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Development of the Patient Activation Measure (PAM): Conceptualizing and Measuring Activation in Patients and Consumers

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Zeitschriftentitel: Health Services Research
Personen und Körperschaften: Hibbard, Judith H., Stockard, Jean, Mahoney, Eldon R., Tusler, Martin
In: Health Services Research, 39, 2004, 4p1, S. 1005-1026
Medientyp: E-Article
Sprache: Englisch
veröffentlicht:
Wiley
Schlagwörter:
author_facet Hibbard, Judith H.
Stockard, Jean
Mahoney, Eldon R.
Tusler, Martin
Hibbard, Judith H.
Stockard, Jean
Mahoney, Eldon R.
Tusler, Martin
author Hibbard, Judith H.
Stockard, Jean
Mahoney, Eldon R.
Tusler, Martin
spellingShingle Hibbard, Judith H.
Stockard, Jean
Mahoney, Eldon R.
Tusler, Martin
Health Services Research
Development of the Patient Activation Measure (PAM): Conceptualizing and Measuring Activation in Patients and Consumers
Health Policy
author_sort hibbard, judith h.
spelling Hibbard, Judith H. Stockard, Jean Mahoney, Eldon R. Tusler, Martin 0017-9124 1475-6773 Wiley Health Policy http://dx.doi.org/10.1111/j.1475-6773.2004.00269.x <jats:p><jats:bold>Background. </jats:bold> Controlling costs and achieving health care quality improvements require the participation of activated and informed consumers and patients.</jats:p><jats:p><jats:bold>Objectives. </jats:bold> 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 psychometric properties of that measure.</jats:p><jats:p><jats:bold>Methods. </jats:bold> We used the convergence of the findings from a national expert consensus panel and patient focus groups to define the concept and identify the domains of activation. These domains were operationalized by constructing a large item pool. Items were pilot‐tested and initial psychometric analysis performed using Rasch methodology. The third stage refined and extended the measure. The fourth stage used a national probability sample to assess the measure's psychometric performance overall and within different subpopulations.</jats:p><jats:p><jats:bold>Study Sample. </jats:bold> Convenience samples of patients with and without chronic illness, and a national probability sample (<jats:italic>N</jats:italic>=1,515) are included at different stages in the research.</jats:p><jats:p><jats:bold>Conclusions. </jats:bold> The Patient Activation Measure is a valid, highly reliable, unidimensional, probabilistic Guttman‐like scale that reflects a developmental model of activation. Activation appears to involve four stages: (1) believing the patient role is important, (2) having the confidence and knowledge necessary to take action, (3) actually taking action to maintain and improve one's health, and (4) staying the course even under stress. The measure has good psychometric properties indicating that it can be used at the individual patient level to tailor intervention and assess changes.</jats:p> Development of the Patient Activation Measure (PAM): Conceptualizing and Measuring Activation in Patients and Consumers Health Services Research
doi_str_mv 10.1111/j.1475-6773.2004.00269.x
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title Development of the Patient Activation Measure (PAM): Conceptualizing and Measuring Activation in Patients and Consumers
title_unstemmed Development of the Patient Activation Measure (PAM): Conceptualizing and Measuring Activation in Patients and Consumers
title_full Development of the Patient Activation Measure (PAM): Conceptualizing and Measuring Activation in Patients and Consumers
title_fullStr Development of the Patient Activation Measure (PAM): Conceptualizing and Measuring Activation in Patients and Consumers
title_full_unstemmed Development of the Patient Activation Measure (PAM): Conceptualizing and Measuring Activation in Patients and Consumers
title_short Development of the Patient Activation Measure (PAM): Conceptualizing and Measuring Activation in Patients and Consumers
title_sort development of the patient activation measure (pam): conceptualizing and measuring activation in patients and consumers
topic Health Policy
url http://dx.doi.org/10.1111/j.1475-6773.2004.00269.x
publishDate 2004
physical 1005-1026
description <jats:p><jats:bold>Background. </jats:bold> Controlling costs and achieving health care quality improvements require the participation of activated and informed consumers and patients.</jats:p><jats:p><jats:bold>Objectives. </jats:bold> 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 psychometric properties of that measure.</jats:p><jats:p><jats:bold>Methods. </jats:bold> We used the convergence of the findings from a national expert consensus panel and patient focus groups to define the concept and identify the domains of activation. These domains were operationalized by constructing a large item pool. Items were pilot‐tested and initial psychometric analysis performed using Rasch methodology. The third stage refined and extended the measure. The fourth stage used a national probability sample to assess the measure's psychometric performance overall and within different subpopulations.</jats:p><jats:p><jats:bold>Study Sample. </jats:bold> Convenience samples of patients with and without chronic illness, and a national probability sample (<jats:italic>N</jats:italic>=1,515) are included at different stages in the research.</jats:p><jats:p><jats:bold>Conclusions. </jats:bold> The Patient Activation Measure is a valid, highly reliable, unidimensional, probabilistic Guttman‐like scale that reflects a developmental model of activation. Activation appears to involve four stages: (1) believing the patient role is important, (2) having the confidence and knowledge necessary to take action, (3) actually taking action to maintain and improve one's health, and (4) staying the course even under stress. The measure has good psychometric properties indicating that it can be used at the individual patient level to tailor intervention and assess changes.</jats:p>
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author Hibbard, Judith H., Stockard, Jean, Mahoney, Eldon R., Tusler, Martin
author_facet Hibbard, Judith H., Stockard, Jean, Mahoney, Eldon R., Tusler, Martin, Hibbard, Judith H., Stockard, Jean, Mahoney, Eldon R., Tusler, Martin
author_sort hibbard, judith h.
container_issue 4p1
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container_title Health Services Research
container_volume 39
description <jats:p><jats:bold>Background. </jats:bold> Controlling costs and achieving health care quality improvements require the participation of activated and informed consumers and patients.</jats:p><jats:p><jats:bold>Objectives. </jats:bold> 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 psychometric properties of that measure.</jats:p><jats:p><jats:bold>Methods. </jats:bold> We used the convergence of the findings from a national expert consensus panel and patient focus groups to define the concept and identify the domains of activation. These domains were operationalized by constructing a large item pool. Items were pilot‐tested and initial psychometric analysis performed using Rasch methodology. The third stage refined and extended the measure. The fourth stage used a national probability sample to assess the measure's psychometric performance overall and within different subpopulations.</jats:p><jats:p><jats:bold>Study Sample. </jats:bold> Convenience samples of patients with and without chronic illness, and a national probability sample (<jats:italic>N</jats:italic>=1,515) are included at different stages in the research.</jats:p><jats:p><jats:bold>Conclusions. </jats:bold> The Patient Activation Measure is a valid, highly reliable, unidimensional, probabilistic Guttman‐like scale that reflects a developmental model of activation. Activation appears to involve four stages: (1) believing the patient role is important, (2) having the confidence and knowledge necessary to take action, (3) actually taking action to maintain and improve one's health, and (4) staying the course even under stress. The measure has good psychometric properties indicating that it can be used at the individual patient level to tailor intervention and assess changes.</jats:p>
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spelling Hibbard, Judith H. Stockard, Jean Mahoney, Eldon R. Tusler, Martin 0017-9124 1475-6773 Wiley Health Policy http://dx.doi.org/10.1111/j.1475-6773.2004.00269.x <jats:p><jats:bold>Background. </jats:bold> Controlling costs and achieving health care quality improvements require the participation of activated and informed consumers and patients.</jats:p><jats:p><jats:bold>Objectives. </jats:bold> 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 psychometric properties of that measure.</jats:p><jats:p><jats:bold>Methods. </jats:bold> We used the convergence of the findings from a national expert consensus panel and patient focus groups to define the concept and identify the domains of activation. These domains were operationalized by constructing a large item pool. Items were pilot‐tested and initial psychometric analysis performed using Rasch methodology. The third stage refined and extended the measure. The fourth stage used a national probability sample to assess the measure's psychometric performance overall and within different subpopulations.</jats:p><jats:p><jats:bold>Study Sample. </jats:bold> Convenience samples of patients with and without chronic illness, and a national probability sample (<jats:italic>N</jats:italic>=1,515) are included at different stages in the research.</jats:p><jats:p><jats:bold>Conclusions. </jats:bold> The Patient Activation Measure is a valid, highly reliable, unidimensional, probabilistic Guttman‐like scale that reflects a developmental model of activation. Activation appears to involve four stages: (1) believing the patient role is important, (2) having the confidence and knowledge necessary to take action, (3) actually taking action to maintain and improve one's health, and (4) staying the course even under stress. The measure has good psychometric properties indicating that it can be used at the individual patient level to tailor intervention and assess changes.</jats:p> Development of the Patient Activation Measure (PAM): Conceptualizing and Measuring Activation in Patients and Consumers Health Services Research
spellingShingle Hibbard, Judith H., Stockard, Jean, Mahoney, Eldon R., Tusler, Martin, Health Services Research, Development of the Patient Activation Measure (PAM): Conceptualizing and Measuring Activation in Patients and Consumers, Health Policy
title Development of the Patient Activation Measure (PAM): Conceptualizing and Measuring Activation in Patients and Consumers
title_full Development of the Patient Activation Measure (PAM): Conceptualizing and Measuring Activation in Patients and Consumers
title_fullStr Development of the Patient Activation Measure (PAM): Conceptualizing and Measuring Activation in Patients and Consumers
title_full_unstemmed Development of the Patient Activation Measure (PAM): Conceptualizing and Measuring Activation in Patients and Consumers
title_short Development of the Patient Activation Measure (PAM): Conceptualizing and Measuring Activation in Patients and Consumers
title_sort development of the patient activation measure (pam): conceptualizing and measuring activation in patients and consumers
title_unstemmed Development of the Patient Activation Measure (PAM): Conceptualizing and Measuring Activation in Patients and Consumers
topic Health Policy
url http://dx.doi.org/10.1111/j.1475-6773.2004.00269.x