Chronic diseases dominate the burden of diseases globally and are expected to continue to rise exponentially. From 2009-2017, the proportion of older adults with three or more chronic diseases in Singapore has nearly doubled (Choo, 2019). The consequences of chronic disease are manifold, ranging from increased medical expenditure, loss of productivity and income, decreased quality of life, a shrinking workforce due to higher morbidity and mortality rates, loss of gross domestic product and greater healthcare spending by the government (Murray et al., 2015).In response, healthcare policies and practices have evolved to place greater emphasis on patients to have patient activation for self-management, activating patients to better manage their chronic diseases, due to the resultant clinical and healthcare utilization benefits. Patient activation is defined as an individual's
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