Association between patient activation and patient‐assessed quality of care in type 2 diabetes: results of a longitudinal study
Open accessAbstract
Background: Previous research using cross‐sectional data has shown a positive relationship between patient activation and quality of care. The quantitative relationships in the same patients over time, however, remain undefined. Objective: To examine the relationship between changes in activation over time and patient‐assessed quality of chronic illness care. Design: Prospective cohort study. Participants: The study used data reported annually from 2008 (N = 3761) to 2010 (N = 3040), using self‐report survey questionnaires, completed by patients with type 2 diabetes in a population‐based cohort in Q ueensland, A ustralia. Main Measures: Principal measures were the 13‐item P atient A ctivation M easure (PAM), and the 20‐item P atient A ssessment of C hronic I llness C are (PACIC) instrument. Methods: Nonparametric anova was used to determine the association between patient activation and patient‐assessed quality of care in low and high patient activation groups at baseline (2008), and in 2009 and 2010, when patients had changed group membership. The W ilcoxon signed ranks test was used to compare the PACIC scores between baseline and each follow‐up survey for the same patient activation level. Results: Patient activation was positively associated with the median PACIC score within each survey year and within each of the groups defined at baseline (high‐ and low‐activation groups; P < 0.001). Conclusions: Patient activation and the PACIC change in the same direction and should be considered together in the interpretation of patient care assessment. This can be carried out by interpreting PACIC scores within strata of PAM.
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Cites
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 · see citing works
Chronic disease management: what will it take to improve care for chronic illness?
Eh, W. (1998) · PubMed · Cited by 2,095 · see citing works
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 1,939 · see citing works
Greene, J., & Hibbard, J. H. (2011) · Journal of General Internal Medicine · doi:10.1007/s11606-011-1931-2 · Cited by 1,030 · see citing works
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 · see citing works
Development and Validation of the Patient Assessment of Chronic Illness Care (PACIC)
Glasgow, R. E., Wagner, E. H., Schaefer, J. K., Mahoney, L. D., Reid, R. J., & Greene, S. M. (2005) · Medical Care · doi:10.1097/01.mlr.0000160375.47920.8c · Cited by 863 · see citing works
Does Low Participation in Cohort Studies Induce Bias?
Nohr, E. A., Frydenberg, M., Henriksen, T. B., & Olsen, J. (2006) · Epidemiology · doi:10.1097/01.ede.0000220549.14177.60 · Cited by 570 · see citing works
The Chronic Care Model and Diabetes Management in US Primary Care Settings: A Systematic Review
Stellefson, M., Dipnarine, K., & Stopka, C. B. (2013) · Preventing Chronic Disease · doi:10.5888/pcd10.120180 · Cited by 541 · see citing works
Is Patient Activation Associated With Outcomes of Care for Adults With Chronic Conditions?
Mosen, D. M., Schmittdiel, J. A., Hibbard, J. H., Sobel, D. S., Remmers, C., & Bellows, J. (2007) · Journal of Ambulatory Care Management · doi:10.1097/00004479-200701000-00005 · Cited by 478 · see citing works
Improving health outcomes with better patient understanding and education
Adams, R. (2010) · Risk Management and Healthcare Policy · doi:10.2147/rmhp.s7500 · Cited by 384 · see citing works
National survey of hospital patients
Bruster, S., Jarman, B., Bosanquet, N., Weston, D., Erens, R., & Delbanco, T. L. (1994) · BMJ · doi:10.1136/bmj.309.6968.1542 · Cited by 346 · see citing works
Statistics in Medicine: Calculating confidence intervals for some non-parametric analyses
Campbell, M. J., & Gardner, M. J. (1988) · BMJ · doi:10.1136/bmj.296.6634.1454 · Cited by 322 · see citing works
Use of the Patient Assessment of Chronic Illness Care (PACIC) With Diabetic Patients
Glasgow, R. E., Whitesides, H., Nelson, C. C., & King, D. K. (2005) · Diabetes Care · doi:10.2337/diacare.28.11.2655 · Cited by 291 · see citing works
How engaged are consumers in their health and health care, and why does it matter?
Hibbard, J. H., & Cunningham, P. J. (2008) · PubMed · Cited by 290 · see citing works
The increasing importance of patient surveys
Cleary, P. D. (1999) · BMJ · doi:10.1136/bmj.319.7212.720 · Cited by 254 · see citing works
Remmers, C., Hibbard, J., Mosen, D. M., Wagenfield, M., Hoye, R. E., & Jones, C. (2009) · Journal of Ambulatory Care Management · doi:10.1097/jac.0b013e3181ba6e77 · Cited by 242 · see citing works
Psychometric properties of the patient activation measure among multimorbid older adults.
Skolasky, R., Green, A., Scharfstein, D. O., Boult, C., Reider, L., & Wegener, S. (2011) · Health Services Research · doi:10.1111/j.1475-6773.2010.01210.x · Cited by 201 · see citing works
Chen, S. M., Creedy, D. K., Lin, H., & Wollin, J. A. (2011) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2011.11.011 · Cited by 194 · see citing works
Schmittdiel, J. A., Mosen, D. M., Glasgow, R. E., Hibbard, J. H., Remmers, C., & Bellows, J. (2007) · Journal of General Internal Medicine · doi:10.1007/s11606-007-0452-5 · Cited by 191 · see citing works
Heisler, M., Smith, D. M., Hayward, R. A., Krein, S. L., & Kerr, E. A. (2003) · Diabetes Care · doi:10.2337/diacare.26.3.738 · Cited by 180 · see citing works
Motivational interviewing‐based health coaching as a chronic care intervention
Linden, A., Butterworth, S. W., & Prochaska, J. O. (2010) · Journal of Evaluation in Clinical Practice · doi:10.1111/j.1365-2753.2009.01300.x · Cited by 174 · see citing works
Alegría, M., Sribney, W., Pérez, D., Laderman, M., & Keefe, K. (2009) · Journal of general internal medicine · doi:10.1007/s11606-009-1074-x · Cited by 167 · see citing works
Rask, K. J., Ziemer, D. C., Kohler, S. A., Hawley, J. N., Arinde, F. J., & Barnes, C. S. (2009) · The Science of Diabetes Self-Management and Care · doi:10.1177/0145721709335004 · Cited by 148 · see citing works
Hospital Survey Shows Improvements In Patient Experience
Elliott, M. N., Lehrman, W. G., Goldstein, E. H., Giordano, L. A., Beckett, M. K., Cohea, C. W., & Cleary, P. D. (2010) · Health Affairs · doi:10.1377/hlthaff.2009.0876 · Cited by 121 · see citing works
Stepleman, L. M., Goodworth, M.-C. R., Hibbard, J. H., Johns, L., Wright, D. E., & Hughes, M. D. (2010) · Disability and Rehabilitation · doi:10.3109/09638280903567885 · Cited by 114 · see citing works
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 · see citing works
Self-citationRubak, S., Sandbæk, A., Lauritzen, T., Borch-Johnsen, K., & Christensen, B. (2009) · Scandinavian Journal of Primary Health Care · doi:10.1080/02813430903072876 · Cited by 104 · see citing works
Wensing, M., van Lieshout, J., Jung, H. P., Hermsen, J., & Rosemann, T. J. (2008) · BMC Health Services Research · doi:10.1186/1472-6963-8-182 · Cited by 104 · see citing works
Elissen, A., Steuten, L., Lemmens, L. C., Drewes, H. W.-T., Lemmens, K. M. M., Meeuwissen, J. A. C., Baan, C. A., & Vrijhoef, H. J. (2012) · Journal of Evaluation in Clinical Practice · doi:10.1111/j.1365-2753.2012.01817.x · Cited by 104 · see citing works
Care Coordination for the Chronically Ill: Understanding the Patient's Perspective
Maeng, D. D., Martsolf, G. R., Scanlon, D. P., & Christianson, J. B. (2012) · Health Services Research · doi:10.1111/j.1475-6773.2012.01405.x · Cited by 97 · see citing works
Rosemann, T. J., Laux, G., Droesemeyer, S., Gensichen, J. S., & Szécsényi, J. (2007) · Journal of Evaluation in Clinical Practice · doi:10.1111/j.1365-2753.2007.00786.x · Cited by 94 · see citing works
Greene, J., Hibbard, J. H., Sacks, R. M., & Overton, V. (2013) · Health Affairs · doi:10.1377/hlthaff.2012.1409 · Cited by 88 · see citing works
Skolasky, R. L., MacKenzie, E. J., Riley, L. H., & Wegener, S. T. (2009) · Quality of Life Research · doi:10.1007/s11136-009-9549-0 · Cited by 84 · see citing works
Structure and measurement properties of the Patient Assessment of Chronic Illness Care instrument
Gugiu, P. C., Coryn, C. L. S., & Applegate, B. E. (2010) · Journal of Evaluation in Clinical Practice · doi:10.1111/j.1365-2753.2009.01151.x · Cited by 76 · see citing works
Rick, J., Rowe, K., Hann, M., Sibbald, B., Reeves, D., Roland, M. O., & Bower, P. (2012) · BMC Health Services Research · doi:10.1186/1472-6963-12-293 · Cited by 66 · see citing works
Donald, M., Dower, J., Ware, R. S., Mukandi, B., Parekh, S., & Bain, C. J. (2012) · BMC Public Health · doi:10.1186/1471-2458-12-8 · Cited by 60 · see citing works
Self-citationPsychometric assessment of the patient activation measure short form (PAM-13) in rural settings
Hung, M., Carter, M., Hayden, C. L., Dzierzon, R., Morales, J., Snow, L. A., Butler, J. M., Bateman, K. A., & Samore, M. H. (2012) · Quality of Life Research · doi:10.1007/s11136-012-0168-9 · Cited by 51 · see citing works
Activation Among Chronically Ill Older Adults With Complex Medical Needs
Gerber, L. M., Barrón, Y., Mongoven, J. M., McDonald, M. V., Henriquez, E., Andreopoulos, E., & Feldman, P. H. (2011) · Journal of Ambulatory Care Management · doi:10.1097/jac.0b013e31821c63b1 · Cited by 48 · see citing works
How Patients with Type 2 Diabetes Mellitus Respond to Motivational Interviewing
Dellasega, C., Añel-Tiangco, R. M., & Gabbay, R. (2011) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2011.08.011 · Cited by 48 · see citing works
Gensichen, J. S., Serras, A. M., Paulitsch, M., Rosemann, T. J., König, J., Gerlach, F. M., & Petersen, J. J. (2010) · Community Mental Health Journal · doi:10.1007/s10597-010-9340-2 · Cited by 46 · see citing works
Munson, G. W., Wallston, K. A., Dittus, R. S., Speroff, T., & Roumie, C. L. (2009) · Journal of General Internal Medicine · doi:10.1007/s11606-009-1002-0 · Cited by 41 · see citing works
Linking a Motivational Interviewing Curriculum to the Chronic Care Model
Abramowitz, S., Flattery, D., Franses, K., & Berry, L. (2010) · Journal of General Internal Medicine · doi:10.1007/s11606-010-1426-6 · Cited by 39 · see citing works
Patient Assessment of Chronic Illness Care (PACIC) in Type 2 Diabetes
Aung, E., Ostini, R., Dower, J., Donald, M., Coll, J. R., Williams, G. M., & Doi, S. A. R. (2014) · Evaluation & the Health Professions · doi:10.1177/0163278714556674 · Cited by 26 · see citing works
Self-citationCarryer, J., Budge, C. R., Hansen, C., & Gibbs, K. E. (2010) · Journal of Primary Health Care · doi:10.1071/hc10124 · Cited by 26 · see citing works
Customer quality and type 2 diabetes from the patients' perspective: a cross-sectional study.
Tabrizi, J. S., Wilson, A. J., & O'Rourke, P. K. (2010) · PubMed · Cited by 25 · see citing works
Photocatalytic Disinfection of Coliform Bacteria Using UV/TiO2.
Rahmani, A., Samarghandi, M., Samadi, M. T., & Nazemi, F. (2009) · PubMed · Cited by 23 · see citing works
Liu, L., Li, Y., Sha, K., et al. (2013) · PLoS ONE · doi:10.1371/journal.pone.0073010 · Cited by 23 · see citing works
What Can Improve Chronic Disease Care?
Kane, R. L. (2009) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2009.02569.x · Cited by 19 · see citing works
Quality of delivered care for people with type 2 diabetes: a new patient-centred model.
Tabrizi, J. S. (2009) · PubMed · Cited by 17 · see citing works
Customer quality in health care
Tabrizi, J. S., Wilson, A. J., & O'Rourke, P. K. (2008) · Patient Education and Counseling · doi:10.1016/j.pec.2008.08.011 · Cited by 15 · see citing works
David, M., Ware, R. S., Donald, M., & Alati, R. (2011) · BMJ Open · doi:10.1136/bmjopen-2011-000078 · Cited by 10 · see citing works
Self-citationHorsburgh, M., Bycroft, J., Mahony, F., et al. (2010) · Journal of Primary Health Care · doi:10.1071/hc10294 · Cited by 10 · see citing works
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Research works printed but not linked: 2
- 32 Campbell MJ, Gardner MJ. Calculating confidence intervals for some non-parametric analyses. BMJ , 1988; 296 : 1454 -1456.
- Diabetes Research and Clinical Practice , 2011; 93 : 260 -267.
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Rezaei Aghdam, A., Watson, J., Cliff, C., & Miah, S. J. (2020) · Journal of Medical Internet Research · doi:10.2196/16324 · Cited by 57 · see citing works
- Authors
- Aung, E., Donald, M., Coll, J. R., Williams, G. M., & Doi, S. A. R.
- Affiliations
- The University of Queensland (AU)
- Venue
- Health Expectations
- Publisher
- Wiley
- Published
- 2015-03-13
- Volume
- 19
- Issue
- 2
- Pages
- 356-366
- ISSN
- 1369-6513 (ISSN-L)
- 1369-7625
- PMC
- PMC5055260
- OpenAlex
- W1993629749
- Cited by
- 37
- References
- 52
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 2 · 2023: 3 · 2022: 5 · 2021: 5 · 2019: 4 · 2018: 5 · 2017: 4 · 2016: 3
- FWCI
- 3.48
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Health Expectations (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Diabetes Australia Research Trust (20012000784)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Keywords
- patient activation, type 2 diabetes, chronic care, Patient Activation Measure, Patient Assessment of Chronic Illness Care, patient-reported outcomes
- MeSH terms
- Aged, Chronic Disease, Cross-Sectional Studies, Diabetes Mellitus, Type 2, Female, Humans, Long-Term Care, Longitudinal Studies, Male, Middle Aged, Patient Participation, Quality of Health Care, Queensland, Surveys and Questionnaires, Self Care, Patient Satisfaction
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