Do increases in patient activation result in improved self-management behaviors?
Open accessAbstract
Objective. The purpose of this study is to determine whether patient activation is a changing or changeable characteristic and to assess whether changes in activation also are accompanied by changes in health behavior. Study Methods. To obtain variability in activation and self‐management behavior, a controlled trial with chronic disease patients randomized into either intervention or control conditions was employed. In addition, changes in activation that occurred in the total sample were also examined for the study period. Using Mplus growth models, activation latent growth classes were identified and used in the analysis to predict changes in health behaviors and health outcomes. Data Sources. Survey data from the 479 participants were collected at baseline, 6 weeks, and 6 months. Principal Findings. Positive change in activation is related to positive change in a variety of self‐management behaviors. This is true even when the behavior in question is not being performed at baseline. When the behavior is already being performed at baseline, an increase in activation is related to maintaining a relatively high level of the behavior over time. The impact of the intervention, however, was less clear, as the increase in activation in the intervention group was matched by nearly equal increases in the control group. Conclusions. Results suggest that if activation is increased, a variety of improved behaviors will follow. The question still remains, however, as to what interventions will improve activation.
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Time-limited courses led by peers or professionals and aimed at empowering patients to manage their illness have been shown to improve disease control.
“Time-limited courses facilitated by peer or professional leaders and focused on empowering patients to manage their own illness have been shown to improve disease control35,36.”
From Self-management: Enabling and empowering patients living with cancer as a chronic illness (2011) · cites this paper as [35]
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- Authors
- Hibbard, J. H., Mahoney, E. R., Stock, R., & Tusler, M.
- Affiliations
- University of Oregon (US)
- Sacred Heart Medical Center (US)
- Corresponding author
- Hibbard, Judith H.
- ORCID
- Hibbard, Judith H.
- Venue
- Health Services Research
- Publisher
- Wiley
- Published
- 2006-12-05
- Volume
- 42
- Issue
- 4
- Pages
- 1443-1463
- ISSN
- 0017-9124 (ISSN-L)
- 1475-6773
- PMC
- PMC1955271
- OpenAlex
- W1975921825
- Cited by
- 906
- References
- 9
- Citations by year
- 2026: 16 · 2025: 42 · 2024: 50 · 2023: 41 · 2022: 59 · 2021: 66 · 2020: 58 · 2019: 62 · 2018: 62 · 2017: 65 · 2016: 61 · 2015: 85 · 2014: 60 · 2013: 48 · 2012: 33
- FWCI
- 17.37
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Health Services Research (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Robert Wood Johnson Foundation
- University of Oregon
- Topics
- Health Sciences › Health Professions › General Health Professions › Health and Wellbeing Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- patient activation, self-management behavior, chronic disease, health behavior change, latent growth curve models, health interventions, health outcomes
- MeSH terms
- Aged, Arthritis, Chronic Disease, Diabetes Mellitus, Female, Health Services, Humans, Hypertension, Male, Middle Aged, Models, Psychological, Patient Acceptance of Health Care, Self Care, Socioeconomic Factors, Health Behavior
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