Dept. of Public Health and Preventive Medicine
Oregon Health & Science University
BACKGROUND The Patient Activation Measure (PAM) quantifies patientsâ 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
School of Medicine
McClain, Molly, "Patient activation : medical self-management in the context of a care transitions intervention" (2013). Scholar Archive. 914.