Provenzano Maria, Cillara Nicola, Podda Mauro, Gonzalez Cesar Ivan Aviles, Cicalò Enrico, Fransvea Pietro, Poillucci Gaetano, Deserra Antonello, Ricciardelli Luigi, Jiménez-Herrera Maria
Department of Surgery PO SS, Trinità, Cagliari, Italy.
Universitat Rovira i Virgili, Tarragona, Spain.
Res Nurs Health. 2025 Apr;48(2):281-293. doi: 10.1002/nur.22447. Epub 2025 Jan 28.
The patient activation measure (PAM), a recognized measure of how active patients are in their care, is one of the most extensively used, widely translated, and tested instruments worldwide in measuring patient activation. This study aimed to assess the psychometric properties and construct validity of the Italian version of the 13-item Patient Activation Measure (PAM13-I) among patients undergoing elective laparoscopic cholecystectomy. A multicenter study was conducted across 111 surgical units in Italy. This study involved the preoperative administration of the PAM questionnaire to 4532 patients. The psychometric properties of the PAM were evaluated using Rasch analysis. The PAM13-I demonstrated good internal consistency (Cronbach's α = 0.95) and reliability indices. While fit statistics were acceptable, ceiling effects were observed. No significant differential item functioning was found. However, issues with targeting and local response dependency were identified. The Italian PAM-13 showed promising psychometric properties among surgical patients, indicating its potential utility in assessing patient activation. However, concerns regarding ceiling effects and targeting suggest the need for further refinement and validation in surgical populations.
患者激活度量表（PAM）是一种公认的衡量患者在自身护理中积极性的量表，是全球范围内在测量患者激活程度方面使用最广泛、翻译最广泛且经过测试的工具之一。本研究旨在评估13项患者激活度量表意大利版（PAM13 - I）在接受择期腹腔镜胆囊切除术患者中的心理测量特性和结构效度。在意大利的111个手术科室进行了一项多中心研究。本研究对4532例患者术前进行了PAM问卷测试。使用Rasch分析评估PAM的心理测量特性。PAM13 - I表现出良好的内部一致性（克朗巴哈α系数 = 0.95）和可靠性指标。虽然拟合统计数据可接受，但观察到天花板效应。未发现显著的项目功能差异。然而，发现了针对性和局部反应依赖性方面的问题。意大利版PAM - 13在手术患者中显示出有前景的心理测量特性，表明其在评估患者激活方面的潜在效用。然而，对天花板效应和针对性的担忧表明需要在手术人群中进一步完善和验证。
