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OBJECTIVE The Patient Activation Measure (PAM) is a 22-item measure that assesses patient knowledge, skill, and confidence for self-management. The measure was developed using Rasch analyses and is an interval level, unidimensional, Guttman-like measure. The current analysis is aimed at reducing the number of items in the measure while maintaining adequate(More)
BACKGROUND Controlling costs and achieving health care quality improvements require the participation of activated and informed consumers and patients. OBJECTIVES We describe a process for conceptualizing and operationalizing what it means to be "activated" and delineate the process we used to develop a measure for assessing "activation," and the(More)
OBJECTIVE The purpose of this study is to determine whether patient activation is a changing or changeable characteristic and to assess whether changes in activation also are accompanied by changes in health behavior. STUDY METHODS To obtain variability in activation and self-management behavior, a controlled trial with chronic disease patients randomized(More)
OBJECTIVE The purpose of this study is to begin the process of developing a theory of activation, to inform educational efforts and the design of interventions. Because the experience of positive emotions in daily life, tends to widen the individual's array of behavioral responses and increase their openness to new information, we examine how emotions(More)
This study demonstrates the feasibility of developing a medication list e-tool from multiple medication data sources that is accessible to patients, caregivers, and health care practices and is " portable " or accessible wherever patients go. A single medication list was created electronically by integrating data from the Shared Care Plan, a Web-based(More)
BACKGROUND Evidence that both quality and patient safety are jeopardized for patients undergoing transitions across care settings continues to expand. Performance measurement is one potential strategy towards improving the quality of transitional care. A valid and reliable self-report measure of the quality of care transitions is needed that is both(More)
Diagnosticians recognize three subtypes of attention deficit/hyperactivity disorder (ADHD) if there are developmentally inappropriate levels (six or more symptoms) of Hyperactive-Impulsive behavior, or Inattentive behavior, or both (Combined), respectively. ADHD may partly reflect androgen dysfunction, and an arguable proxy for prenatal androgen exposure is(More)
BACKGROUND The Institute of Medicine has identified care transitions as a priority area for performance measurement. OBJECTIVES To examine the performance of the Care Transitions Measure (CTM) in more diverse populations and to introduce a 3-item CTM. RESEARCH DESIGN Cross-sectional study with purposive sampling of traditionally underserved populations.(More)
An ambulatory senior health clinic was developed using the chronic care model (CCM), with emphasis on an interdisciplinary team approach. To determine the effect of this care model approach in a nonprofit healthcare system, an observational, longitudinal panel study of community-dwelling Medicare beneficiaries was performed to examine the effect on physical(More)
BACKGROUND Clinicians have been slow to embrace support for patient self-management. OBJECTIVE To explore clinicians' beliefs about patient self-management and specifically assess which patient competencies clinicians believe are most important for their patients. METHODS Using items adapted from the Patient Activation Measure (PAM) as a basis, a new(More)