Validation of the Patient Activation Measure in kidney stone disease patients.

IF 1.9 4区医学 Q3 UROLOGY & NEPHROLOGY

Cuaj-Canadian Urological Association Journal Pub Date : 2024-12-09 DOI:10.5489/cuaj.8944

Liam Murad, Sophie Abou Samra, Ryan Schwartz, Anis Assad, Kristina Penniston, Kahina Bensaadi, Malek Meskawi, Naeem Bhojani

{"title":"Validation of the Patient Activation Measure in kidney stone disease patients.","authors":"Liam Murad, Sophie Abou Samra, Ryan Schwartz, Anis Assad, Kristina Penniston, Kahina Bensaadi, Malek Meskawi, Naeem Bhojani","doi":"10.5489/cuaj.8944","DOIUrl":null,"url":null,"abstract":"Introduction: We aimed to validate the Patient Activation Measure (PAM) within a kidney stone disease (KSD) population, determine the variability of patient activation within this population, and characterize relationships between activation and variables such as health literacy, quality of life, and demographics.Methods: This cross-sectional study includes individuals 18 years or older followed for KSD at University of Montreal Hospital Center. Demographic data and responses for the PAM, Wisconsin Stone Quality of Life scale, and health literacy questionnaire (HLQ) were acquired.Results: Females and those with poor medication adherence were found to have significantly lower activation. The HLQ dimensions \"Actively managing my health,\" \"Navigating the healthcare system,\" and \"Understand health information well enough to know what to do\" were associated with significantly higher activation. Rasch analysis revealed an item reliability of 0.81, a person reliability of 0.98, and a Cronbach's alpha of 0.88. Regarding item fit, only item 1 (When all is said and done, I am the person who is responsible for taking care of my health) fit poorly with the model. Principle component analysis revealed evidence of a second dimension, accounting for 9.0% of the variation in observed responses.Conclusions: Female sex and poor medication adherence were associated with significantly lower activation. Aspects of health literacy concurring with the precise definition of \"activation\" were associated with significantly higher PAM scores. The PAM was found to have good person and item reliability, and good internal consistency; however, principal component analysis revealed that construct validity is possibly threatened by multidimensionality.","PeriodicalId":50613,"journal":{"name":"Cuaj-Canadian Urological Association Journal","volume":" ","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cuaj-Canadian Urological Association Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.5489/cuaj.8944","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction: We aimed to validate the Patient Activation Measure (PAM) within a kidney stone disease (KSD) population, determine the variability of patient activation within this population, and characterize relationships between activation and variables such as health literacy, quality of life, and demographics.

Methods: This cross-sectional study includes individuals 18 years or older followed for KSD at University of Montreal Hospital Center. Demographic data and responses for the PAM, Wisconsin Stone Quality of Life scale, and health literacy questionnaire (HLQ) were acquired.

Results: Females and those with poor medication adherence were found to have significantly lower activation. The HLQ dimensions "Actively managing my health," "Navigating the healthcare system," and "Understand health information well enough to know what to do" were associated with significantly higher activation. Rasch analysis revealed an item reliability of 0.81, a person reliability of 0.98, and a Cronbach's alpha of 0.88. Regarding item fit, only item 1 (When all is said and done, I am the person who is responsible for taking care of my health) fit poorly with the model. Principle component analysis revealed evidence of a second dimension, accounting for 9.0% of the variation in observed responses.

Conclusions: Female sex and poor medication adherence were associated with significantly lower activation. Aspects of health literacy concurring with the precise definition of "activation" were associated with significantly higher PAM scores. The PAM was found to have good person and item reliability, and good internal consistency; however, principal component analysis revealed that construct validity is possibly threatened by multidimensionality.

查看原文本刊更多论文

肾结石患者激活测量的验证。

我们的目的是在肾结石疾病（KSD）人群中验证患者激活测量（PAM），确定该人群中患者激活的可变性，并表征激活与健康素养、生活质量和人口统计学等变量之间的关系。方法：这项横断面研究包括在蒙特利尔大学医院中心接受KSD随访的18岁或以上的个体。获得了PAM、Wisconsin Stone生活质量量表和健康素养问卷（HLQ）的人口统计数据和回复。结果：女性和药物依从性差的人的激活率明显降低。HLQ维度“积极管理我的健康”、“在医疗保健系统中导航”和“充分理解健康信息以知道该做什么”与显著更高的激活相关。Rasch分析显示项目信度为0.81，个人信度为0.98,Cronbach's alpha为0.88。关于合身，只有第1项（不管怎么说，我是负责照顾自己健康的人）不太符合模型。主成分分析揭示了第二个维度的证据，占观察到的响应变化的9.0%。结论：女性和较差的药物依从性与显著较低的激活相关。符合“激活”精确定义的健康素养方面与PAM得分显著较高相关。结果表明，PAM具有良好的人信度、项目信度和内部一致性；然而，主成分分析表明，多维度可能会对结构效度造成威胁。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Cuaj-Canadian Urological Association Journal 医学-泌尿学与肾脏学

CiteScore

2.80

自引率

10.50%

发文量

167

审稿时长

>12 weeks

期刊介绍： CUAJ is a a peer-reviewed, open-access journal devoted to promoting the highest standard of urological patient care through the publication of timely, relevant, evidence-based research and advocacy information.