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Pam patient activation measure

Amy Blakemore, Mark Hann, Kelly Howells, Maria Panagioti, Mark Sidaway, David Reeves, Peter Bower
BACKGROUND: Patient Activation is defined as the knowledge, skill, and confidence a patient has in managing their health. Higher levels of patient activation are associated with better self-management, better health outcomes, and lower healthcare costs. Understanding the drivers of patient activation can allow better tailoring of patient support and interventions. There are few data on patient activation in UK patients with long-term conditions. METHODS: A prospective cohort design was used...
October 18, 2016: BMC Health Services Research
Jany Rademakers, Helle Terkildsen Maindal, Aslak Steinsbekk, Jochen Gensichen, Katja Brenk-Franz, Michelle Hendriks
BACKGROUND: To allow better assessment of patients' individual competencies for self-management, the Patient Activation Measure (PAM) has been developed in the USA. Because the American studies have shown the PAM to be a valuable tool, several European countries have translated the instrument into their native languages (Danish, Dutch, German, Norwegian). The aim was to compare the psychometric properties in studies from the different countries and establish whether the scores on the PAM vary between the studies...
October 12, 2016: BMC Health Services Research
Fredric D Wolinsky, Yiyue Lou, Stephanie W Edmonds, Sylvie F Hall, Michael P Jones, Nicole C Wright, Kenneth G Saag, Peter Cram, Douglas W Roblin
In cross-sectional studies, patient activation has been associated with better health behaviors, health outcomes, and health-care experiences. Moreover, tailored interventions have led to clinically meaningful improvements in patient activation, as well as health outcomes over time. We tested whether a tailored patient-activation letter communicating bone mineral density (BMD) test results plus an educational brochure improved patient activation scores and levels at 12 and 52 wk post-baseline as the mechanism leading to enhanced bone healthcare...
September 16, 2016: Journal of Clinical Densitometry
Bi Xia Ngooi, Tanya L Packer, George Kephart, Grace Warner, Karen Wei Ling Koh, Raymond Ching Chiew Wong, Serene Peiying Lim
PURPOSE: The Patient Activation Measure (PAM-13) measures patients' knowledge, skill, and confidence in chronic condition self-management. The purpose of this study was to assess the validity of PAM-13 (English version) among English-speaking adults with cardiac conditions in Singapore. METHODS: A cross-sectional study was conducted in a convenient sample of 270 heart clinic patients. Using the unitary concept of validity, evidence of (1) internal structure via data quality, unidimensionality, differential item functioning, and internal consistency, (2) response process through item difficulty and item fit using Rasch modeling, and (3) relationship to other variables via correlations with depression and self-efficacy were examined...
September 19, 2016: Quality of Life Research
H E W de Laat, A C de Munter, M J van der Burg, D J O Ulrich, O Kloeters
INTRODUCTION: Little is known about health activation and self-management behavior in preventing pressure ulcers (PU) in paraplegic patients. Therefore this study aimed to describe the extent of health activation and self-management behavior in paraplegics to prevent PU's and associations between this behavior and patient characteristics. Furthermore, we aimed to find differences in health activation in paraplegics who never had a PU compared to paraplegics with a previous history of PU's or a new-onset PU's...
August 24, 2016: Journal of Tissue Viability
Judith H Hibbard, Jessica Greene, Rebecca M Sacks, Valerie Overton, Carmen Parrotta
OBJECTIVE: To explore using the Patient Activation Measure (PAM) for identifying patients more likely to have ambulatory care-sensitive (ACS) utilization and future increases in chronic disease. DATA SOURCES: Secondary data are extracted from the electronic health record of a large accountable care organization. STUDY DESIGN: This is a retrospective cohort design. The key predictor variable, PAM score, is measured in 2011, and is used to predict outcomes in 2012-2014...
August 22, 2016: Health Services Research
Yjg Korpershoek, I D Bos-Touwen, J M de Man-van Ginkel, J-Wj Lammers, M J Schuurmans, Jca Trappenburg
BACKGROUND: COPD self-management is a complex behavior influenced by many factors. Despite scientific evidence that better disease outcomes can be achieved by enhancing self-management, many COPD patients do not respond to self-management interventions. To move toward more effective self-management interventions, knowledge of characteristics associated with activation for self-management is needed. The purpose of this study was to identify key patient and disease characteristics of activation for self-management...
2016: International Journal of Chronic Obstructive Pulmonary Disease
Nwamaka D Eneanya, Michael Winter, Howard Cabral, Katherine Waite, Lori Henault, Timothy Bickmore, Amresh Hanchate, Michael Wolf, Michael K Paasche-Orlow
The Patient Activation Measure (PAM) assesses facets of patient engagement to identify proactive health behaviors and is an important predictor of health outcomes. Health literacy and education are also important for patient participation and successful navigation of the health care system. Because health literacy, education, and patient activation are associated with racial disparities, we sought to investigate whether health literacy and education would mediate racial differences in patient activation. Participants were 265 older adults who participated in a computer-based exercise interventional study...
2016: Journal of Health Care for the Poor and Underserved
Jens Dingemann, Rüdiger Szczepanski, Gundula Ernst, Ute Thyen, Benno Ure, Melanie Goll, Ingo Menrath
Aim of the Study A history of esophageal atresia (EA) may result in chronic morbidity. The transition of patients from pediatric to adult care has been recognized as an important factor to maintain disease-specific follow-up and prevent exacerbation of chronic disease. Patient education is recognized as a necessary part of transition programs for children with chronic diseases. Structured education programs for patients with EA have not yet been developed. We aimed to evaluate the efficacy of a transition-specific educational program in adolescents with a history of EA...
August 14, 2016: European Journal of Pediatric Surgery
Dafna Grosberg, Haya Grinvald, Haim Reuveni, Racheli Magnezi
BACKGROUND: The advent of the Internet has driven a technological revolution that has changed our lives. As part of this phenomenon, social networks have attained a prominent role in health care. A variety of medical services is provided over the Internet, including home monitoring, interactive communications between the patient and service providers, and social support, among others. This study emphasizes some of the practical implications of Web-based health social networks for patients and for health care systems...
2016: Journal of Medical Internet Research
Qian Yin, Li Tang, Kaimin Cai, Rong Tong, Rachel Sternberg, Xujuan Yang, Lawrence W Dobrucki, Luke B Borst, Debra Kamstock, Ziyuan Song, William G Helferich, Jianjun Cheng, Timothy M Fan
Malignant osteolysis associated with inoperable primary bone tumors and multifocal skeletal metastases remains a challenging clinical problem in cancer patients. Nanomedicine that is able to target and deliver therapeutic agents to diseased bone sites could potentially provide an effective treatment option for different types of skeletal cancers. Here, we report the development of polylactide nanoparticles (NPs) loaded with doxorubicin (Doxo) and coated with bone-seeking pamidronate (Pam) for the targeted treatment of malignant skeletal tumors...
August 9, 2016: Proceedings of the National Academy of Sciences of the United States of America
Lisa Ross DeCamp, Kathryn Leifheit, Harita Shah, Doris Valenzuela-Araujo, Elizabeth Sloand, Sarah Polk, Tina L Cheng
OBJECTIVE: (1) To measure healthcare activation among low-income parents by language (English/Spanish); and (2) to assess the psychometrics of the Parent-Patient Activation Measure (P-PAM) in the study population. METHODS: We surveyed parents/guardians of publicly-insured children who were established patients at a pediatrics clinic for ≥6months. Surveys included the Parent-Patient Activation Measure (P-PAM), a 13-item measure adapted from the well-validated Patient Activation Measure (PAM)...
July 2, 2016: Patient Education and Counseling
Torunn Hatlen Nøst, Aslak Steinsbekk, Ola Bratås, Kjersti Grønning
BACKGROUND: People struggling with chronic pain may benefit from different types of non-pharmacological interventions such as self-management courses. Self-management courses aim to increase participants' skills and knowledge in managing chronic conditions. Community health-care services in Norway have increasingly established Healthy Life Centres (HLCs) to offer easily accessible interventions to people in need of support to better handle a life with chronic illness. The aim of this trial is to investigate the expectations, effect and experience of an easily accessible, group-based self-management course delivered at a HLC for people with chronic pain...
2016: Trials
Jennifer E Prey, Min Qian, Susan Restaino, Judith Hibbard, Suzanne Bakken, Rebecca Schnall, Gloria Rothenberg, David K Vawdrey, Ruth Masterson Creber
OBJECTIVE: The purposes of this paper are to describe the internal consistency reliability and construct validity of the PAM-13 for hospitalized cardiology and oncology patients and to examine the predictors of low patient activation in the same population. METHODS: We evaluated the internal consistency reliability of the PAM-13 in the inpatient setting. Construct validity of the PAM-13 was then assessed using two approaches: expected known-groups differences between patients with planned and unplanned admissions PAM-13 levels and convergence of PAM-13 levels with other measures...
June 27, 2016: Patient Education and Counseling
Andrew R Block
It is now well established that psychosocial factors can adversely impact the outcome of spine surgery. This article discusses in detail one such recently-identified "risk" factor: demoralization. Several studies conducted by the author indicate that demoralization, an emotional construct distinct from depression, is associated with poorer pain reduction, less functional improvement and decreased satisfaction among spine surgery patients. However, there are indications that the adverse impact of risk factors such as demoralization can be mitigated by psychosocial "maximizing" factors-characteristics that propel the patient towards positive surgical results...
2016: Healthcare (Basel, Switzerland)
Hana Müllerová, Sarah H Landis, Zaurbek Aisanov, Kourtney J Davis, Masakazu Ichinose, David M Mannino, Joe Maskell, Ana M Menezes, Thys van der Molen, Yeon-Mok Oh, Maggie Tabberer, MeiLan K Han
BACKGROUND AND AIMS: We used data from the Continuing to Confront COPD International Patient Survey to test the hypothesis that patients with COPD who report less engagement with their disease management are also more likely to report greater impact of the disease. METHODS: This was a population-based, cross-sectional survey of 4,343 subjects aged ≥40 years from 12 countries, fulfilling a case definition of COPD based on self-reported physician diagnosis or symptomatology...
2016: International Journal of Chronic Obstructive Pulmonary Disease
N J Roberts, L Kidd, N Dougall, I S Patel, S McNarry, C Nixon
OBJECTIVE: Patient activation can be measured using the Patient Activation Measure (PAM) developed by Hibbard et al., however, little is known about the uses of the PAM in research and in practice. This study aims to explore its differing utility in four UK exemplar sites. METHODS: Data from four exemplars in a range of health settings with people living with long-term conditions (i.e. stroke or COPD) were evaluated. PAM scores were described and explored in relation to clinical and sociodemographic variables and outcome measures...
October 2016: Patient Education and Counseling
Allen W Heinemann, Sherri L LaVela, Bella Etingen, Ana Miskovic, Sara M Locatelli, Holly DeMark Neumann, David Chen
OBJECTIVES: To (1) evaluate perceptions of person-centered care (PCC) in individuals with traumatic spinal cord injury (SCI); and (2) examine perceived differences in PCC concepts between patients continuing to receive any services from a Spinal Cord Injury Model Systems (SCIMS) facility and those who are not. DESIGN: We used a cross-sectional design, mailed a paper survey, and followed up with a second mailing to nonrespondents after 4 weeks. SETTING: Community...
August 2016: Archives of Physical Medicine and Rehabilitation
Marlene S Williams, Chelsea K Ngongang, Pam Ouyang, Fabrice Betoudji, Christine Harrer, Nae-Yuh Wang, Roy C Ziegelstein
Women have a higher prevalence of depression compared to men. Serum levels of Brain-derived neurotrophic factor (BDNF) are decreased in depression. BDNF may also have a protective role in the pathogenesis of coronary artery disease (CAD) or events. We examined whether there are gender differences in BDNF levels in patients with stable CAD and comorbid depression. We enrolled 37 patients (17 women) with stable CAD with and without depression from a single medical center. All patients had depression assessment with the Beck Depression Inventory-II questionnaire...
July 2016: Journal of Psychiatric Research
Nathalie Eikelenboom, Jan van Lieshout, Annelies Jacobs, Frank Verhulst, Joyca Lacroix, Aart van Halteren, Maarten Klomp, Ivo Smeele, Michel Wensing
BACKGROUND: Self-management support is an important component of the clinical management of many chronic conditions. The validated Self-Management Screening questionnaire (SeMaS) assesses individual characteristics that influence a patient's ability to self-manage. AIM: To assess the effect of providing personalised self-management support in clinical practice on patients' activation and health-related behaviours. DESIGN AND SETTING: A cluster randomised controlled trial was conducted in 15 primary care group practices in the south of the Netherlands...
May 2016: British Journal of General Practice: the Journal of the Royal College of General Practitioners
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