Abstract
The purpose of this study was to compare results using individual change in level of patient activation measure (PAM) scores, individual point change scores, and group means in an outcome analysis. We evaluated changes in PAM scores (increase in level or increase of ≥5 points) to mean group PAM scores on patients who completed a self-management intervention compared with usual care on health care utilization and health-related quality of life. The sample was a subset of 91 multimorbid patients with complete data at completion of a self-management intervention. Results indicated that using a change in points allowed for more refined analysis of change compared with level changes; however, both individual measures were more reflective of actual change than group means. When tailoring interventions, we should consider using individual change scores. Further research is needed to evaluate how best to use PAM scores to measure the impact on clinical and health care outcomes.
| Original language | English (US) |
|---|---|
| Journal | Western journal of nursing research |
| DOIs | |
| State | Published - Jan 1 2019 |
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Keywords
- PAM
- cognition
- health care utilization
- multimorbidity
- patient activation
- quality of life
ASJC Scopus subject areas
- Nursing(all)
Cite this
Changes in Patient Activation in a Self-Management Intervention. / Struwe, Leeza A.; Schmaderer, Myra S.; Zimmerman, Lani.
In: Western journal of nursing research, 01.01.2019.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Changes in Patient Activation in a Self-Management Intervention
AU - Struwe, Leeza A.
AU - Schmaderer, Myra S.
AU - Zimmerman, Lani
PY - 2019/1/1
Y1 - 2019/1/1
N2 - The purpose of this study was to compare results using individual change in level of patient activation measure (PAM) scores, individual point change scores, and group means in an outcome analysis. We evaluated changes in PAM scores (increase in level or increase of ≥5 points) to mean group PAM scores on patients who completed a self-management intervention compared with usual care on health care utilization and health-related quality of life. The sample was a subset of 91 multimorbid patients with complete data at completion of a self-management intervention. Results indicated that using a change in points allowed for more refined analysis of change compared with level changes; however, both individual measures were more reflective of actual change than group means. When tailoring interventions, we should consider using individual change scores. Further research is needed to evaluate how best to use PAM scores to measure the impact on clinical and health care outcomes.
AB - The purpose of this study was to compare results using individual change in level of patient activation measure (PAM) scores, individual point change scores, and group means in an outcome analysis. We evaluated changes in PAM scores (increase in level or increase of ≥5 points) to mean group PAM scores on patients who completed a self-management intervention compared with usual care on health care utilization and health-related quality of life. The sample was a subset of 91 multimorbid patients with complete data at completion of a self-management intervention. Results indicated that using a change in points allowed for more refined analysis of change compared with level changes; however, both individual measures were more reflective of actual change than group means. When tailoring interventions, we should consider using individual change scores. Further research is needed to evaluate how best to use PAM scores to measure the impact on clinical and health care outcomes.
KW - PAM
KW - cognition
KW - health care utilization
KW - multimorbidity
KW - patient activation
KW - quality of life
UR - http://www.scopus.com/inward/record.url?scp=85066857798&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85066857798&partnerID=8YFLogxK
U2 - 10.1177/0193945919848091
DO - 10.1177/0193945919848091
M3 - Article
C2 - 31092139
AN - SCOPUS:85066857798
JO - Western Journal of Nursing Research
JF - Western Journal of Nursing Research
SN - 0193-9459
ER -