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Patient Activation Among Community-Dwelling Persons Living With Chronic Obstructive Pulmonary Disease
Marnie M Wetzstein1, Linda L Shanta, Linda L Chlan
1Marnie M. Wetzstein, PhD, RN, CCRP, is RN Study Coordinator and King Hussein Nursing Research Postdoctoral Scholar, Division of Nursing Research, Mayo Clinic, Rochester, Minnesota. At the time this research was completed, she was a Doctoral Candidate at the University of North Dakota, Grand Forks. Linda Shanta, PhD, RN, ANEF, is Associate Dean, Phoenix Campus and Associate Professor, Creighton University College of Nursing, Phoenix, Arizona. At the time this research was completed, she was Clinical Associate Professor and Director Nurse Educator Track, University of North Dakota, Grand Forks. Linda Chlan, PhD, RN, ATSF, FAAN, is Associate Dean for Nursing Research and Professor of Nursing, Mayo Clinic, Rochester, Minnesota.
Background:
Vigilant self-management is associated with positive health outcomes in people living with chronic obstructive pulmonary disease (COPD), yet the predictors of activated self-managers are not well understood.
Objectives:
The aims of the study were to identify and describe the predictors of patient activation among a sample of community-dwelling adults with COPD in the United States.
Methods:
A postal survey of demographic, mood, symptom, function, health perception, life quality measures, and the patient activation measure was completed by 64 participants. Descriptive and inferential statistics were used to examine and describe associations between personal characteristics, health outcomes, and patient activation measure scores (0-100). Multivariate, linear regression analysis was conducted to identify predictors of patient activation score.
Results:
Patient activation was high among the sample. Multivariate analysis revealed positive affect, smoking pack-years, overall quality of life, and female gender collectively explained 45.4% of the variance in patient activation.
Discussion:
Positive life view, gender, and lifestyle factors present novel predictors of high activation in self-managers of COPD that warrant explication through future research.
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