers 2004. Association between patient activation and patient. Please indicate how much you agree or disagree with each.
Designing online social networks to motivate health. Validation of the patient activation measure pam among adults. Dr anthony melvin crasto, born in mumbai in 1964 and graduated from mumbai university, completed his ph. Cognitive impairments are prevalent following clinical stroke. Pam is designed to measure the level fo activation of patients suffering from chronic diseases like diabetes and hbp. Helping measure personcentred care the health foundation. Primary outcome measure patient activation measure pam patient activation describes the knowledge, skills, and confidence a person has in managing their health and care 23, 24. Patient activation measure pam pam is a predictive powerhouse. A crosssectional study was conducted in a convenient sample of 270 heart clinic patients.
Supporting people to manage their health kings fund. Satisfaction with a digitallyenabled telephone health. The patient activation measure pam measures patients knowledge, skill, and confidence in chronic condition selfmanagement. However, patient activation is its own quantifiable concept supported by the patient activation measure pam.
94 378 658 396 943 985 1059 696 187 527 1220 256 453 1014 379 1504 727 1306 1242 1477 652 1315 701 1256 1190 1136 1118 21 449