Author

Molly McClain

Date

May 2013

Document Type

Thesis

Degree Name

M.P.H.

Department

Dept. of Public Health and Preventive Medicine

Institution

Oregon Health & Science University

Abstract

BACKGROUND The Patient Activation Measure (PAM) quantifies patients’ confidence, skills, and knowledge in regards to managing their own health. Higher levels of activation have been linked to improved health behaviors and health outcomes, and lower health care utilization. However, little is known about the use of the PAM during times of care transitions, or in adults who are socioeconomically disadvantaged. METHODS The study is a secondary analysis of data collected in the Care Transitions Innovation study, a multicomponent transitional care intervention for uninsured and low-income publicly insured adults. Regression analysis was used to determine if PAM scores predicted readmission and if PAM scores improved more in a group who received a transitional care intervention. RESULTS Multivariable logistic regression modeling revealed the odds of 30-day readmission was roughly 40% less for those with high PAM scores [OR: 0.57, 95% CI: 0.34- 0.96, P-value: 0.04]. This association was

Identifier

doi:10.6083/M4WM1BFF

School

School of Medicine

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