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Pam patient activation measure

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https://www.readbyqxmd.com/read/28108821/the-relationship-between-patient-activation-confidence-to-self-manage-side-effects-and-adherence-to-oral-oncolytics-a-pilot-study-with-michigan-oncology-practices
#1
Teresa M Salgado, Emily Mackler, Jane A Severson, Jamie Lindsay, Peter Batra, Laura Petersen, Karen B Farris
PURPOSE: The Michigan Oncology Quality Consortium (MOQC) is a continuous quality improvement collaborative seeking to improve oncology care in Michigan, including for patients taking oral chemotherapy. The aim of this study was to assess the relationship between patient activation, confidence to self-manage side effects, and adherence to oral oncolytics to inform future oncology care. METHODS: A multicenter cross-sectional observational study was conducted using an online survey to examine patient activation (patient activation measure, PAM), health literacy, symptom burden (Edmonton Symptom Assessment System, ESAS), confidence to self-manage side effects (fatigue, nausea, and diarrhea), and adherence to oral oncolytics...
January 20, 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/28096034/twelve-months-effect-of-self-referral-to-inpatient-treatment-on-patient-activation-recovery-symptoms-and-functioning-a-randomized-controlled-study
#2
I E O Moljord, M L Lara-Cabrera, Ø Salvesen, M B Rise, D Bjørgen, D Ø Antonsen, T M Olsø, G H Evensen, C B Gudde, O M Linaker, A Steinsbekk, L Eriksen
OBJECTIVE: To investigate the effect of having a contract for self-referral to inpatient treatment (SRIT) in patients with severe mental disorders. METHODS: A randomized controlled trial with 53 adult patients; 26 participants received a SRIT contract, which they could use to refer themselves into a Community Mental Health Centre up to five days for each referral without contacting a doctor in advance. Outcomes were assessed after 12 months with the self-report questionnaires Patient Activation Measure (PAM-13), Recovery Assessment Scale (RAS), and the Behavior and Symptom Identification Scale (BASIS-32) and analyzed using linear mixed and regression models...
January 11, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28090702/intellectual-disability-and-patient-activation-after-release-from-prison-a-prospective-cohort-study
#3
J T Young, C Cumming, K van Dooren, N G Lennox, R Alati, M J Spittal, L Brophy, D B Preen, S A Kinner
BACKGROUND: Intellectual disability and patient activation may be important drivers of inequities in health service access and health outcomes for people with intellectual disability transitioning from prison to the community. We assessed the association between intellectual disability and patient activation after prison release and examined whether this association varied, depending on whether intellectual disability was identified prior to prison release. METHODS: Overall, 936 prisoners were screened for intellectual disability by using the Hayes Ability Screening Index and completed the Patient Activation Measure (PAM) within 6 weeks of prison release and again at 1, 3 and 6 months post-release...
January 16, 2017: Journal of Intellectual Disability Research: JIDR
https://www.readbyqxmd.com/read/28060921/does-an-integrated-care-intervention-for-copd-patients-have-long-term-effects-on-quality-of-life-and-patient-activation-a-prospective-open-controlled-single-center-intervention-study
#4
Elena Titova, Øyvind Salvesen, Signe Berit Bentsen, Synnøve Sunde, Sigurd Steinshamn, Anne Hildur Henriksen
BACKGROUND: Implementation of the COPD-Home integrated disease management (IDM) intervention at discharge after hospitalizations for acute exacerbations of COPD (AECOPD) led to reduced hospital utilization during the following 24 months compared to the year prior to study start. AIMS: To analyze the impact of the COPD-Home IDM intervention on health related quality of life, symptoms of anxiety and depression, and the degree of patient activation during 24 months of follow-up and to assess the association between these outcomes...
2017: PloS One
https://www.readbyqxmd.com/read/28043418/the-effectiveness-of-patient-tailored-treatment-for-acute-organophosphate-poisoning
#5
Chih-Chuan Lin, Dong-Zong Hung, Hsien-Yi Chen, Kuang-Hung Hsu
BACKGROUND: To determine a new pralidoxime (PAM) treatment guideline based on the severity of acute organophosphate intoxication patients, APACHE II score, and dynamic changes in serum butyrylcholinesterase (BuChE) activity. METHODS: This is a randomization trial. All patients received supportive care measurements and atropinization. Each enrolled patient was treated with 2 gm PAM intravenously as the loading dose. The control group was treated according to the WHO's recommended PAM regimen, and the experimental group was treated according to their APACHE II scores and dynamic changes in BuChE activity...
December 2016: Biomedical Journal
https://www.readbyqxmd.com/read/27973921/how-adults-with-cardiac-conditions-in-singapore-understand-the-patient-activation-measure-pam-13-items-a-cognitive-interviewing-study
#6
Bi Xia Ngooi, Tanya L Packer, Grace Warner, George Kephart, Karen Wei Ling Koh, Raymond Ching Chiew Wong, Serene Peiying Lim
PURPOSE: Validation studies of the PAM-13 have found differences in scale performance, suggesting that health beliefs embedded in different cultures and/or self-management needs of different client groups influence how people respond to the items. The purpose of this study was to examine how adults with cardiac conditions in Singapore interpreted and responded to the PAM-13, to investigate possible reasons for differences in responses and to propose solutions to overcome them. METHODS: We conducted retrospective cognitive interviews with 13 participants in an out-patient heart center...
December 15, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27884057/patient-perceptions-of-a-virtual-health-room-installation-in-rural-sweden
#7
Simon Näverlo, Dean B Carson, Anette Edin-Liljegren, Mirjam Ekstedt
INTRODUCTION: The Virtual Health Room (VHR) is an ehealth initiative in the village of Slussfors in northern Sweden. Construction of VHRs in other locations is taking place, and the Centre for Rural Medicine in the Västerbotten County Council primary care department has implemented a VHR evaluation framework. This research focuses on evaluation of patient perceptions of the usability of the VHR and its contribution to their health care. METHODS: Nineteen of the 25 unique users of the VHR during 2014/15 completed a survey asking about their attitudes to their own health (using the 13-question version of the Patient Activation Measure (PAM)), their demographic attributes, and their satisfaction with their visit to the VHR...
October 2016: Rural and Remote Health
https://www.readbyqxmd.com/read/27851785/implementation-of-patient-centered-education-for-chronic-disease-management-in-uganda-an-effectiveness-study
#8
Trishul Siddharthan, Tracy Rabin, Maureen E Canavan, Faith Nassali, Phillip Kirchhoff, Robert Kalyesubula, Steven Coca, Asghar Rastegar, Felix Knauf
BACKGROUND: The majority of non-communicable disease related deaths occur in low- and middle-income countries. Patient-centered care is an essential component of chronic disease management in high income settings. OBJECTIVE: To examine feasibility of implementation of a validated patient-centered education tool among patients with heart failure in Uganda. DESIGN: Mixed-methods, prospective cohort. SETTINGS: A private and public cardiology clinic in Mulago National Referral and Teaching Hospital, Kampala, Uganda...
2016: PloS One
https://www.readbyqxmd.com/read/27756341/patient-activation-in-older-people-with-long-term-conditions-and-multimorbidity-correlates-and-change-in-a-cohort-study-in-the-united-kingdom
#9
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
https://www.readbyqxmd.com/read/27729079/patient-activation-in-europe-an-international-comparison-of-psychometric-properties-and-patients-scores-on-the-short-form-patient-activation-measure-pam-13
#10
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
https://www.readbyqxmd.com/read/27647261/activating-patients-with-a-tailored-bone-density-test-results-letter-and-educational-brochure-the-paadrn-randomized-controlled-trial
#11
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
https://www.readbyqxmd.com/read/27645458/validation-of-the-patient-activation-measure-pam-13-among-adults-with-cardiac-conditions-in-singapore
#12
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
https://www.readbyqxmd.com/read/27622272/a-cross-sectional-study-on-self-management-of-pressure-ulcer-prevention-in-paraplegic-patients
#13
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
https://www.readbyqxmd.com/read/27546032/improving-population-health-management-strategies-identifying-patients-who-are-more-likely-to-be-users-of-avoidable-costly-care-and-those-more-likely-to-develop-a-new-chronic-disease
#14
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
https://www.readbyqxmd.com/read/27536087/determinants-of-activation-for-self-management-in-patients-with-copd
#15
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
https://www.readbyqxmd.com/read/27524777/health-literacy-and-education-as-mediators-of-racial-disparities-in-patient-activation-within-an-elderly-patient-cohort
#16
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
https://www.readbyqxmd.com/read/27522121/transition-of-patients-with-esophageal-atresia-to-adult-care-results-of-a-transition-specific-education-program
#17
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
https://www.readbyqxmd.com/read/27511272/frequent-surfing-on-social-health-networks-is-associated-with-increased-knowledge-and-patient-health-activation
#18
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
https://www.readbyqxmd.com/read/27457945/pamidronate-functionalized-nanoconjugates-for-targeted-therapy-of-focal-skeletal-malignant-osteolysis
#19
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
https://www.readbyqxmd.com/read/27444234/cross-cultural-validation-of-the-parent-patient-activation-measure-in-low-income-spanish-and-english-speaking-parents
#20
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)...
December 2016: Patient Education and Counseling
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