ArticleNursing research
Psychometric Properties of the Patient Activation Measure in Family Caregivers of Patients With Chronic Illnesses.
Article in Nursing research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Factors associated with avoidable non-urgent emergency department visits in South Tyrol (Italy): a multicentre cross-sectional study.BMC emergency medicine · 2026Article
- Sleep Quality and Patient Activation in Chronic Disease: A Cross-Sectional Mediation Analysis.Clocks & sleep · 2025Article
- Segmenting Preventive Health Behavior: Gender Disparities and Psychosocial Predictors in a Culturally Diverse Italian Region.European journal of investigation in health, psychology and education · 2025Article
- Application and advances of patient activation in surgical patients.World journal of surgical oncology · 2025Review
- Preventive Health Behavior and Readiness for Self-Management in a Multilingual Adult Population: A Representative Study from Northern Italy.Nursing reports (Pavia, Italy) · 2025Article
- Is Vaccine Uptake Related to Health Literacy? A Representative Survey in the Multilingual Region of South Tyrol, Italy.Vaccines · 2025Article
- Primary and Emergency Care Use: The Roles of Health Literacy, Patient Activation, and Sleep Quality in a Latent Profile Analysis.Behavioral sciences (Basel, Switzerland) · 2025Article
- Health Information Use and Trust: The Role of Health Literacy and Patient Activation in a Multilingual European Region.International journal of environmental research and public health · 2025Article
- The relationship of health activation with risk of future cardiovascular disease among rural family caregivers of patients with chronic illnesses.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2024Article
- A Systematic Review of the Reliability and Validity of the Patient Activation Measure Tool.Healthcare (Basel, Switzerland) · 2024Review
- Patient activation and medication adherence in adults.Journal of the American Pharmacists Association : JAPhAArticle
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Authors and funding
11 authors.
Funding
Abstract
backgroundThe Patient Activation Measure (PAM) is used clinically and in research to measure an individual's knowledge, skills, and confidence related to their health management engagement. Despite the use of "patient" in the title, the instrument can be used in nonpatient populations. A group at high risk for low activation concerning their own health is family caregivers of patients with chronic illnesses. The psychometric properties of the PAM have not been established in family caregivers.
objectivesThis study aimed to examine the psychometric properties of the PAM 10-item version (PAM-10) in a sample of family caregivers of patients with chronic illnesses. Our focus was on family caregivers' health activation of their own healthcare needs.
methodsWe evaluated the internal consistency reliability of the PAM-10 in a sample of 277 family caregivers. Item-total correlations and interitem correlations were used to assess item homogeneity. Construct validity of the PAM-10 was examined using exploratory factor analysis and testing hypotheses on known relationships.
resultsThe PAM-10 demonstrated adequate internal consistency. Item-total correlation coefficients and interitem correlation coefficients were acceptable. Construct validity of the instrument was supported. Factor analysis yielded two factors that explained 62.3% of the variance in the model. Lower levels of depressive symptoms were significantly associated with better activation, providing evidence of construct validity. Caregivers with high activation levels were significantly more likely to engage in and adhere to self-care behaviors such as regular exercise, eating a healthy diet, and engaging in stress reduction strategies. DISCUSSION: This study demonstrated that the PAM-10 is a reliable and valid measure for family caregivers of patients with chronic illnesses to measure caregivers' health activation of their own healthcare needs.
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