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Personal Health Engagement
Published in Salvatore Volpe, Health Informatics, 2022
Judith Hibbard, PhD, developed the Patient Activation Measure (PAM) as a way to measure differences in individual levels of activation about health. Since its inception in 2004, the measure has been used in a wide variety of studies that show that more highly activated patients, as measured by the PAM score, correlate to better healthcare outcomes, lower costs, and higher satisfaction with the healthcare system.44 Qualitative research suggests that patients who are highly activated view themselves as working in partnership with professionals, whereas patients who are at low levels of activation view their role as one of compliance.
The Rasch Model Applied across the Human Sciences
Published in Trevor G. Bond, Zi Yan, Moritz Heene, Applying the Rasch Model, 2020
Trevor G. Bond, Zi Yan, Moritz Heene
Hellström, Tessma, Flink, Dahlgren, Schildmeijer, and Ekstedt (2019) contend that the Patient Activation Measure (PAM) is recognised for assessing how active patients are in their own care, as patient activity is an increasingly important aspect of health care, warranting the development of reliable measures. Given that a Swedish translation of PAM was unavailable, the research team embarked on a multi-stage translation of the 13-item version of the PAM into a Swedish version following World Health Organization recommendations: their steps for forward and backward translation and adaptation involved the developer, colleagues, a professional translator, an expert panel, as well as patients. This provides a strong model for other researchers similarly involved in instrument translation.
Person-centred Care
Published in James Matheson, John Patterson, Laura Neilson, Tackling Causes and Consequences of Health Inequalities, 2020
‘Patient activation’ is a behavioural concept which describes the knowledge, skills and confidence a person has in managing their own health and healthcare [18]. People who have low levels of activation are less likely to play an active role in staying healthy. They are less good at seeking help when they need it, at following a doctor’s advice and at managing their health when they are no longer being treated. The patient activation measure (PAM) is a validated tool for measuring the level of patient engagement in their healthcare. It can be used to tailor support according to an individual’s patient activation level through an individualised approach which takes into account their needs and capabilities.
Impact of the Guided Self-Determination Intervention among Adolescents with Co-Existing ADHD and Medical Disorder: A Mixed Methods Study
Published in Issues in Mental Health Nursing, 2020
Helle Enggaard, Britt Laugesen, Melissa DeJonckheere, Michael Derwin Fetters, Martin Kamp Dalgaard, Marlene Briciet Lauritsen, Vibeke Zoffmann, Rikke Jørgensen
The Patient Activation Measure (PAM) was used to measure self-management (Hibbard et al., 2005; Maindal et al., 2009). The items in PAM address the patient’s confidence, knowledge, skills and behaviors for health self-management. PAM comprises 13 items, each with five response options ranging from disagree strongly to agree strongly, as well as the option not applicable. Responses are automatically converted to a score ranging from 0 to 100, assigning the patient to one of four levels of patient activation: the patient is passive and overwhelmed by managing her/his own health (level 1): the patient lacks the confidence and knowledge to manage their own health (level 2); the patient takes action but still lacks the confidence and skills to support management of their own health (level 3); or the patient has developed behaviors to manage their own health but struggles to maintain those behaviors under stress (level 4).
The preparedness assessment for the transition home after stroke predicts key domains of caregiver health
Published in Topics in Stroke Rehabilitation, 2023
Michelle Camicia, Barbara J. Lutz, Brian R. Theodore
The Patient Activation Measure (PAM)25 is a 22-assessment of long-term activation along four domains, specifically: believing that one’s role is important; having the confidence and knowledge necessary to take action; taking action to maintain and improve one’s health; and, staying the course under stress.25 The PAM has good reliability (α = .91), and although designed specifically to assess the level of activation among patients, it is a construct applicable to the caregiver role given that greater activation significantly predicts better health-related quality of life25,26
‘Oncokompas’, a web-based self-management application to support patient activation and optimal supportive care: a feasibility study among breast cancer survivors
Published in Acta Oncologica, 2018
Heleen C. Melissant, Irma M. Verdonck-de Leeuw, Birgit I. Lissenberg-Witte, Inge R. Konings, Pim Cuijpers, Cornelia F. Van Uden-Kraan
The Patient Activation Measure (PAM) is a 13-item PROM on knowledge, skills, and confidence for self-management of one’s health or chronic condition. Patients are asked to report their level of agreement with various statements on a 4-point rating scale (strongly disagree to strongly agree) or to indicate that the item was not applicable. A total score can be obtained by calculating a mean score of all the applicable items (items which were answered on the 4-point scale), which is transformed to a standardized activation score ranging from 0 to 100 [41].