Jacky Visser, John Lawrence, Chris Reed, Jean Wagemans, Douglas Walton
Annotating Argument Schemes
Argumentation
patient activation refers knowledge confidence skills required management chronic disease antecedent selfmanagement greater selfmanagement chronic kidney disease ckd results improved patient experience patient outcomes examine patient activation levels people ckd stage 5 predialysis determine associations sociodemographic characteristics treatment adherence healthcare utilisation people ckd stage 5 receiving dialysis one australian kidney care service patient activation measured using 13item patient activation measure pam13 sociodemographic clinical outcome data emergency department visits admissions collected medical records morisky medication adherence scale used determine selfreport medication adherence two hundred four participants completed study mean pam13 score 534 sd 138 73 reporting low activation levels 1 2 patient activation scores significantly decreased increased age p 0001 significantly increased higher educational levels p 0001 higher patient activation level associated fewer hospital emergency department visits p 003 increased medication adherence p 0001 patient activation levels low people ckd stage 5 receiving dialysis suggesting limited ability selfmanagement capacity optimally informed decisions healthcare efforts improve patient activation need consider age education level