Wai Hong Kevin Lo, Cato T Laurencin
Adopt-A-Classroom Program: A Potential Platform to Address the Root of Health Disparities in the US
Journal of racial and ethnic health disparities
background controlling costs achieving health care quality improvements require participation activated informed consumers patients objectives describe process conceptualizing operationalizing means activated delineate process used develop measure assessing activation psychometric properties measure methods used convergence findings national expert consensus panel patient focus groups define concept identify domains activation domains operationalized constructing large item pool items pilottested initial psychometric analysis performed using rasch methodology third stage refined extended measure fourth stage used national probability sample assess measures psychometric performance overall within different subpopulations study sample convenience samples patients without chronic illness national probability sample n 1515 included different stages research conclusions patient activation measure valid highly reliable unidimensional probabilistic guttmanlike scale reflects developmental model activation activation appears involve four stages 1 believing patient role important 2 confidence knowledge necessary take action 3 actually taking action maintain improve ones health 4 staying course even stress measure good psychometric properties indicating used individual patient level tailor intervention assess changes