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  • Title: Exploring patient activation in the clinic: measurement from three perspectives.
    Author: Ledford CJ, Ledford CC, Childress MA.
    Journal: Health Educ Behav; 2013 Jun; 40(3):339-45. PubMed ID: 22984210.
    Abstract:
    OBJECTIVE: To further conceptualize and operationalize patient activation (PA), using measures from patient, physician, and researcher perspectives. DATA SOURCE/STUDY SETTING: Multimethod observation in 2010 within a family medicine clinic. STUDY DESIGN: Part of an intervention with 130 patients with type 2 diabetes, this observational study further looked at PA in 19 physician-patient dyads. Data Collection. Observations occurred in a teaching hospital, which served as recruiting and study site. PRINCIPAL FINDINGS: PA correlated with knowledge, self-efficacy, promotion orientation, and exercise intent. Patient-reported PA did not correlate with researcher-observed or physician-reported PA behavior. Researcher-observed PA correlated with physician-observation items. CONCLUSIONS: Results provide evidence for measuring different perspectives in studies of PA. When patients report they are activated in self-management, behavior does not indicate they are active in clinical communication, a critical component of collaborative decision making.
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