When activation changes, what else changes? the relationship between change in patient activation measure (PAM) and employees’ health status and health behaviors

Psychometric Properties of the Patient Activation Measure in Multimorbid Hospitalized Patients

“…In addition, other researchers suggest that lowest level activation patients have more readmissions (Begum, Donald, Ozolins, & Dower, 2011;Mitchell et al, 2013). Activation levels are changeable (Remmers et al, 2009), and improvements in PAM levels are related to positive behavior changes (Harvey, Fowles, Xi, & Terry, 2012;Hibbard, Mahoney, Stock, & Tusler, 2007). The ability to change activation levels and behaviors has great potential to improve patient outcomes such as readmission, satisfaction, and quality of life.…”

The Role of Patient Activation in Preferences for Shared Decision Making: Results From a National Survey of U.S. Adults

“…Activated patients seek more health-related information and are more knowledgeable about health care (Butler, Farley, Sleath, Murray, & Maciejewski, 2012;Fowles et al, 2009;Harvey, Fowles, Xi, & Terry, 2012). They may therefore be better prepared prior to consultations and show greater preferences for involvement in medical decision making.…”

A Response to Proposed Equal Employment Opportunity Commission Regulations on Employer-Sponsored Health, Safety, and Well-Being Initiatives

“…28 How to activate consumers to improve their health and be well informed as health care consumers has been the subject of extensive research. 29 Considerably less research is available, however, about what role incentives can effectively play in the ongoing and, for many, arduous process of chronic condition management. ACA and EEOC indicate that a financial incentive ceiling of 30% (and 50% for smokers') health insurance premium differentials has been set; still, little is known about how these levels may differentially impact lower versus higher wage earners and their readiness, willingness, or ability to change health behaviors or manage a chronic condition.…”