Patient engagement

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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]

Measuring patient engagement

Patient activation can be measured with the "Patient Activation Measure".^[2]

Readiness to change can be measured by the Readiness to Change Ruler^[3]^[4] or by the University of Rhode Island Change Assessment (URICA) questionnaire^[5] based on the Transtheoretical Model of Change. The URICA is 23 or 32 items and a 12 item "'Readiness to change" version^[6] has been developed. The Ruler correlates with the full questionnaire^[7]^[6] and predicts behavioral intentions^[7].

How to increase patient engagement / participation

Encouraging the patient to participate in decisions may increase engagement and patient compliance.^[8]^[2] Using stories to describe medical evidence may help communication.^[9]

Mobile Health

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
↑ ^2.0 ^2.1 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.
↑ DiClemente CC, Hughes SO (1990). "Stages of change profiles in outpatient alcoholism treatment". J Subst Abuse. 2 (2): 217–35. PMID 2136111.
↑ ^6.0 ^6.1 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.
↑ ^7.0 ^7.1 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.
↑ 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.

[mesh-1] 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

[pmid22127797-2] 2.0 ^2.1 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.

[3] Readiness-to-Change Ruler Adult Mededucation

[pmid10735346-4] 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.

[pmid2136111-5] DiClemente CC, Hughes SO (1990). "Stages of change profiles in outpatient alcoholism treatment". J Subst Abuse. 2 (2): 217–35. PMID 2136111.

[pmid1591525-6] 6.0 ^6.1 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.

[pmid15783287-7] 7.0 ^7.1 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.

[pmid17986698-8] 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.

[pmid17763914-9] 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.

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