caa a22 4500 606178538 CHVBK 20210128100757.0 cr unu---uuuuu 210128e20150701xx s 000 0 eng 10.1007/s11136-014-0908-0 doi (NATIONALLICENCE)springer-10.1007/s11136-014-0908-0 The Patient Activation Measure: a validation study in a neurological population [Elektronische Daten] [Tanya Packer, George Kephart, Setareh Ghahari, Åsa Audulv, Joan Versnel, Grace Warner] Purpose: To assess the validity of the Patient Activation Measure (PAM13) of patient activation in persons with neurological conditions. Methods: "The Everyday Experience of Living with and Managing a Neurological Condition” (The LINC study) surveyed 948 adults with neurological conditions residing in Canada in 2011 and 2012. Using data for 722 respondents who met coding requirements for the PAM-13, we examined the properties of the measure using principle components analysis, inter-item correlations and Cronbach's alpha to assess unidimensionality and internal consistency. Rasch modeling was used to assess item performance and scaling. Construct validity was assessed by calculating associations between the PAM and known correlates. Results: PAM-13 provides a suitably reliable and valid instrument for research in patients with neurological conditions, but scaling problems may yield measurement error and biases for those with low levels of activation. This is of particular importance when used in clinical settings or for individual client care. Our study also suggests that measurement of activation may benefit from tailoring items and scaling to specific diagnostic groups such as people with neurological conditions, thus allowing the PAM-13 to recognize unique attributes and management challenges in those conditions. Conclusions: The PAM-13 is an internally reliable and valid tool for research purposes. The use of categorical activation "level” in clinical settings should be done with caution. Springer International Publishing Switzerland, 2015 Chronic disease management nationallicence Measurement nationallicence Validation nationallicence Neurological conditions nationallicence Patient activation nationallicence PAM-13 nationallicence Packer Tanya School of Occupational Therapy, Dalhousie University, Forrest Building, Rm 161, 5869 University Av., P.O. Box 15000, B3H 4R2, Halifax, NS, Canada aut Kephart George Community Health and Epidemiology, Dalhousie University, Halifax, NS, Canada aut Ghahari Setareh School of Rehabilitation Therapy, Queen's University, Kingston, ON, Canada aut Audulv Åsa School of Occupational Therapy, Dalhousie University, Forrest Building, Rm 161, 5869 University Av., P.O. Box 15000, B3H 4R2, Halifax, NS, Canada aut Versnel Joan School of Occupational Therapy, Dalhousie University, Forrest Building, Rm 161, 5869 University Av., P.O. Box 15000, B3H 4R2, Halifax, NS, Canada aut Warner Grace School of Occupational Therapy, Dalhousie University, Forrest Building, Rm 161, 5869 University Av., P.O. Box 15000, B3H 4R2, Halifax, NS, Canada aut Quality of Life Research Springer International Publishing 24/7(2015-07-01), 1587-1596 0962-9343 24:7<1587 2015 24 11136 https://doi.org/10.1007/s11136-014-0908-0 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11136-014-0908-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Packer Tanya School of Occupational Therapy, Dalhousie University, Forrest Building, Rm 161, 5869 University Av., P.O. Box 15000, B3H 4R2, Halifax, NS, Canada aut NATIONALLICENCE 700 1- Kephart George Community Health and Epidemiology, Dalhousie University, Halifax, NS, Canada aut NATIONALLICENCE 700 1- Ghahari Setareh School of Rehabilitation Therapy, Queen's University, Kingston, ON, Canada aut NATIONALLICENCE 700 1- Audulv Åsa School of Occupational Therapy, Dalhousie University, Forrest Building, Rm 161, 5869 University Av., P.O. Box 15000, B3H 4R2, Halifax, NS, Canada aut NATIONALLICENCE 700 1- Versnel Joan School of Occupational Therapy, Dalhousie University, Forrest Building, Rm 161, 5869 University Av., P.O. Box 15000, B3H 4R2, Halifax, NS, Canada aut NATIONALLICENCE 700 1- Warner Grace School of Occupational Therapy, Dalhousie University, Forrest Building, Rm 161, 5869 University Av., P.O. Box 15000, B3H 4R2, Halifax, NS, Canada aut NATIONALLICENCE 773 0- Quality of Life Research Springer International Publishing 24/7(2015-07-01), 1587-1596 0962-9343 24:7<1587 2015 24 11136