Moljord Inger Elise O, Lara-Cabrera Mariela L, Perestelo-Pérez Lilisbeth, Rivero-Santana Amado, Eriksen Lasse, Linaker Olav M
Department of Research and Development, Division of Psychiatry, St. Olavs University Hospital, Trondheim, Norway; Nidaros Community Mental Health Center, Division of Psychiatry, St. Olavs University Hospital, Trondheim, Norway; Norwegian University of Science and Technology, Faculty of Medicine, Department of Neuroscience, Trondheim, Norway.
Department of Research and Development, Division of Psychiatry, St. Olavs University Hospital, Trondheim, Norway; Tiller Community Mental Health Center, Division of Psychiatry, St. Olavs University Hospital, Trondheim, Norway; Norwegian University of Science and Technology, Faculty of Medicine, Department of Neuroscience, Trondheim, Norway.
Patient Educ Couns. 2015 Nov;98(11):1410-7. doi: 10.1016/j.pec.2015.06.009. Epub 2015 Jun 23.
The Patient Activation Measure-13 (PAM-13) has been found useful for assessing patient knowledge, skills and confidence in management of chronic conditions, but the empirical evidence from mental health is sparse. The psychometric properties of PAM in out-patients waiting for treatment in community mental health centers (CMHC) have therefore been examined.
A total of 290 adults from two CMHC completed PAM. An exploratory factor analysis was conducted with 273 patients. Data at baseline and after 4 weeks were used to analyze test-retest reliability (n=60) and to analyze the sensitivity to change (n=51).
The exploratory factor analysis revealed a fit for a two-factor model (Cronbach's α was 0.86 and 0.67), and was assessed for a one-factor model (α=0.87). The test-retest intraclass correlation coefficient was 0.76. Sensitivity to change was good with a statistically significant activation improvement (p<0.001) on patients receiving a peer co-led-educational intervention (Cohen's d was 0.85).
PAM has appropriate and acceptable psychometric properties in mental health settings.
Assessing activation before treatment might be useful for scheduling the delivery of mental health services as well as evaluating educational interventions aimed at improving patient engagement in mental health.
患者激活量表-13（PAM-13）已被证明可用于评估患者对慢性病管理的知识、技能和信心，但心理健康方面的实证证据较少。因此，对社区心理健康中心（CMHC）等待治疗的门诊患者中PAM的心理测量特性进行了研究。
来自两个CMHC的290名成年人完成了PAM。对273名患者进行了探索性因素分析。使用基线和4周后的数据分析重测信度（n = 60）并分析变化敏感性（n = 51）。
探索性因素分析显示适合两因素模型（克朗巴哈α系数分别为0.86和0.67），并对单因素模型进行了评估（α = 0.87）。重测组内相关系数为0.76。接受同伴共同主导教育干预的患者变化敏感性良好，激活有统计学显著改善（p < 0.001）（科恩d值为0.85）。
PAM在心理健康环境中具有适当且可接受的心理测量特性。
治疗前评估激活情况可能有助于安排心理健康服务的提供，以及评估旨在提高患者心理健康参与度的教育干预措施。
