Psychometric properties of the Patient Activation Measure among individuals presenting for elective lumbar spine surgery

Skolasky, Richard L.; MacKenzie, Ellen J.; Riley, Lee H.; Wegener, Stephen T.

doi:10.1007/s11136-009-9549-0

Cited by 72 publications

(70 citation statements)

References 59 publications

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“…Our correlational findings are similar to Green (2010), who found positive relationships between hope and patient activation in another sample of people with mental illness, and to Skolasky et al (2009) who found positive relationships between hope and patient activation in another health condition (i.e., chronic back pain). That hope and patient activation are empirically related is consistent with studies emphasizing hope as an important factor for consumers' active engagement in recovery (Kirkpatrick et al, 2001;McCann, 2002).…”

Section: Discussionsupporting

confidence: 87%

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The relationship between hope and patient activation in consumers with schizophrenia: Results from longitudinal analyses

Oles

Fukui

Rand

et al. 2015

Psychiatry Research

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Section: Discussionsupporting

confidence: 87%

“…Skolasky et al (2009) measured patient activation and psychological variables, including hope, optimism, self-efficacy, and locus of control in 283 people prior to surgery.…”

Section: Hope and Patient Activationmentioning

confidence: 99%

The relationship between hope and patient activation in consumers with schizophrenia: Results from longitudinal analyses

Oles

Fukui

Rand

et al. 2015

Psychiatry Research

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“…A literatura tem demonstrado os variados benefícios do estímulo ao autogerenciamento na saúde em indivíduos portadores de doenças crônicas (LORIG etal., 1999) e que existem relações significativas entre o índice de ativação e o comprometimento do indivíduo na realização de comportamentos saudáveis e preventivos de autogestão de sua saúde (HIBBARD et al, 2004;MOSEN et al, 2007;FOWLES et al, 2009;REMMERS et al 2009;SALYERS et al, 2009;ALEGRÍA et al, 2009;SKOLASKY et al, 2008;MAYBERRY et al, 2010;SKOLASKY et al, 2011;DONALD et al, 2011), às mudanças de comportamento que levam à melhor adesão ao tratamento (MOSEN et al, 2007;SKOLASKY et al, 2008;SKOLASKY et al, 2011), à melhoria da capacidade funcional e da qualidade de vida (STEPLEMAN et al, 2010;SKOLASKY et al, 2011) e à melhoria na autoeficácia e do estado emocional do indivíduo (SKOLASKY et al, 2009;STEPLEMAN et al, 2010 (HIBBARD et al, 2004).…”

Section: A Ativação Do Paciente Pode Ser Mensurada Com O Instrumento unclassified

“…Ao passo que períodos muito curtos podem sofrer influência de resultados contaminados pelo efeito recordatório, gerando superavaliação da estabilidade do teste (SILVA, RIBEIRO-FILHO, 2006;MARTINS, 2006;FAYERS;MACHIN, 2007;PASQUALI, 2009 sugere a literatura (MAGNESI, GLASSER, 2014;GREEN et al, 2010;STEPLEMAN et al;2010;SKOLASKY et al 2011;BRENK-FRANZ et al 2013;ZILL et al, 2013 MAGNESI;GLASSER, 2014;STEPLEMAN et al, 2010;SKOLASKY et al, 2008). (STEPLEMAN et al, 2010;SKOLASKY et al, 2009;MAGNESI;GLASSER, 2014;MUNCE et al, 2016).…”

Section: Na Validação Das Várias Versões Do Pam Os Autores Utilizaraunclassified

“…Magnesi e Glasser (2014) Nesse contexto, podemos observar que vários estudos encontraram associações significativas das medidas de ativação com diversos fatores emocionais e psicológicos, (FOWLES et al, 2009;SKOLASKY et al, 2009;BECKER;ROBLIN, 2008;MAHONEY, 2010;GERBER et al, 2011;STEPLEMAN et al, 2010;MAGNESI;GLASSER, 2014;MUNCE et al, 2016) e que intervenções em saúde com o intuito de melhorar tais fatores podem ser uma boa medida para aumentar a ativação desses indivíduos. Em um estudo de intervenção longitudinal foi constatado que as pontuações de ativação aumentaram, à medida que a gravidade dos sintomas depressivos relatados diminuiu (SKOLASKY et al, 2009).…”

Section: Na Validação Das Várias Versões Do Pam Os Autores Utilizaraunclassified

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<i>Patient Activation Measure</i> (PAM): Adaptação e validação das versões de 22 e de 13 itens em uma amostra de brasileiros com doenças crônicas

Cunha¹

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PATIENT ACTIVATION MEASURE (PAM): ADAPTAÇÃO E VALIDAÇÃO DAS VERSÕES DE 22 E DE 13 ITENS EM UMA AMOSTRA DE BRASILEIROS COM DOENÇAS CRÔNICASAutorizo a reprodução e a divulgação total ou parcial deste trabalho, por qualquer meio convencional ou eletrônico, para fins de estudo e pesquisa, desde que seja citada a fonte. Cunha, Cristiane MartinsPatient Activation Measure (PAM): Adaptação e validação das versões de 22 e de 13 itens em uma amostra de brasileiros com doenças crônicas. The active participation in the individual health self-management has been associated with positive outcomes as for the individual as for the health institutions. The Patient Activation Measure (PAM) instrument has been used for measuring the activation, a construct which includes the knowledge, skills and confidence of the individual to actively accomplish healthy behaviors. This methodological study aimed adapting culturally the PAM13 and PAM22 versions and evaluating the psychometric properties of the adapted versions in a sample of subjects with chronic diseases. The cultural adaptation process occurred according to literature recommendations: translation, back translation and conciliation of translated versions, an evaluation by a committee of judges, a semantics evaluation of the items, the obtainment of the adapted versions of the PAM and psychometric assessment. The data were collected between June and December of 2014, in the Central Ambulatory of Hospital de Clínicas of the Federal University of Uberlândia. The study included 513 subjects of both genders, with a diagnosis of chronic diseases for at least six months, with ages between 18 and 80 years old and that had regular medical monitoring in the ambulatory. The PAM is answered in an ordinal scale with five points, ranging from disagree strongly (1 point) to agree strongly (4 points) and the option does not apply (0 points).The possible range in the PAM22 is 22 to 88 points and of PAM13 is 13 to 52 points. The values obtained raw score must be converted to an activation score, ranging from 0 to 100 points. High scores indicate greater activation. The construct validity of the PAM was evaluated by the correlations between by activation measures and self-esteem (Rosenberg SelfEsteem Scale), anxiety and depression (Hospital Anxiety and Depression Scale) and perceived health status (Analogical Visual Scale); by the known groups techniques (sex, age, income, education, time of diagnosis and number of comorbidities) and its dimensionality, by the confirmatory factorial analysis variation which uses the paths analysis, called Structural Modeling Equations (SEM). The reliability was assessed through the internal consistency and through the test-retest reliability, in a time of 15 day interval. The significance level adopted was of 0.05. The majority of the subjects were female (62.0%), the age average was 49.8 years old (DP=14.57; variation 18-80 years). The study average was eight years (DP=4; variation 0-20 years). The participants presented diverse chronic diseases and 75% had been ...

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Association Between Patient Activation and Health Care Utilization After Thoracic and Abdominal Surgery

Dumitra

Ganescu

et al. 2020

JAMA Surg

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IMPORTANCEIncreased patient activation (PA) (ie, knowledge, skills, motivation, confidence to participate in care) may result in improved outcomes, especially in surgical settings.OBJECTIVE To estimate the extent to which PA is associated with 30-day postdischarge unplanned health care utilization after major thoracic or abdominal surgery.DESIGN, SETTING, AND PARTICIPANTS This cohort study was performed at 2 centers of a tertiary care hospital network between October 2017 and January 2019. Adult patients undergoing thoracic or abdominal surgery were included. Of 880 patients assessed for eligibility, 692 were deemed eligible, of whom 34 declined to participate, 1 withdrew consent, and 4 were excluded after consent.EXPOSURES Patient activation was measured immediately after surgery during the initial admission using the Patient Activation Measure (score range, 0-100). Patients were dichotomized into low and high PA groups using previously described thresholds (Patient Activation Measure score, Յ55.1). MAIN OUTCOMES AND MEASURESThe primary outcome was unplanned 30-day postdischarge health care utilization (composite including emergency department and outpatient clinic visits and/or hospital readmission). Secondary outcomes were length of stay, 30-day emergency department visits, 30-day readmissions, and postoperative complications.RESULTS A total of 653 patients admitted for thoracic, general, colorectal, and gynecologic surgery were included in the study (mean [SD] age, 58 [15] years; 369 women [56%]; 366 [56%] had minimally invasive surgery; 52 [8%] had emergency surgery), of which 152 (23%) had a low level of PA. Baseline characteristics were similar between patients with low-and high-level PA. Low PA was associated with unplanned health care utilization (odds ratio [OR], 3.15; 95% CI, 2.05-4.86; P < .001), emergency department visits (OR, 1.64; 95% CI, 1.02-2.64; P = .04), complications (OR, 1.63; 95% CI,; P = .01), and length of stay (adjusted mean difference, 1.19 days; 95% CI, 0.06-2.33; P = .04). Low PA was not associated with a higher risk of readmission (adjusted OR, 1.04; 95% CI, 0.56-1.93; P = .90). CONCLUSIONS AND RELEVANCEIn this study, low level of PA was associated with postdischarge unplanned health care use, hospital stay, and complications after major surgery. Identification of patients with low activation may allow the implementation of interventions to improve health care knowledge and support self-management postdischarge.

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Psychometric properties of the Patient Activation Measure among individuals presenting for elective lumbar spine surgery

Abstract: The PAM is a reliable, valid measure of patient activation for individuals undergoing elective lumbar spine surgery and may have clinical utility in identifying those at risk for poor engagement in postsurgical rehabilitation.

Cited by 72 publications

References 59 publications

The relationship between hope and patient activation in consumers with schizophrenia: Results from longitudinal analyses

The relationship between hope and patient activation in consumers with schizophrenia: Results from longitudinal analyses

<i>Patient Activation Measure</i> (PAM): Adaptação e validação das versões de 22 e de 13 itens em uma amostra de brasileiros com doenças crônicas

Association Between Patient Activation and Health Care Utilization After Thoracic and Abdominal Surgery

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