Patient engagement: Difference between revisions
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Patient activation interventions may improve the care of diabetes.<ref name="pmid24733301">{{cite journal| author=Bolen SD, Chandar A, Falck-Ytter C, Tyler C, Perzynski AT, Gertz AM et al.| title=Effectiveness and safety of patient activation interventions for adults with type 2 diabetes: systematic review, meta-analysis, and meta-regression. | journal=J Gen Intern Med | year= 2014 | volume= 29 | issue= 8 | pages= 1166-76 | pmid=24733301 | doi=10.1007/s11606-014-2855-4 | pmc=4099447 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24733301 }} </ref>. | Patient activation interventions may improve the care of diabetes.<ref name="pmid24733301">{{cite journal| author=Bolen SD, Chandar A, Falck-Ytter C, Tyler C, Perzynski AT, Gertz AM et al.| title=Effectiveness and safety of patient activation interventions for adults with type 2 diabetes: systematic review, meta-analysis, and meta-regression. | journal=J Gen Intern Med | year= 2014 | volume= 29 | issue= 8 | pages= 1166-76 | pmid=24733301 | doi=10.1007/s11606-014-2855-4 | pmc=4099447 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24733301 }} </ref>. | ||
=Measuring patient engagement== | ==Measuring patient engagement== | ||
Patient activation can be measured with the "Patient Activation Measure".<ref name="pmid22127797">{{cite journal| author=Greene J, Hibbard JH| title=Why does patient activation matter? An examination of the relationships between patient activation and health-related outcomes. | journal=J Gen Intern Med | year= 2012 | volume= 27 | issue= 5 | pages= 520-6 | pmid=22127797 | doi=10.1007/s11606-011-1931-2 | pmc=3326094 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22127797 }} </ref> | Patient activation can be measured with the "Patient Activation Measure".<ref name="pmid22127797">{{cite journal| author=Greene J, Hibbard JH| title=Why does patient activation matter? An examination of the relationships between patient activation and health-related outcomes. | journal=J Gen Intern Med | year= 2012 | volume= 27 | issue= 5 | pages= 520-6 | pmid=22127797 | doi=10.1007/s11606-011-1931-2 | pmc=3326094 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22127797 }} </ref> | ||
Revision as of 04:20, 27 June 2018
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Meagan Miller; Sara Dawit; Anna Scheuffele; Travis Haneke; Amanda Just; Evan Ball
Overview
Patient engagement, also called patient activation or patient participation, is defined as "patient involvement in the decision-making process in matters pertaining to health."[1]
Patient activation interventions may improve the care of diabetes.[2].
Measuring patient engagement
Patient activation can be measured with the "Patient Activation Measure".[3]
Readiness to change can be measured by several methods:
- The Readiness to Change Ruler[4][5]
- Prochaska's Stages of Change from the Transtheoretical Model of Change[6]. The subjects answers one of the following about their current beliefs[7]:
- I do not regularly use __ and I do not intend to start within the next (six) months (Precontemplation)
- I am thinking about using __ regularly within the next (six) months (Contemplation)
- I plan to use __ regularly within the next 30 days (Preparation)
- I use __ regularly and have been for less than six months (Action)
- I use __ regularly and have for six months or more (Maintenance)
- The University of Rhode Island Change Assessment (URICA) questionnaire[8] based on the Transtheoretical Model of Change. The URICA is 23 or 32 items and a 12 item "'Readiness to change" version[9] has been developed. The Ruler correlates with the full questionnaire[10][9] and predicts behavioral intentions[10].
- Rollnick's motivational interviewing[11]
How to increase patient engagement / participation
Encouraging the patient to participate in decisions may increase engagement and patient compliance.[12][3] Using stories to describe medical evidence may help communication.[13]
Mobile Health
External links
References
- ↑ Patient participation. National Library of Medicine - Medical Subject Headings. Available at https://www.nlm.nih.gov/cgi/mesh/2016/MB_cgi?mode=&term=Patient+Participation
- ↑ Bolen SD, Chandar A, Falck-Ytter C, Tyler C, Perzynski AT, Gertz AM; et al. (2014). "Effectiveness and safety of patient activation interventions for adults with type 2 diabetes: systematic review, meta-analysis, and meta-regression". J Gen Intern Med. 29 (8): 1166–76. doi:10.1007/s11606-014-2855-4. PMC 4099447. PMID 24733301.
- ↑ 3.0 3.1 Greene J, Hibbard JH (2012). "Why does patient activation matter? An examination of the relationships between patient activation and health-related outcomes". J Gen Intern Med. 27 (5): 520–6. doi:10.1007/s11606-011-1931-2. PMC 3326094. PMID 22127797.
- ↑ Readiness-to-Change Ruler Adult Mededucation
- ↑ Zimmerman GL, Olsen CG, Bosworth MF (2000). "A 'stages of change' approach to helping patients change behavior". Am Fam Physician. 61 (5): 1409–16. PMID 10735346.
- ↑ Prochaska JO, Velicer WF, Rossi JS, Goldstein MG, Marcus BH, Rakowski W; et al. (1994). "Stages of change and decisional balance for 12 problem behaviors". Health Psychol. 13 (1): 39–46. PMID 8168470.
- ↑ Fu, T., Mundorf, N., Redding, C. A., Brick, L., Paiva, A., & Prochaska, J. (2016, June). Exploring sustainable transportation attitudes and stages of change using survey and geospatial data in New England campus commuters. In Journal of the Transportation Research Forum (Vol. 55, No. 2).
- ↑ DiClemente CC, Hughes SO (1990). "Stages of change profiles in outpatient alcoholism treatment". J Subst Abuse. 2 (2): 217–35. PMID 2136111.
- ↑ 9.0 9.1 Rollnick S, Heather N, Gold R, Hall W (1992). "Development of a short 'readiness to change' questionnaire for use in brief, opportunistic interventions among excessive drinkers". Br J Addict. 87 (5): 743–54. PMID 1591525.
- ↑ 10.0 10.1 LaBrie JW, Quinlan T, Schiffman JE, Earleywine ME (2005). "Performance of alcohol and safer sex change rulers compared with readiness to change questionnaires". Psychol Addict Behav. 19 (1): 112–5. doi:10.1037/0893-164X.19.1.112. PMID 15783287.
- ↑ Rollnick, S., Heather, N., Gold, R., & Hall, W. (1992). Development of a short ‘readiness to change’questionnaire for use in brief, opportunistic interventions among excessive drinkers. Addiction, 87(5), 743-754. doi:10.1111/j.1360-0443.1992.tb02720.x
- ↑ Bodenheimer T (2007). "A 63-year-old man with multiple cardiovascular risk factors and poor adherence to treatment plans". JAMA. 298 (17): 2048–55. doi:10.1001/jama.298.16.jrr70000. PMID 17986698.
- ↑ Steiner JF (2007). "Using stories to disseminate research: the attributes of representative stories". Journal of general internal medicine : official journal of the Society for Research and Education in Primary Care Internal Medicine. 22 (11): 1603–7. doi:10.1007/s11606-007-0335-9. PMID 17763914.