Saturday, June 30, 2007

Patient Activation Measure

Patient Activation Measure Patient Activation Measure (PAM)
The questionnaire used in the Patient Engagement survey contains a 22 item scale that assesses the extent to which people feel confident and able to self-manage their own health and health conditions. The scale consists of a series of statements, with five possible responses:
• Strongly agree
• Agree
• Disagree
• Strongly disagree
• Not applicable.

Separate versions of the scale, with different wording, are intended for those who have chronic conditions and those who do not. Below is the scale for those reporting a chronic condition.

Believes active role is important

1. When all is said and done, I am the person who is responsible for managing my health condition.
2. Taking an active role in my own healthcare is the most important factor in determining my health and
ability to function.
Confidence and knowledge to take action
3. I know what each of my prescribed medications does.
4. I am confident I can tell my doctor concerns I have even when he or she does not ask.
5. I am confident that I can tell when I need to get medical care and when I can handle a health problem
myself.
6. I know the lifestyle changes like diet and exercise that are recommended for my health condition.
7. I am confident that I can follow through on medical treatments I need to do at home.
8. I am confident that I can take actions to prevent or minimize problems associated with my health
condition.
9. I am confident that I can find trustworthy sources of information about my health condition and treatment
choices.
10. I am confident that I can follow through on medical recommendations my doctor makes such as changing
my diet or doing regular exercise.
11. I understand the nature and causes of my health condition.
12. I know the different medical treatment options available for my health condition.
| 48 | How engaged are people in their healthcare? | The Health Foundation
Taking action
13. I have been able to maintain the lifestyle changes for my health that I have made.
14. I know how to prevent further problems with my health condition.
15. I know about the self-treatments for my health condition.
16. I have made the changes in my lifestyle like diet and exercise that are recommended for my health
condition.
17. I am confident I can come up with solutions when new problems arise with my health condition.
18. I am able to handle symptoms of my health condition on my own at home.
Staying the course under stress
19. I am confident that I can maintain lifestyle changes like diet and exercise even during times of stress.
20. I am able to handle problems of my health condition on my own at home.
21. I am confident I can keep my health problems from interfering with the things I want to do.
22. Maintaining the lifestyle changes that are recommended for my health condition is too hard to do on a
daily basis.

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