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The PAM is a valid, highly reliable, unidimensional, probabilistic Guttman-like scale that reflects a developmental model of activation. Activation appears to involve four stages: (1) believing the patient role is important, (2) having the confidence and knowledge necessary to take action, (3) actually taking action to maintain and improve one's health, and (4) staying the course even under stress. The measure has good psychometric properties indicating that it can be used at the individual patient level to tailor intervention and assess changes.
Year: 2004 Authors: Hibbard Disease: COPD Outcome: Patient activation
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Measure: Patient activation
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Number of RCTs that used this tool (in our study): 2
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Scale: Higher scores are better, scores range 0-100 Reference: Hibbard, J. H., Stockard, J., Mahoney, E. R., & Tusler, M. (2004). Development of the Patient Activation Measure (PAM): conceptualizing and measuring activation in patients and consumers. Health services research, 39(4 Pt 1), 1005–1026.
Target population: General population Focus Generic Translations available: Yes Original version validated: Yes Original language: English Form of delivery: Self-reported Licence needed: Yes 10.1111/j.1475-6773.2004.00269.x