Lara M. Stepleman|Marie Christine Rutter|Judith H. Hibbard|Lisa Johns|Dustin E. Wright|Mary D. Hughes
Validation of the patient activation measure in a multiple sclerosis clinic sample and implications for care
Augusta University|Augusta University|University of Oregon|Augusta University|Charlie Norwood VA Medical Center|Prisma Health
patient engagement multiple sclerosis ms care challenging times given unpredictable disease course wide range symptoms variable therapeutic response treatment high rates patient depression patient activation model conceptualising patients involvement health care found useful discerning patient differences chronic illness management purpose study validate patient activation measure pam13 ms clinic samplethis survey study 199 ms clinic patients participants completed pam13 along measures ms medication adherence selfefficacy depression quality liferesults rasch correlation analyses indicate pam13 reliable valid ms population activation associated ms selfefficacy depression quality life selfreported medication adherence also participants relapseremitting ms current employment high levels education activated subgroupsthe pam13 useful tool understanding health behaviours ms findings study support clinical consideration investigation developing interventions increase patient activation improve health outcomes ms