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[Patient Activation Measure].

Aslak Steinsbekk1

  • 1Institutt for samfunnsmedisin Norges teknisk-naturvitenskapelige universitet 7489 Trondheim. aslak.steinsbekk@ntnu.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|December 20, 2008
PubMed
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The Norwegian Patient Activation Measure (PAM) effectively assesses patients' self-management skills and health knowledge. This validated tool is suitable for evaluating patient activation interventions in Norwegian healthcare settings.

Area of Science:

  • Health Services Research
  • Patient Education
  • Psychometrics

Background:

  • Patient education is a mandated service in Norwegian hospitals.
  • Existing assessment tools were not available in Norwegian, hindering evaluation.
  • A need existed for a validated instrument to measure patient activation.

Purpose of the Study:

  • To identify and translate a suitable patient education questionnaire into Norwegian.
  • To validate the Norwegian version of the chosen instrument.
  • To assess its utility for evaluating patient activation interventions.

Main Methods:

  • Healthcare professionals selected the most appropriate questionnaire from 15 options.
  • The chosen instrument, the Patient Activation Measure (PAM), underwent forward and backward translation.

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  • Validation was performed on two patient samples, including test-retest reliability assessment.

    • Main Results:

    • The Patient Activation Measure (PAM) was selected for its focus on patient self-management, respect, and empowerment.
    • A significant correlation was found between PAM scores and self-reported health management ability (r = 0.477, p = 0.018).
    • The Norwegian PAM demonstrated good test-retest reliability.

    Conclusions:

    • The Norwegian PAM is a suitable measure for evaluating patients' knowledge, skills, and ability to manage their health and navigate health services.
    • The validated Norwegian PAM can be used to assess the effectiveness of interventions designed to enhance patient activation.