Cited by 242Diabetes Management and EducationChronic Disease Management StrategiesHealth Literacy and Information Accessibility

The DOI matches its Crossref record; 18 of the 18 references it cites were found in a registry or an index.

Is Patient Activation Associated With Future Health Outcomes and Healthcare Utilization Among Patients With Diabetes?

Remmers, Carol, Hibbard, Judith, Mosen, David M., Wagenfield, Morton, Hoye, Robert E., Jones, Ches·2009·Journal of Ambulatory Care Management

DOI 10.1097/jac.0b013e3181ba6e77

Open this paper in CoChat — free account

Abstract

We examined the relationship between the patient activation measure (PAM) and future diabetes-related health outcomes through retrospective analysis of secondary data using multivariate logistic regression. PAM scores from a 2004 survey on 1180 randomly sampled adults with diabetes and health information from a 2006 diabetes registry were the data sources used. The PAM was predictive for hemoglobin A1c (HgA1c) testing (P < .008), low-density lipoprotein cholesterol (LDL-C) testing (P < .005), HgA1c control (P < .01), and all-cause discharges (P < .03), but not for lipid-lowering drug use, LDL-C control, or acute myocardial infarction discharges. These results suggest that PAM scores can be used to identify patients at risk for poorer health outcomes.

Integrity signals

Registry

Crossref · 10.1097/jac.0b013e3181ba6e77

Cites

18 of 18 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Crossing the Quality Chasm: A New Health System for the 21st Century
Baker, A. (2001) · BMJ · doi:10.1136/bmj.323.7322.1192 · Cited by 10,779
Patient Self-management of Chronic Disease in Primary Care
Bodenheimer, T. (2002) · JAMA · doi:10.1001/jama.288.19.2469 · Cited by 3,598 · cited 5×
“Chronic illnesses are not well managed (Bodenheimer et al., 2002b), and diabetes specifically has been found to be poorly controlled in the Author Affiliations: Kaiser Permanente Utility for Care Data Analysis, Oakland, California (Dr Remmers); Department of Planning, Public Policy and Management,…”
BackgroundInfluential
Improving Primary Care for Patients With Chronic Illness
Bodenheimer, T. (2002) · JAMA · doi:10.1001/jama.288.14.1775 · Cited by 2,961
Development of the Patient Activation Measure (PAM): Conceptualizing and Measuring Activation in Patients and Consumers
Hibbard, J. H., Stockard, J., Mahoney, E. R., & Tusler, M. (2004) · Health Services Research · doi:10.1111/j.1475-6773.2004.00269.x · Cited by 2,748 · cited 6×
“It was scaled and tested using the Rasch methodology, which yielded a 22-item instrument measured on a theoretical 0–100 scale where 100 represents the highest activation level (Hibbard et al., 2004).”
BackgroundMethodInfluentialSelf-citation
Improving Primary Care for Patients With Chronic Illness: The Chronic Care Model, Part 2
Bodenheimer, T., Wagner, E. H., & Grumbach, K. (2002) · JAMA · doi:10.1001/jama.288.15.1909 · Cited by 2,413
Evidence Suggesting That a Chronic Disease Self-Management Program Can Improve Health Status While Reducing Hospitalization: A Randomized Trial
Lorig, K. R., Sobel, D. S., Stewart, A. L., Brown, B. W., Bandura, A., Ritter, P., Gonzalez, V. M., Laurent, D. D., & Holman, H. R. (1999) · Medical Care · doi:10.1097/00005650-199901000-00003 · Cited by 2,261
Development and Testing of a Short Form of the Patient Activation Measure
Hibbard, J. H., Mahoney, E. R., Stockard, J., & Tusler, M. (2005) · Health Services Research · doi:10.1111/j.1475-6773.2005.00438.x · Cited by 1,944
Self-citation
Incidence of Parkinson's Disease: Variation by Age, Gender, and Race/Ethnicity
Eeden, S. K. V. D. (2003) · American Journal of Epidemiology · doi:10.1093/aje/kwg068 · Cited by 1,805
Collaborative Management of Chronic Illness
Von Korff, M., Gruman, J., Schaefer, J., Curry, S. J., & Wagner, E. H. (1997) · Annals of Internal Medicine · doi:10.7326/0003-4819-127-12-199712150-00008 · Cited by 1,269 · cited 1×
“Assessing level of activation is important because many researchers (Lorig et al., 1999; Mosen et al., 2007; Von Korff et al., 1997) have found that engaged, informed, confident, and skilled patients are more likely to perform activities that will promote their own health.”
Background
Do increases in patient activation result in improved self-management behaviors?
Hibbard, J. H., Mahoney, E. R., Stock, R., & Tusler, M. (2007) · Health Services Research · doi:10.1111/j.1475-6773.2006.00669.x · Cited by 906
Self-citation

Show all 18 references

Sorted by citations

What the evidence shows about patient activation: better health outcomes and care experiences; fewer data on costs
Hibbard, J. H., & Greene, J. (2013) · Health Affairs · doi:10.1377/hlthaff.2012.1061 · Cited by 1,787
Self-citation
Why Does Patient Activation Matter? An Examination of the Relationships Between Patient Activation and Health-Related Outcomes
Greene, J., & Hibbard, J. H. (2011) · Journal of General Internal Medicine · doi:10.1007/s11606-011-1931-2 · Cited by 1,028
Self-citation
When Patient Activation Levels Change, Health Outcomes And Costs Change, Too
Greene, J., Hibbard, J. H., Sacks, R. M., Overton, V., & Parrotta, C. (2015) · Health Affairs · doi:10.1377/hlthaff.2014.0452 · Cited by 577
Self-citation
Secondary Prevention After Coronary Artery Bypass Graft Surgery
Kulik, A., Ruel, M., Jneid, H. M., Ferguson, T. B., Hiratzka, L. F., Ikonomidis, J. S., López-Jiménez, F. A., McNallan, S. M., Patel, M. J., Roger, V. L., et al. (2015) · Circulation · doi:10.1161/cir.0000000000000182 · Cited by 457
Patients With Lower Activation Associated With Higher Costs; Delivery Systems Should Know Their Patients’ ‘Scores’
Hibbard, J. H., Greene, J., & Overton, V. (2013) · Health Affairs · doi:10.1377/hlthaff.2012.1064 · Cited by 398
Self-citation
Toward a theory of patient and consumer activation
Hibbard, J. H., & Mahoney, E. R. (2010) · Patient Education and Counseling · doi:10.1016/j.pec.2009.12.015 · Cited by 250
Self-citation
Framework to assess the effects of using patient-reported outcome measures in chronic care management
Santana, M., & Feeny, D. H. (2013) · Quality of Life Research · doi:10.1007/s11136-013-0596-1 · Cited by 224
Effectiveness of Digital Medicines to Improve Clinical Outcomes in Patients with Uncontrolled Hypertension and Type 2 Diabetes: Prospective, Open-Label, Cluster-Randomized Pilot Clinical Trial
Frias, J., Virdi, N., Raja, P., Kim, Y., Savage, G., & Osterberg, L. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.7833 · Cited by 213
Patient-physician role relationships and patient activation among individuals with chronic illness
Alexander, J. A., Hearld, L. R., Mittler, J. N., & Harvey, J. (2012) · Health Services Research · doi:10.1111/j.1475-6773.2011.01354.x · Cited by 206
The Influence of Wireless Self-Monitoring Program on the Relationship Between Patient Activation and Health Behaviors, Medication Adherence, and Blood Pressure Levels in Hypertensive Patients: A Substudy of a Randomized Controlled Trial
Kim, J. Y., Wineinger, N. E., & Steinhubl, S. R. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.5429 · Cited by 186
Effects of a Web-Based Intervention for Adults With Chronic Conditions on Patient Activation: Online Randomized Controlled Trial
Solomon, M. P., Wagner, S. L., & Goes, J. B. (2012) · Journal of Medical Internet Research · doi:10.2196/jmir.1924 · Cited by 171
Taking the Long View
Hibbard, J. H., Greene, J., Shi, Y., Mittler, J., & Scanlon, D. P. (2015) · Medical Care Research and Review · doi:10.1177/1077558715573871 · Cited by 160
Self-citation
Patient Activation and 30-Day Post-Discharge Hospital Utilization
Mitchell, S. E., Gardiner, P. M., Sadikova, E., Martin, J. M., Jack, B. W., Hibbard, J. H., & Paasche‐Orlow, M. K. (2013) · Journal of General Internal Medicine · doi:10.1007/s11606-013-2647-2 · Cited by 158
Self-citation
The role of Patient Health Engagement Model (PHE-model) in affecting patient activation and medication adherence: A structural equation model
Graffigna, G., Barello, S., & Bonanomi, A. G. (2017) · PLoS ONE · doi:10.1371/journal.pone.0179865 · Cited by 156
Asking questions: The effect of a brief intervention in community health centers on patient activation
Deen, D., Lu, W.-H., Rothstein, D., Santana, L., & Gold, M. R. (2010) · Patient Education and Counseling · doi:10.1016/j.pec.2010.07.026 · Cited by 152
The association between patient activation and medication adherence, hospitalization, and emergency room utilization in patients with chronic illnesses: A systematic review
Kinney, R. L., Lemon, S. C., Person, S. D., Pagoto, S., & Saczynski, J. S. (2015) · Patient Education and Counseling · doi:10.1016/j.pec.2015.02.005 · Cited by 152
A global research priority agenda to advance public health responses to fatty liver disease
Lazarus, J. V., Mark, H. E., Allen, A. M., Arab, J. P., Carrieri, P., Noureddin, M., Alazawi, W., Alkhouri, N., Alqahtani, S. A., Arrese, M. A., et al. (2023) · Journal of Hepatology · doi:10.1016/j.jhep.2023.04.035 · Cited by 139
Relationships between patient activation, disease-specific knowledge and health outcomes among people with diabetes; a survey study
Hendriks, M. C. P., & Rademakers, J. J. D. J. M. (2014) · BMC Health Services Research · doi:10.1186/1472-6963-14-393 · Cited by 118
How to engage type-2 diabetic patients in their own health management: implications for clinical practice
Graffigna, G., Barello, S., Libreri, C., & Bosio, A. C. (2014) · BMC Public Health · doi:10.1186/1471-2458-14-648 · Cited by 112
Hospital admissions, emergency department utilisation and patient activation for self-management among people with diabetes
Begum, N., Donald, M., Ozolins, I., & Dower, J. (2011) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2011.05.031 · Cited by 112
Self-management capability in patients with long-term conditions is associated with reduced healthcare utilisation across a whole health economy: cross-sectional analysis of electronic health records
Barker, I., Steventon, A., Williamson, R., & Deeny, S. R. (2018) · BMJ Quality & Safety · doi:10.1136/bmjqs-2017-007635 · Cited by 112
Patient activation, depression and quality of life
Magnezi, R., Glasser, S., Shalev, H., Sheiber, A., & Reuveni, H. (2014) · Patient Education and Counseling · doi:10.1016/j.pec.2013.10.015 · Cited by 107
Does patient activation level affect the cancer patient journey?
Hibbard, J. H., Mahoney, E. R., & Sonet, E. M. (2017) · Patient Education and Counseling · doi:10.1016/j.pec.2017.03.019 · Cited by 107
Self-citation
Factors affecting patients’ online health information-seeking behaviours: The role of the Patient Health Engagement (PHE) Model
Graffigna, G., Barello, S., Bonanomi, A. G., & Riva, G. (2017) · Patient Education and Counseling · doi:10.1016/j.pec.2017.05.033 · Cited by 103
Diabetes Management Through Remote Patient Monitoring: The Importance of Patient Activation and Engagement with the Technology
Su, D., Michaud, T. L., Estabrooks, P. A., Schwab, R. J., Eiland, L. A., Hansen, G., DeVany, M., Zhang, D. “., Li, Y., Pagán, J. A., et al. (2018) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2018.0205 · Cited by 98
Improving Confidence for Self Care in Patients with Depression and Chronic Illnesses
Ludman, E. J., Peterson, D., Katon, W. J., Lin, E. H. B., Korff, M. V., Ciechanowski, P. S., Young, B. A., & Gensichen, J. S. (2013) · Behavioral Medicine · doi:10.1080/08964289.2012.708682 · Cited by 111
Supporting Patient Behavior Change: Approaches Used by Primary Care Clinicians Whose Patients Have an Increase in Activation Levels
Greene, J., Hibbard, J. H., Alvarez, C., & Overton, V. (2016) · The Annals of Family Medicine · doi:10.1370/afm.1904 · Cited by 95
Self-citation
How do People with Different Levels of Activation Self-Manage their Chronic Conditions?
Dixon, A., Hibbard, J. H., & Tusler, M. (2009) · Patient · doi:10.2165/11313790-000000000-00000 · Cited by 93
Self-citation
Assessing the Impact of a Novel Smartphone Application Compared With Standard Follow-Up on Mobility of Patients With Knee Osteoarthritis Following Treatment With Hylan G-F 20: A Randomized Controlled Trial
Skrepnik, N., Spitzer, A., Altman, R., Hoekstra, J., Stewart, J., & Toselli, R. (2017) · JMIR mHealth and uHealth · doi:10.2196/mhealth.7179 · Cited by 88
Frequent Surfing on Social Health Networks is Associated With Increased Knowledge and Patient Health Activation
Grosberg, D., Fogel‐Grinvald, H., Reuveni, H., & Magnezi, R. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.5832 · Cited by 90
Raising Low ‘Patient Activation’ Rates Among Hispanic Immigrants May Equal Expanded Coverage In Reducing Access Disparities
Cunningham, P. J., Hibbard, J. H., & Gibbons, C. (2011) · Health Affairs · doi:10.1377/hlthaff.2009.0805 · Cited by 89
Self-citation
Gastric Electric Stimulation for Refractory Gastroparesis: A Prospective Analysis of 151 Patients at a Single Center
Heckert, J. M., Sankineni, A., Hughes, W. B., Harbison, S. P., & Parkman, H. P. (2015) · Digestive Diseases and Sciences · doi:10.1007/s10620-015-3837-z · Cited by 82
Making Sense of “Consumer Engagement” Initiatives to Improve Health and Health Care: A Conceptual Framework to Guide Policy and Practice
Mittler, J., Martsolf, G. R., Telenko, S., & Scanlon, D. P. (2013) · Milbank Quarterly · doi:10.1111/milq.12002 · Cited by 86
Patient–Provider Communication and Health Outcomes Among Individuals With Atherosclerotic Cardiovascular Disease in the United States
Okunrintemi, V., Spatz, E. S., Capua, P. D., Salami, J., Elizondo, J. V., Warraich, H. J., Virani, S. S., Blaha, M. J., Blankstein, R., Butt, A. A., et al. (2017) · Circulation Cardiovascular Quality and Outcomes · doi:10.1161/circoutcomes.117.003635 · Cited by 81
Effectiveness and Safety of Patient Activation Interventions for Adults with Type 2 Diabetes: Systematic Review, Meta-Analysis, and Meta-regression
Bolen, S. D., Chandar, A. K., Falck-Ytter, C., Tyler, C. V., Perzynski, A. T., Gertz, A. M., Sage, P., Lewis, S., Cobabe, M., Ye, Y., et al. (2014) · Journal of General Internal Medicine · doi:10.1007/s11606-014-2855-4 · Cited by 89
Psychometric evaluation of the German version of the patient activation measure (PAM13)
Zill, J. M., Dwinger, S., Kriston, L., Rohenkohl, A. C., Härter, M. C., & Dirmaier, J. (2013) · BMC Public Health · doi:10.1186/1471-2458-13-1027 · Cited by 78
New Measures to Establish the Evidence Base for Medical Education: Identifying Educationally Sensitive Patient Outcomes
Kalet, A. L., Gillespie, C. C., Schwartz, M. D., Holmboe, E. S., Ark, T. K., Jay, M. R., Paik, S., Truncali, A., Bruno, J. H., Zabar, S. R., et al. (2010) · Academic Medicine · doi:10.1097/acm.0b013e3181d734a5 · Cited by 77
Patient activation with knowledge, self‐management and confidence in chronic kidney disease
Johnson, M. L., Zimmerman, L. M., Welch, J. L., Hertzog, M. A., Pozehl, B., & Plumb, T. J. (2015) · Journal of Renal Care · doi:10.1111/jorc.12142 · Cited by 75
Patient activation and use of an electronic patient portal
Ancker, J. S., Osorio, S. N., Cheriff, A. D., Cole, C. L., Silver, M. D., & Kaushal, R. (2014) · Informatics for Health and Social Care · doi:10.3109/17538157.2014.908200 · Cited by 75
Patient Activation and Health Literacy as Predictors of Health Information Use in a General Sample of Dutch Health Care Consumers
Nijman, J., Hendriks, M. C. P., Brabers, A. E. M., de Jong, J. D., & Rademakers, J. J. D. J. M. (2014) · Journal of Health Communication · doi:10.1080/10810730.2013.837561 · Cited by 78
Validity of a New Patient Engagement Measure: The Altarum Consumer Engagement (ACE) Measure™
Duke, C. C., Lynch, W. D., Smith, B., & Winstanley, J. B. (2015) · Patient · doi:10.1007/s40271-015-0131-2 · Cited by 71
Development and initial testing of a Health Confidence Score (HCS)
Benson, T., POTTS, H. W. W., Bark, P., & Bowman, C. (2019) · BMJ Open Quality · doi:10.1136/bmjoq-2018-000411 · Cited by 70
Patient factors and glycaemic control – associations and explanatory power
Rogvi, S. Á., Tapager, I., Almdal, T., Schiøtz, M. L., & Willaing, I. (2012) · Diabetic Medicine · doi:10.1111/j.1464-5491.2012.03703.x · Cited by 67
Patient-Provider Therapeutic Alliance Contributes to Patient Activation in Community Mental Health Clinics
Allen, M., Cook, B. L., Carson, N. J., Interian, A., Roche, M. J. L., & Alegria, M. M. (2015) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-015-0655-8 · Cited by 67
The association between patient activation and self‐care practices: A cross‐sectional study of an Australian population with comorbid diabetes and chronic kidney disease
Zimbudzi, E., Lo, C., Ranasinha, S., Kerr, P. G., Polkinghorne, K. R., Teede, H. J., Usherwood, T., Walker, R. G., Johnson, G., Fulcher, G., et al. (2017) · Health Expectations · doi:10.1111/hex.12577 · Cited by 65
Development and Validation of the Primary Care Team Dynamics Survey
Song, H., Chien, A. T., Fisher, J., Martin, J., Peters, A. S., Hacker, K. A., Rosenthal, M. B., & Singer, S. J. (2014) · Health Services Research · doi:10.1111/1475-6773.12257 · Cited by 72
Online Activity and Participation in Treatment Affects the Perceived Efficacy of Social Health Networks Among Patients With Chronic Illness
Magnezi, R., Bergman, Y. S., & Grosberg, D. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.2630 · Cited by 62
Health Literacy and Education as Mediators of Racial Disparities in Patient Activation Within an Elderly Patient Cohort
Eneanya, N. D., Winter, M. R., Cabral, H., Waite, K. R., Henault, L. E., Bickmore, T., Hanchate, A. D., Wolf, M. S., & Paasche‐Orlow, M. K. (2016) · Journal of Health Care for the Poor and Underserved · doi:10.1353/hpu.2016.0133 · Cited by 62
P5 eHealth: An Agenda for the Health Technologies of the Future
Pravettoni, G., & Triberti, S. (2019) · Springer eBooks · doi:10.1007/978-3-030-27994-3 · Cited by 63
Patient perceptions of patient‐empowering nurse behaviours, patient activation and functional health status in postsurgical patients with life‐threatening long‐term illnesses
Jerofke, T., Weiss, M., & Yakusheva, O. (2014) · Journal of Advanced Nursing · doi:10.1111/jan.12286 · Cited by 61
Factors associated with patient activation in an Australian population with comorbid diabetes and chronic kidney disease: a cross-sectional study
Zimbudzi, E., Lo, C., Ranasinha, S., Fulcher, G. R., Jan, S., Kerr, P. G., Polkinghorne, K. R., Russell, G. M., Walker, R. G., & Zoungas, S. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-017695 · Cited by 61
The association between patient activation and healthcare resources utilization: a systematic review and meta-analysis
Anderson, G., Rega, M. L., Casasanta, D., Graffigna, G., Damiani, G., & Barello, S. (2022) · Public Health · doi:10.1016/j.puhe.2022.06.021 · Cited by 53
Factors associated with patient activation in an older adult population with functional difficulties
Gleason, K. T., Tanner, E. K., Boyd, C. M., Saczynski, J. S., & Szanton, S. L. (2016) · Patient Education and Counseling · doi:10.1016/j.pec.2016.03.011 · Cited by 53
Cancer information-seeking preferences linked to distinct patient experiences and differential satisfaction with cancer care
Loiselle, C. G. (2019) · Patient Education and Counseling · doi:10.1016/j.pec.2019.01.009 · Cited by 53
Patient engagement strategies for adults with chronic conditions: an evidence map
Aboumatar, H. J., Pitts, S. I., Sharma, R., Das, A., Smith, B. M., Day, J., Holzhauer, K., Yang, S., Bass, E. B., & Bennett, W. L. (2022) · Systematic Reviews · doi:10.1186/s13643-021-01873-5 · Cited by 55
The quest for engaging AmI: Patient engagement and experience design tools to promote effective assisted living
Triberti, S., & Barello, S. (2016) · Journal of Biomedical Informatics · doi:10.1016/j.jbi.2016.08.010 · Cited by 52
Patient Activation in Acute Decompensated Heart Failure
Dunlay, S. M., Griffin, J. M., Redfield, M. M., & Roger, V. L. (2016) · The Journal of Cardiovascular Nursing · doi:10.1097/jcn.0000000000000367 · Cited by 49
Psychometric Properties of the Hebrew Translation of the Patient Activation Measure (PAM-13)
Magnezi, R., & Glasser, S. (2014) · PLoS ONE · doi:10.1371/journal.pone.0113391 · Cited by 49
A home-based educational intervention improves patient activation measures and diabetes health indicators among Zuni Indians
Shah, V. O., Carroll, C., Mals, R., Ghahate, D., Bobelu, J., Sandy, P., Colleran, K., Schrader, R., Faber, T., & Burge, M. R. (2015) · PLOS ONE · doi:10.1371/journal.pone.0125820 · Cited by 45
Building a Bridge to the Community: An Integrated Knowledge Translation Approach to Improving Participation in Community-Based Exercise for People After Stroke
Bird, M., Mortenson, W. B., Chu, F., Acerra, N., Bagnall, E., Wright, A., Hayley, K., Yao, J. K., & Eng, J. J. (2019) · Physical Therapy · doi:10.1093/ptj/pzy146 · Cited by 47
An Educational Intervention to Train Professional Nurses in Promoting Patient Engagement: A Pilot Feasibility Study
Barello, S., Graffigna, G., Pitacco, G., Mislej, M., Cortale, M., & Provenzi, L. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2016.02020 · Cited by 45
Focus Section Health IT Usability: Applying a Task-Technology Fit Model to Adapt an Electronic Patient Portal for Patient Work
Ali, S., Romero, J., Morrison, K., Hafeez, B., & Ancker, J. S. (2018) · Applied Clinical Informatics · doi:10.1055/s-0038-1632396 · Cited by 45
Patient Activation Changes as a Potential Signal for Changes in Health Care Costs: Cohort Study of US High-Cost Patients
Lindsay, A., Hibbard, J. H., Boothroyd, D. B., Glaseroff, A., & Asch, S. M. (2018) · Journal of General Internal Medicine · doi:10.1007/s11606-018-4657-6 · Cited by 52
Self-citation
Home-Based Kidney Care, Patient Activation, and Risk Factors for CKD Progression in Zuni Indians
Nelson, R. G., Pankratz, V. S., GHAHATE, D. M., Bobelu, J., Faber, T., & Shah, V. O. (2018) · Clinical Journal of the American Society of Nephrology · doi:10.2215/cjn.06910618 · Cited by 44
Using Health Information Technology to Foster Engagement: Patients’ Experiences with an Active Patient Health Record
Rief, J., Hamm, M., Zickmund, S. L., Nikolajski, C., Lesky, D., Hess, R., Fischer, G. S., Weimer, M. B., Clark, S., Zieth, C. R., et al. (2016) · Health Communication · doi:10.1080/10410236.2016.1138378 · Cited by 46
Patient activation in individuals with type 2 diabetes mellitus: associated factors and the role of insulin
van Vugt, H. A., Boels, A. M., de Weerdt, I., de Koning, E. J. P., & Rutten, G. E. H. M. (2018) · Patient Preference and Adherence · doi:10.2147/ppa.s188391 · Cited by 44
Measuring patient activation: The utility of the Patient Activation Measure within a UK context—Results from four exemplar studies and potential future applications
Roberts, N., Kidd, L., Dougall, N. J., Patel, I. S., McNarry, S., & Nixon, C. (2016) · Patient Education and Counseling · doi:10.1016/j.pec.2016.05.006 · Cited by 42
Effects of a Patient Activation Tool on Decision Making Between Surgery and Nonoperative Management for Pediatric Appendicitis
Minneci, P. C., Cooper, J. N., Leonhart, K. L., Nacion, K. M., Sulkowski, J. P., Porter, K. M., Wei, L., & Deans, K. J. (2019) · JAMA Network Open · doi:10.1001/jamanetworkopen.2019.5009 · Cited by 41
Association Between Patient Activation and Health Care Utilization After Thoracic and Abdominal Surgery
Dumitra, T. C., Ganescu, O., Hu, R. W., Fiore, J. F., Kaneva, P. A., Mayo, N. E., Lee, L., Liberman, A. S., Chaudhury, P. K., Ferri, L. E., et al. (2020) · JAMA Surgery · doi:10.1001/jamasurg.2020.5002 · Cited by 41
Adoption of personal health records by chronic disease patients: A research model and an empirical study
Laugesen, J., & Hassanein, K. (2016) · Computers in Human Behavior · doi:10.1016/j.chb.2016.09.054 · Cited by 40
Increasing patient activation through diabetes self-management education: Outcomes of DESMOND in regional Western Australia
Miller, V., Davies, M. J., Etherton‐Beer, C., McGough, S., Schofield, D., Jensen, J. F., & Watson, N. (2019) · Patient Education and Counseling · doi:10.1016/j.pec.2019.10.013 · Cited by 38
Association between patient activation and patient‐assessed quality of care in type 2 diabetes: results of a longitudinal study
Aung, E., Donald, M., Coll, J. R., Williams, G. M., & Doi, S. A. R. (2016) · Health Expectations · doi:10.1111/hex.12359 · Cited by 37
A Coaching by Telephone Intervention on Engaging Patients to Address Modifiable Cardiovascular Risk Factors: a Randomized Controlled Trial
Oddone, E. Ž., Gierisch, J. M., Sanders, L. L., Fagerlin, A., Sparks, J. B., McCant, F., May, C., Olsen, M. K., & Damschroder, L. J. (2018) · Journal of General Internal Medicine · doi:10.1007/s11606-018-4398-6 · Cited by 35
Impact of a community‐based approach to patient engagement in rural, low‐income adults with type 2 diabetes
Glenn, L. E., Nichols, M. G., Enriquez, M., & Jenkins, C. M. (2019) · Public Health Nursing · doi:10.1111/phn.12693 · Cited by 35
Choice Architecture Is A Better Strategy Than Engaging Patients To Spur Behavior Change
Nease, R. F., Frazee, S. G., Zarin, L., & Miller, S. B. (2013) · Health Affairs · doi:10.1377/hlthaff.2012.1075 · Cited by 35
Physical Therapy 2.0: Leveraging Social Media to Engage Patients in Rehabilitation and Health Promotion
Knight, E., Werstine, R. J., Pennington, D. R., Fitzsimmons, D. A., & Petrella, R. J. (2014) · Physical Therapy · doi:10.2522/ptj.20130432 · Cited by 34
Patient activation and treatment decision-making in the context of cancer: examining the contribution of informal caregivers’ involvement
Acquati, C., Hibbard, J. H., Miller‐Sonet, E., Zhang, A., & Ionescu, E. (2021) · Journal of Cancer Survivorship · doi:10.1007/s11764-021-01085-9 · Cited by 32
Self-citation
Joint influence of patient-assessed chronic illness care and patient activation on glycaemic control in type 2 diabetes
Aung, E., Donald, M., Williams, G. M., Coll, J. R., & Doi, S. A. R. (2015) · International Journal for Quality in Health Care · doi:10.1093/intqhc/mzv001 · Cited by 32
Low patient activation levels in frail older adults: a cross-sectional study
Overbeek, A., Rietjens, J. A. C., Jabbarian, L. J., Severijnen, J., Swart, S. J., van der Heide, A., & Korfage, I. J. (2018) · BMC Geriatrics · doi:10.1186/s12877-017-0696-9 · Cited by 32
Patient Activation and Disability in Upper Extremity Illness
Gruber, J. S., Hageman, M., Neuhaus, V., Mudgal, C. S., Jupiter, J. B., & Ring, D. (2014) · The Journal Of Hand Surgery · doi:10.1016/j.jhsa.2014.03.042 · Cited by 32
Examination of the Effects of an Intervention Aiming to Link Patients Receiving Addiction Treatment With Health Care
Weisner, C. M., Chi, F. W., Lu, Y., Ross, T. B., Wood, S. B., Hinman, A., Pating, D., Satre, D. D., & Sterling, S. (2016) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2016.0970 · Cited by 30
The pharmacy care plan service: Evaluation and estimate of cost-effectiveness
Twigg, M. J., Wright, D. J., Barton, G., Kirkdale, C. L., & Thornley, T. (2018) · Research in Social and Administrative Pharmacy · doi:10.1016/j.sapharm.2018.03.062 · Cited by 31
Developments in patient activation of people with chronic illness and the impact of changes in self-reported health: results of a nationwide longitudinal study in The Netherlands
Rijken, M., Heijmans, M., Jansen, D. L., & Rademakers, J. J. D. J. M. (2014) · Patient Education and Counseling · doi:10.1016/j.pec.2014.09.006 · Cited by 30
Engaging family supporters of adult patients with diabetes to improve clinical and patient-centered outcomes: study protocol for a randomized controlled trial
Rosland, A.-M. M., Piette, J. D., TRIVEDI, R. B., Kerr, E. A., STOLL, S. C., Tremblay, A. S., & Heisler, M. (2018) · Trials · doi:10.1186/s13063-018-2785-2 · Cited by 30
“PHE in Action”: Development and Modeling of an Intervention to Improve Patient Engagement among Older Adults
Menichetti, J., & Graffigna, G. (2016) · Frontiers in Psychology · doi:10.3389/fpsyg.2016.01405 · Cited by 27
A novel user utility score for diabetes management using tailored mobile coaching: secondary analysis of a randomized controlled trial
Lee, M.-K., Lee, D. Y., Ahn, H.-Y., & Park, C.-Y. (2021) · JMIR mHealth and uHealth · doi:10.2196/17573 · Cited by 27
Interaction between functional health literacy, patient activation, and glycemic control
Woodard, L., Landrum, C. R., Amspoker, A. B., Ramsey, D. J., & Naik, A. D. (2014) · Patient Preference and Adherence · doi:10.2147/ppa.s63954 · Cited by 27
Remote Patient Monitoring and Clinical Outcomes for Postdischarge Patients with Type 2 Diabetes
Michaud, T. L., Siahpush, M., Schwab, R. J., Eiland, L. A., DeVany, M., Hansen, G., Slachetka, T. S., Boilesen, E. C., Tak, H. J., Wilson, F. A., et al. (2018) · Population Health Management · doi:10.1089/pop.2017.0175 · Cited by 27
A High Level of Patient Activation Is Observed But Unrelated to Glycemic Control Among Adults With Type 2 Diabetes
Mayberry, R., Willock, R. J., Boone, L. R., Lopez, P., Qin, H., & Nicewander, D. A. (2010) · Diabetes Spectrum · doi:10.2337/diaspect.23.3.171 · Cited by 29
The Role of Patient Activation in Improving Blood Pressure Outcomes in Black Patients Receiving Home Care
Ryvicker, M. B., Feldman, P. H., Chiu, Y., & Gerber, L. M. (2013) · Medical Care Research and Review · doi:10.1177/1077558713495452 · Cited by 26
Feedback to Patients About Patient-reported Outcomes Does Not Improve Empowerment or Satisfaction
Ackermans, L., Hageman, M., Bos, A. H., Haverkamp, D., Scholtes, V. A., & Poolman, R. W. (2018) · Clinical Orthopaedics and Related Research · doi:10.1007/s11999.0000000000000069 · Cited by 26
Developing a new clinical governance framework for chronic diseases in primary care: an umbrella review
Buja, A., Toffanin, R., Claus, M., Ricciardi, W., Damiani, G., Baldo, V., & Ebell, M. H. (2018) · BMJ Open · doi:10.1136/bmjopen-2017-020626 · Cited by 26
How is patient activation related to healthcare service utilisation? Evidence from electronic patient records in England
Bu, F., & Fancourt, D. E. (2021) · BMC Health Services Research · doi:10.1186/s12913-021-07115-7 · Cited by 26
Validation of the PAM-13 instrument in the Hungarian general population 40 years old and above
Zrubka, Z., Vékás, P., Németh, P., Dobos, Á., Hajdú, O., Kovács, L., Gulàcsi, L., Hibbard, J. H., & Péntek, M. (2022) · The European Journal of Health Economics · doi:10.1007/s10198-022-01434-0 · Cited by 28
Self-citation
I Believe, Therefore I Do
Frosch, D. L., & Elwyn, G. J. (2010) · Journal of General Internal Medicine · doi:10.1007/s11606-010-1560-1 · Cited by 25
Patient–Physician Role Relationships and Patient Activation: The Moderating Effects of Race and Ethnicity
Alexander, J., Hearld, L., & Mittler, J. N. (2014) · Medical Care Research and Review · doi:10.1177/1077558714541967 · Cited by 24
Patient Activation in Type 2 Diabetes: Does It Differ between Men and Women?
Hendriks, S. H., Hartog, L. C., Groenier, K. H., Maas, A. H. E. M., van Hateren, K. J. J., Kleefstra, N., & Bilo, H. J. G. (2016) · Journal of Diabetes Research · doi:10.1155/2016/7386532 · Cited by 24
Demoralization, Patient Activation, and the Outcome of Spine Surgery
Block, A. R. (2016) · Healthcare · doi:10.3390/healthcare4010011 · Cited by 24
The role of gender in the active attitude toward treatment and health among older patients in primary health care—self-assessed health status and sociodemographic factors as moderators
Chylińska, J., Lazarewicz, M. A., Rzadkiewicz, M., Adamus, M. M., Jaworski, M., Haugan, G., Lillefjell, M., Espnes, G. A., & Włodarczyk, D. (2017) · BMC Geriatrics · doi:10.1186/s12877-017-0677-z · Cited by 24
The engaged patient: patient activation can predict satisfaction with surgical treatment of lumbar and cervical spine disorders
Harris, A. B., Kebaish, F. N., Riley, L. H., Kebaish, K. M., & Skolasky, R. L. (2020) · Journal of Neurosurgery Spine · doi:10.3171/2019.11.spine191159 · Cited by 24

Authors: Remmers, C., Hibbard, J., Mosen, D. M., Wagenfield, M., Hoye, R. E., & Jones, C.
Affiliations: Kaiser Permanente (US)
ORCID: Hibbard, Judith
Mosen, David M.
Venue: Journal of Ambulatory Care Management
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2009-10
Volume: 32
Issue: 4
Pages: 320-327
ISSN: 0148-9917 (ISSN-L)
DOI: 10.1097/jac.0b013e3181ba6e77
OpenAlex: W2313471168
Cited by: 242
References: 18
Citations by year: 2026: 4 · 2025: 8 · 2024: 14 · 2023: 15 · 2022: 15 · 2021: 15 · 2020: 16 · 2019: 14 · 2018: 26 · 2017: 23 · 2016: 21 · 2015: 17 · 2014: 20 · 2013: 14 · 2012: 4
FWCI: 4.60
Type: journal article
Language: en
Open access: closed
Locations: Journal of Ambulatory Care Management (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
Keywords: patient activation, Patient Activation Measure, diabetes mellitus, health outcomes, health care utilization, LDL cholesterol testing, hospital discharge, risk identification, patient engagement
MeSH terms: Diabetes Mellitus, Female, Humans, Male, Middle Aged, Patient Education as Topic, Patient Participation, Retrospective Studies, Self Care, Self Efficacy

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Is Patient Activation Associated With Future Health Outcomes and Healthcare Utilization Among Patients With Diabetes?

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Citations

Cites

Cited by

Related

Metadata

Record

About these checks