Factors associated with patient activation in a socially deprived population: Evidence from Germany

Golubinski, Veronika; Wild, Eva-Maria

doi:10.1016/j.pec.2021.03.039

Cited by 9 publications

(3 citation statements)

References 59 publications

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“…Accordingly, increasing levels of patient activation has been associated with improved self-care behaviors in chronic disease, including HF (Newland et al, 2021). Like HF self-care, low patient activation is common among those with low income, less education, and older age (Golubinski & Wild, 2021; McCabe et al, 2018). There is growing evidence to suggest that patient activation may be useful in individualizing and evaluating interventions for improving self-care behaviors for chronic illness (Beckie et al, 2017; Bos-Touwen et al, 2015; Dunlay et al, 2017; Jacobson et al, 2018; Prey et al, 2016; Young et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

The Relationships Among Health Literacy, Patient Activation, and Self-Care Behaviors in Adults With Heart Failure: A Cross Sectional Study

2023

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Despite current efforts, adherence to heart failure (HF) selfcare remains suboptimal. There is a need to identify modifiable factors that promote self-care adherence. Evidence suggests that patient activation and health literacy (HL) are modifiable and may be useful for improving HF self-care. However, more research is needed to understand the influences of these variables on HF self-care. The aim of this study was to examine the relationships between patient activation, health literacy, and self-care adherence in a diverse group of adults with HF. This study used a correlational, cross-sectional design. Correlation and regression tests were used to analyze associations among variables. Stratified random sampling was applied to attain a study sample that was 50% persons of color (POC). Of the 174 participants, 51% were female and 48.5% were POC with a mean age of 62 years. There was no significant relationship between HL and HF self-care adherence. There was a small, positive correlation between HL and dichotomized high/low activation levels ( r = .163; p < .05). There was a small, positive correlation between patient activation and HF self-care behaviors ( r = .151; p < .05). However, regression tests showed patient activation was not a predictor of selfcare ( B = 0.173, p = .064). Persons with HF may perform self-care activities when highly activated, regardless of HL status. Patient activation was not a reliable predictor of self-care adherence. More research is needed to elucidate the influence of patient activation and HL on HF self-care behaviors.

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Section: Introductionmentioning

confidence: 99%

The Relationships Among Health Literacy, Patient Activation, and Self-Care Behaviors in Adults With Heart Failure: A Cross Sectional Study

2023

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“…However, different factors affect patient activation, highlighting the importance of individual characteristics. Patient activation can be affected by employment status [ 11 ], age, health status [ 11 – 13 ], and education level [ 14 ]. Also, self-management highlights the relevance of psychological factors, positing that changes in health behavior require motivational and self-regulatory skills [ 15 ].…”

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confidence: 99%

“…Based on the knowledge that individuals with type 2 diabetes mellitus require a sufficient level of “activation” to truly engage in treatment [ 8 ], this study aims to explore activation levels in individuals with T2DM treated in primary care facilities and to identify the association between demographic, clinical, psychosocial factors and patient activation amongst populations in the Brazilian state of Amazonas. Our findings can inform decision-makers and health practitioners about targetting patient activation interventions for such populations [ 11 ].…”

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confidence: 99%

Patient activation levels and socioeconomic factors among the Amazonas population with diabetes: a cross-sectional study

de Leon,

Campos,

Santos

et al. 2024

BMC Health Serv Res

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Background The presence of chronic conditions such as type 2 diabetes mellitus (T2DM) requires behavioral lifestyle changes mediated by individuals’ motivation for change and adherence to treatment. This study aims to explore activation levels in individuals with T2DM treated in primary care facilities and to identify the association between demographic, clinical, psychosocial factors, and patient activation amongst populations in the Brazilian state of Amazonas. Methods SAPPA is a cross-sectional study conducted in Amazonas, approved by the Universidade Federal do Amazona’s IRB in Brazil. Individuals with T2DM were evaluated in their homes (n = 4,318,325). The variables were sex, age, skin color, education level; health-related variables such as body mass index, nutritional behavior, and frequency of physical activity. Measures related to patient self-management behaviors over the past 6 months (Patient Activation Measure – PAM-13) were included in the survey. Descriptive and frequency data are presented as mean (standard deviation (SD)) or numeric percentage). Statistical testing was performed using IBM SPSS V.26, and a p-value of < 0.050 showed significance. Activation levels were dichotomized into low activation (Levels 1 and 2) and high activation (Levels 3 and 4). A multivariate linear model assessed the association between the PAM-13 score and the following variables: age, sex, BMI, skin color, number of comorbidities, burden of symptoms, and number of medications. Results Logistic regression analyses indicated a statistically significant association between sex, age, education, self-rated health, and general satisfaction with life. men were 43% more likely to score lower levels (p < 0.001). The results also indicated that advanced age had lower PAM levels (p < 0.001). Participants with fewer years of education were 44% more likely to have lower levels of PAM (p = 0.03). Worse self-rated health (p < 0.001) and lower general life satisfaction (p = 0.014) were associated with lower PAM levels. Conclusions Low patient activation was associated with worse sociodemographic, health, and psychological conditions in the Amazon population. The low level of patient activation observed in this sample highlights an important impediment to diabetes disease management/self-management in disadvantaged populations.

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Effect of self-efficacy among persons who inject drugs treated with direct-acting antivirals on Hepatitis C treatment initiation, duration, completion, adherence, and cure

Lopes,

Pericot-Valverde,

Dotherow

et al. 2024

Drug and Alcohol Dependence

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Factors associated with patient activation in a socially deprived population: Evidence from Germany

Cited by 9 publications

References 59 publications

The Relationships Among Health Literacy, Patient Activation, and Self-Care Behaviors in Adults With Heart Failure: A Cross Sectional Study

The Relationships Among Health Literacy, Patient Activation, and Self-Care Behaviors in Adults With Heart Failure: A Cross Sectional Study

Patient activation levels and socioeconomic factors among the Amazonas population with diabetes: a cross-sectional study

Effect of self-efficacy among persons who inject drugs treated with direct-acting antivirals on Hepatitis C treatment initiation, duration, completion, adherence, and cure

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