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Development of the Patient Activation Measure (PAM): Conceptualizing and Measuring Activation in Patients and Consumers
Open accessAbstract
Background. Controlling costs and achieving health care quality improvements require the participation of activated and informed consumers and patients. Objectives. 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. Methods. 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. Study Sample. Convenience samples of patients with and without chronic illness, and a national probability sample ( N =1,515) are included at different stages in the research. Conclusions. 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.
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“Participants also completed the 10-question Patient Activation Measure (PAM), a validated measure of patient activation that includes person’s beliefs, motivation, and actions for self-care at these visits [9,23,24].”
From 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 (2017) · cites this paper as [23]
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Citations
Cites
Applying the Rasch Model: Fundamental Measurement in the Human Sciences
Bond, T. G., & Fox, C. M. (2003) · Journal of Educational Measurement · doi:10.1111/j.1745-3984.2003.tb01103.x · Cited by 4,490
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 2×
“The review findings indicated that being an engaged and active participant in one’s own care is linked to better health outcomes (Von Korff et al. 1997; Lorig et al. 1999; Von Korff et al. 1998; Bodenheimer et al. 2002) and measurable cost savings (Glasgow et al. 2002).”
A Rating Formulation for Ordered Response Categories
Andrich, D. (1978) · Psychometrika · doi:10.1007/bf02293814 · Cited by 2,984
DiClemente, C. C., Prochaska, J. O., Fairhurst, S., Velicer, W. F., Velasquez, M. M., & Rossi, J. S. (1991) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.59.2.295 · Cited by 2,402
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
Assessing the Effects of Physician-Patient Interactions on the Outcomes of Chronic Disease
Kaplan, S. H., Greenfield, S., & Ware, J. E. (1989) · Medical Care · doi:10.1097/00005650-198903001-00010 · Cited by 2,043
Probabilistic Models for some Intelligence and Attainment Tests.
Wolins, L., Wright, B. D., & Rasch, G. (1982) · Journal of the American Statistical Association · doi:10.2307/2287805 · Cited by 2,009
Best Test Design. Rasch Measurement.
Wright, B. D., & Stone, M. H. (1979) · Medical Entomology and Zoology · Cited by 1,975
Wright, B. D., & Masters, G. N. (1982) · ACEReSearch Repository (Australian Council for Educational Research) · Cited by 1,930
DiClemente, C. C., Prochaska, J. O., Fairhurst, S., et al. (1991) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.59.2.295 · Cited by 1,838
Expanding Patient Involvement in Care
Greenfield, S., Kaplan, S. H., & Ware, J. E. (1985) · Annals of Internal Medicine · doi:10.7326/0003-4819-102-4-520 · Cited by 1,459
Bond, T. G., & Fox, C. M. (2001) · Psychology Press eBooks · doi:10.4324/9781410600127 · Cited by 1,351
The transtheoretical model and stages of change
Prochaska, J. O., Redding, C. A., & Evers, K. E. (1996) · Cited by 1,328
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 3×
“Collaborating on care and engaging in shared clinical decision making are also linked with better health outcomes (Von Korff et al. 1997; Kaplan, Greenfield, and Ware 1989; Glasgow 2002).”
BackgroundMeasurement and Evaluation in Psychology and Education.
S., R., Thorndike, R. L., & Hagen, E. P. (1961) · Journal of the American Statistical Association · doi:10.2307/2282039 · Cited by 1,235
Outcome Measures for Health Education and Other Health Care Interventions
Lorig, K., Stewart, A., Ritter, P., González, V., Laurent>, D., & Lynch, J. (1996) · doi:10.4135/9781452232966 · Cited by 1,132
Patients’ participation in medical care
Greenfield, S., Kaplan, S. H., Ware, J. E., Yano, E. M., & Frank, H. J. L. (1988) · Journal of General Internal Medicine · doi:10.1007/bf02595921 · Cited by 1,117
O’Leary, A. (1985) · Behaviour Research and Therapy · doi:10.1016/0005-7967(85)90172-x · Cited by 802
Measurement and Evaluation in Psychology and Education.
Jarrett, R. F., Thorndike, R. L., & Hagen, E. (1956) · Journal of the American Statistical Association · doi:10.2307/2281462 · Cited by 572
Form C of the MHLC Scales: A Condition-Specific Measure of Locus of Control
Wallston, K. A., Stein, M. J., & Smith, C. A. (1994) · Journal of Personality Assessment · doi:10.1207/s15327752jpa6303_10 · Cited by 557
Self-Efficacy and Health Behavior Among Older Adults
Grembowski, D. E., Patrick, D. L., Diehr, P. K., Durham, M., Beresford, S. A. A., Kay, E., & Hecht, J. A. (1993) · Journal of Health and Social Behavior · doi:10.2307/2137237 · Cited by 414
Health Behavior and Health Education
&NA; (1991) · Medical Care · doi:10.1097/00005650-199106000-00006 · Cited by 409
Glasgow, R. E., Funnell, M. M., Bonomi, A. E., Davis, C., Beckham, V., & Wagner, E. H. (2002) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm2402_04 · Cited by 376
Treatment Costs, Cost Offset, and Cost-Effectiveness of Collaborative Management of Depression
Korff, M. V., Katon, W. J., Bush, T. M., Lin, E. H. B., Simon, G. E., Saunders, K. W., Ludman, E. J., Walker, E. A., & Unützer, J. (1998) · Psychosomatic Medicine · doi:10.1097/00006842-199803000-00005 · Cited by 271
Von Korff, M., Moore, J. E., Lorig, K., Cherkin, D. C., Saunders, K., González, V. M., Laurent, D., Rutter, C., & Comite, F. (1998) · Spine · doi:10.1097/00007632-199812010-00016 · Cited by 257
The Measurement of Vision Disability
Massof, R. W. (2002) · Optometry and Vision Science · doi:10.1097/00006324-200208000-00015 · Cited by 202
Davidson, R. (1998) · Springer eBooks · doi:10.1007/978-1-4899-1934-2_2 · Cited by 178
Can Medicare Beneficiaries Make Informed Choices?
Hibbard, J. H., Jewett, J. J., Engelmann, S., & Tusler, M. (1998) · Health Affairs · doi:10.1377/hlthaff.17.6.181 · Cited by 126
Self-citationA randomized trial of the use of patient self-assessment data to improve community practices.
Wasson, J. H., Stukel, T. A., Weiss, J. E., Hays, R. D., Jette, A. M., & Nelson, E. C. (1999) · PubMed · Cited by 119
Consumers' Information Needs: Results of a National Survey
Isaacs, S. L. (1996) · Health Affairs · doi:10.1377/hlthaff.15.4.31 · Cited by 99
Consensus methods in practice guideline development: a review and description of a new method.
Kahn, D. A., Docherty, J. P., Carpenter, D., & Frances, A. (1997) · PubMed · Cited by 55
Use of a Secure Internet Web Site for Collaborative Medical Research
Marshall, W. W. (2000) · JAMA · doi:10.1001/jama.284.14.1843 · Cited by 52
Consumer-Driven Health Plans: Are They More Than Talk Now?
Gabel, J. R., Sasso, A. T. L., & Rice, T. (2002) · Health Affairs · doi:10.1377/hlthaff.w2.395 · Cited by 44
Hibbard, J. H., Greenlick, M. R., Jimison, H. B., Capizzi, J. A., & Kunkel, L. E. (2001) · Evaluation & the Health Professions · doi:10.1177/01632780122034984 · Cited by 20
Self-citationUse of performance data to change physician behavior
Marshall, M., Shekelle, P., Brook, R., & Leatherman, S. T. (2000) · PubMed · Cited by 10
Research works printed but not linked: 6
- Bandura A., 1991, Adaption, Learning and Affect, 226
- Kahn D. A., 1997, Consensus Methods in Practice Guideline Development, Psychopharmacology Bulletin, 33, 631
- Linacre J. M., 2002, Winsteps Manual
- Smith R. M., 1996, Polytomous Mean‐Square Fit Statistics, Rasch Measurement Transactions, 10, 516
- Winsteps, 2002, Winsteps: Rasch Model Statistical Software
- Wright B. D., 1979, Best Test Design
Cited by
Sorted by citations
Achieving integration in mixed methods designs-principles and practices
Fetters, M. D., Curry, L. A., & Creswell, J. W. (2013) · Health Services Research · doi:10.1111/1475-6773.12117 · Cited by 7,219
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
“A previous publication described the development and testing of the Patient Activation Measure (PAM), which assesses patient self-reported knowledge, skill, and confidence for self-management of one’s health or chronic condition (Hibbard et al. 2004).”
BackgroundMethodSelf-citationHibbard, J. H., & Greene, J. (2013) · Health Affairs · doi:10.1377/hlthaff.2012.1061 · Cited by 1,787
Bakitas, M., Lyons, K. D., Hegel, M. T., Balan, S., Brokaw, F. C., Seville, J., Hull, J. G., Li, Z., Tosteson, T. D., Byock, I. R., et al. (2009) · JAMA · doi:10.1001/jama.2009.1198 · Cited by 1,726
Best care at lower cost: the path to continuously learning health care in America
Smith, M. A., Saunders, R., Stuckhardt, L., & McGinnis, J. M. (2014) · Choice Reviews Online · doi:10.5860/choice.51-3277 · Cited by 1,357
“Metrics have been developed for quantifying a patient’s activation, defined as the capability to participate in the care process (Hibbard, 2004; Hibbard et al., 2004).”
Background
Metadata
- Authors
- Hibbard, J. H., Stockard, J., Mahoney, E. R., & Tusler, M.
- Affiliations
- University of Oregon (US)
- Corresponding author
- Hibbard, Judith H.
- Venue
- Health Services Research
- Publisher
- Wiley
- Published
- 2004-06-28
- Volume
- 39
- Issue
- 4p1
- Pages
- 1005-1026
- ISSN
- 0017-9124 (ISSN-L)
- 1475-6773
- PMC
- PMC1361049
- OpenAlex
- W1926404136
- Cited by
- 2,748
- References
- 36
- Citations by year
- 2026: 136 · 2025: 217 · 2024: 227 · 2023: 203 · 2022: 233 · 2021: 235 · 2020: 184 · 2019: 182 · 2018: 186 · 2017: 172 · 2016: 172 · 2015: 147 · 2014: 114 · 2013: 88 · 2012: 65
- FWCI
- 18.98
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Health Services Research (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Scholars' Bank (University of Oregon) (submittedVersion)
- Topics
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Health Sciences › Nursing › Research and Theory › Health Education and Validation
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Keywords
- Patient Activation Measure, patient activation, psychometric validation, Rasch analysis, scale development, chronic disease, health behavior change, healthcare quality improvement
- MeSH terms
- Adult, Aged, Aged, 80 and over, Chronic Disease, Female, Humans, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Outcome and Process Assessment, Health Care, Patient Education as Topic, Patient Participation, Pilot Projects, Primary Prevention, Psychometrics, Surveys and Questionnaires, Time Factors, United States, Reproducibility of Results
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