Validation of the 3-item What Engagement Looks Like (WELL) scale in patients with diabetes

Background Patients’ behaviors play a key role in chronic disease management, but how effective they are may depend on how engaged they feel. The objective was to develop a short measure of how much patients felt engaged in self-managing a chronic condition. Online test of a three-question series fo...

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Bibliographic Details
Published in:Journal of patient-reported outcomes 2020-07, Vol.4 (1), p.57-57, Article 57
Main Authors: Brodney, Suzanne, Valentine, K. D., Fowler, Floyd J., Barry, Michael J.
Format: Article
Language:English
Subjects:
Chronic illnesses
Clinical decision making
Diabetes
Measurement
Medicine
Medicine & Public Health
Patient engagement
Patients
Physicians
Quality of Life Research
Shared decision making
Validation
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Summary:Background Patients’ behaviors play a key role in chronic disease management, but how effective they are may depend on how engaged they feel. The objective was to develop a short measure of how much patients felt engaged in self-managing a chronic condition. Online test of a three-question series followed by a survey of physicians and their eligible diabetic patients. Physicians answered: 1) how well the physician thought the patient was managing his/her diabetes, and 2) how much effort the physician thought the patient was putting in. Each patient was mailed a survey that included three questions on self-management. Six hundred six patients from a national online consumer panel with diabetes or obesity, and 35 physicians from 3 primary care practices and a sample of 243 of their diabetic patients. Respondents were asked three questions about how much they thought their behavior could affect their health condition, how confident they were that they could do what was needed, and how involved they were in decisions about managing their condition. These items were summed to create a WELL score. Descriptive statistics and correlation coefficients were used to describe item relationships. Generalized Estimating Equations were used to predict how well the physician thought the patient was managing their diabetes and patient effort. Results Correlations among the three patient-reported items ranged from − 0.01 to 0.45. The WELL score was correlated with an existing measure of patient activation commitment ( r  = .43, p  
ISSN:2509-8020
2509-8020
DOI:10.1186/s41687-020-00225-6