Patient Activation Measures in a Government Homeopathic Hospital in India

• Published in: Journal of evidence-based complementary & alternative medicine 2014-10, Vol.19 (4), p.253-259
• Main Authors: Saha, Subhranil, Koley, Munmun, Mahoney, ER, Hibbard, Judith, Ghosh, Shubhamoy, Nag, Goutam, Purkait, Rajib, Mondal, Ramkumar, Kundu, Monojit, Patra, Supratim, Ali, Seikh Swaif, Arya, Jogendra Singh, Choubey, Gurudev
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Chronic Disease - epidemiology; Chronic Disease - therapy; Female; Health Knowledge, Attitudes, Practice; Homeopathy; Hospitals, Public - statistics & numerical data; Humans; India - epidemiology; Male; Middle Aged; Patient Participation - psychology; Patient Participation - statistics & numerical data; Psychometrics; Self Care - statistics & numerical data; Socioeconomic Factors; Surveys and Questionnaires; Young Adult
• ISSN: 2156-5872; 2156-5899
• DOI: 10.1177/2156587214540175

The American Patient Activation Measure–22 questionnaire (PAM-22) quantifies the knowledge, skills, and confidence essential to manage own health and health care. It is a central concept in chronic illness care models, but studied sparsely in homeopathic hospitals. PAM-22 was translated into Bengali and a cross-sectional study was undertaken in chronically ill 417 patients visiting the outpatient clinic of Mahesh Bhattacharyya Homeopathic Medical College and Hospital, India. Response rate was 90.41%. Data were analyzed using Rasch rating scale model with Winsteps. Activation score was 54.7 ± 8.04 or 62.13% of maximum score. PAM scores differed significantly by age, education, income, and health status (P < .05). The items had good data quality fit statistics and good range of difficulty. The construct unidimensionality was confirmed by good model fits for Rasch model and principal component analysis of residuals found no meaning structure. The questionnaire showed acceptable psychometrics. Patient activation was moderate and needs to be improved.