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