Brief Report: Patient Activation Among Urban Hospitalized Patients With Heart Failure

Creber, Ruth Masterson; Chen, Ting; Chao, Wei; Lee, Christopher S.

doi:10.1016/j.cardfail.2017.08.452

Cited by 28 publications

(16 citation statements)

References 18 publications

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“…Most of the studies found were cross-sectional (Bos-Touwen et al, 2015; Campbell et al, 2017; Goodworth et al, 2016; Korpershoek et al, 2016; Masterson Creber et al, 2017) with only two studies being randomized control trials (RCT) (Rygg et al, 2012; Shively et al, 2013). For example, a US study (Shively et al, 2013) found that higher activation was associated with positive patient outcomes for knowledge of heart failure and self-management behaviors.…”

Section: Resultsmentioning

confidence: 99%

“…One study (Titova et al, 2017) in adults with COPD used a disease specific COPD HRQOL scale. However, one recent cross-sectional study Masterson Creber et al (2017) used the PROMIS ® to incorporate HRQOL in heart failure patients. Higher activation was associated with better physical function, which is a positive outcome for self-management behaviors as well as an aggregate on HRQOL measures.…”

Section: Resultsmentioning

confidence: 99%

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Patient activation in adults with chronic conditions: A systematic review

2020

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Patient activation is an important aspect of self-management for adults with chronic non cancerous health conditions (CHC). However, there is limited evidence about which measures of patient activation and healthrelated quality of life are most useful to clinicians. This systematic review examined regarding the types of measures used to evaluate a patient’s readiness for self-management including patient activation and healthrelated quality of life (HRQOL). Two such as measurements are the Patient Activation Measure (PAM) and overall PROMIS® Global health. Ten articles were identified which included measurement of patient activation and HRQOL. The results indicate that HRQOL is evaluated with various measurement tools. Most researchers agree that patient activation and the measurement of global HRQOL positively contribute to successful self-management strategies.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Patient activation in adults with chronic conditions: A systematic review

2020

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“…Therefore, role of HL and PA is important in improving quality of life among COPD patients [13]. However, findings are not consistent, with two studies showing a correlation between both patient activation and health literacy [20] with SMPs [21]. However one study found no association between health literacy [22] and SMPs.…”

Section: Introductionmentioning

confidence: 97%

Self-management practice, associated factors and its relationship with health literacy and patient activation among multi-morbid COPD patients from rural Nepal

et al. 2020

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Background: Chronic Obstructive Pulmonary Disease (COPD) is a progressive and debilitating condition that affects individuals' quality of life. COPD self-management and supports provided by carers is key to the quality of life people living with COPD. Health literacy (HL) and Patient Activation (PA) are main drivers of self-management practices (SMPs). However, their contribution remains to be fully explored. This study aimed to examine the level of self-management practices, and the relationship with socio-demographic factors, HL and PA among multi-morbid COPD patients from rural Nepal. Methods: This is a cross-sectional study conducted between July 2018 and January 2019. Patients completed a survey, including Self-management Practices questionnaire (SMPQ), five domains of the Health Literacy Questionnaire (HLQ), and Patient Activation Measure (PAM). The relationship between HL, PAM, and SMPs was examined using univariate statistics. Multivariable analysis was conducted to identify the factors associated with SMPs. Results: A total of 238 patients responded to the study. The mean score of SMPQ was 45.31(SD = 9.00). The HLQ and PAM scores were positively correlated with the total score of SMPQ. Low level of SMPs were found to be positively associated with being uneducated (β = − 0.43, p = .001), having a low family income (β = − 5.22, p = .002), and, negatively associated with the presence of more than one co-morbidity (β = 3.58, p = 0.007) after controlling for other socio-demographic variables in the multivariable analysis. Conclusion: The overall SMPs among this sample of Nepalese with COPD were low. Our findings highlight the need to implement a self-management intervention program involving patient activation and health literacyfocused activities for COPD, creating a support system for patients from low-income families and low education.

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“…A more detailed description of the development and usability test of the mi.Symptoms application can be found elsewhere. 19,22 This study was approved by the institutional review board of the Columbia University Medical Center.…”

Section: Methodsmentioning

confidence: 99%

Measuring health status and symptom burden using a web-based mHealth application in patients with heart failure

Baik

Reading²,

Jia

et al. 2019

European Journal of Cardiovascular Nursing

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Background: Symptoms of heart failure (HF) markedly impair a patient’s health status. The aim of this study was to identify predictors of health status in a sample of racially and ethnically diverse patients with HF using a web-based mobile health (mHealth) application, mi.Symptoms. Methods: We conducted a cross-sectional study at an urban academic medical center. Patients with HF self-reported symptoms using validated symptom instruments (e.g. Patient-Reported Outcome Measurement Information System) via the mHealth application, mi.Symptoms. The primary study outcome was health status, measured with the Kansas City Cardiomyopathy Questionnaire Clinical Summary Score. Data were analyzed using descriptive statistics and multiple linear regression. Results: The mean age of the sample (n=168) was 58.7 (±12.5) years, 37% were female, 36% were Black, 36% identified as Hispanic/Latino, 48% were classified as NYHA class III, and 44% reported not having enough income to make ends meet. Predictors of better health status in HF included higher physical function (β = 0.89, p = 0.001) and ability to participate in social roles and activities (β = 0.58, p = 0.002), and predictors of poorer health status were NYHA Class IV (β = − 11.68, p = 0.006) and dyspnea (β = − 0.77, p < 0.001). The predictors accounted for 73% of the variance in health status. Conclusion: Patient-centered interventions should focus on modifiable risk factors that reduce dyspnea, improve functional status, and enhance engagement in social roles to improve the health status of patients with HF.

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Brief Report: Patient Activation Among Urban Hospitalized Patients With Heart Failure

Cited by 28 publications

References 18 publications

Patient activation in adults with chronic conditions: A systematic review

Patient activation in adults with chronic conditions: A systematic review

Self-management practice, associated factors and its relationship with health literacy and patient activation among multi-morbid COPD patients from rural Nepal

Measuring health status and symptom burden using a web-based mHealth application in patients with heart failure

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