Factors associated with Patient Activation for Self-management among Community Residents with Osteoarthritis in Korea

Abstract

Purpose: The purpose of this study was to survey patient activation for self-management and to identify factors associated with patient activation for self-management among community residents with osteoarthritis in Korea. Methods: Cross-sectional study design was used. Survey data were collected from 270 community residents with osteoarthritis through direct interviews. Studied factors included patient activation, joint pain, physical function, depression, and general characteristics. Data were analyzed using chi-squared test, t-test and multivariate logistic regression analysis. Results: The participants' mean score of patient activation was 56.0±16.61. The mean score of each factor was 10.6±5.89 for joint pain, 5.5±3.56 for physical function, and 19.3±10.01 for depression. The patient activation level was significantly associated with depression and general characteristics such as education, religion, comorbid hypertension, and use of medical clinics (p<.05). Conclusion: The findings suggest that depression, education, religion, comorbid hypertension, and use of medical clinics may be important factors to be considered when developing programs of patient activation for self-management. This is the first study that measured patient activation, and further studies are suggested to find factors associated with patient activation for self-management among community residents with other chronic diseases.

Evaluation of the Interaction Model of Client Health Behavior‐based multifaceted intervention on patient activation and osteoarthritis symptoms

“…An ordinal scale was used (0 = without difficulties, 1 = with some difficulty, 2 = with much difficulty, and 3 = unable to do); higher scores indicated severe disability. Cronbach's alpha was .85 in the former study (Ahn et al, ) and .85 in the current study.…”

“…The translation process included the initial forward‐translation by two bilingual nurse scholars, expert panel discussions with three professors, and backward translation by another bilingual translator. The former study verified the validity and reliability of the Korean version of the PAM (Ahn et al, ). Cronbach's alpha was .88 in a previous study (Ahn et al, ) and .84 in the present study.…”

“…The former study verified the validity and reliability of the Korean version of the PAM (Ahn et al, ). Cronbach's alpha was .88 in a previous study (Ahn et al, ) and .84 in the present study.…”

“…The PAM was translated into Korean in a former study based on the World Health Organization (WHO) recommendations (Ahn et al, ). The translation process included the initial forward‐translation by two bilingual nurse scholars, expert panel discussions with three professors, and backward translation by another bilingual translator.…”

“…Eight items of the HAQDS measure the patient's level of functional ability, and include questions on the locomotor activities of the lower extremity and activities that involve both the upper and lower extremities. The HAQDS was translated (Korean) and back‐translated (English) in the former study based on the WHO recommendations (Ahn et al, ). An ordinal scale was used (0 = without difficulties, 1 = with some difficulty, 2 = with much difficulty, and 3 = unable to do); higher scores indicated severe disability.…”