The first version, developed in 2004, comprised 22 items 8, and in 2005. In general, more items need to be added to cover the upper end of the trait. Evaluates information transfer, patient and caregiver preparation, and self. The pam was translated into korean using a standardized forwardbackward translation approach. I am confident that i can take actions that will help prevent or. In this study the pam was translated into a dutch version. It is a powerful and reliable measure of patient activation. Development testing of a short form of the patient activation measure. In 2005, the same group of researchers led by hibbard created a shortform version of the pam. License pam pam reliably predicts future er visits, hospital admissions and readmissions, medication adherence and more. However, patient activation is its own quantifiable concept supported by the patient activation measure pam. We selected these practices as a convenience sample.
Supporting people to manage their health kings fund. The short form patient activation measure pam was adapted for fall prevention. Patient activation measure pam developed by hibbard and colleagues 56,57. The pam is used across the healthcare industry to determine the level at which a.
The patient activation measure pam consists of items and assesses patient or consumer selfreported knowledge, skills, and confidence. Conceptualizing and measuring activation in patients and consumers 2004. This may have caused a selection bias, in that the professionals might. Examples for linking pros items to icf codes andor dhs. Development of the patient activation measure for mental. The item patient activation measure pam was asked of all adults age 18 and over and was selfreported.
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. In other words, lets imagine we have a database from 0 patients with crohns disease, i want to select ulcer location loc1, loc2, loc3 and loc4, for later comparison. What is the patient activation measure in patientcentered care. For the purpose of this study, we only selected panel members who had been diagnosed. Psychometric properties of the korean version of the. The item patient activation measure pam questionnaire is a tool that quantifies a patients ability and confidence in managing their healthcare needs.
Background the patient activation measure pam is a recognized measure of how. Psychometric properties of the patient activation measure. The patient activation measure pam was developed using rasch analysis to assess knowledge, skills and confidence in the management of ones health. The patient activation measure pam survey is a quantifiable. The aim of this study was to test the dutch version of the clinician support for patient activation measure cspam, to explore the beliefs of dutch clinicians about patients selfmanagement, and to establish whether there are differences in this respect between general practitioners and other primary care providers. Clinicians when encouraging patient engagement in their care they do so blinded to any information on the patients capabilities for taking on a selfmanagement role.
Ability to select providers and provider organizations based on performance or. 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 patient activation measure pam is a 22item measure that assesses patient knowledge. Whether the measure was codeveloped with patients, a critical stage in the design and implementation of truly personcentred measures. The patient activation measure pam is a 22item measure that assesses patient knowledge, skill, and confidence for selfmanagement. The patient activation measure pam, developed by hibbard et al. Setting standards at the forefront of delivery system. Relationships between activation level, knowledge, selfefficacy, and selfmanagement behavior in heart failure patients discharged from rural hospitals. The patient activation measure is a valid, highly reliable, unidimensional, probabilistic guttmanlike scale that reflects a developmental model of activation.
The purpose of this study was to assess the validity of pam english version among englishspeaking adults with cardiac conditions in singapore. The item survey removed measures that would not have a. 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. 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. The association between patient activation and cost. We measured patient activation using the short form of the patient activation measure item version. So we took a closer look at hibbards pam 12 and its german version and.
A patient who is highly activated has the knowledge and skill to navigate the healthcare system and engage in healthy behaviors. This study investigated the psychometric properties of the korean version of the patient activation measure pam using rasch analysis. Psychometric evaluation of the german version of the. The results of the analysis indicate that the shortened item version is both. The results of the analysis indicate that the shortened item version is. The item patient activation measure pam was used to. Raw scores are converted to activation scores using a published. Clinicians beliefs and attitudes toward patient self. 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. The pam is a item selfreported measure designed to assess patients knowledge, skills and confidence in managing their health. The patient activation measure pam is a 22item measure that assesses patient.
The pammhs psychometric properties equal those of the original item pam. Psychometric evaluation of the german version of the patient. Patient activation and improved outcomes in hivinfected. Independent evaluation of the feasibility of using the.
Scores stratify patients into four levels of health care activation. Patient activation scores have been robustly demonstrated to predict a number of health behaviours. Patient activation was measured using the item patient activation measure pam possible range 0100. When all is said and done, i am the person who is responsible for managing my health condition.
Have a look at development of the patient activation measure pam. 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. 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. Reliability and validity of the patient activation measure. Previous studies report positive relationships between pam scores, selfmanagement behaviours and longitudinal health outcomes in adults with chronic disease. There is an increased interest in the concept of patient activation, 4 which is defined by a patients demonstration of the skills, knowledge, and motivation needed to effectively manage ones health and participate in health care decisions. Findings showed patient activation improved from preintervention to postintervention at all sites. All of the infit and outfit statistics for the item version of the pam fall well within the 0. The sample consisted of 270 korean patients with osteoarthritis.
Can increasing patient activation improve the outcomes of. Patient activation measures zdeveloped by judith hibbard, jean stockard, and martin tusler at the university of oregon and eldon r. 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. Patient activation is defined as an individuals knowledge, skill, and confidence in managing his or her own health and health care. Hiv outcomes included cd4 cell count 200 cellsml3 and hiv1 rna coaching. Development and testing of a short form of the patient activation. The item patient activation measure is an intervallevel, unidimensional guttmanlike measure that contains items measuring selfassessed knowledge about chronic conditions, beliefs about illness and medical care, and selfefficacy for selfmanagement. What is the patient activation measure in patientcentered. The relationship between the patient activation measure, future health outcomes, and health care utilization among patients with diabetes. This requires a high level of knowledge, skill and confidence. This study aims to validate the patient activation measure pamd in germanspeaking.
The item short form patient activation measure pam, chinese version. The patient activation measure pam is a item selfassessment of an individuals knowledge, skill, willingness, and confidence in managing their health and health care activation 52, 53. In 2005 a item short form of the pam was developed, which has the same. Is the patient activation measure a valid measure of.
Threestep program increases patient activation and. 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. Using the patient activation measure to improve outcomes and control costs judith h. Activation can predict utilization and health outcomes two years into the future for diabetics % change for a 1 point change in pam score. A new generic item questionnaire for measuring patient. Delivering selfmanagement health outcomes using the. To compose more individualized strategies, we aim to increase our understanding of characteristics associated with patient activation for selfmanagement and to evaluate. 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. Validation of the german version of the patient activation measure. Conclusions patient activation measure short form pam performs well in some areas, but not all. Assesses patient knowledge, skill, and confidence for self. To date, the most frequently used instrument for measuring patient engagement is the patient activation measure pam.
Using activation measure to inform care protocols rooming process back pain mammograms. Data came from three studies among people with chronic mental health conditions and were combined in rasch analyses. The measure was developed using rasch analyses and is an interval level. They are closely linked to clinical outcomes, the costs of. Health determining concepts important to people with crohn. Taking an active role in my own health care is the most important factor in determining my health and ability to function. Measure cspam,8 the caregiver activation measure cam,9 patient activation measure for mental health pammh10 and parentpatient activation measure ppam. Patient and disease characteristics associated with. Validation of the patient activation measure in patients at discharge. Measuring patient activation in chinese patients with. Randomized controlled trial of a patient activation tool. High patient activation is associated with remission in.
The swedish pam was reliable, but was not conclusively found to. Pam is designed to measure the level fo activation of patients suffering from chronic diseases like diabetes and hbp. The pam dutch is a reliable instrument to measure patient activation. Each item is rated 14 strongly disagree 1 to strongly agree4 and a total raw score is generated 052. The patient activation measure pam is a commercial product which assesses an individuals knowledge, skill, and confidence for managing ones health and healthcare.
Our objective was to adapt the physical health patient activation measure pam for use among people with mental health conditions pammh. Development and testing of a short form of the patient. The item version of the pam was used in all four european studies. The role of patient health engagement model phemodel in. The item survey assessed a patients knowledge, skill and confidence in managing his or her own fall prevention, also known as patient activation. Development and testing of a short form of the patient activation measure.
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. The items have response options ranging from 1strongly disagree to 4 strongly agree with an option to respond as not applicable. The 22item pam was developed using rasch psychometric methods and is an interval level, unidimensional. The consensusbased standards for the selection of health measurement.