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Validation of the PAM-13 instrument in the Hungarian general population 40 years old and above

Author

Listed:
  • Zsombor Zrubka

    (Óbuda University
    Corvinus University of Budapest)

  • Péter Vékás

    (Corvinus University of Budapest)

  • Péter Németh

    (Corvinus University of Budapest)

  • Ágota Dobos

    (Corvinus University of Budapest)

  • Ottó Hajdu

    (Eötvös Loránd University)

  • Levente Kovács

    (Óbuda University)

  • László Gulácsi

    (Óbuda University
    Corvinus University of Budapest)

  • Judith Hibbard

    (University of Oregon)

  • Márta Péntek

    (Óbuda University)

Abstract

Background Patient activation comprises the skills, knowledge and motivation necessary for patients’ effective contribution to their care. We adapted and validated the 13-item Patient Activation Measure (PAM-13) in the ≥ 40 years old Hungarian general population. Methods A cross-sectional web survey was conducted among 900 respondents selected from an online panel via quota sampling. After 10 days, the survey was repeated on 100 respondents. The distribution, internal consistency, test–retest reliability, factor structure, convergent, discriminant and known-groups validity of PAM-13 were assessed according to the COSMIN guidelines. Results The sample comprised 779 respondents. Mean (± SD) age was 60.4 ± 10.6 years, 54% were female and 67% had chronic illness. Mean (± SD) PAM-13 score was 60.6 ± 10.0. We found good internal consistency (Cronbach alpha: 0.77), moderate test–retest reliability (ICC: 0.62; n = 75), a single-factor structure and good content validity: PAM-13 showed moderate correlation with the eHealth Literacy Scale (r = 0.40), and no correlation with age (r = 0.02), education (r = 0.04) or income (ρ = 0.04). Higher PAM-13 scores were associated with fewer lifestyle risks (p

Suggested Citation

  • Zsombor Zrubka & Péter Vékás & Péter Németh & Ágota Dobos & Ottó Hajdu & Levente Kovács & László Gulácsi & Judith Hibbard & Márta Péntek, 2022. "Validation of the PAM-13 instrument in the Hungarian general population 40 years old and above," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 23(8), pages 1341-1355, November.
    • Handle: RePEc:spr:eujhec:v:23:y:2022:i:8:d:10.1007_s10198-022-01434-0
    DOI: 10.1007/s10198-022-01434-0
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    References listed on IDEAS

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    1. Katja Brenk-Franz & Judith H Hibbard & Wolfram J Herrmann & Tobias Freund & Joachim Szecsenyi & Sima Djalali & Claudia Steurer-Stey & Andreas Sönnichsen & Fabian Tiesler & Monika Storch & Nico Schneid, 2013. "Validation of the German Version of the Patient Activation Measure 13 (PAM13-D) in an International Multicentre Study of Primary Care Patients," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-6, September.
    2. Rosseel, Yves, 2012. "lavaan: An R Package for Structural Equation Modeling," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 48(i02).
    3. Katrine Melby & Mona Nygård & Mathias Forsberg Brobakken & Rolf W. Gråwe & Ismail Cüneyt Güzey & Solveig Klæbo Reitan & Einar Vedul-Kjelsås & Jørn Heggelund & Mariela Loreto Lara-Cabrera, 2021. "Test-Retest Reliability of the Patient Activation Measure-13 in Adults with Substance Use Disorders and Schizophrenia Spectrum Disorders," IJERPH, MDPI, vol. 18(3), pages 1-8, January.
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    More about this item

    Keywords

    PAM-13; Patient activation; eHEALS; Health literacy; Lifestyle-related risks; Online survey; Psychometric validation; I10;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General

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