PAM - Patient Activation Measure

The Patient Activation Measure is a valid, highly reliable, unidimensional, probabilistic Guttman-like scale that reflects a developmental model of activation.

Activation appears to involve four stages:

  • (1) believing the patient role is important,
  • (2) having the confidence and knowledge necessary to take action,
  • (3) actually taking action to maintain and improve one’s health, and
  • (4) staying the course even under stress. The measure has good psychometric properties indicating that it can be used at the individual patient level to tailor intervention and assess changes.

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