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Measuring patient activation: the utility of the Patient Activation Measure administered in an interview setting

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Název: Measuring patient activation: the utility of the Patient Activation Measure administered in an interview setting
Autoři: Magdalena Holter, Alexander Avian, Martin Weger, Sanja Strini, Monja Michelitsch, Katja Brenk-Franz, Andreas Wedrich, Andrea Berghold
Zdroj: Qual Life Res
Informace o vydavateli: Springer Science and Business Media LLC, 2024.
Rok vydání: 2024
Témata: Male, Psychometrics, Reproducibility of Results, Middle Aged, Article, Macular Edema, Self Efficacy, Interviews as Topic, Self Care, 03 medical and health sciences, Cross-Sectional Studies, 0302 clinical medicine, Surveys and Questionnaires, Germany, Female [MeSH], Item response theory, Surveys and Questionnaires/standards [MeSH], Aged [MeSH], Humans [MeSH], Self Efficacy [MeSH], Mode of questionnaire administration, Middle Aged [MeSH], Cross-Sectional Studies [MeSH], Psychometrics [MeSH], Macular Edema/psychology [MeSH], Patient Activation Measure®, Interviews as Topic [MeSH], Self Care [MeSH], Male [MeSH], Reproducibility of Results [MeSH], Quality of Life [MeSH], Germany [MeSH], Patient Participation/psychology [MeSH], Quality of Life, Humans, Female, Patient Participation, Aged
Popis: Background Patient activation is an emerging field in healthcare research concerning knowledge, skills, and confidence of patients in managing their health. This is particularly important for patients with chronic diseases, who often require more complex care management and self-care skills. However, due to temporary or longer-lasting visual impairments, certain patient groups cannot answer a questionnaire independently. The main objective is to investigate the psychometric properties of the German Patient Activation Measure® (PAM) survey in an everyday clinical setting where it has to be read aloud. Methods Outpatients with macular edema participated in this questionnaire-based cross-sectional study. The study assessed patient activation by the PAM® survey, self-rated health, self-efficacy, quality of life, and general mood. Interviewers read questionnaires aloud to patients. Psychometric properties of the PAM® survey were investigated by item response theory (IRT), Cronbach’s α and trait–trait correlations. Results The analysis included N = 554 patients. Median age was 69 (IQR 62.0–76.0) years and mean overall activation score 74.1 (SD 13.7). All items showed ceiling effects. Empirical reliability from the IRT model and Cronbach’s α were 0.75. The PAM® survey showed a Spearman correlation of 0.54 with self-efficacy, 0.51 with quality of life and 0.34 with general mood. Conclusion The read-aloud PAM® survey has been shown to provide to adequate measurement precision and convergent validity to be used as a screening tool in an everyday clinical setting. Objective assessment in an interview setting with the PAM® survey is possible. PAM® items are good in distinguishing lower to middle activated patients, but not patients with high activation. Further, issues with structural validity need more investigation.
Druh dokumentu: Article
Other literature type
Jazyk: English
ISSN: 1573-2649
0962-9343
DOI: 10.1007/s11136-024-03614-2
Přístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/38388807
https://repository.publisso.de/resource/frl:6522404
Rights: CC BY
Přístupové číslo: edsair.doi.dedup.....38706acfd7556d14816395f17c776b9c
Databáze: OpenAIRE
Popis
Abstrakt:Background Patient activation is an emerging field in healthcare research concerning knowledge, skills, and confidence of patients in managing their health. This is particularly important for patients with chronic diseases, who often require more complex care management and self-care skills. However, due to temporary or longer-lasting visual impairments, certain patient groups cannot answer a questionnaire independently. The main objective is to investigate the psychometric properties of the German Patient Activation Measure® (PAM) survey in an everyday clinical setting where it has to be read aloud. Methods Outpatients with macular edema participated in this questionnaire-based cross-sectional study. The study assessed patient activation by the PAM® survey, self-rated health, self-efficacy, quality of life, and general mood. Interviewers read questionnaires aloud to patients. Psychometric properties of the PAM® survey were investigated by item response theory (IRT), Cronbach’s α and trait–trait correlations. Results The analysis included N = 554 patients. Median age was 69 (IQR 62.0–76.0) years and mean overall activation score 74.1 (SD 13.7). All items showed ceiling effects. Empirical reliability from the IRT model and Cronbach’s α were 0.75. The PAM® survey showed a Spearman correlation of 0.54 with self-efficacy, 0.51 with quality of life and 0.34 with general mood. Conclusion The read-aloud PAM® survey has been shown to provide to adequate measurement precision and convergent validity to be used as a screening tool in an everyday clinical setting. Objective assessment in an interview setting with the PAM® survey is possible. PAM® items are good in distinguishing lower to middle activated patients, but not patients with high activation. Further, issues with structural validity need more investigation.
ISSN:15732649
09629343
DOI:10.1007/s11136-024-03614-2