Evidence map›Paper›PMID 33148185›Full record

ArticleBMC family practice2020

Relationship between patient activation measurement and self-rated health in patients with chronic diseases.

Nina Tusa, Hannu Kautiainen, Pia Elfving, Sanna Sinikallio, Pekka Mäntyselkä

Registry-linked trialAbstract read
In one paragraph

Article in BMC family practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02992431 (Participatory Patient Care Planning in Primary Care), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02992431 naunknown statusnot on this map

Participatory Patient Care Planning in Primary Care: Effectiveness and Feasibility in Patients With Hypertension, Ischemic Heart Disease or Diabetes

TypeinterventionalSponsorKuopio University HospitalRan2017 to 2023Enrolled600ConditionsHypertension, Ischemic Heart Disease, Diabetes MellitusArmsParticipatory patient care planning, Usual care
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Article
  9. Validation of the Patient Activation Measure in kidney stone disease patients.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2025
    Article
  10. Article
  11. Article
  12. The relationship between medication beliefs, patient activation, and self-rated health in patients taking oral anticancer agents.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  13. Measuring patient activation: the utility of the Patient Activation Measure administered in an interview setting.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Article
  14. Article
  15. Article
  16. Observational
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Nina TusaInstitute of Public Health and Clinical Nutrition, University of Eastern Finland, P.O. Box 1627, FI-70211, Kuopio, Finland. nina.tusa@uef.fi.ORCID 0000-0002-5169-508X
Hannu KautiainenPrimary Health Care Unit, Kuopio University Hospital, Kuopio, Finland.
Pia ElfvingDepartment of Medicine, Kuopio University Hospital, Kuopio, Finland.
Sanna SinikallioSchool of Educational Sciences and Psychology, University of Eastern Finland, Kuopio, Finland.
Pekka MäntyselkäInstitute of Public Health and Clinical Nutrition, University of Eastern Finland, P.O. Box 1627, FI-70211, Kuopio, Finland.

Funding

Suomen Lääketieteen Säätiö xSuomen yleislääketieteen säätiö (FI) x
6 · The paper itself

Abstract

backgroundIn the aging population, chronic diseases and multimorbidity are common. Therefore, it is important to engage patients in their self-care. The aim of this study was to analyze the relationship between activity in self-care and self-rated health among primary care patients with chronic diseases.

methodsThe data of the present study were derived from a research project on the Participatory Patient Care Planning in Primary Care (4PHC). A total of 605 patients were recruited in the Siilinjärvi Health Center from those patients who were being monitored due to the treatment of hypertension, ischemic heart disease or diabetes. We evaluated the level of patient's activity in self-care with the Patient Activation Measurement (PAM). Self-rated health (SRH) was measured with the 5-item Likert scale. An adjusted hypothesis of linearity across categories of PAM and self-rated health was estimated using analysis of covariance (ANCOVA).

resultsIt was found that 76 patients had low activity, 185 had moderate while 336 patients had high activity as measured with PAM. Patients with the highest activity were younger, less depressed, had a lower body mass index and a higher level of physical activity than those with the lower activity. Correspondingly, good SRH was perceived by 29, 45 and 67% of the patients in these three PAM groups adjusted with sex, age, depressive symptoms (BDI) and number of diseases. There was a significant linear trend (adjusted with age, number of diseases and depressive symptoms) between SRH and PAM, p < 0.001.

conclusionsActivity in self-care had an independent, linear relationship with the self-rated health. The present findings suggest that Patient Activation Measurement has the potential to categorize the patients according to their perceived health and their needs related to their disease management and self-care. The present results warrant longitudinal studies on the impact of promoting patient activation levels.

trial registrationClinicalTrials.gov Identifier: NCT02992431 . Registered 14 December 2016 https://clinicaltrials.gov/ct2/show/NCT02992431.

Indexed as

Patient ParticipationPrimary Health CareAgedChronic DiseaseHealth StatusHumansLongitudinal StudiesPatient Care PlanningAging populationChronic diseasesPatient activation measurementPrimary health careSelf-rated health

Identifiers

PMID33148185
PMCPMC7643260

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.