Patient Activation Measures in a Government Homeopathic Hospital in India

Saha, Subhranil; Koley, Munmun; Mahoney, ER; Hibbard, Judith H.; Ghosh, Shubhamoy; Nag, Goutam; Purkait, Rajib; Mondal, Ramkumar; Kundu, Monojit; Patra, Supratim; Ali, Seikh Swaif; Arya, Jogendra Singh; Choubey, Gurudev

doi:10.1177/2156587214540175

Cited by 12 publications

(8 citation statements)

References 15 publications

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“…A higher educational attainment was associated with a higher level of activation in our patients. This finding was consistent with other studies which also found educational attainment to be the most powerful predictor for patient activation in the chronic disease population 33 – 36 . It is plausible that patients with higher educational levels are more likely to achieve better health literacy, giving them more awareness, skills and confidence to take self-management actions.…”

Section: Discussionsupporting

confidence: 93%

Relationships between activation level, knowledge, self-efficacy, and self-management behavior in heart failure patients discharged from rural hospitals

Young

Barnason

et al. 2015

F1000Res

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Non-adherence to self-management guidelines accounted for 50% of hospital readmissions in heart failure patients. Evidence showed that patient activation affects self-management behaviors in populations living with chronic conditions. The purpose of this study was to describe patient activation level and its relationship with knowledge, self-efficacy and self-management behaviors in heart failure patients discharged from rural hospitals. Our study populations were recruited from two hospitals in rural areas of Nebraska. We found that two-thirds of the participants reported low activation levels (e.g., taking no action to manage their heart failure condition). In addition, low patient activation levels were associated with inadequate heart failure knowledge (p=.005), low self-efficacy (p<.001) and low engagement in heart failure self-management behaviors (p<.001) after discharge from hospital.

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Section: Discussionsupporting

confidence: 93%

Relationships between activation level, knowledge, self-efficacy, and self-management behavior in heart failure patients discharged from rural hospitals

Young

Barnason

et al. 2015

F1000Res

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“…The four levels are defined as: Level 1 – Does not believe that he/she has an active or important role; Level 2 – Lacks confidence and knowledge to take action; Level 3 – Beginning to take action; and Level 4 – Maintaining behavior over time. The PAM has been used in several studies of IM interventions [ 24 – 26 ].…”

Section: Methodsmentioning

confidence: 99%

Patients Receiving Integrative Medicine Effectiveness Registry (PRIMIER) of the BraveNet practice-based research network: study protocol

Dusek¹,

Abrams²,

Roberts³

et al. 2015

BMC Complement Altern Med

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BackgroundIntegrative medicine (IM) provides patient-centered care and addresses the full range of physical, emotional, mental, social, spiritual, and environmental influences that affect a person’s health. IM is a “whole systems” approach that employs multiple modalities as opposed to an isolated complementary therapy. Thus, studying outcomes of IM is more challenging than evaluating an isolated intervention. Practice-based research networks (PBRNs) allow for clinicians/investigators at multiple diverse sites using common methodology to pool their data, increase participant sample size and increase generalizability of results. To conduct real-world, practice-based research, the Bravewell Collaborative founded BraveNet in 2007 as the first national integrative medicine PBRN.Methods and designPatients Receiving Integrative Medicine Effectiveness Registry (PRIMIER) is a prospective, non-randomized, observational evaluation conducted at fourteen clinical sites. Participants receive a non-standardized, personalized, multimodal IM approach for various medical conditions. Using the REDCap electronic platform, an anticipated 10,000 study participants will complete patient-reported outcome measures including Patient Reported Outcomes Measurement Information System (PROMIS)-29, Perceived Stress Scale-4, and the Patient Activation Measure at baseline, 2, 4, 6, 12, 18 and 24 months. Extractions from participants’ electronic health records include IM services received, as well as ICD diagnostic codes, and CPT billing codes associated with each IM visit. Repeated-measures analyses will be performed on data to assess change from baseline through 24 months with planned subgroup analyses to include specific clinical population and specific IM intervention or combinations.DiscussionAs the PRIMIER registry grows, we anticipate that our results would provide an indication of the promise of PBRN research efforts in IM. Analyses will incorporate a large sample of participants and an expected 10-year observation period and will provide the ability to evaluate the effect of IM on outcomes for specific clinical populations and specific IM interventions or combinations. As such, PRIMIER will serve as a national platform for future evaluations of IM best practices.Trial registrationClinical Trials.gov NCT01754038 Electronic supplementary materialThe online version of this article (doi:10.1186/s12906-016-1025-0) contains supplementary material, which is available to authorized users.

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“…Homeopathy research in humans has focused on various chronic conditions; however, no data are available to date showing the extent to which current homeopathic care in any homeopathic setting is CCM-compliant. Until recently, a considerable amount of homeopathic research has concentrated on patient satisfaction, 11 development of homeopathic prescribing and patient care indicators, 12 patient activation, 13 and patient-centered care. 14 The authors intended to translate and validate the Bengali version of the PACIC-20 questionnaire and thereafter evaluate the quality of homeopathic chronic illness care in a government homeopathic hospital in West Bengal, India, namely Mahesh Bhattacharyya Homeopathic Medical College and Hospital (MBHMC&H).…”

Section: Introductionmentioning

confidence: 99%

Patient-Assessed Chronic Illness Care (PACIC) scenario in an Indian homeopathic hospital

Koley

Saha

Ghosh

et al. 2016

Journal of Traditional and Complementary Medicine

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Homeopathy research has focused on chronic conditions; however, the extent to which current homeopathic care is compliant with the Chronic Care Model (CCM) has been sparsely shown. As the Bengali Patient-Assessed Chronic Illness Care (PACIC)-20 was not available, the English questionnaire was translated and evaluated in a government homeopathic hospital in West Bengal, India. The translation was done in six steps, and approved by an expert committee. Face validity was tested by 15 people for comprehension. Test/retest reliability (reproducibility) was tested on 30 patients with chronic conditions. Internal consistency was tested in 377 patients suffering from various chronic conditions. The questionnaire showed acceptable test/retest reliability [intraclass correlation coefficient (ICC) 0.57–0.75; positive to strong positive correlations; p < 0.0001] for all domains and the total score, strong internal consistency (Cronbach’s α = 0.86 overall and 0.65–0.82 for individual subscales), and large responsiveness (1.11). The overall mean score percentage seemed to be moderate at 69.5 ± 8.8%. Gender and presence of chronic conditions did not seem to vary significantly with PACIC-20 subscale scores (p > 0.05); however, monthly household income had a significant influence (p < 0.05) on the subscales except for “delivery system or practice design.” Overall, chronic illness care appeared to be quite promising and CCM-compliant. The psychometric properties of the Bengali PACIC-20 were satisfactory, rendering it a valid and reliable instrument for assessing chronic illness care among the patients attending a homeopathic hospital.

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Patient Activation Measures in a Government Homeopathic Hospital in India

Cited by 12 publications

References 15 publications

Relationships between activation level, knowledge, self-efficacy, and self-management behavior in heart failure patients discharged from rural hospitals

Relationships between activation level, knowledge, self-efficacy, and self-management behavior in heart failure patients discharged from rural hospitals

Patients Receiving Integrative Medicine Effectiveness Registry (PRIMIER) of the BraveNet practice-based research network: study protocol

Patient-Assessed Chronic Illness Care (PACIC) scenario in an Indian homeopathic hospital

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