title: Exploring patient activation in the clinic: measurement from three perspectives.
abstract: OBJECTIVE
  To further conceptualize and operationalize patient activation (PA), using measures from patient, physician, and researcher perspectives.
  
  
  METHODS
  Multimethod observation in 2010 within a family medicine clinic.
  
  
  METHODS
  Part of an intervention with 130 patients with type 2 diabetes, this observational study further looked at PA in 19 physician-patient dyads. Data Collection. Observations occurred in a teaching hospital, which served as recruiting and study site.
  
  
  RESULTS
  PA correlated with knowledge, self-efficacy, promotion orientation, and exercise intent. Patient-reported PA did not correlate with researcher-observed or physician-reported PA behavior. Researcher-observed PA correlated with physician-observation items.
  
  
  CONCLUSIONS
  Results provide evidence for measuring different perspectives in studies of PA. When patients report they are activated in self-management, behavior does not indicate they are active in clinical communication, a critical component of collaborative decision making.
authors.affiliation: Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA.
authors.forename: Christy J W
authors.initials: CJ
authors.lastname: Ledford
authors.forename: Christopher C
authors.initials: CC
authors.lastname: Ledford
authors.forename: Marc A
authors.initials: MA
authors.lastname: Childress
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D008297:Male; D008875:Middle Aged; D064887:Observational Studies as Topic; D010358:Patient Participation; D010817:Physician-Patient Relations; D012648:Self Care; D020377:Self Efficacy; D016138:Walking