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Do increases in patient activation result in improved self-management behaviors?
Judith H Hibbard1, Eldon R Mahoney, Ronald Stock
1Department of Planning, Public Policy, and Management, University of Oregon, Eugene, OR 97403-1209, USA.
Health Services Research
|July 6, 2007
Summary
Increasing patient activation, a measure of health engagement, is linked to improved self-management behaviors. This study explored if patient activation is changeable and impacts health behaviors over time.
Area of Science:
- Health behavior change
- Patient engagement
- Chronic disease management
Background:
- Patient activation is a key concept in health behavior.
- Understanding if activation is dynamic is crucial for interventions.
- Its relationship with self-management behaviors needs further exploration.
Purpose of the Study:
- To determine if patient activation is a changing or changeable characteristic.
- To assess if changes in patient activation correlate with changes in health behaviors.
Main Methods:
- A controlled trial with 479 chronic disease patients was conducted.
- Data were collected at baseline, 6 weeks, and 6 months.
- Latent growth models were used to analyze changes in activation and health behaviors.
Main Results:
- Increased patient activation positively correlates with improved self-management behaviors.
- This association holds true even for behaviors not initially performed.
- Higher activation levels are linked to sustained behavior performance.
Conclusions:
- Boosting patient activation can lead to a variety of improved health behaviors.
- Further research is needed to identify effective interventions for enhancing patient activation.
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