Prey Jennifer E, Qian Min, Restaino Susan, Hibbard Judith, Bakken Suzanne, Schnall Rebecca, Rothenberg Gloria, Vawdrey David K, Masterson Creber Ruth
Department of Biomedical Informatics, Columbia University, New York, NY, USA.
Department of Biostatistics, Columbia University, New York, NY, USA.
Patient Educ Couns. 2016 Dec;99(12):2026-2033. doi: 10.1016/j.pec.2016.06.029. Epub 2016 Jun 27.
The purposes of this paper are to describe the internal consistency reliability and construct validity of the PAM-13 for hospitalized cardiology and oncology patients and to examine the predictors of low patient activation in the same population.
We evaluated the internal consistency reliability of the PAM-13 in the inpatient setting. Construct validity of the PAM-13 was then assessed using two approaches: expected known-groups differences between patients with planned and unplanned admissions PAM-13 levels and convergence of PAM-13 levels with other measures.
The PAM demonstrated adequate internal consistency overall (Cronbach α=0.81). Patients with unplanned admissions were more likely to have low activation than patients with planned admissions (adjusted OR=5.7, p=0.008). The PAM-13 was modestly correlated (p<0.001) with each of the PROMIS Global Health components used in this study (global, physical and mental health).
This study demonstrates the PAM-13 is a reliable and valid measure for use in the inpatient hospital setting and that type of admission (planned versus unplanned) is an important predictor of patient activation.
By measuring patient activation with the PAM-13, clinicians and researchers can provide tailored communication and care strategies to meet patient's needs.
本文旨在描述住院心脏病学和肿瘤学患者使用患者激活量表-13（PAM-13）的内部一致性信度和结构效度，并研究同一人群中患者低激活状态的预测因素。
我们评估了住院环境下PAM-13的内部一致性信度。然后使用两种方法评估PAM-13的结构效度：计划内和计划外入院患者PAM-13水平之间预期的已知组差异，以及PAM-13水平与其他测量指标的收敛性。
PAM总体显示出足够的内部一致性（克朗巴哈α系数=0.81）。计划外入院的患者比计划内入院患者更有可能处于低激活状态（调整后的比值比=5.7，p=0.008）。PAM-13与本研究中使用的每个患者报告结果测量信息系统（PROMIS）全球健康成分（整体、身体和心理健康）均呈中度相关（p<0.001）。
本研究表明，PAM-13是一种用于住院医院环境的可靠且有效的测量工具，入院类型（计划内与计划外）是患者激活状态的重要预测因素。
通过使用PAM-13测量患者激活状态，临床医生和研究人员可以提供量身定制的沟通和护理策略，以满足患者的需求。
