Adaptation to European Spanish and psychometric properties of the Patient Activation Measure 13 in patients with chronic diseases

Moreno-Chico, Cibeles; Paz, Luís González-de; Monforte-Royo, Cristina; Arrighi, Emilia; Navarro-Rubio, María Dolores; Fernández-Puebla, Albert Gallart

doi:10.1093/fampra/cmx022

Cited by 32 publications

(35 citation statements)

References 25 publications

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“…Items are sequenced and scaled by "difficulty" of activation, with higher scores indicating greater activation. The PAM has been translated and validated in many countries [29][30][31][32][33][34], and across multiple populations including mental health [35,36], elective lumbar spine surgery [37], multi-morbid older adults [37], hospitalized patients [38], and rural populations [39]. Overall these studies provide evidence that the PAM is uni-dimensional, with good reliability and construct validity.…”

Section: Methodsmentioning

confidence: 95%

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The structural and convergent validity of three commonly used measures of self-management in persons with neurological conditions

et al. 2018

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Purpose Self-management ability is commonly assessed in chronic disease research and clinical practice. The purpose of this study was to assess the structural and convergent validity of three commonly used self-management outcome measures in a sample of persons with neurological conditions. Methods We used data from a Canadian survey of persons with neurological conditions, which included three commonly used self-management measures: the Partners in Health Scale (PIH), the Patient Activation Measure (PAM), and the Self-Efficacy for Managing a Chronic Disease Scale (SEMCD). Confirmatory factor analysis was used to assess the structural and convergent validity of the three measures. Results When treated as single-factor constructs, none of the measurement models provided a good fit to the data. A fourdomain version of the PIH was the best fitting model. Confirmatory factor analysis suggests that the three tools measure different, but correlated constructs. Conclusions While the PAM, PIH and SEMCD scales are all used as measures of patient self-management, our study indicates that they measure different, but correlated latent variables. None, when treated as single, uni-dimensional construct, provides an acceptable fit to our data. This is probably because self-management is multi-dimensional, as is consistently shown by qualitative evidence. While these measures may provide reliable summative measures, multi-dimensional scales are needed for clinical use and more detailed research on self-management.

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Section: Methodsmentioning

confidence: 95%

“…Overall these studies provide evidence that the PAM is uni-dimensional, with good reliability and construct validity. There is, however, evidence of variation in differential item scaling across populations [32,40].…”

Section: Methodsmentioning

confidence: 99%

The structural and convergent validity of three commonly used measures of self-management in persons with neurological conditions

et al. 2018

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“…The PAM13 assesses a patient's self-reported knowledge, skills and self-management confidence regarding CDs, 14 as well as patients' knowledge of how to manage their disease and identify disease symptoms. 15 The PAM13 defines four stages of activation. Level 1 describes patients who believe their role is important.…”

Section: Introductionmentioning

confidence: 99%

Measuring patient activation in Chinese patients with hypertension and/or diabetes: reliability and validity of the PAM13

Zeng

Runsheng

et al. 2019

J Int Med Res

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Objective: Patient activation is important in the management of chronic diseases (CDs), especially hypertension and diabetes. The 13-item short form Patient Activation Measure (PAM13) is widely used, but data are lacking for China. The study aim was to assess the reliability and validity of the PAM13 in Chinese patients with hypertension and/or diabetes in a community management setting. Methods: A cross-sectional survey was conducted at four community health centres in Kunming (Yunnan province, China) Participants were patients (n ¼ 519) with hypertension and/or type 2 diabetes mellitus being managed at the community health centres. Patient activation was measured using the Chinese version of the PAM13. Reliability and validity were tested using Cronbach's a and confirmatory factor analysis. Results: The male to female ratio was 1:1.65. In total, 307 (60.3%) patients had 9 years of education and 213 (41.8%) had a low household income ( 5000 RMB/month). Cronbach's a was 0.920 and item-total correlations ranged from 0.535 to 0.714. Confirmatory factor analysis showed a good fit to the data. Conclusions: The PAM13 shows good reliability and validity for measuring patient activation in Chinese patients with CDs (hypertension and/or diabetes).

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“…The Spanish translated version has been validated in patients with chronic diseases and has demonstrated a similar behaviour to the original instrument with good validity and reliability properties. 24 It has been used in previous studies by this research team. 25…”

Section: Usual Care Groupmentioning

confidence: 99%

Effectiveness and cost-effectiveness of a virtual community of practice to improve the empowerment of patients with ischaemic heart disease: study protocol of a randomised controlled trial

et al. 2020

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IntroductionVirtual Communities of Practice (VCoP) or knowledge-sharing virtual communities offer ubiquitous access to information and exchange possibilities for people in similar situations, which might be especially valuable for the self-management of patients with chronic diseases. In view of the scarce evidence on the clinical and economic impact of these interventions on chronic conditions, we aim to evaluate the effectiveness and cost-effectiveness of a VCoP in the improvement of the activation and other patient empowerment measures in patients with ischaemic heart disease (IHD).Methods and analysisA pragmatic randomised controlled trial will be performed in Catalonia, Madrid and Canary Islands, Spain. Two hundred and fifty patients with a recent diagnosis of IHD attending the participating centres will be selected and randomised to the intervention or control group. The intervention group will be offered participation for 12 months in a VCoP based on a gamified web 2.0 platform where there is interaction with other patients and a multidisciplinary professional team. Intervention and control groups will receive usual care. The primary outcome will be measured with the Patient Activation Measure questionnaire at baseline, 6, 12 and 18 months. Secondary outcomes will include: clinical variables; knowledge (Questionnaire of Cardiovascular Risk Factors), attitudes (Self-efficacy Managing Chronic Disease Scale), adherence to the Mediterranean diet (Mediterranean Diet Questionnaire), level of physical activity (International Physical Activity Questionnaire), depression (Patient Health Questionnaire), anxiety (Hospital Anxiety Scale-A), medication adherence (Adherence to Refill Medication Scale), quality of life (EQ-5D-5L) and health resources use. Data will be collected from self-reported questionnaires and electronic medical records.Ethics and disseminationThe trial was approved by Clinical Research Ethics Committee of Gregorio Marañón University Hospital in Madrid, Nuestra Señora de Candelaria University Hospital in Santa Cruz de Tenerife and IDIAP Jordi Gol in Barcelona. The results will be disseminated through workshops, policy briefs, peer-reviewed publications, local/international conferences.Trial registration numberClinicalTrials.gov Registry (NCT03959631). Pre-results.

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Adaptation to European Spanish and psychometric properties of the Patient Activation Measure 13 in patients with chronic diseases

Cited by 32 publications

References 25 publications

The structural and convergent validity of three commonly used measures of self-management in persons with neurological conditions

The structural and convergent validity of three commonly used measures of self-management in persons with neurological conditions

Measuring patient activation in Chinese patients with hypertension and/or diabetes: reliability and validity of the PAM13

Effectiveness and cost-effectiveness of a virtual community of practice to improve the empowerment of patients with ischaemic heart disease: study protocol of a randomised controlled trial

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