title: Patient activation measures in a government homeopathic hospital in India.
abstract: The American Patient Activation Measure-22 questionnaire (PAM-22) quantifies the knowledge, skills, and confidence essential to manage own health and health care. It is a central concept in chronic illness care models, but studied sparsely in homeopathic hospitals. PAM-22 was translated into Bengali and a cross-sectional study was undertaken in chronically ill 417 patients visiting the outpatient clinic of Mahesh Bhattacharyya Homeopathic Medical College and Hospital, India. Response rate was 90.41%. Data were analyzed using Rasch rating scale model with Winsteps. Activation score was 54.7 ± 8.04 or 62.13% of maximum score. PAM scores differed significantly by age, education, income, and health status (P < .05). The items had good data quality fit statistics and good range of difficulty. The construct unidimensionality was confirmed by good model fits for Rasch model and principal component analysis of residuals found no meaning structure. The questionnaire showed acceptable psychometrics. Patient activation was moderate and needs to be improved.
authors: Clinical Research Unit (Homeopathy), Siliguri, under Central Council for Research in Homeopathy, India drsubhranilsaha@hotmail.com.
authors: Subhranil
authors: S
authors: Saha
authors: Clinical Research Unit (Homeopathy), Siliguri, under Central Council for Research in Homeopathy, India.
authors: Munmun
authors: M
authors: Koley
authors: InsigniaHealth, One SW Columbia Street, Suite, Portland, Oregon.
authors: E R
authors: ER
authors: Mahoney
authors: Health Policy Research Group, University of Oregon, Eugene, USA.
authors: Judith
authors: J
authors: Hibbard
authors: Mahesh Bhattacharyya Homeopathic Medical College and Hospital, Government of West Bengal, Howrah, India.
authors: Shubhamoy
authors: S
authors: Ghosh
authors: Mahesh Bhattacharyya Homeopathic Medical College and Hospital, Government of West Bengal, Howrah, India.
authors: Goutam
authors: G
authors: Nag
authors: Mahesh Bhattacharyya Homeopathic Medical College and Hospital, Government of West Bengal, Howrah, India.
authors: Rajib
authors: R
authors: Purkait
authors: Mahesh Bhattacharyya Homeopathic Medical College and Hospital, Government of West Bengal, Howrah, India.
authors: Ramkumar
authors: R
authors: Mondal
authors: Private Practice, Howrah, India.
authors: Monojit
authors: M
authors: Kundu
authors: Mahesh Bhattacharyya Homeopathic Medical College and Hospital, Government of West Bengal, Howrah, India.
authors: Supratim
authors: S
authors: Patra
authors: Mahesh Bhattacharyya Homeopathic Medical College and Hospital, Government of West Bengal, Howrah, India.
authors: Seikh Swaif
authors: SS
authors: Ali
authors: Clinical Research Unit (Homeopathy), Siliguri, under Central Council for Research in Homeopathy, India.
authors: Jogendra Singh
authors: JS
authors: Arya
authors: Clinical Research Unit (Homeopathy), Siliguri, under Central Council for Research in Homeopathy, India.
authors: Gurudev
authors: G
authors: Choubey
mesh_terms: D000293:Adolescent; D000328:Adult; D002908:Chronic Disease / Q000453:epidemiology / Q000628:therapy; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006705:Homeopathy; D006779:Hospitals, Public / Q000706:statistics & numerical data*; D006801:Humans; D007194:India / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D010358:Patient Participation / Q000523:psychology* / Q000706:statistics & numerical data*; D011594:Psychometrics; D012648:Self Care / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: homeopathy; patient activation; self-management