Social and Behavioral Sciences Commons^™

Variables Associated With Patient Activation In Persons With Multiple Sclerosis, Marie-Christine Rutter Goodworth, Lara Stepleman, Judith Hibbard, Lisa Johns, Dustin Wright, Mary D. Hughes, Mitzi J. Williams

Faculty Publications - Doctor of Psychology (PsyD) Program

Identifying variables associated with patient activation in the multiple sclerosis population could serve to facilitate better multiple sclerosis self-management behaviors. Using a cross-sectional survey design, 199 participants were recruited from a multiple sclerosis center in the Southeastern United States. Depression, multiple sclerosis quality of life, and multiple Sclerosis self-efficacy were all significantly correlated with patient activation. Results of a hierarchical regression indicated that patient activation was significantly related to educational attainment, depression, and self-efficacy but not to quality of life. The results suggest several possible targets for intervention to increase patient activation, including health literacy, depression symptoms, and self-efficacy for …

Validation Of The Patient Activation Measure In A Multiple Sclerosis Clinic Sample And Implications For Care, Lara Stepleman, Marie-Christine Rutter Goodworth, Judith Hibbard, Lisa Johns, Dustin Wright, Mary D. Hughes

Faculty Publications - Doctor of Psychology (PsyD) Program

Purpose. Patient engagement in multiple sclerosis (MS) care can be challenging at times given the unpredictable disease course, wide range of symptoms, variable therapeutic response to treatment and high rates of patient depression. Patient activation, a model for conceptualising patients’ involvement in their health care, has been found useful for discerning patient differences in chronic illness management. The purpose of this study was to validate the patient activation measure (PAM-13) in an MS clinic sample.

Methods. This was a survey study of 199 MS clinic patients. Participants completed the PAM-13 along with measures of MS medication adherence, self-efficacy, depression and …