Is patient activation associated with future health outcomes and healthcare utilization among patients with diabetes?

Abstract

We examined the relationship between the patient activation measure (PAM) and future diabetes-related health outcomes through retrospective analysis of secondary data using multivariate logistic regression. PAM scores from a 2004 survey on 1180 randomly sampled adults with diabetes and health information from a 2006 diabetes registry were the data sources used. The PAM was predictive for hemoglobin A1c (HgA1c) testing (P < .008), low-density lipoprotein cholesterol (LDL-C) testing (P < .005), HgA1c control (P < .01), and all-cause discharges (P < .03), but not for lipid-lowering drug use, LDL-C control, or acute myocardial infarction discharges. These results suggest that PAM scores can be used to identify patients at risk for poorer health outcomes.

• Authors: Carol Remmers, Judith Hibbard, David M Mosen, Morton Wagenfield, Robert E Hoye, Ches Jones
• Journal: The Journal of ambulatory care management (J Ambul Care Manage) 2009 Oct-Dec Vol. 32 Issue 4 Pg. 320-7 ISSN: 0148-9917 [Print] United States
• PMID: 19888008 (Publication Type: Journal Article)

Topics

• Diabetes Mellitus (psychology, therapy)
• Female
• Humans
• Male
• Middle Aged
• Patient Education as Topic
• Patient Participation (psychology)
• Retrospective Studies
• Self Care (psychology)
• Self Efficacy