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 ones health or chronic condition hibbard et al. Deidentified claims, demographic data, and serial pam scores were. Using the patient activation measure to improve outcomes and control costs judith h. Sep 19, 2016 the patient activation measure pam measures patients knowledge, skill, and confidence in chronic condition selfmanagement.
Each item is rated 14 strongly disagree 1 to strongly agree4 and a total raw score is generated 052. The patient activation measure short form pam assesses patients selfreported health management skills, knowledge, confidence, and motivation. 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. Oct 14, 2011 have a look at development of the patient activation measure pam. Patient activation measures in a government homeopathic. Patient activation changes as a potential signal for changes. Patient activation measures zdeveloped by judith hibbard, jean stockard, and martin tusler at the university of oregon and eldon r. 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. When we offer new patient programs and services, who shows up. The relationship between the patient activation measure, future health outcomes, and health care utilization among patients with diabetes. The patient activation measure pam measures patients knowledge, skill, and confidence in chronic condition selfmanagement. The item patient activation measure pam was asked of all adults age 18 and over and was selfreported. The pammhs psychometric properties equal those of the original item pam. Patient activation mediates health literacy associated.
A new generic item questionnaire for measuring patient enablement german version. So we took a closer look at hibbards pam 12 and its german version and at howies seminal patient enablement instrument pei 2,17. 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. It is a powerful and reliable measure of patient activation. Development testing of a short form of the patient activation measure.
Validation of the patient activation measure in patients at discharge. The items have response options ranging from 1strongly disagree to 4 strongly agree with an option to respond as not applicable. Translation, adaptation and validation of the american short. 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. The patient activation measure is a relatively new tool that assesses a patients level of activation to more appropriately tailor healthcare interventions. Have a look at development of the patient activation measure pam. The item short form patient activation measure pam, chinese version. 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. To assess the activation level of healthy or chronically ill individuals, the instrument patient activation measure pam was created in the united states, in a version with 22 items pam22. Although the pam was originally designed to be used for persons with chronic conditions, a slightly modified version was developed for persons with no chronic conditions see appendix. Psychometric evaluation of the german version of the. The purpose of this study was to assess the validity of pam english version among englishspeaking adults with cardiac conditions in singapore.
A validation study in norway author links open overlay panel inger elise o. They are closely linked to clinical outcomes, the costs of. Using the patient activation measure to improve outcomes and. Cultural adaptation and validation of the brazilian. In general, more items need to be added to cover the upper end of the trait. The patient activation measure pam is a measure that assesses patient knowledge, skill, and confidence for selfmanagement. In this 57page report, get background on these three health coaching essentials. In this study, we explore the degree to which changes in patient activation measure pam levels predict health care costs among highrisk patients. Measuring and documenting client engagement through the patient activation measure 10 pam 10, a tenitem survey that helps identify the knowledge, skills, and confidence level of an indiv idual towards their health and healthcare coaching individuals to increase engagement activation in their healthcare including. Patient and disease characteristics associated with. A crosssectional study was conducted in a convenient sample of 270 heart clinic patients. Translation and initial psychometric evaluation of the. While early versions the pam comprised questions5 shortened item pam. Methods development and testing of a short form of the patient activation measure judith h.
However, patient activation is its own quantifiable concept supported by the patient activation measure pam. Patient activation was assessed at baseline during the index hospitalization using an adapted 8item version of the item pam, as previously described mitchell et al. 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 patient activation measure pam is a patientreported measure that has been validated in the united kingdom. 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. The pam scale assesses patient selfreported knowledge, skills and confidence for selfmanagement of ones health or chronic condition. Two studies showed that the association between patient activation and measures of health literacy was weak, indicating that these are 2 distinct concepts. A pretest with 26 subjects was followed by a random sample survey of n. However, for pam users who are seeking the highest level of measurement precision, the pam 22 may be more desirable.
The shorter version of the pam will make it more feasible to use activation scores to inform patient care plans. Both can be conceptualized as either a process or an emergent state 1. The item patient activation measure pam 16item instru measured patient activation using the short form the patient activation measure item version available gensichen j. The patient activation measure 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. Conceptualizing and measuring activation in patients and consumers 2004. Patient activation, motivational interviewing and positive psychology.
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. Can increasing patient activation improve the outcomes of. Psychometric evaluation of the german version of the patient. Development and testing of a short form of the patient. Validation of the patient activation measure pam among. 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. The patient activation measure pam is a 22item measure that assesses patient knowledge, skill, and con. The pam has been used in several different countries, including the uk. Psychometric properties of the patient activation measure. The pam scale was originally developed by hibbard with 22 items and a shortened version with items was widely used 27,28. The pam is used across the healthcare industry to determine the level at which a.
To various degrees, the pam has been applied in three main ways. Laracabrera a c h 1 lilisbeth peresteloperez d e f amado riverosantana e f g lasse eriksen b h olav m. The same holds for the terms patient empowerment and patient activation. The chinese patient activation measure chinese pam. 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. In 2005 a item short form of the pam was developed, which has the same psychometric properties as the longer. A rasch partial credit model analysis was conducted on the pam instrument using a sample. To compose more individualized strategies, we aim to increase our understanding of characteristics associated with patient activation for selfmanagement and to evaluate.
Translation, adaptation and validation of the american. The 22item pam was developed using rasch psychometric methods and is an interval level, unidimensional. 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. The patient activation measure pam consists of items and assesses patient or consumer selfreported knowledge, skills, and confidence for selfmanagement of ones health or chronic condition. This study validates the danish translation of the item patient activation measure pam in a danish population with dysglycaemia. Psychometric properties of the patient activation measure among outpatients waiting for mental health treatment. Adaptation to european spanish and psychometric properties. Understanding patient activation and adherence to nebuliser. 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 activation mediates health literacy associated with. 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. The original patient activation measure pam has 22 items and a item version has also been developed pam 6. Randomized controlled trial of a patient activation tool. Each item has four response categories with scores.
Pam reliably predicts future er visits, hospital admissions and readmissions, medication adherence and more. Conclusions patient activation measure short form pam performs well in some areas, but not all. The patient activation measure pam is a commercial product which assesses an individuals knowledge, skill, and confidence for managing ones health and healthcare. Supporting people to manage their health kings fund. We used item response theory to evaluate the psychometric properties of the pam utilized in rural settings. A multidisciplinary team developed items to capture individual aspects of patient enablement pen. Patient activation scores have been robustly demonstrated to predict a number of health behaviours. Development of the patient activation measure for mental. Each item is rated 14 strongly disagree 1 to strongly agree4 and a. A new generic item questionnaire for measuring patient enablement german version article pdf available in international journal of environmental research and public health 1623. We used the item version of the patient activation measure pam. Measure cspam,8 the caregiver activation measure cam,9 patient activation measure for mental health pammh10 and parent patient activation measure ppam. The first version, developed in 2004, comprised 22 items 8, and in 2005, a shorter version of items was developed to enhance the feasibility. A crosssectional study was conducted in a convenient sample of 270 heart clinic.
The 22 item pam was developed using rasch psychometric methods and is an interval level. Psychometric assessment of the patient activation measure. Insignia health, llc proprietary and confidential 2015 for use with a valid license only. What is the patient activation measure in patientcentered care. Independent evaluation of the feasibility of using the. Adaptation to european spanish and psychometric properties of. License pam pam reliably predicts future er visits, hospital admissions and readmissions, medication adherence and more. The item patient activation measure pam was used to.
Programs to improve quality of care and lower costs for the highest utilizers of health services are proliferating, yet such programs have difficulty demonstrating cost savings. The pam was formulated in two versions targeting people with or without chronic disease, with few semantic differences 6. The purpose of our study was to develop and psychometrically test a germanlanguage survey instrument that measures patient enablement generically and in greater detail than previous instruments. Patient activation, motivational interviewing and positive psychology provides the fundamentals of three essential tools that health coaches can use to measure and monitor activation levels, elicit behavior change, move clients along the path to selfmanagement and have a positive impact on health outcomes and utilization. Using activation measure to inform care protocols rooming process back pain mammograms. Our objective was to adapt the physical health patient activation measure pam for use among people with mental health conditions pammh. Reliability analysis of the turkish version of the patient.
The item version of the pam was used in all four european studies. Kaiser care management institute, phd dissertation. Cultural adaptation and validation of the brazilian version. A new generic item questionnaire for measuring patient enablement german version article pdf available in international journal of. Patient activation changes as a potential signal for. There are long 22 item and short item versions available. Activation can predict utilization and health outcomes two years into the future for diabetics % change for a 1 point change in pam score. Scores on the pam have been shown to predict adherence to health behaviours, healthrelated outcomes and health care costs. Data came from three studies among people with chronic mental health conditions and were combined in rasch analyses. 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. Measuring patient activation in chinese patients with.
In this study the pam was translated into a dutch version. Understand the patient activation measure pam items a. A new generic item questionnaire for measuring patient. The results indicate that the shortened item version is both reliable and valid. The analysis yielded a item measure that has psychometric properties similar to the original 22item version.
Pam activation levels are mapped to hundreds of consumer health characteristics motivators, attitudes. The item version of the pam was used in all four european studies 10. Can increasing patient activation improve the outcomes of care. What is the patient activation measure in patientcentered. 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 to address chronic pain and opioid. Over a decade of research on the patient activation measure survey guides how best to increase activation and improve outcomes. Pam is designed to measure the level fo activation of patients suffering from chronic diseases like diabetes and hbp. Patient activation in older people with longterm conditions. For each statement patients are required to say how. Using the patient activation measure to improve outcomes. A disadv antage of the pei, however, seems to be that it. 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.