title: Variables associated with patient activation in persons with multiple sclerosis.
abstract: Identifying variables associated with patient activation in the multiple sclerosis population could serve to facilitate better multiple sclerosis self-management behaviors. Using a cross-sectional survey design, 199 participants were recruited from a multiple sclerosis center in the Southeastern United States. Depression, multiple sclerosis quality of life, and multiple Sclerosis self-efficacy were all significantly correlated with patient activation. Results of a hierarchical regression indicated that patient activation was significantly related to educational attainment, depression, and self-efficacy but not to quality of life. The results suggest several possible targets for intervention to increase patient activation, including health literacy, depression symptoms, and self-efficacy for multiple sclerosis disease management.
authors.affiliation: George Fox University, USA mrutter1@asu.edu.
authors.forename: Marie-Christine R
authors.initials: MC
authors.lastname: Goodworth
authors.affiliation: Georgia Regents University, USA.
authors.forename: Lara
authors.initials: L
authors.lastname: Stepleman
authors.affiliation: University of Oregon, USA.
authors.forename: Judith
authors.initials: J
authors.lastname: Hibbard
authors.affiliation: The Ohio State University College of Medicine, USA.
authors.forename: Lisa
authors.initials: L
authors.lastname: Johns
authors.affiliation: Charlie Norwood Veterans Affairs Medical Center, USA.
authors.forename: Dustin
authors.initials: D
authors.lastname: Wright
authors.affiliation: Greenville Hospital System, USA.
authors.forename: Mary D
authors.initials: MD
authors.lastname: Hughes
authors.affiliation: Multiple Sclerosis Center of Atlanta, USA.
authors.forename: Mitzi J
authors.initials: MJ
authors.lastname: Williams
mesh_terms: D000223:Adaptation, Psychological; D003430:Cross-Sectional Studies; D003863:Depression / Q000523:psychology; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D020529:Multiple Sclerosis, Relapsing-Remitting / Q000628:therapy; D010358:Patient Participation / Q000379:methods* / Q000523:psychology; D011788:Quality of Life / Q000523:psychology; D012648:Self Care; D020377:Self Efficacy
keywords: chronic illness; coping; depression; health psychology; self-efficacy