Evidence map›Paper›PMID 39549447›Full record

ArticleGeriatric nursing (New York, N.Y.)

Higher patient activation is associated with lower odds of functional limitation in older adults with chronic diseases.

Ji Won Lee, Junxin Li, Sarah L Szanton, Qiwei Li, Minhui Liu, Melissa D Hladek

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PubMed Full text at PMC Publisher
In one paragraph

Article in Geriatric nursing (New York, N.Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
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

6 authors.

Ji Won LeeCenter for Health Policy, Columbia University School of Nursing, 560 West 168 Street, New York, NY, 10032, USA. Electronic address: Jl6481@cumc.columbia.edu.
Junxin LiSchool of Nursing, Johns Hopkins University, 525N. Wolfe Street, Baltimore, MD, 21205, USA.
Sarah L SzantonSchool of Nursing, Johns Hopkins University, 525N. Wolfe Street, Baltimore, MD, 21205, USA; Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, 615N. Wolfe Street, Baltimore, MD, 21205, USA.
Qiwei LiCollege of Health and Human Sciences, Fresno State University, 2345 E. San Ramon, M/S MH26, Fresno, CA, 93740, USA.
Minhui LiuNingxia Medical University School of Nursing, Office 612A of Zhixing Building, 1160 Shengli South Street, Xingqing District, Yinchuan City, Ningxia Hui Autonomous Region 750004, PR China.
Melissa D HladekSchool of Nursing, Johns Hopkins University, 525N. Wolfe Street, Baltimore, MD, 21205, USA.

Funding

Hopkins Center to Promote resilience in persons and families living with multiple chronic conditions (the PROMOTE Center)P30NR018093 · NINR · JOHNS HOPKINS UNIVERSITY · PI DENNISON HIMMELFARB, CHERYL · 2018 to 2022
$3.1M
Addressing Inactive Kidney Transplant Waitlist Status through Adapting a Tailored Psycho-Social-Environmental ProgramK23DK133677 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI Melissa Hladek · 2023 to 2026
$779k
NIDDK NIH HHS K23 DK133677NINR NIH HHS P30 NR018093
6 · The paper itself

Abstract

objectivesTo investigate the association between patient activation and functional limitation among older adults living with multiple chronic conditions.

methodsWe performed a secondary analysis of a parent study, which examined the relationship between self-efficacy and both inflammatory biomarkers and frailty. We conducted multivariate logistic regression while controlling for the patients' sociodemographic variables and comorbidities to examine the association between self-reported functional limitation and patient activation as measured by the Patient Activation Measure (PAM-10).

resultsWe included 159 participants with a mean age of 82.00 ± 6.27 years. While controlling for the patients' demographic, socioeconomic status, and comorbidities, we found that functional limitation decreases by 16 % (OR 0.84, 95 % CI: 0.75, 0.94, p = 0.002) for every one unit increase in patient activation score.

conclusionHigher patient activation scores were associated with decreased odds of functional limitation. Providers may consider the potential value of using behavioral activation strategies to address functional decline.

Indexed as

Activities of Daily LivingPatient ParticipationAgedAged, 80 and overChronic DiseaseFemaleFrailtyHumansMaleSelf EfficacyFunctional limitationOlder adultsPatient activation

Identifiers

PMID39549447
PMCPMC11805663

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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.