Magnezi Racheli, Glasser Saralee
Department of Management, Bar Ilan University, Ramat Gan, Israel.
Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel.
PLoS One. 2014 Nov 20;9(11):e113391. doi: 10.1371/journal.pone.0113391. eCollection 2014.
"Patient activation" reflects involvement in managing ones health. This cross-sectional study assessed the psychometric properties of the Hebrew translation (PAM-H) of the PAM-13.
A nationally representative sample of 203 Hebrew-speaking Israeli adults answered the PAM-H, PHQ-9 depression scale, SF-12, and Self-efficacy Scale via telephone.
Mean PAM-H scores were 70.7±15.4. Rasch analysis indicated that the PAM-H is a good measure of activation. There were no differences in PAM-H scores based on gender, age or education. Subjects with chronic disease scored lower than those without. Scores correlated with the Self-efficacy Scale (0.47), Total SF-12 (0.39) and PHQ-9 (-0.35, P<0.0001), indicating concurrent validity. Discriminant validity was reflected by a significant difference in the mean PAM-H score of those who scored below 10 (72.1±14.8) on the PHQ-9 (not depressed) compared to those scoring ≥10 (i.e. probable depression) (59.2±15.8; t 3.75; P = 0.001).
The PAM-H psychometric properties indicate its usefulness with the Hebrew-speaking Israeli population.
PAM-H can be useful for assessing programs aimed at effecting changes in patient compliance, health behaviors, etc. Researchers in Israel should use a single translation of the PAM-13 so that findings can be compared, increasing understanding of patient activation.
“患者激活”反映了参与自身健康管理的程度。这项横断面研究评估了PAM - 13希伯来语译本（PAM - H）的心理测量特性。
一个具有全国代表性的由203名说希伯来语的以色列成年人组成的样本通过电话回答了PAM - H、PHQ - 9抑郁量表、SF - 12和自我效能量表。
PAM - H的平均得分为70.7±15.4。拉施分析表明PAM - H是激活程度的一个有效测量工具。基于性别、年龄或教育程度，PAM - H得分没有差异。患有慢性病的受试者得分低于未患慢性病的受试者。得分与自我效能量表（0.47）、SF - 12总分（0.39）和PHQ - 9（-0.35，P<0.0001）相关，表明具有同时效度。判别效度体现在PHQ - 9得分低于10分（未抑郁）的受试者的PAM - H平均得分（72.1±14.8）与得分≥10分（即可能抑郁）的受试者的PAM - H平均得分（59.2±15.8）之间存在显著差异（t = 3.75；P = 0.001）。
PAM - H的心理测量特性表明它对说希伯来语的以色列人群有用。
PAM - H可用于评估旨在改变患者依从性、健康行为等的项目。以色列的研究人员应使用PAM - 13的单一译本，以便能够比较研究结果，增进对患者激活的理解。
