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

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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

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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.

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BackgroundInfluential
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“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).”
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Background
Do increases in patient activation result in improved self-management behaviors?
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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

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

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