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Psychometric Testing of a Patient Empowerment, Engagement, and Activation Survey
Jaynelle F Stichler1, Luc R Pelletier
1Research & Professional Development, Sharp Center of Nursing Excellence, San Diego, California (Dr Stichler); San Diego State University, San Diego, California (Dr Stichler); and Sharp Mesa Vista Hospital, San Diego, California (Mr Pelletier).
Background:
Patient or person-centered care has become a widely used philosophical framework and yet has varying definitions and characteristics. Person-centered care has recently been conceptualized as patient empowerment, engagement, and activation with studies citing positive outcomes.
Purpose:
This study reports the psychometric properties of the Patient Empowerment, Engagement, and Activation Survey.
Methods:
An instrument development and testing approach was used.
Results:
A 21-item survey was developed demonstrating respectable Cronbach α coefficients for the total scale (α = 0.88) and for each subscale: Empowerment (α = 0.71), Engagement (α = 0.81), and Activation (α = 0.76). A regression analysis with 1 item, "I am ready to be discharged" as the dependent variable and all other items as independent variables explained 65% of the variance in readiness for discharge (P < .001).
Discussion:
The Patient Empowerment, Engagement, and Activation Survey can be used to evaluate patients' perspectives of care quality (empowerment and engagement) and readiness for discharge (activation).
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