The development and testing of a measure assessing clinician beliefs about patient self-management

Authors, Primary Hibbard,Judith H.;Collins,Peter Alf;Mahoney,Eldon;Baker,Laurence H.
Title Primary The development and testing of a measure assessing clinician beliefs about patient self-management
Periodical Full Health Expectations: An International Journal of Public Participation in Health Care & Health Policy
Pub Year 2010
Volume 13
issue 1
Start Page 65-72
Abstract BACKGROUND: Clinicians have been slow to embrace support for patient self-management. OBJECTIVE: To explore clinicians' beliefs about patient self-management and specifically assess which patient competencies clinicians believe are most important for their patients. METHODS: Using items adapted from the Patient Activation Measure (PAM) as a basis, a new measure that assesses clinicians' beliefs about patient self-management was created using Rasch analysis. The development and testing of the new measure Clinician Support for Patient Activation Measure (CS-PAM) is described here. Primary care clinicians from the UK and the USA were recruited to participate in the survey (n = 175). FINDINGS: The CS-PAM reliably measures clinician attitudes about the patient role in the care process. Clinicians strongly endorse that patients should follow medical advice but are less likely to endorse that patients should be able to make independent judgements or take independent actions. Endorsed to a lesser degree was the idea that patients should be able to function as a member of the care team. Least endorsed was the notion that patients should be independent information seekers. DISCUSSION: Clinicians' views appear to be out of step with current policy directions and professional codes. Clinicians need support to transition to understand the need to support patients as independent actors.
Publisher Not Available
Place of Publication Not Available
Author/Address Hibbard, Judith H.: jhibbard@uoregon.edu; Hibbard, Judith H.: Institute for Policy Research and Innovation, University of Oregon, Eugene, OR, US Collins, Peter Alf: Musgrove Park Hospital, Taunton, United Kingdom Mahoney, Eldon: Institute for Cr)
PubMed Link
Reference Type(s) Journal Article
Topic Tag(s) Comprehensive Care;Patient-Centered Care;Outcomes
Special Population(s) Not Available
Case Study No
Commentary/Opinion Piece No
Historical Publication No
Key/Foundational Article No
Literature Review No
Article Rating No
Summary of Article Rating No