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Pam patient activation measure

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https://www.readbyqxmd.com/read/28843395/patient-engagement-following-acute-myocardial-infarction-and-its-influence-on-outcomes
#1
Anthony E Peters, Ellen C Keeley
The Patient Activation Measure (PAM) is a validated assessment tool that evaluates how engaged patients are in their own health care. The more engaged or "activated" patients are, the higher the score and the more likely they are to adhere to medical therapy and make healthy lifestyle choices. Little is known regarding patient activation in patients after an acute myocardial infarction. From March 2016 to December 2016, we administered PAM surveys to patients after myocardial infarction at the time of a clinic visit scheduled within 10 days of hospital discharge...
July 29, 2017: American Journal of Cardiology
https://www.readbyqxmd.com/read/28765665/-chronic-patient-activation-and-their-relationship-with-health-professionals-in-andalusia
#2
A Danet Danet, M A Prieto Rodríguez, J C March Cerdà
BACKGROUND: To evaluate the (inter)relation between chronic patient activation and its relationship with health professionals in Andalusia. METHODS: Descriptive and quantitative study involving 258 chronic patients from the School of Patients, contacted by email. One hundred and forty-two answered the Patient Activation Measurement (PAM) and the chronic patient's experience (IEXPAC) questionnaires. Statistical analyses included correlation study and comparison of means...
July 28, 2017: Anales del Sistema Sanitario de Navarra
https://www.readbyqxmd.com/read/28707507/marketplace-clinics-complementing-diabetes-care-for-urban-residing-american-indians
#3
Robert Rick, Robert E Hoye, Raymond W Thron, Vibha Kumar
INTRODUCTION: For several decades, the Minneapolis American Indian population has experienced limited health care access and threefold diabetes health disparity. As part of an urban health initiative, the marketplace clinics located in nearby CVS, Target, and Supervalu stores committed financial support, providers, certified educators, and pharmacy staff for a community-based diabetes support group. OBJECTIVES: To measure the extent to which collaborating marketplace clinics and the community-based support group expanded diabetes care and provided self-management education for this largely urban Indian neighborhood...
July 1, 2017: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/28675539/the-association-between-patient-activation-and-self-care-practices-a-cross-sectional-study-of-an-australian-population-with-comorbid-diabetes-and-chronic-kidney-disease
#4
Edward Zimbudzi, Clement Lo, Sanjeeva Ranasinha, Peter G Kerr, Kevan R Polkinghorne, Helena Teede, Timothy Usherwood, Rowan G Walker, Greg Johnson, Greg Fulcher, Sophia Zoungas
OBJECTIVE: This study aimed to examine the association between performance of self-care activities and patient or disease factors as well as patient activation levels in patients with diabetes and chronic kidney disease (CKD) in Australia. METHODS: A cross-sectional study was conducted among adults with diabetes and CKD (eGFR <60 mL/min/1.73m(2) ) who were recruited from renal and diabetes clinics of four tertiary hospitals in Australia. Demographic and clinical data were collected, as well as responses to the Patient Activation Measure (PAM) and the Summary of Diabetes Self-Care Activities (SDSCA) scale...
July 4, 2017: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/28648148/debt-counselling-for-depression-in-primary-care-an-adaptive-randomised-controlled-pilot-trial-decoder-study
#5
Mark B Gabbay, Adele Ring, Richard Byng, Pippa Anderson, Rod S Taylor, Caryn Matthews, Tirril Harris, Vashti Berry, Paula Byrne, Elliot Carter, Pam Clarke, Laura Cocking, Suzanne Edwards, Richard Emsley, Mauro Fornasiero, Lucy Frith, Shaun Harris, Peter Huxley, Siw Jones, Peter Kinderman, Michael King, Liv Kosnes, Daniel Marshall, Dave Mercer, Carl May, Debbie Nolan, Ceri Phillips, Tim Rawcliffe, Alexandra V Sardani, Elizabeth Shaw, Sam Thompson, Jane Vickery, Brian Wainman, Mark Warner
BACKGROUND: Depression and debt are common in the UK. Debt Counselling for Depression in Primary Care: an adaptive randomised controlled pilot trial (DeCoDer) aimed to assess the clinical effectiveness and cost-effectiveness of the addition of a primary care debt counselling advice service to usual care for patients with depression and debt. However, the study was terminated early during the internal pilot trial phase because of recruitment delays. This report describes the rationale, methods and findings of the pilot study, and implications for future research...
June 2017: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/28623892/improving-transitions-in-acute-stroke-patients-discharged-to-home-the-michigan-stroke-transitions-trial-mistt-protocol
#6
Mathew J Reeves, Anne K Hughes, Amanda T Woodward, Paul P Freddolino, Constantinos K Coursaris, Sarah J Swierenga, Lee H Schwamm, Michele C Fritz
BACKGROUND: For some stroke patients and caregivers, navigating the transition between hospital discharge and returning home is associated with substantial psychosocial and health-related challenges. Currently, no evidence-based standard of care exists that addresses the concerns of stroke patients and caregivers during the transition period. Objectives of the Michigan Stroke Transitions Trial (MISTT) are to test the impact of a social worker home-based case management program, as well as an online information and support resource, on patient and caregiver outcomes after returning home...
June 17, 2017: BMC Neurology
https://www.readbyqxmd.com/read/28611897/feasibility-of-an-ed-to-home-intervention-to-engage-patients-a-mixed-methods-investigation
#7
Jessica R Schumacher, Barbara J Lutz, Allyson G Hall, Jesse M Pines, Andrea L Jones, Phyllis Hendry, Colleen Kalynych, Donna L Carden
INTRODUCTION: Older, chronically ill patients with limited health literacy are often under-engaged in managing their health and turn to the emergency department (ED) for healthcare needs. We tested the impact of an ED-initiated coaching intervention on patient engagement and follow-up doctor visits in this high-risk population. We also explored patients' care-seeking decisions. METHODS: We conducted a mixed-methods study including a randomized controlled trial and in-depth interviews in two EDs in northern Florida...
June 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28597203/assessing-patient-activation-among-high-need-high-cost-patients-in-urban-safety-net-care-settings
#8
Tessa M Napoles, Nancy J Burke, Janet K Shim, Elizabeth Davis, David Moskowitz, Irene H Yen
We sought to examine the literature using the Patient Activation Measure (PAM) or the Patient Enablement Instrument (PEI) with high-need, high-cost (HNHC) patients receiving care in urban safety net settings. Urban safety net care management programs serve low-income, racially/ethnically diverse patients living with multiple chronic conditions. Although many care management programs track patient progress with the PAM or the PEI, it is not clear whether the PAM or the PEI is an effective and appropriate tool for HNHC patients receiving care in urban safety net settings in the United States...
June 8, 2017: Journal of Urban Health: Bulletin of the New York Academy of Medicine
https://www.readbyqxmd.com/read/28572722/shared-decision-making-for-biologic-treatment-of-autoimmune-disease-influence-on-adherence-persistence-satisfaction-and-health-care-costs
#9
Jennifer H Lofland, Phaedra T Johnson, Mike P Ingham, Sarah C Rosemas, John C White, Lorie Ellis
BACKGROUND: Shared decision-making (SDM), a process whereby physicians and patients collaborate to select interventions, is not well understood for biologic treatment of autoimmune conditions. METHODS: This was a cross-sectional survey of adults initiating treatment for Crohn's disease or ulcerative colitis (inflammatory bowel disease, IBD) or psoriatic arthritis or rheumatoid arthritis (RA/PA). Survey data were linked to administrative claims for 6 months before (baseline) and after (follow-up) therapy initiation...
2017: Patient Preference and Adherence
https://www.readbyqxmd.com/read/28379415/adaptation-to-european-spanish-and-psychometric-properties-of-the-patient-activation-measure-13-in-patients-with-chronic-diseases
#10
Cibeles Moreno-Chico, Luis González-de Paz, Cristina Monforte-Royo, Emilia Arrighi, M Dolores Navarro-Rubio, Alberto Gallart Fernández-Puebla
Background: . The 13-item Patient Activation Measure (PAM-13) is an instrument that assesses people's knowledge, skills and confidence for self-management of their health and health care. Scores on the PAM-13 have been shown to predict adherence to health behaviours, health-related outcomes and health care costs. Objectives: . To develop a European Spanish adaptation of the original PAM-13 and to examine its psychometric properties in a sample of chronic patients...
March 31, 2017: Family Practice
https://www.readbyqxmd.com/read/28360238/psychological-and-behavioural-patterns-of-stigma-among-patients-with-type-2-diabetes-a-cross-sectional-study
#11
Asuka Kato, Yuko Fujimaki, Shin Fujimori, Akihiro Isogawa, Yukiko Onishi, Ryo Suzuki, Toshimasa Yamauchi, Kohjiro Ueki, Takashi Kadowaki, Hideki Hashimoto
OBJECTIVES: The aim of this study was to test the psychological and behavioural patterns of stigma (self-esteem and social participation) and their relationship to self-stigma, patient activation for engaging in self-care and glycaemic control among patients with type 2 diabetes mellitus (T2DM). DESIGN: A cross-sectional study. SETTING: 2 tertiary-level hospitals and 2 secondary-level hospitals in Japan. PARTICIPANTS: A consecutive sample of 209 outpatients with T2DM...
March 29, 2017: BMJ Open
https://www.readbyqxmd.com/read/28284835/randomized-trial-of-a-peer-led-telephone-based-empowerment-intervention-for-persons-with-chronic-spinal-cord-injury-improves-health-self-management
#12
RANDOMIZED CONTROLLED TRIAL
Bethlyn Vergo Houlihan, Miriam Brody, Sarah Everhart-Skeels, Diana Pernigotti, Sam Burnett, Judi Zazula, Christa Green, Stathis Hasiotis, Timothy Belliveau, Subramani Seetharama, David Rosenblum, Alan Jette
OBJECTIVE: To evaluate the impact of "My Care My Call" (MCMC), a peer-led, telephone-based health self-management intervention in adults with chronic spinal cord injury (SCI). DESIGN: Single-blinded randomized controlled trial. SETTING: General community. PARTICIPANTS: Convenience sample of adults with SCI (N=84; mean time post-SCI, 9.9y; mean age, 46y; 73.8% men; 44% with paraplegia; 58% white). INTERVENTIONS: Trained peer health coaches applied the person-centered health self-management intervention with 42 experimental subjects over 6 months on a tapered call schedule...
June 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28273198/effects-and-mechanisms-of-radiofrequency-ablation-of-renal-sympathetic-nerve-on-anti-hypertension-in-canine
#13
Wei Chen, Xiaohong Tang, Xiaofang Yang, Chunyan Weng, Kan Yang, Juan Wen, Hong Liu, Yang Wu
BACKGROUND: Radiofrequency ablation of renal sympathetic nerve (RDN) shows effective BP reduction in hypertensive patients while the specific mechanisms remain unclear. OBJECTIVE: We hypothesized that abnormal levels of norepinephrine (NE) and changes in NE-related enzymes and angiotensinconverting enzyme 2 (ACE2), angiotensin (Ang)-(1-7) and Mas receptor mediate the anti-hypertensive effects of RDN. METHODS: Mean values of systolic blood pressure (SBP), diastolic blood pressure (DBP) and mean arterial pressure (MAP) were assessed at baseline and follow-up...
March 2017: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/28265863/examining-the-impact-of-a-web-based-intervention-to-promote-patient-activation-in-chemotherapy-induced-peripheral-neuropathy-assessment-and-management
#14
Robert Knoerl, Deborah Lee, James Yang, Celia Bridges, Grace Kanzawa-Lee, G Lita Smith, Ellen M Lavoie Smith
Lack of activation in self-care can compromise a patient's ability to monitor and manage cancer treatment-related side effects, such as chemotherapy-induced peripheral neuropathy (CIPN). The web-based Carevive® Care Planning System (CPS) was developed to promote evidence-based symptom assessment and treatment by enhancing patients' involvement in their own care. The purpose of this single-arm, pre-test/post-test, prospective study was to examine whether the CPS can promote patient activation in CIPN symptom assessment and management...
March 6, 2017: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/28242766/understanding-the-models-of-community-hospital-rehabilitation-activity-mocha-a-mixed-methods-study
#15
John Gladman, John Buckell, John Young, Andrew Smith, Clare Hulme, Satti Saggu, Mary Godfrey, Pam Enderby, Elizabeth Teale, Roberto Longo, Brenda Gannon, Claire Holditch, Heather Eardley, Helen Tucker
INTRODUCTION: To understand the variation in performance between community hospitals, our objectives are: to measure the relative performance (cost efficiency) of rehabilitation services in community hospitals; to identify the characteristics of community hospital rehabilitation that optimise performance; to investigate the current impact of community hospital inpatient rehabilitation for older people on secondary care and the potential impact if community hospital rehabilitation was optimised to best practice nationally; to examine the relationship between the configuration of intermediate care and secondary care bed use; and to develop toolkits for commissioners and community hospital providers to optimise performance...
February 27, 2017: BMJ Open
https://www.readbyqxmd.com/read/28211130/cancer-survivors-activation-to-self-management-and-its-relationship-with-participation-in-paid-work-and-work-related-problems
#16
Pomme van Maarschalkerweerd, Jany Rademakers, Mieke Rijken
OBJECTIVE: This study aimed to explore cancer survivors' level of patient activation, i.e., their knowledge, skills and confidence for self-management, and to examine its relations to their participation in paid work and work-related problems. METHODS: 524 Dutch cancer survivors, 208 younger than 65 years, completed the Patient Activation Measure (PAM-13) and the RAND-36 General Health scale. Cancer survivors younger than 65 years also reported on their participation in paid work and work-related problems...
February 16, 2017: Psycho-oncology
https://www.readbyqxmd.com/read/28160187/a-multilevel-analysis-of-patient-engagement-and-patient-reported-outcomes-in-primary-care-practices-of-accountable-care-organizations
#17
Stephen M Shortell, Bing Ying Poon, Patricia P Ramsay, Hector P Rodriguez, Susan L Ivey, Thomas Huber, Jeremy Rich, Tom Summerfelt
BACKGROUND: The growing movement toward more accountable care delivery and the increasing number of people with chronic illnesses underscores the need for primary care practices to engage patients in their own care. OBJECTIVE: For adult primary care practices seeing patients with diabetes and/or cardiovascular disease, we examined the relationship between selected practice characteristics, patient engagement, and patient-reported outcomes of care. DESIGN: Cross-sectional multilevel observational study of 16 randomly selected practices in two large accountable care organizations (ACOs)...
June 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28159442/does-patient-activation-predict-the-course-of-type-2-diabetes-a-longitudinal-study
#18
Rebecca M Sacks, Jessica Greene, Judith Hibbard, Valerie Overton, Carmen D Parrotta
OBJECTIVE: To examine whether patient activation is predictive of the course of diabetes over a three year period among patients with and without diabetes. METHODS: Longitudinal analyses utilized electronic health record data from 2011 to 2014. We examined how the patient activation measure (PAM) was predictive of 2014 diabetes-related outcomes among patients with diabetes (n=10,071); pre-diabetes (n=1804); and neither diabetes nor pre-diabetes (n=46,402). Outcomes were clinical indicators (blood pressure, cholesterol, and trigylcerides), costly utilization, and progression from no diabetes to pre-diabetes or diabetes...
January 25, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28152770/confidence-in-self-managing-side-effects-from-oral-oncolytics-among-a-sample-of-michigan-oncology-practices
#19
Teresa M Salgado, Jane Alcyne Severson, Jamie Lindsay, Peter Batra, Laura Petersen, Karen B Farris
68 Background: The aim of this study was to assess patient confidence to self-manage common side effects of oral oncolytic agents among cancer patients whose providers participated in the Michigan Oncology Quality Consortium (MOQC). METHODS: This was a cross-sectional study conducted between August and September 2015, enrolling a convenience sample of 125 patients currently taking oral oncolytics in 10 oncology practices who completed a brief online survey. Demographics, clinical information, health literacy (3 items) and Patient Activation Measure (PAM, 13 items) were assessed...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28152748/patient-activation-measures-distress-levels-and-causes-of-distress-in-chronic-lymphocytic-leukemia
#20
Emily Van Laar, Uma Borate, Bradford E Jackson, Maria Pisu, Pamela M Peters, Thomas Wayne Butler, Randall S Davis, Amitkumar Mehta, Aras Acemgil, Sara J Knight, Monika M Safford, Gabrielle Betty Rocque
201 Background: Patients with chronic lymphocytic leukemia (CLL) reporting high levels of distress due to knowledge gaps and emotional concerns can have negative outcomes and suffer from lower quality of life. Understanding patients' activation levels, causes of distress, knowledge gaps, and psychosocial needs are crucial in high quality care. Optimally activated, educated and empowered patients are better positioned to communicate effectively with providers regarding selection of, and adherence to, CLL treatment protocols and long-term care plans, and potentially improving quality of life...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
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