Lisa Ross DeCamp1, Kathryn Leifheit2, Harita Shah3, Doris Valenzuela-Araujo4, Elizabeth Sloand5, Sarah Polk6, Tina L Cheng7. 1. Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: ldecamp1@jhmi.edu. 2. Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: kleifhe1@jhmi.edu. 3. Johns Hopkins University School of Medicine Baltimore, MD, USA. Electronic address: hshah15@jhmi.edu. 4. Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: dvalenz1@jhmi.edu. 5. Johns Hopkins University School of Nursing Baltimore, MD, USA. Electronic address: esloand1@jhu.edu. 6. Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: spolk@jhmi.edu. 7. Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: tcheng2@jhmi.edu.
Abstract
OBJECTIVE: (1) To measure healthcare activation among low-income parents by language (English/Spanish); and (2) to assess the psychometrics of the Parent-Patient Activation Measure (P-PAM) in the study population. METHODS: We surveyed parents/guardians of publicly-insured children who were established patients at a pediatrics clinic for ≥6months. Surveys included the Parent-Patient Activation Measure (P-PAM), a 13-item measure adapted from the well-validated Patient Activation Measure (PAM). RESULTS: Of 316 surveys, 68% were completed in Spanish. Mean activation score in the English-language survey group was 79.1 (SD 16.2); mean score in the Spanish-language group was 70.7 (SD 17.9) (p<0.001). Scale reliability was high (English α=0.90; Spanish α=0.93). The P-PAM had acceptable test-retest reliability, but no previously reported PAM factor structure fit the study data adequately for either language. CONCLUSIONS: Healthcare activation among low-income parents was greater for parents surveyed in English compared with those surveyed in Spanish. The P-PAM has acceptable reliability and validity in English and Spanish, but a different factor structure than the PAM. PRACTICE IMPLICATIONS: Activation as measured by the P-PAM may not have the same associations with or impact on health/healthcare outcomes in pediatrics compared with adults owing to possible measure differences between the P-PAM and PAM. Published by Elsevier Ireland Ltd.
OBJECTIVE: (1) To measure healthcare activation among low-income parents by language (English/Spanish); and (2) to assess the psychometrics of the Parent-Patient Activation Measure (P-PAM) in the study population. METHODS: We surveyed parents/guardians of publicly-insured children who were established patients at a pediatrics clinic for ≥6months. Surveys included the Parent-Patient Activation Measure (P-PAM), a 13-item measure adapted from the well-validated Patient Activation Measure (PAM). RESULTS: Of 316 surveys, 68% were completed in Spanish. Mean activation score in the English-language survey group was 79.1 (SD 16.2); mean score in the Spanish-language group was 70.7 (SD 17.9) (p<0.001). Scale reliability was high (English α=0.90; Spanish α=0.93). The P-PAM had acceptable test-retest reliability, but no previously reported PAM factor structure fit the study data adequately for either language. CONCLUSIONS: Healthcare activation among low-income parents was greater for parents surveyed in English compared with those surveyed in Spanish. The P-PAM has acceptable reliability and validity in English and Spanish, but a different factor structure than the PAM. PRACTICE IMPLICATIONS: Activation as measured by the P-PAM may not have the same associations with or impact on health/healthcare outcomes in pediatrics compared with adults owing to possible measure differences between the P-PAM and PAM. Published by Elsevier Ireland Ltd.
Entities:
Keywords:
Disparities; Latino; Limited english proficiency; Patient engagement; Pediatrics; Primary care
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