ArticleJournal of patient experience2022
Patient Activation Among Prevalent Hemodialysis Patients: An Observational Cross-Sectional Study.
Article in Journal of patient experience, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 10 citations in OpenAlex.
- Understanding of Key Facts Relevant to Dialysis Care Among Patients Undergoing Hemodialysis.The Permanente journal · 2026Article
- Patient Activation Among Individuals with Chronic Illness: A Cross-Sectional Study from Jordan.Healthcare (Basel, Switzerland) · 2026Article
- The relationship between social support, psychological distress, and patient activation in peritoneal dialysis patients: a cross-sectional study.BMC nephrology · 2025Article
- Empowering CKD and Hemodialysis Patients with mHealth: Implementation of the NephroGo App in Europe.Journal of clinical medicine · 2025Article
- Factors associated with patient activation among patients with diabetes on hemodialysis: a multicenter cross-sectional study from a developing country.BMC nephrology · 2024Article
- Patient activation in advanced chronic kidney disease: a cross-sectional study.Journal of nephrology · 2024Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Patient activation is the product of knowledge, skills, and confidence that enables a person to manage their own healthcare. It is associated with healthy behaviors and improved patient outcomes. We surveyed prevalent hemodialysis (HD) patients at 10 centers using the Patient Activation Measure 13-item instrument (PAM-13). Activation was reported as scores (0-100) and corresponding levels (1-4). Of 1149 eligible patients, surveys were completed by 925 patients (92% response rate). Mean age was 62 ± 14 years, 40% were female, median vintage was 41 (IQR 19-77) months, and 66% had diabetes. Mean PAM score was 56 ± 13, with 14%, 50%, 25%, and 10% in levels 1 to 4, respectively. In adjusted analysis, older age and having diabetes were associated with lower activation, whereas higher educational levels and female gender were associated with higher scores. Significant variation in activation was observed among participants from different centers even after adjustment for other variables. In conclusion, low activation is common among prevalent HD patients.
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