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Advances in the Conceptualization and Measurement of Health Care Empowerment: Development and Validation of the Health Care Empowerment Inventory

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  • Mallory O Johnson
  • Carol Dawson Rose
  • Samantha E Dilworth
  • Torsten B Neilands

Abstract

The Health Care Empowerment Model offers direction for the investigation of patient-controlled engagement and involvement in health care. At the core of the model is the construct of Health Care Empowerment (HCE), for which there exist no validated measures. A set of 27 candidate self-report survey items was constructed to capture five hypothesized inter-related facets of HCE (informed, engaged, committed, collaborative, and tolerant of uncertainty). The full item set was administered to 644 HIV-infected persons enrolled in three ongoing research studies. Exploratory and confirmatory factor analyses resulted in a two factor solution comprising four items each on two subscales: (1) HCE: Informed, Committed, Collaborative, and Engaged HCE ICCE) and (2) HCE Tolerance of Uncertainty (HCE TU). Subscale scores were evaluated for relationships with relevant constructs measured in the three studies, including depression, provider relationships, medication adherence, and HIV-1 viral load. Findings suggest the utility of this 8-item Health Care Empowerment Inventory (HCEI) in efforts to measure, understand, and track changes in the ways in which individuals engage in health care.

Suggested Citation

  • Mallory O Johnson & Carol Dawson Rose & Samantha E Dilworth & Torsten B Neilands, 2012. "Advances in the Conceptualization and Measurement of Health Care Empowerment: Development and Validation of the Health Care Empowerment Inventory," PLOS ONE, Public Library of Science, vol. 7(9), pages 1-7, September.
    • Handle: RePEc:plo:pone00:0045692
    DOI: 10.1371/journal.pone.0045692
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    References listed on IDEAS

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    1. Johnson, M.O., 2011. "The shifting landscape of health care: Toward a model of health care empowerment," American Journal of Public Health, American Public Health Association, vol. 101(2), pages 265-270.
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    Cited by:

    1. Giuseppe Russo & Andrea Moretta Tartaglione & Ylenia Cavacece, 2019. "Empowering Patients to Co-Create a Sustainable Healthcare Value," Sustainability, MDPI, vol. 11(5), pages 1-20, March.
    2. Huei‐Lih Hwang & Mei‐Ling Kuo & Chin‐Tang Tu, 2018. "Health education and competency scale: Development and testing," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(3-4), pages 658-667, February.

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