Factors associated with patient activation in inflammatory arthritis: a multisite cross-sectional study

Jones, Bethan, Ndosi, Mwidimi, Hunt, Andrew, Harcourt, Diana and Dures, Emma 2021. Factors associated with patient activation in inflammatory arthritis: a multisite cross-sectional study. Rheumatology Advances in Practice 5 (S2) , ii35–ii44. 10.1093/rap/rkab053

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Abstract

Objectives Patient activation covers the skills, abilities and behaviour that impact how able and willing someone is to take an active role in self-managing their health. This study explored clinical and psychosocial factors associated with patient activation in rheumatology patients. Methods This was a cross-sectional study using postal survey methods. Participants with inflammatory rheumatic conditions were from six rheumatology centres in England. Patient activation was captured using the Patient Activation Measure (PAM). Twenty-nine explanatory factors were tested for potential association with patient activation in univariable and multivariable analyses. In preliminary multivariable analyses, factors found to have an association with patient activation at a P < 0.1 level were entered into the final multivariable model. Those that remained significant at a P < 0.05 level were considered associated with patient activation. Results The sample comprised 251 participants (74% female) with a mean age of 59.31 years (S.D. 12.69), disease duration of 14.48 years (S.D. 12.52) and a PAM score of 58.3 (S.D. 11.46). Of the 29 candidate factors, 25 were entered into a preliminary multivariable analysis. In the final multivariable analysis, four factors (self-efficacy, the illness belief that treatment will control participants’ condition and two dimensions of health literacy) were significantly associated with patient activation. This final model accounted for 40.4% of the variance in PAM scores [F(4, 246) = 41.66, P < 0.001]. Conclusions Patient activation is important in managing rheumatic conditions. Our data confirm that self-efficacy and health literacy are particular targets for patient activation interventions.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Healthcare Sciences
Additional Information:	This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/)
Publisher:	Oxford University Press
ISSN:	2514-1775
Funders:	Versus Arthritis
Date of First Compliant Deposit:	8 November 2021
Date of Acceptance:	23 August 2021
Last Modified:	11 May 2023 04:20
URI:	https://orca.cardiff.ac.uk/id/eprint/145352

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