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Measuring patient empowerment - A systematic review.
Arja Pekonen1, Sini Eloranta2, Minna Stolt3
1University of Turku, Department of Nursing Science and Clinical Nurse Specialist, Turku University Hospital, Finland.
Patient Education and Counseling
|November 27, 2019
Summary
This systematic review identified instruments measuring patient empowerment. While instruments exist, their content and psychometric properties vary, indicating a need for further development and testing.
Area of Science:
- Health Sciences
- Psychology
- Sociology
Background:
- Patient empowerment is crucial for effective healthcare.
- Existing literature lacks a comprehensive overview of available measurement instruments.
- Related concepts include enablement, activation, engagement, and perceived control.
Purpose of the Study:
- To systematically identify generic instruments measuring patient empowerment and related concepts.
- To analyze the content and psychometric properties of these instruments.
Main Methods:
- Systematic literature search using keywords related to empowerment and its concepts.
- Content analysis classifying subscales and items into four elements of empowerment.
- Psychometric property evaluation using established criteria (Terwee et al., 2007).
Main Results:
- Thirteen instruments were identified; five covered all four defined elements of empowerment.
- Psychometric properties of the instruments were variable.
- No single instrument possessed all evaluated psychometric properties.
Conclusions:
- Generic instruments for measuring patient empowerment and related concepts are available.
- These instruments exhibit heterogeneity in structure and psychometric quality.
- Empowerment is a broader, multidimensional construct than its related concepts.
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