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对患者激活测量工具的可靠性和有效性的系统审查
Qin Xiang Ng1,2, Matthias Yi Quan Liau3, Yong Yi Tan3
1Health Services Research Unit, Singapore General Hospital, Singapore 169608, Singapore.
Healthcare (Basel, Switzerland)
|June 19, 2024
概括
患者激活措施 (PAM) 在不同人群中表现出良好的可靠性和有效性,特别是那些患有慢性疾病的人群. 需要进一步的研究来探索其内容的有效性和在更广泛的社区环境中的应用.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 心理测量 心理测量 心理测量
- 患者赋权是患者赋权的一种方式.
背景情况:
- 患者激活,管理健康和导航医疗保健的能力,是积极健康结果的关键.
- 患者激活措施 (PAM) 是评估这一关键健康组件的广泛使用的工具.
研究的目的:
- 这一系统性审查是首次全面评估PAM的有效性,可靠性,因子结构和跨人群适用性.
- 综合现有关于PAM-13及其翻译的心理特性的证据.
主要方法:
- 根据PRISMA和COSMIN指南,在Medline,EMBASE和Cochrane图书馆进行了系统的文献搜索,直到2023年10月1日.
- 包括39项量化或混合方法研究,报告了PAM-13或其翻译版本的心理测量特性.
- 研究集中在不同的人群中,大多数研究人员检查了患有慢性疾病的个人.
主要成果:
- 在大多数研究中,PAM表现出高的内部一致性 (克朗巴赫α>0.80).
- 证据普遍支持患者激活的单维构造,尽管文化差异影响了因素结构.
- 构造有效性得到了与健康行为和结果的相关性支持.
结论:
- PAM是患者激活的可靠和有效指标,特别是在慢性病患者群体中.
- 进一步的研究应该调查内容有效性和差异性项目功能.
- 建议将PAM应用扩展到不同的人口统计和社区居民,以提高对患者激活对健康影响的理解.
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