Factors Associated with High Patient Activation Level among Individuals with Metabolic Syndrome at a Primary Care Teaching Clinic
| Autor: | Mohamed-Syarif Mohamed-Yassin, Nur Hidayah Bahrom, Noorhida Baharudin, Siti Fatimah Badlishah-Sham, Hasidah Abdul-Hamid, Anis Safura Ramli, Mohamad Rodi Isa |
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| Rok vydání: | 2020 |
| Předmět: |
Patient Activation
medicine.medical_specialty self-management Higher education Health literacy Primary care lcsh:Computer applications to medicine. Medical informatics 03 medical and health sciences primary care 0302 clinical medicine Surveys and Questionnaires patient activation Medicine Humans 030212 general & internal medicine Original Research Community and Home Care Metabolic Syndrome Self-management Primary Health Care business.industry 030503 health policy & services lcsh:Public aspects of medicine Public Health Environmental and Occupational Health Malaysia High activation lcsh:RA1-1270 medicine.disease Cross-Sectional Studies Family medicine lcsh:R858-859.7 Metabolic syndrome Patient Participation 0305 other medical science business |
| Zdroj: | Journal of Primary Care & Community Health Journal of Primary Care & Community Health, Vol 11 (2020) |
| ISSN: | 2150-1327 |
| Popis: | Background: High activation level has been associated with higher education background, better self-rated health status, and having adequate health literacy. However, there is a gap in the literature regarding the level of activation and the factors associated with it among patients with metabolic syndrome (MetS) in the Malaysian primary care setting. Objectives: This study aims to determine activation levels and the factors associated with high activation among individuals with MetS in primary care. Methods: A cross-sectional study was conducted at a university primary care clinic. Patient activation was measured using the Patient Activation Measure®–13 Malay version. Activation levels were dichotomized into “low activation” (levels 1 and 2) and “high activation” (levels 3 and 4). To determine the factors associated with high activation, simple logistic regressions (SLogR) followed by multiple logistic regressions (MLogR) were performed. Results: Of 333 participants, 280 (84.1%) were included in the final analysis. The mean activation score was 59.4 (SD ±10.20) and 61.8% had high activation level. Two variables were found to be significant on MLogR. Those who were employed have the odds of 3.135 (95% CI 1.442-6.816) of having high activation compared with those who were unemployed. Those with good self-reported health status have the odds of 6.482 (95% CI 1.243-33.792) of having high activation compared to those with poor self-reported health status. Conclusions: The majority of participants had high activation levels. Those who were employed and those who had good self-reported health status were more likely to have high activation levels. Findings of this study could be used to develop patient activation interventions to improve self-management skills among individuals with MetS in primary care. These may include problem solving support, individualized care plans, peer or family support, and skill building. Those in high activation group can be trained to become mentors to support their peers who have low activation level. |
| Databáze: | OpenAIRE |
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