Research Library
This perspective reviews the current status of patient activation in dialysis patients, outlines some of the available interventions, and proposes steps to change the dynamics of the current system to move toward a more active role for patients in their care.
Among patients on prevalent, in-center dialysis, low patient activation levels are associated with increased mortality. Most studies found significantly lower mortality associated with transplantation, and significantly better quality of life.
Among patients on prevalent, in-center dialysis, low patient activation levels are associated with increased mortality.
Lower activation levels are associated with a higher symptom burden and reduced quality of life across the trajectory of CKD stages and treatment modalities. Self-management support to increase activation may have the potential to improve the patient experience for people living with kidney disease.
Chronic kidney disease is often undiagnosed for several years; the frequency of patient-provider conversations and patient activation are the two most significant predictors of a patients behaviors in preventing kidney disease.
This systematic review provides insights and underscores the importance of implementing PAM-13 in cancer care, emphasizing its positive impact on patient outcomes and the need for its widespread adoption in clinical practice.
Higher levels of patient activation helps adults who are low in literacy and numeracy compensate for their lower skills and achieve higher levels of comprehension of health care information.
In this study of Medicare beneficiaries, patient activation is a good predictor of health behaviors regardless of health literacy level.
Digital health interventions to enhance patient activation are effective and result in a PAM score increase across diverse settings and contexts, implying potential generalizability.
After a hip fracture, effective rehabilitation is crucial to help older adults regain independence and quality of life. This study found that in hip fracture rehabilitation, patients with higher activation levels had better mobility and functional outcomes.
Patient activation levels are low in people with stage 5 chronic kidney disease not receiving dialysis suggesting limited ability for self-management and capacity for optimally informed decisions about their healthcare.
Survey response rates were significantly higher for the mixed mode survey than they would have been for either an exclusively telephone or web survey.
PAM is the gold standard in measuring individuals’ ability to manage their own health—their knowledge about medications and preventive health, their skills to maintain lifestyle changes and participate in care decisions, and their confidence in communicating with their doctor and following up.
PAM is more than just a questionnaire. It’s: