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Cited by 107Patient-Provider Communication in HealthcareDiabetes Management and EducationCancer survivorship and care

Patient activation, depression and quality of life

Magnezi, Racheli, Glasser, Saralee, Shalev, Hadar, Sheiber, Asher, Reuveni, Haim·2014·Patient Education and Counseling
DOI 10.1016/j.pec.2013.10.015
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Abstract

Objective "Patient activation" describes the extent to which individuals manage their own healthcare. This study evaluated the association of patient activation, depressive symptoms and quality of life in a primary care setting.Methods 278 patients who visited two primary care clinics were interviewed in the waiting room before their appointment or by telephone. Study participants completed the Patient Activation Measure (PAM), Patient Health Questionnaire-9 (PHQ-9) and Short Form-12 Health Survey (SF-12). Physicians assessed each participant's depression status immediately after the visit.Results PAM scores correlated negatively with PHQ-9 (r=-0.35, p<0.0001) and positively with total SF-12 score (r=0.39, p<0.0001). Increased participant involvement by one-level increments on the PAM was predicted by their being in the 55 to 74-year age group and higher total SF-12 quartiles. Almost half of those scoring ≥10 on PHQ-9 were not considered depressed by their physician (false negatives, i.e. "hidden depression").Conclusion In primary care settings, PAM is easily administered and useful for general patients and for those with depressive symptoms.Practice implications Assessing patient activation will enable caregivers to monitor levels of self-care (activation) and potential adherence to health behavior recommendations. PHQ-9 screening could increase awareness of "hidden depression" in the primary care setting.

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  • Mindfulness interventions have been correlated with components of self-management, including self-efficacy and intrinsic motivation, and may correlate with increased patient activation.

    “Mindfulness interventions have been correlated with components of self-management, including self-efficacy [17] and intrinsic motivation [18], and may correlate with increased patient activation [19].”

    From Online prenatal trial in mindfulness sleep management (OPTIMISM): Protocol for a pilot randomized controlled trial (2020) · cites this paper as [19]

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Authors
Magnezi, R., Glasser, S., Shalev, H., Sheiber, A., & Reuveni, H.
Affiliations
  • Bar-Ilan University (IL)
  • Sheba Medical Center (IL)
  • Soroka Medical Center (IL)
  • Ben-Gurion University of the Negev (IL)
ORCID
Venue
Patient Education and Counseling
Publisher
Elsevier BV
Published
2014-03
Volume
94
Issue
3
Pages
432-437
ISSN
0738-3991 (ISSN-L)
DOI
10.1016/j.pec.2013.10.015
OpenAlex
W2095454594
Cited by
107
References
41
Citations by year
2026: 7 · 2025: 13 · 2024: 18 · 2023: 17 · 2022: 5 · 2021: 9 · 2020: 7 · 2019: 5 · 2018: 5 · 2017: 7 · 2016: 5 · 2015: 6 · 2014: 3
FWCI
8.41
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Patient Education and Counseling (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
Keywords
patient activation, depression, quality of life, Patient Activation Measure, PHQ-9, primary care, self-care, health behavior adherence, depression screening
MeSH terms
Adult, Aged, Cross-Sectional Studies, Depression, Female, Health Surveys, Humans, Israel, Male, Mass Screening, Middle Aged, Patient Participation, Primary Health Care, Psychiatric Status Rating Scales, Quality of Life, Surveys and Questionnaires, Self Care, Age Distribution

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