title: Patient Activation is Inconsistently Associated with Positive Health Behaviors Among Obese Safety Net Patients.
abstract: We examine the association of patient activation and physical activity and fruit and vegetable consumption among obese safety net patients. Adult obese patients (n = 198) of three safety net clinics completed a survey assessing patient activation, physical activity, fruit and vegetable consumption, care experiences, and health status. Multivariate logistic regression models incrementally assessed the adjusted relation of patient activation and physical activity and fruit and vegetable consumption. In adjusted analyses, higher activated patients had higher odds [Odds ratio (OR) 1.58, p < 0.01] of consuming fruits and vegetables daily than less activated patients. There was no significant association between patient activation and regular physical activity. Engaging in regular physical activity appears to be difficult, even for highly activated patients. In contrast, additional fruit and vegetable consumption is a relatively easier change. Patient activation was inconsistently associated with two positive health behaviors among obese safety net patients.
authors.affiliation: Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA. mauyoung@ucla.edu.|Department of Veterans Affairs, Center for Clinical Management Research, VA HSR&D/CCMR (Mail Stop 152), P.O. Box 130170, Ann Arbor, MI, 48113-0170, USA. mauyoung@ucla.edu.
authors.forename: Mona
authors.initials: M
authors.lastname: AuYoung
authors.affiliation: Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA.|UCLA Center for Health Policy Research, University of California, Los Angeles, Los Angeles, CA, USA.
authors.forename: Ninez A
authors.initials: NA
authors.lastname: Ponce
authors.affiliation: Division of General Internal Medicine and Health Services Research, Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.
authors.forename: O Kenrik
authors.initials: OK
authors.lastname: Duru
authors.affiliation: Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA.
authors.forename: Arturo Vargas
authors.initials: AV
authors.lastname: Bustamante
authors.affiliation: Division of General Internal Medicine and Health Services Research, Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.
authors.forename: Carol M
authors.initials: CM
authors.lastname: Mangione
authors.affiliation: Division of Health Policy and Management, School of Public Health, University of California, Berkeley, Berkeley, CA, USA.
authors.forename: Hector P
authors.initials: HP
authors.lastname: Rodriguez
mesh_terms: D000328:Adult; D015992:Body Mass Index; D003142:Communication; D004032:Diet / Q000523:psychology*; D015444:Exercise / Q000523:psychology*; D005260:Female; D005638:Fruit; D015438:Health Behavior; D006304:Health Status; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000523:psychology* / Q000628:therapy; D016017:Odds Ratio; D010358:Patient Participation / Q000523:psychology*; D011369:Professional-Patient Relations; D064876:Safety-net Providers / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D014675:Vegetables
keywords: Health behaviors; Minority health; Patient activation; Physical activity; Practice redesign; Safety net clinics