Exploring Patient Activation in the Clinic: Measurement From Three Perspectives

Christy J.W. Ledford, Christopher C. Ledford, Marc A. Childress

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Objective. To further conceptualize and operationalize patient activation (PA), using measures from patient, physician, and researcher perspectives. Data Source/Study Setting. Multimethod observation in 2010 within a family medicine clinic. Study Design. Part of an intervention with 130 patients with type 2 diabetes, this observational study further looked at PA in 19 physician-patient dyads. Data Collection. Observations occurred in a teaching hospital, which served as recruiting and study site. Principal Findings. PA correlated with knowledge, self-efficacy, promotion orientation, and exercise intent. Patient-reported PA did not correlate with researcher-observed or physician-reported PA behavior. Researcher-observed PA correlated with physician-observation items. Conclusions. Results provide evidence for measuring different perspectives in studies of PA. When patients report they are activated in self-management, behavior does not indicate they are active in clinical communication, a critical component of collaborative decision making.

Original languageEnglish (US)
Pages (from-to)339-345
Number of pages7
JournalHealth Education and Behavior
Volume40
Issue number3
DOIs
StatePublished - Jun 2013
Externally publishedYes

Keywords

  • patient activation
  • physician-patient
  • primary care

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Public Health, Environmental and Occupational Health

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