Guendalina Graffigna|Serena Barello|Andrea Bonanomi
The role of Patient Health Engagement Model (PHE-model) in affecting patient activation and medication adherence: A structural equation model
Università Cattolica del Sacro Cuore|Università Cattolica del Sacro Cuore|Università Cattolica del Sacro Cuore
background increasing bodies scientific research today examines factors interventions affecting patients ability selfmanage adhere treatment patient activation considered reliable indicator patients ability manage health autonomously studies tried assess role psychosocial factors promoting patient activation systematic modeling psychosocial factors explaining variance patient activation needed objective test hypothesized effect patient activation medication adherence test hypothesized effects positive emotions quality patientdoctor relationship patient activation test hypothesized mediating effect patient health engagement phemodel pathway material methods crosssectional study involved 352 italianspeaking adult chronic patients survey included measures patient activation patient activation measure 13 short form ii patient health engagement model patient health engagement scale iii patient adherence 4 itemmorinsky medication adherence scale iv quality patients emotional feelings manikin self assessment scale v quality patientdoctor relationship health care climate questionnaire structural equation modeling used test hypotheses proposed results according theoretical model hypothesized research results confirmed patients activation significantly affects reported medication adherence moreover psychosocial factors patients quality emotional feelings quality patientdoctor relationship demonstrated factors affecting level patient activation finally mediation effect patient health engagement model confirmed analysis conclusions consistently results previous studies findings demonstrate patient health engagement model critical factor enhancing quality care patient health engagement model might acts mechanism increase patient activation adherence