O'Leary A. Self-efficacy and Health. Behav. Res. Ther. 1985.23 (4): 437 -451. / Summary article of health related research simulated by self-efficacy theory /
- Review of a number of studies linking sense of self-efficacy with sustained behavioral change
- Review of studies linking low self-efficacy and relapse in behavioral change
- Summarizes studies showing relationship btw self-efficacy and pain
- "" "" self-efficacy and eating disorders
- "" "" cardiac rehab
- "" "" and medical adherence
Kaplan S, Greenfield S, Ware J. Assessing the Effects of Physician-Patient Interactions on Outcomes of Chronic Disease. Medical Care. 1989. 27(3): S110 - S127. / Summarizes 3 RCTs and one non-equivalent controlled trial in which patient-physician communication shown to influence health outcomes /
- 3 RCTs involving pts with ulcer disease, DM, and hypertension and one non-equivalent controlled trial in pts with breast cancer in which physicians trained in giving pts access to their health information, information about their condition, and coaching in behavioral change.
- Shows decreased blood pressure and blood sugar, increased functional status, and increased subjective measure of overall health status related to aspects of patient-physician communication
Wagner EH, Austin B, and Von Korff M. Organizing Care for Patients with Chronic IllnessTheMilibank Quarterly. 1996. 74 (4): 511-544. / Summarizes need for integrated, patient-centered care in chronic illness and highlights areas of successful chronic illness care / moderately low
Hibbard J, Greenlick M, Jimison H, Capizzi J, and Kunkel L. The Impact of Community-wise Self-care Information Project on Self-Care and Medical Care Utilization. Evaluation & The Health Professionals. 2001. 24(4): 400-423. / Quasiexperimental study with non-randomized experimental and control communities to assess the effects of Healthwise Communities Project in which a Healthwise Handbook on triaging self-care vs. seeking care on common issues was mailed to community homes, a Healthwisewebsite was established, a nurse advice line was set up, on use of self care resources, self care behavior, health care utilization, health care costs, and satisfaction with care in the target population /
- Assessed via consumer surveys in the control and experimental communities at baseline, 24, and 36 months. Utilization data was assessed via 2 major hospitals and 2 major insurance plans in each of the communities.
- "Findings indicate that the community intervention increased the use of self-care resources. Users believe that these products help them make better decisions regarding when to seek care and how to self-treat problems. Most believe that using the self-care resources saved them from unnecessary care. The findings from the utilization data provide some evidence tosupport this conclusion.
- Interesting because this is an application of self-management support on a community level
Bodenheimer T, Wagner EH, Grumbach K. Improving Primary Care for Patients with Chronic Illness. JAMA. 2002; 288: 1775-1779. / Summary article reviewing state of chronic illness care and need for SMS /
- Highlights diabetes collaborative at ClinicaCampesina as example of demonstrated A1c decrease with the right type of care delivery. Also Kaiser of North Colorado
Bodenheimer T, Lorig K, Holman H, and Grumbach K. Patient Self-management of Chronic Disease in Primary Care. JAMA. 2002; 288 (19): 2469 - 2475.
Hibbard J, Stockard J, Mahoney E, and Tusler M. Development of the Patient Activation Measur (PAM): Conceptualizing and Measuring Activation in Patients and Comsumers. Health Sciences Research. 2004; 39(4): 1005 - 1026. / Findings from national expert consensus panel and patient focus groups combined to define patient activation. Concept then pilot-tested and analyzed using Rasch methodology and subsequently refined/extended. Lastly, measure's overall performance and that in subpopulations was assessed/validated. /
- PAM was developed and validated both in pts with and without chronic illness.
- Great review list of foundational articles establishing link between patient engagement/activation and improved health outcomes and lower cost
Glasgow RE, Wagner EH, Schaefer J,
Mahoney LD, Reid RJ, Greene SM.
Development and validation of the
Patient Assessment of Chronic
Illness Care (PACIC). Med Care.
2005;43(5):436–44. / Validates the PACIC, a patient self-report on whether they received chronic illness care.
Deen D, et al. Asking Questions: The effect of a brief intervention in community health centers on patient activation. Patient Education and Counseling. 2011. 84: 257-260. / PAM scores and Patient preference for control (PPC) were analyzed before and after the use of a patient activation intervention focused on building question formulation skills (Right Question Project) to patients in community health centers prior to their next physician visit. /
- statistically significant increase in PAM scores with intervention – 1/3 of pts moved from stage 1 or 2 to stage 3 or 4
- pts preferring a more passive role had lower initial PAM scores and greater increases in their post-intervention PAM scores than those who preferred a more active role.
- Good example of a patient activation intervention to increase PAM in minority and lower initial PAM population
Hibbard J, Greene J, and Overton V. Patients with Lower Activation Associated with Higher Costs; Delivery Systems Should Know Their Patients' 'Scores.' Health Affairs. 2013. 32 (2): 216-222. / Cross sectional analysis of 33,163 patients in large health care system (18% of total population) evaluating relationship between PAM score and outpatient cost data during the baseline year and in the subsequent six months in the year after PAM completed. /
- Pts with the lowest activation levels had predicted average costs that were 8 percent (p<0.01) higher in the baseline year and 21 percent (p<0.05) higher in the first half the next year than the costs of patients with the highest activation levels.
- Pt activation remained a significant predictor of cost even after adjustment for a commonly used :risk score" specifically desinged to predict future costs.
Hibbard J and Greene J. What the Evidence Shows about Patient Activation: Better Health Outcomes and Care Experiences; Fewer Data on Costs. Health Affairs. 2013. 32 (2): 207-214. / Summary of current evidence /
- 15 - 20 papers cited to support better health outcomes
- Cites 7 studies that link activation to better patient experiences with healthcare
- Cites 4 studies linking low activation scores and utilization
- Reviews several programs in which interventions showed improvements in PAMs
Carman K, Dardess P, Maurer M, Sofaer S, Adams K, Bechtel C, Sweeney J. Patient and Family Engagement: A Framework for Understanding the Elements and Developing Interventions and Policies. Health Affairs 32(2): 223 - 231.