Patient Activation Among Prevalent Hemodialysis Patients: An Observational Cross-Sectional Study
Patient activation is the product of knowledge, skills, and confidence that enables a person to manage their own healthcare. It is associated with healthy behaviors and improved patient outcomes. We surveyed prevalent hemodialysis (HD) patients at 10 centers using the Patient Activation Measure 13-i...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2022-07-01
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| Series: | Journal of Patient Experience |
| Online Access: | https://doi.org/10.1177/23743735221112220 |
| _version_ | 1818002244664033280 |
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| author | Wael F Hussein MRCPI Paul N Bennett PhD Sumi J Sun MPH Marc Reiterman MPH Emily Watson MSW Ian M Farwell PhD Brigitte Schiller MD |
| author_facet | Wael F Hussein MRCPI Paul N Bennett PhD Sumi J Sun MPH Marc Reiterman MPH Emily Watson MSW Ian M Farwell PhD Brigitte Schiller MD |
| author_sort | Wael F Hussein MRCPI |
| collection | DOAJ |
| description | Patient activation is the product of knowledge, skills, and confidence that enables a person to manage their own healthcare. It is associated with healthy behaviors and improved patient outcomes. We surveyed prevalent hemodialysis (HD) patients at 10 centers using the Patient Activation Measure 13-item instrument (PAM-13). Activation was reported as scores (0-100) and corresponding levels (1-4). Of 1149 eligible patients, surveys were completed by 925 patients (92% response rate). Mean age was 62 ± 14 years, 40% were female, median vintage was 41 (IQR 19-77) months, and 66% had diabetes. Mean PAM score was 56 ± 13, with 14%, 50%, 25%, and 10% in levels 1 to 4, respectively. In adjusted analysis, older age and having diabetes were associated with lower activation, whereas higher educational levels and female gender were associated with higher scores. Significant variation in activation was observed among participants from different centers even after adjustment for other variables. In conclusion, low activation is common among prevalent HD patients. |
| first_indexed | 2024-04-14T03:44:11Z |
| format | Article |
| id | doaj.art-6822a53865754756baded17d7fb0eb68 |
| institution | Directory Open Access Journal |
| issn | 2374-3743 |
| language | English |
| last_indexed | 2024-04-14T03:44:11Z |
| publishDate | 2022-07-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Patient Experience |
| spelling | doaj.art-6822a53865754756baded17d7fb0eb682022-12-22T02:14:23ZengSAGE PublishingJournal of Patient Experience2374-37432022-07-01910.1177/23743735221112220Patient Activation Among Prevalent Hemodialysis Patients: An Observational Cross-Sectional StudyWael F Hussein MRCPI0Paul N Bennett PhD1Sumi J Sun MPH2Marc Reiterman MPH3Emily Watson MSW4Ian M Farwell PhD5Brigitte Schiller MD6 Department of Medicine, Division of Nephrology, , Palo Alto, CA, USA Clinical and Health Sciences, , Adelaide, Australia , San Jose, CA, USA , San Jose, CA, USA , San Jose, CA, USA , San Jose, CA, USA Department of Medicine, Division of Nephrology, , Palo Alto, CA, USAPatient activation is the product of knowledge, skills, and confidence that enables a person to manage their own healthcare. It is associated with healthy behaviors and improved patient outcomes. We surveyed prevalent hemodialysis (HD) patients at 10 centers using the Patient Activation Measure 13-item instrument (PAM-13). Activation was reported as scores (0-100) and corresponding levels (1-4). Of 1149 eligible patients, surveys were completed by 925 patients (92% response rate). Mean age was 62 ± 14 years, 40% were female, median vintage was 41 (IQR 19-77) months, and 66% had diabetes. Mean PAM score was 56 ± 13, with 14%, 50%, 25%, and 10% in levels 1 to 4, respectively. In adjusted analysis, older age and having diabetes were associated with lower activation, whereas higher educational levels and female gender were associated with higher scores. Significant variation in activation was observed among participants from different centers even after adjustment for other variables. In conclusion, low activation is common among prevalent HD patients.https://doi.org/10.1177/23743735221112220 |
| spellingShingle | Wael F Hussein MRCPI Paul N Bennett PhD Sumi J Sun MPH Marc Reiterman MPH Emily Watson MSW Ian M Farwell PhD Brigitte Schiller MD Patient Activation Among Prevalent Hemodialysis Patients: An Observational Cross-Sectional Study Journal of Patient Experience |
| title | Patient Activation Among Prevalent Hemodialysis Patients: An Observational Cross-Sectional Study |
| title_full | Patient Activation Among Prevalent Hemodialysis Patients: An Observational Cross-Sectional Study |
| title_fullStr | Patient Activation Among Prevalent Hemodialysis Patients: An Observational Cross-Sectional Study |
| title_full_unstemmed | Patient Activation Among Prevalent Hemodialysis Patients: An Observational Cross-Sectional Study |
| title_short | Patient Activation Among Prevalent Hemodialysis Patients: An Observational Cross-Sectional Study |
| title_sort | patient activation among prevalent hemodialysis patients an observational cross sectional study |
| url | https://doi.org/10.1177/23743735221112220 |
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