I found this article to be helpful with scoring the pam. The item survey removed measures that would not have a. Independent evaluation of the feasibility of using the. An individuals activation is measured through the completion of the pam 10 survey. Using the patient activation measure to improve outcomes and control costs judith h. The pam is an easytouse survey that could help explain why some patients have better outcomes than others. Each item uses a 4point likerttype scale of response options ranging from strongly disagree to strongly agree. Psychometric properties of the korean version of the. 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 one s health or chronic condition. The original 22item pam was subsequently shortened to a item version and was found to be both reliable and valid for assessing patient activation. Patient activation measure pam this summer i learned about the patient activation measure pam. The role and measurement of patient activation in the. The role of patient health engagement model phemodel in. Demographics and socioeconomic factors account for 6% or less of the variation in pam scores, which means health activation level can change over time, which is good news.
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. Patient activation measure pam insignia health enus. The pam is used across the healthcare industry to determine the level at which a patient is activated in her own care. Higher preoperative patient activation associated with. 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.
Development and testing of a short form of the patient activation. For example, under level one, patients are asked about the degree to. The patient activation measure pam is a commercial product which assesses an individuals knowledge, skill, and confidence for managing ones health and healthcare. There are other languages, that have not been validated. The patient activation measure pam assesses the underlying knowledge, skills and confidence integral to managing one s own health and healthcare. 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. Reliability and validity of the patient activation measure. Since mid2010, fairview has routinely had primary care patients complete the item patient activation measure pam. Patient activation mediates health literacy associated.
Psychometric evaluation of the german version of the. The unidimensional, item, patient activation measure pam is a valid measure of patient activation i. What is the patient activation measure in patientcentered. Individuals who measure high on this assessment typically understand the importance of taking a proactive role in managing their hea. The pam is a item instrument which assesses a patients selfreported knowledge, skills and confidence for selfmanagement of one s health or chronic condition, developed by hibbard et al.
Patient activation measurement pam 50 40 difficulty structure of items. Development testing of a short form of the patient activation measure. Delivering selfmanagement health outcomes using the. The 22item pam was developed using rasch psychometric methods and is an interval level, unidimensional, guttmanlike measure. There is a parent version of the pam used in pediatrics. So we took a closer look at hibbards pam 12 and its german version. Please indicate how much you agree or disagree with each statement as it applies to you and your child by circling your.
Patient and disease characteristics associated with. Patient activation measure wikimili, the free encyclopedia. Association between patient activation and patient. Parent patient activation measure below are some statements that people sometimes make when they talk about their childs health. 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. The patient activation measure pam consists of items and assesses patient or consumer selfreported knowledge, skills, and confidence for selfmanagement of one s 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 one s health or chronic condition hibbard et al. In 2005 a item short form of the pam was developed, which has the same psychometric properties as the longer version and is. When all is said and done, i am the person who is responsible for. 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.
It may be necessary to measure at more than one point in time to understand how care is affecting patients. The pam score was then converted into one of the four levels of patient activation. 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. A new generic item questionnaire for measuring patient enablement german version achim siegel 1, anna t. Use the link below to share a fulltext version of this article with your friends and colleagues. A short, item version of the pam questionnaire was validated in 2005. The items have response options ranging from 1strongly disagree to 4 strongly agree with an option to respond as not applicable. Patient activation and pam faqs patient activation. Validation of the german version of the patient activation measure pamd in an international multicentre study of primary.
Two thousand one hundred twentyeight people were called but. All of the infit and outfit statistics for the item version of the pam fall well within the 0. In this analysis we used the item version of the pam. The pam is a item selfreported measure designed to assess patients knowledge, skills and confidence in managing their health. Having a valid and reliable measure is the very first step in understanding patient activation and its role in health care quality, outcomes, and cost containment. Insignia healths licenced patient activation measure pam is the dominant tool for measuring this are there any others. This has been broadly defined as peoples knowledge, skills and confidence to manage their own health and healthcare. Supported selfmanagement and patient activation is one of the key components of the model. The item short form patient activation measure pam, chinese version. Patient activation is one measure that has been studied preliminarily in patients with chronic disease and found to influence patient outcomes and experiences, however, to our knowledge, it has not been studied in tjas. 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. A new generic item questionnaire for measuring patient. For each statement patients are required to say how. I am the person who is responsible for taking care of my health.
Patient activation, selfmanagement, consumer roles in health 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 one s health or chronic condition hibbard et al. We used a modified version of the positive deviance. The pam is a unidimensional, intervallevel, guttmanlike scale. The patient activation measure pam, developed by hibbard et al. The patient activation measure pam measures patients knowledge, skill, and confidence in chronic condition selfmanagement. What is the patient activation measure in patientcentered care. However, patient activation is its own quantifiable concept supported by the patient activation measure pam. Thirteenitem patient activation measure with item calibrations.
The patient activation measure pam is a measurement scale of patient activation. The patient activation measure pam, which assesses patient knowledge, skill, and con. It may be necessary to measure at more than one point in time to understand. Patient activation mediates health literacy associated with hospital utilization among whites. Evaluation of a patient portal intervention for diabetes. Year change in patient activation in older adults with diabetes mellitus and heart disease. Cliniciansl beliefs and attitudes toward patient self. In 2005, a item short form of the pam was developed with the same. Development and testing of a short form of the patient. 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. The patient activation measure pam is a item, 4point likert scale patientcompleted questionnaire that was used as a theoretical measurement of patient engagement in healthcare decisionmaking. Reliability analysis of the turkish version of the patient. Randomized controlled trial of a patient activation tool.
The results of the analysis indicate that the shortened item version is. Development testing of a short form of the patient. As the aim of this study was to examine the association between patient activation and crc followup, all study participants were contacted by telephone and interviewed using the patient activation measure pam questionnaire 1218 months following the fobt. The measurement properties of the patient activation measure pam when assessed using the stringent rasch model suggest that it could fulfill that role. In 2005, the same group of researchers led by hibbard created a shortform version of the pam. The scores for the item measure range in value from. 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. Independent evaluation of the feasibility of using the patient activation measure in the nhs in. Psychometric properties of the patient activation measure. Adaptation to european spanish and psychometric properties of the patient activation measure in patients with chronic diseases. This validated instrument includes information on patient demographic characteristics, informal supports, and clinical and functional status. Using the patient activation measure to improve outcomes. All the measures in this compendium have been broadly categorised into one of those two concepts. Measuring patient activation in chinese patients with.
In this study the pam was translated into a dutch version. Adaptation to european spanish and psychometric properties. To date, the most frequently used instrument for measuring patient engagement is the patient activation measure pam. This study investigated the psychometric properties of the korean version of the patient activation measure pam using rasch analysis. Approaches used by primary care clinicians whose patients have an increase in activation levels. This term represents the 10item version of the pam. Patient activation measure pam developed by hibbard and colleagues 56,57. We used the item version of the patient activation measure pam.
The purpose of this study was to assess the validity of pam english version among englishspeaking adults with cardiac conditions in singapore. Psychometric properties of the patient activation measure among. The patient activation measure pam is a 22item measure that assesses patient. The results of the analysis indicate that the shortened item version is both. Knowing participation in change 1 knowing participation in. There is a hebrew version that has been used in the published literature. Validation of the german version of the patient activation measure. Project muse patient activation and disparate health. The pam was formulated in two versions targeting people with or without chronic disease, with few. The patient activation measure pam is a commercial product which assesses an individuals knowledge, skill, and confidence for managing one s health and healthcare. The patient activation measure pam survey is a quantifiable descriptor.
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