Abstract
BackgroundIncreasing bodies of scientific research today examines the factors and interventions affecting patients’ ability to self-manage and adhere to treatment. Patient activation is considered the most reliable indicator of patients’ ability to manage health autonomously. Only a few studies have tried to assess the role of psychosocial factors in promoting patient activation. A more systematic modeling of the psychosocial factors explaining the variance of patient activation is needed.ObjectiveTo test the hypothesized effect of patient activation on medication adherence; to test the the hypothesized effects of positive emotions and of the quality of the patient/doctor relationship on patient activation; and to test the hypothesized mediating effect of Patient Health Engagement (PHE-model) in this pathway.Material and methodsThis cross-sectional study involved 352 Italian-speaking adult chronic patients. The survey included measures of i) patient activation (Patient Activation Measure 13 –short form); ii) Patient Health Engagement model (Patient Health Engagement Scale); iii) patient adherence (4 item-Morinsky Medication Adherence Scale); iv) the quality of the patients’ emotional feelings (Manikin Self Assessment Scale); v) the quality of the patient/doctor relationship (Health Care Climate Questionnaire). Structural equation modeling was used to test the hypotheses proposed.ResultsAccording to the theoretical model we hypothesized, research results confirmed that patients’ activation significantly affects their reported medication adherence. Moreover, psychosocial factors, such as the patients’ quality of the emotional feelings and the quality of the patient/doctor relationship were demonstrated to be factors affecting the level of patient activation. Finally, the mediation effect of the Patient Health Engagement model was confirmed by the analysis.ConclusionsConsistently with the results of previous studies, these findings demonstrate that the Patient Health Engagement Model is a critical factor in enhancing the quality of care. The Patient Health Engagement Model might acts as a mechanism to increase patient activation and adherence.
Highlights
An increasing body of scientific research today examines the factors and interventions affecting patients’ ability to self-manage and adhere to treatment.[1,2] Patient activation is considered to be the most reliable indicator of the willingness and ability to manage health and care autonomously.[3,4,5] The patient activation theory has been developed by Hibbard and Mahoney.[2]
Patient Health Engagement Model (PHE-model) as a predictor of patient activation and adherence the patient/doctor relationship were demonstrated to be factors affecting the level of patient activation
The mediation effect of the Patient Health Engagement model was confirmed by the analysis
Summary
An increasing body of scientific research today examines the factors and interventions affecting patients’ ability to self-manage and adhere to treatment.[1,2] Patient activation is considered to be the most reliable indicator of the willingness and ability to manage health and care autonomously.[3,4,5] The patient activation theory has been developed by Hibbard and Mahoney.[2] It describes an incremental process, which patients undergo when becoming protagonists of their care management This theory is rooted in the concepts of selfefficacy [6,7] and locus of control, [8,9] and in the transtheoretical model of change.[10] It refers to “the individual’s knowledge, skill and confidence in managing his/her own health and care”[11]. A more systematic modeling of the psychosocial factors explaining the variance of patient activation is needed
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
