The results indicate that the shortened item version is both reliable and valid. Mahoney, jean stockard, and martin tusler objective. Development of the patient activation measure for mental. The item short form patient activation measure pam, chinese version. Higher activated individuals are more likely to engage in positive health behaviors and to have better health outcomes activation also linked with better care experiences. Patient activation, motivational interviewing and positive psychology. Pam reliably predicts future er visits, hospital admissions and readmissions, medication adherence and more. The aim of this study was to translate the original american version of the pam into german and to test the psychometric properties of the german version in an. A crosssectional study was conducted in a convenient sample of 270 heart clinic. The patient activation measure the patient activation measure pam is a 10 or item survey that assesses a persons underlying knowledge, skills and confidence integral to managing his or her own health and healthcare. In 2005 a item short form of the pam was developed, which has the same psychometric properties as the longer.
Can increasing patient activation improve the outcomes of. It is a powerful and reliable measure of patient activation. However, patient activation is its own quantifiable concept supported by the patient activation measure pam. A multidisciplinary team developed items to capture individual aspects of patient enablement pen. Adaptation to european spanish and psychometric properties of. The patient activation measure is a relatively new tool that assesses a patients level of activation to more appropriately tailor healthcare interventions. The patient activation measure pam measures patients knowledge, skill, and confidence in chronic condition selfmanagement. The patient activation measure pam is a commercial product which assesses an individuals knowledge, skill, and confidence for managing ones health and healthcare. To compose more individualized strategies, we aim to increase our understanding of characteristics associated with patient activation for selfmanagement and to evaluate whether these are disease.
The purpose of our study was to develop and psychometrically test a germanlanguage survey instrument that measures patient enablement generically and in greater detail than previous instruments. A substantial proportion of chronic disease patients do not respond to selfmanagement interventions, which suggests that one size interventions do not fit all, demanding more tailored interventions. Patient activation was assessed at baseline during the index hospitalization using an adapted 8item version of the item pam, as previously described mitchell et al. The chinese patient activation measure chinese pam. Psychometric properties of the patient activation measure among outpatients waiting for mental health treatment. Development testing of a short form of the patient activation measure. A crosssectional study was conducted in a convenient sample of 270 heart clinic patients. Sep 19, 2016 the patient activation measure pam measures patients knowledge, skill, and confidence in chronic condition selfmanagement.
The pammhs psychometric properties equal those of the original item pam. Oct 14, 2011 have a look at development of the patient activation measure pam. What is the patient activation measure in patientcentered. The patient activation measure pam consists of items and assesses patient or consumer selfreported knowledge, skills, and confidence for selfmanagement of ones health or chronic condition. The item version of the pam was used in all four european studies 10. Psychometric assessment of the patient activation measure. Each item is rated 14 strongly disagree 1 to strongly agree4 and a. Insignia health, llc proprietary and confidential 2015 for use with a valid license only.
The pam consists of statements relating to patients beliefs about health care, confidence in their management of health related tasks, and selfassessed knowledge of their condition. Independent evaluation of the feasibility of using the. Using activation measure to inform care protocols rooming process back pain mammograms. What is the patient activation measure in patientcentered care.
The analysis yielded a item measure that has psychometric properties similar to the original 22item version. The shorter version of the pam will make it more feasible to use activation scores to inform patient care plans. September 12, 2017 patient activation is a key concept in the push for patientcentered care, but is often conflated with the notion of driving patient engagement. Supporting people to manage their health kings fund. Patient activation measure pam insignia health enus. In general, more items need to be added to cover the upper end of the trait. Psychometric evaluation of the german version of the. Translation and initial psychometric evaluation of the. Translation, adaptation and validation of the american short. To assess the activation level of healthy or chronically ill individuals, the instrument patient activation measure pam was created in the united states, in a version with 22 items pam22. Conceptualizing and measuring activation in patients and consumers 2004. Patient activation measures zdeveloped by judith hibbard, jean stockard, and martin tusler at the university of oregon and eldon r. The item patient activation measure pam 16item instru measured patient activation using the short form the patient activation measure item version available gensichen j. Have a look at development of the patient activation measure pam.
While early versions the pam comprised questions5 shortened item pam. The purpose of this study was to assess the validity of pam english version among englishspeaking adults with cardiac conditions in singapore. The patient activation measure pam survey is a quantifiable descriptor of patient activation in medicine and is key to driving patient outcomes and engagement this website uses a variety of cookies, which you consent to if you continue to use this site. It helps to measure the spectrum of knowledge, skills and confidence in patients and captures the extent to which people feel engaged and confident in taking care of their condition. Our objective was to adapt the physical health patient activation measure pam for use among people with mental health conditions pammh. Patient activation measures in a government homeopathic. Patient activation in older people with longterm conditions. Each item is rated 14 strongly disagree 1 to strongly agree4 and a total raw score is generated 052. Using the patient activation measure to improve outcomes and control costs judith h. However, for pam users who are seeking the highest level of measurement precision, the pam 22 may be more desirable. Validation of the patient activation measure pam among. Cultural adaptation and validation of the brazilian. A new generic item questionnaire for measuring patient enablement german version article pdf available in international journal of environmental research and public health 1623.
A pretest with 26 subjects was followed by a random sample survey of n. The item patient activation measure pam was asked of all adults age 18 and over and was selfreported. Cultural adaptation and validation of the brazilian version. The pam scale assesses patient selfreported knowledge, skills and confidence for selfmanagement of ones health or chronic condition. There are long 22 item and short item versions available. Nov 14, 2014 the patient activation measure pam is a item instrument for measuring patient beliefs, knowledge and confidence for engaging in a wide range of health behaviors. The pam is used across the healthcare industry to determine the level at which a. Deidentified claims, demographic data, and serial pam scores were.
Can increasing patient activation improve the outcomes of care. A previous publication described the development and testing of the patient activation measure pam, which assesses patient selfreported knowledge, skill, and confidence for selfmanagement of ones health or chronic condition hibbard et al. In this study, we explore the degree to which changes in patient activation measure pam levels predict health care costs among highrisk patients. The patient activation measure pam is a measure that assesses patient knowledge, skill, and confidence for selfmanagement.
Development and testing of a short form of the patient activation. A new generic item questionnaire for measuring patient enablement german version. A new generic item questionnaire for measuring patient. The first version, developed in 2004, comprised 22 items 8, and in 2005, a shorter version of items was developed to enhance the feasibility. Randomized controlled trial of a patient activation tool. Conclusions patient activation measure short form pam performs well in some areas, but not all. Using the patient activation measure to improve outcomes. The patient activation measure short form pam assesses patients selfreported health management skills, knowledge, confidence, and motivation. The patient activation measure pam is a item instrument for measuring patient beliefs, knowledge and confidence for engaging in a wide range of health behaviors. Measuring and documenting client engagement through the patient activation measure 10 pam 10, a tenitem survey that helps identify the knowledge, skills, and confidence level of an indiv idual towards their health and healthcare coaching individuals to increase engagement activation in their healthcare including. The 22item pam was developed using rasch psychometric methods and is an interval level, unidimensional. The patient activation measure pam is a patientreported measure that has been validated in the united kingdom.
Measure cspam,8 the caregiver activation measure cam,9 patient activation measure for mental health pammh10 and parentpatient activation measure ppam. Patient activation mediates health literacy associated. The pam has been used in several different countries, including the uk. Patient activation, motivational interviewing and positive psychology provides the fundamentals of three essential tools that health coaches can use to measure and monitor activation levels, elicit behavior change, move clients along the path to selfmanagement and have a positive impact on health outcomes and utilization. Patient activation to address chronic pain and opioid. The pam was formulated in two versions targeting people with or without chronic disease, with few semantic differences 6. Measuring patient activation in chinese patients with. Validation of the patient activation measure in patients at discharge.
In this study the pam was translated into a dutch version. So we took a closer look at hibbards pam 12 and its german version and at howies seminal patient enablement instrument pei 2,17. The 22 item pam was developed using rasch psychometric methods and is an interval level. Sep 12, 2017 september 12, 2017 patient activation is a key concept in the push for patient centered care, but is often conflated with the notion of driving patient engagement. A new generic item questionnaire for measuring patient enablement german version article pdf available in international journal of. Scores on the pam have been shown to predict adherence to health behaviours, healthrelated outcomes and health care costs. Stanford chronic disease selfmanagement program higher activated more likely to enroll patient portal use higher activated twice as likely to use portal than lower activated when we dont measure, we never know who we are are reaching. A validation study in norway author links open overlay panel inger elise o. The item patient activation measure pam is an instrument that assesses peoples knowledge, skills and confidence for selfmanagement of their health and health care.
Each item has four response categories with scores. The items have response options ranging from 1strongly disagree to 4 strongly agree with an option to respond as not applicable. To various degrees, the pam has been applied in three main ways. The pam scale was originally developed by hibbard with 22 items and a shortened version with items was widely used 27,28. Patient activation changes as a potential signal for changes. Laracabrera a c h 1 lilisbeth peresteloperez d e f amado riverosantana e f g lasse eriksen b h olav m. Individuals who measure high on this assessment typically understand the importance of taking a proactive role in managing their health and have the skills and confidence to do so.
Programs to improve quality of care and lower costs for the highest utilizers of health services are proliferating, yet such programs have difficulty demonstrating cost savings. They are closely linked to clinical outcomes, the costs of. Translation, adaptation and validation of the american. Pam activation levels are mapped to hundreds of consumer health characteristics motivators, attitudes, behaviors and outcomes for dozens of health conditions.
Adaptation to european spanish and psychometric properties. Development and testing of a short form of the patient. A rasch partial credit model analysis was conducted on the pam instrument using a sample. The same holds for the terms patient empowerment and patient activation. Understand the patient activation measure pam items a. The item patient activation measure pam was used to.
License pam pam reliably predicts future er visits, hospital admissions and readmissions, medication adherence and more. Both can be conceptualized as either a process or an emergent state 1. Patient activation scores have been robustly demonstrated to predict a number of health behaviours. Patient and disease characteristics associated with. This study validates the danish translation of the item patient activation measure pam in a danish population with dysglycaemia. Kaiser care management institute, phd dissertation. We used the item version of the patient activation measure pam. Patient activation changes as a potential signal for. Psychometric evaluation of the german version of the patient. When we offer new patient programs and services, who shows up.
Measure cspam,8 the caregiver activation measure cam,9 patient activation measure for mental health pammh10 and parent patient activation measure ppam. Methods development and testing of a short form of the patient activation measure judith h. The patient activation measure pam, developed by hibbard et al. The patient activation measure pam is a 22item measure that assesses patient knowledge, skill, and con. Although the pam was originally designed to be used for persons with chronic conditions, a slightly modified version was developed for persons with no chronic conditions see appendix. Understanding patient activation and adherence to nebuliser. Data came from three studies among people with chronic mental health conditions and were combined in rasch analyses. The aim of this study was to translate the original american version of the pam into german and to test the psychometric properties of the german version in an elderly, multimorbid population. Over a decade of research on the patient activation measure survey guides how best to increase activation and improve outcomes. Psychometric properties of the patient activation measure. To compose more individualized strategies, we aim to increase our understanding of characteristics associated with patient activation for selfmanagement and to evaluate.
Reliability analysis of the turkish version of the patient. Jul 31, 2012 the american short form patient activation measure pam is a item instrument which assesses patient or consumer selfreported knowledge, skills and confidence for selfmanagement of ones health or chronic condition. The original patient activation measure pam has 22 items and a item version has also been developed pam 6. Two studies showed that the association between patient activation and measures of health literacy was weak, indicating that these are 2 distinct concepts. We used item response theory to evaluate the psychometric properties of the pam utilized in rural settings. The american short form patient activation measure pam is a item instrument which assesses patient or consumer selfreported knowledge, skills and confidence for selfmanagement of ones health or chronic condition. Sep 06, 2017 patient activation was assessed at baseline during the index hospitalization using an adapted 8item version of the item pam, as previously described mitchell et al. The item version of the pam was used in all four european studies.
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