Is Patient Activation Associated With Outcomes of Care for Adults With Chronic Conditions?

@article{Mosen2007IsPA,
  title={Is Patient Activation Associated With Outcomes of Care for Adults With Chronic Conditions?},
  author={David M. Mosen and Julie A. Schmittdiel and Judith H. Hibbard and David S. Sobel and Carol Remmers and Jim Bellows},
  journal={Journal of Ambulatory Care Management},
  year={2007},
  volume={30},
  pages={21–29}
}
We examined the patient activation measure's (PAM's) association with process and health outcomes among adults with chronic conditions. Patients with high PAM scores were significantly more likely to perform self-management behaviors, use self-management services, and report high medication adherence, compared to patients with the lowest PAM scores. This population was 10 times more likely to report high patient-satisfaction scores, 5 times more likely to report high quality-of-life scores, and… 
Correlates of Patient Activation and Acute Care Utilization Among Multimorbid Patients
TLDR
Care transition programs focusing on health literacy, role satisfaction, and promoting patient-centered care may improve patient outcomes for multimorbid patients.
Factors associated with patient activation in an older adult population with functional difficulties.
TLDR
Older age, depressive symptoms, and difficulties with ADLs and IADLs were associated with decreased patient activation, and developing interventions tailored to older adults' level of patient activation has the potential to improve outcomes.
Taking the Long View
TLDR
The findings indicate that the benefits of health activation are enduring, yielding benefits in the form of better self-management, improved functioning, and lower use of costly health care services over time.
Activation Among Chronically Ill Older Adults With Complex Medical Needs: Challenges to Supporting Effective Self-Management
TLDR
Examination of activation among hypertensive patients older than 65 years found higher activation was associated with higher self-ratings of health, health literacy, and receipt of patient-centered care, shorter lengths of stay, and lower depression and hearing impairment levels.
Patients with lower activation associated with higher costs; delivery systems should know their patients' 'scores'.
TLDR
In an analysis of 33,163 patients of Fairview Health Services, a large health care delivery system in Minnesota, it was found that patients with the lowest activation levels had predicted average costs that were 8 percent higher in the base year and 21 percentHigher in the first half of the next year than the costs of Patients with the highest activation levels, both significant differences.
Patient Activation and Disparate Health Care Outcomes in a Racially Diverse Sample of Chronically Ill Older Adults
TLDR
This study assessed the relative impacts of activation, socio-demographic and clinical factors on health care outcomes in a racially diverse sample of chronically ill, elderly homecare patients to design effective interventions to reduce health disparities.
Patient Activation Is Associated With Healthy Behaviors and Ease in Managing Diabetes in an Indigent Population
TLDR
Higher scores on the Patient Activation Measure were associated with higher rates of self-care behaviors and ease in managing diabetes; however, the indigent urban population reported higher activation scores than found in previous studies.
Patient Assessment of Chronic Illness Care (PACIC) and Improved Patient-centered Outcomes for Chronic Conditions
TLDR
Use of the PACIC, a practical, patient-level assessment of CCM implementation, could be an important tool for health systems and other stakeholders looking to improve the quality of chronic disease care.
Why Does Patient Activation Matter? An Examination of the Relationships Between Patient Activation and Health-Related Outcomes
TLDR
This cross sectional study finds that patient activation is strongly related to a broad range of health-related outcomes, which suggests improving activation has great potential.
Assessing Clinicians' Endorsement of Patient Activation in Health Management
TLDR
The impact of a PCP-PA–tailored training on clinician adoption of strategies to influence PA was explored and gains were retained at 3 months posttraining.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 26 REFERENCES
Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization: a randomized trial.
TLDR
An intervention designed specifically to meet the needs of a heterogeneous group of chronic disease patients, including those with comorbid conditions, was feasible and beneficial beyond usual care in terms of improved health behaviors and health status.
Collaborative Management of Chronic Illness
TLDR
This work identified essential elements of collaborative management of chronic illness in light of behavioral principles and empirical evidence about enhancement of self-care, and discussed critical next steps to improve care of Chronic illness in organized health care systems.
Organizing care for patients with chronic illness.
TLDR
The challenge is to organize these components into an integrated system of chronic illness care, which can be done most efficiently and effectively in primary care practice rather than requiring specialized systems of care.
Development of the Patient Activation Measure (PAM): conceptualizing and measuring activation in patients and consumers.
TLDR
The Patient Activation Measure is a valid, highly reliable, unidimensional, probabilistic Guttman-like scale that reflects a developmental model of activation that has good psychometric properties indicating that it can be used at the individual patient level to tailor intervention and assess changes.
Patient- and provider-reported adherence: toward a clinically useful approach to measuring antiretroviral adherence.
TLDR
The consistent and largely independent association between patient and provider reported adherence and a range of variables previously shown to be associated with adherence suggests that patient- and provider-reported adherence independently measure actual adherence.
Relationships among quality of life, severity, and control measures in asthma: an evaluation using factor analysis.
TLDR
Distinct components of patient-reported asthma health status can be identified by factor analysis, and distinct constructs of severity versus control cannot be identified through the use of these validated tools alone.
Relationship of validated psychometric tools to subsequent medical utilization for asthma.
TLDR
Validated psychometric tools appear useful for asthma risk stratification in individuals and in populations in which both utilization and demographic predictors are not available.
Patients as partners in managing chronic disease
General practice p 550 Education and debate p 569 When acute disease was the primary cause of illness patients were generally inexperienced and passive recipients of medical care. Now that chronic
Usefulness of the SF-8™ Health Survey for comparing the impact of migraine and other conditions
TLDR
A new, even shorter generic health survey, the SF-8 Health Survey (SF-8™), an alternate form that uses one question to measure each of the eight SF-36 Health Survey domains, is tested in a sub-sample of migraine sufferers, indicating that the burden of migraine on functional health and well-being is considerable and comparable to other chronic conditions known to have substantial impact on HRQOL.
Interventions to improve the management of diabetes in primary care, outpatient, and community settings: a systematic review.
TLDR
Multifaceted professional interventions and organizational interventions that facilitate structured and regular review of patients were effective in improving the process of care.
...
1
2
3
...