So we took a closer look at hibbards pam 12 and its german version. Whether the measure was codeveloped with patients, a critical stage in the design and implementation of truly personcentred measures. The item survey removed measures that would not have a significant. Health determining concepts important to people with crohn. The patient activation measure is a socalled latent constructa variable that cant be measured directly but instead is assessed through a series of answers to questionsthat gauges a. The items have response options ranging from 1strongly disagree to 4 strongly agree with an option to respond as not applicable. License pam pam reliably predicts future er visits, hospital admissions and readmissions, medication adherence and more. Psychometric properties of the patient activation measure among.
Pam and a wide range of sociodemographic, clinical, and psychosocial determinants. Using multiple linear regression analysis, we analyzed associations between selfmanagement activation item patient activation measure. A crosssectional study was conducted in a convenient sample of 270 heart clinic patients. Patient activation a item surveybased scale called the short form of the pam that groups patients along a fourpoint levelling scale based on how activated patients are was used to measure patient activation see online supplementary appendix 5. Patient activation measure pam insignia health enus. 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. The item version of the clinician support patient activation measure cspam rademakers et al. Association between patient activation and patient. The results indicate that the shortened item version is both reliable and valid.
Over a decade of research on the patient activation measure survey guides how best to increase activation and improve outcomes. Patient activation may be defined as the ability and willingness of patients to take on the role of managing their own health and healthcare1 and is related to the degree that a patient participates or engages in specific health behaviours. Crosscultural validation of the parentpatient activation. In this article we highlight the nature and utility of a construct called patient activation. Does it mean that findings from the research studies should not have been. The measure has strong psychometric properties and appears to tap into the developmental nature of activation. Pam reliably predicts future er visits, hospital admissions and readmissions, medication adherence and more. Using the patient activation measure to improve outcomes. The item version of the pam was used in all four european studies. All statistical analyses were conducted using spss. It is a powerful and reliable measure of patient activation.
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. Translation, adaptation and validation of the american short form. Scores on the pam have been shown to predict adherence to health behaviours, healthrelated outcomes and health care costs. The shorter version of the pam will make it more feasible to use activation scores to inform patient care plans. Jun 29, 2009 the patient activation measure pam is a measure that assesses patient knowledge, skill, and confidence for selfmanagement. The item patient activation measure was used to evaluate customer quality based on selfreported knowledge, skills and confidence in four stages of selfmanagement. The patient activation measure pam, developed by hibbard et al. The pam is a item selfreported measure designed to assess patients knowledge, skills and confidence in managing their health. Patient activation measure last updated june, 2019. Patient activation to address chronic pain and opioid. The patient activation measure pam appears to be a valid and reliable instrument to measure activation.
For each statement patients are required to say how. Patient activation and improved outcomes in hivinfected. The measure was developed using rasch analyses and is an interval level, unidimensional, guttmanlike measure. Independent evaluation of the feasibility of using the. Table 2 also shows the mean pam scores for different subgroups in the. Patient activation measure pam pam is a predictive powerhouse.
Hiv outcomes included cd4 cell count 200 cellsml3 and hiv1 rna item short form pam 6. As a result, pam reliably predicts a persons future er visits, hospital admission and readmission, medication adherence and more. Translation, adaptation and validation of the american short. Patient activation measure wikimili, the free encyclopedia. The norwegian version of pam has appropriate psychometric properties. Randomized controlled trial of a patient activation tool in. Conceptualizing and measuring activation in patients and consumers 2004. 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. The purpose of this study was to assess the validity of pam english version among englishspeaking adults with cardiac conditions in singapore. Utilizing community programs to build kidney disease self. Patient activa tion level is considered a broader underlying construct than. Have a look at development of the patient activation measure pam. Development testing of a short form of the patient.
Validation of the german version of the patient activation measure pamd in. Objective 1 to measure healthcare activation among lowincome parents by language englishspanish. The relationship between the patient activation measure, future health outcomes, and health care utilization among patients with diabetes. Using activation measure to inform care protocols rooming process back pain mammograms. Background the american short form patient activation measure pam is a item instrument which assesses patient or consumer selfreported knowledge, skills and confidence for selfmanagement. Can increasing patient activation improve the outcomes of care. This study validates the danish translation of the item patient activation measure pam in a danish population with dysglycaemia. 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. A danish version of pam with acceptable validity and reliability is now available. The item version of the patient activation measure pam was used to assess workshop participants selfreport ed knowledge, skills, and confidence for selfmanagement of their chronic diseases hibbard et al.
Jun, 2019 patient activation measure last updated june , 2019. Examples for linking pros items to icf codes andor dhs. 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. Pam activation levels are mapped to hundreds of consumer health characteristics motivators, attitudes. Patient activation measures zdeveloped by judith hibbard, jean stockard, and martin tusler at the university of oregon and eldon r. 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. Patient activation scores have been robustly demonstrated to predict a number of health behaviours. Measure cspam,8 the caregiver activation measure cam,9 patient activation measure for mental health pammh10 and parentpatient activation measure ppam. What is the patient activation measure in patientcentered. Activation can predict utilization and health outcomes two years into the future for diabetics % change for a 1 point change in pam score. The patient activation measure is a valid, highly reliable, unidimensional, probabilistic guttmanlike scale that reflects a developmental model of activation. Reliability and validity of the patient activation measure in. I found this article to be helpful with scoring the pam. The patient activation measure pam is a commercial product which assesses an individuals.
Health determining concepts important to people with crohns. Association between patient activation and patientassessed. The patient activation measure pam is a 22item measure that assesses patient knowledge, skill, and confidence for selfmanagement. Reliability and validity of the patient activation measure. 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. Developed by judith hibbard and colleagues at the university of oregon, the resulting item measure is a unidimensional, interval level. Development and testing of a short form of the patient activation.
However, patient activation is its own quantifiable concept supported by the patient activation measure pam. 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. 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. Are there alternatives to insignia healths patient activation measure pam. 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. The parentpam is used to assess the parents activation in the management of their childs health. Kaiser care management institute, phd dissertation. In this study the pam was translated into a dutch version. This has been broadly defined as peoples knowledge, skills and confidence to manage their own health and healthcare. Has the motivation, knowledge, skill and confidence to take on the role of managing their health and health care full range of activation in any population group demographics tend t account for 5% to 6% of pam score variation 3. Apr 10, 2014 this item scale and was derived from the short form version of the patient activation measure. 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.
Sep 19, 2016 the patient activation measure pam measures patients knowledge, skill, and confidence in chronic condition selfmanagement. Each item is rated 14 strongly disagree 1 to strongly agree4 and a total raw score is generated 052. Individuals who measure high on this assessment typically understand the importance of taking a proactive role in managing. Pdf measuring patient activation in the netherlands. Essi enrichd social support instrument, ibdses inflammatory bowel disease selfefficacy scale, icf international classification of functioning, disability and health, pam patient activation measure item version. The patient activation measure pam is a 22item measure that assesses patient. Psychometric properties of the patient activation measure. Over a decade of research on the patient activation measure survey guides how best to. Development testing of a short form of the patient activation. Can increasing patient activation improve the outcomes of. Pam is designed to measure the level fo activation of patients suffering from chronic diseases like diabetes and hbp. However, for pam users who are seeking the highest level of measurement precision, the.
The patient activation measure pam survey is a quantifiable descriptor. Validation of the patient activation measure pam among. 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 patient activation measure pam measures patients knowledge, skill, and confidence in chronic condition selfmanagement. Patient activation was measured using the item patient activation measure pam possible range 0100. Oct 14, 2011 have a look at development of the patient activation measure pam. In 2005 a item short form of the pam was developed, which has the same psychometric properties as the longer version and is. They are closely linked to clinical outcomes, the costs of. Patient and disease characteristics associated with. Measure cspam,8 the caregiver activation measure cam,9 patient activation measure for mental health pammh10 and parent patient activation measure ppam.
Translation, adaptation and validation of the american. What is the patient activation measure in patientcentered care. The patient activation measure pam is a patientreported measure that has been validated in the united kingdom. All of the infit and outfit statistics for the item version of the pam fall well within the 0. When we offer new patient programs and services, who shows up. 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. Open access research factors associated with patient. The pam scale assesses patient selfreported knowledge, skills and confidence for selfmanagement of ones health or chronic condition. Scores on the pam have been shown to predict adherence to health behaviours, health. Adaptation to european spanish and psychometric properties of. Randomized controlled trial of a patient activation tool. The pam is used across the healthcare industry to determine the level at which a patient is activated in her own care.
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 chinese patient activation measure chinese pam. The patient activation measure pam is a commercial product which assesses an individuals knowledge, skill, and confidence for managing ones health and healthcare. Each pam item bears a statement on the patients knowledge, attitude, skills or confidence in selfmanaging their health care and is scored using a fourpoint scale, ranging from 1 strongly disagree to 4.
Pam is a unidimensional guttmanlike measure with a 4point scale, structured developmentally in. 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. Data quality was assessed by mean, median, item response, missing values, floor and. We used the item version of the patient activation measure pam. Supporting people to manage their health kings fund. For example, none of the six pei items explicitly refers to a patients ability to. A new generic item questionnaire for measuring patient. In 2005 a item short form of the pam was developed, which has the same psychometric properties as the longer version and is both reliable and. The pam was created by a group of researchers in an effort to define patient activation. Because the measure is highly reliable at the person level, it is possible to use it on an individual patient basis to diagnose activation and individualize care plans. 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.
An individuals level of activation is evaluated by the patient activation measure pama item questionnaire that was designed with input from experts in the treatment of chronic disease, patients with experience managing one or more conditions, and the literature on selfcare and selfmanagement. Using the patient activation measure to improve outcomes and. The patient activation measure pam is a measure that assesses patient knowledge, skill, and confidence for selfmanagement. Translation and initial psychometric evaluation of the. Development and testing of a short form of the patient. The results of the analysis indicate that the shortened item version is both. To date, the most frequently used instrument for measuring patient engagement is the patient activation measure pam. Using the patient activation measure to improve outcomes and control costs judith h. Print health literacy was evaluated with the rapid assessment of adult health literacy in medicine realm 23 and health numeracy was with a 3.
Patient activation in older people with longterm conditions. It identifies four elements of patient activation knowledge, skills, confidence, and behaviours critical for coping with a chronic illness and suggests four levels of. To measure patient activation, we used the item pam, which has been shown to be reliable and valid in various populations and settings. The role and measurement of patient activation in the. An educational intervention to train professional nurses. Adaptation to european spanish and psychometric properties. However, for pam users who are seeking the highest level of measurement precision, the pam 22 may be more desirable. The pam scale was originally developed by hibbard with 22 items and a shortened version with items was widely used 27,28. The item patient activation measure pam is an instrument that assesses peoples knowledge, skills and confidence for selfmanagement of their health and health care.
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