Liana R Gefter1, Nancy Morioka-Douglas2, Ashini Srivastava3, Eunice Rodriguez4. 1. Department of Medicine, Stanford University School of Medicine, 300 Pasteur Dr, Palo Alto, CA, 94304, USA. Electronic address: lgefter@stanford.edu. 2. Department of Medicine, Stanford University School of Medicine, 300 Pasteur Dr, Palo Alto, CA, 94304, USA. Electronic address: nmd@stanford.edu. 3. Department of Pediatrics, Stanford University School of Medicine, 300 Pasteur Dr, Palo Alto, CA, 94304, USA. Electronic address: ashini@stanford.edu. 4. Department of Pediatrics, Stanford University School of Medicine, 300 Pasteur Dr, Palo Alto, CA, 94304, USA. Electronic address: er23@stanford.edu.
Abstract
OBJECTIVE: To assess whether participation in Stanford Youth Coaches Programs (SYCP) increases patient activation scores and patient activation levels for vulnerable youth from low income communities. METHODS: From 2016 to 18, seven high schools and four residency programs in California, Alabama, Kansas and Missouri participated in SYCPs. Enrolled youth participants completed online pre and post-participation surveys including the Patient Activation Measure (PAM®10). We used paired T-tests, chi square tests, and linear multivariate models to compare pre-and post-scores and levels. RESULTS: 143 participants completed pre- and post-participation surveys. The PAM®10 mean pre-test score was 64.5 and post-test was 69.37, with mean difference 4.89 (p=.002). Participants showed significant improvement in patient activation levels after participation. 60 % participants in lowest activation Level 1; 63 % in Level 2; and 32 % in Level 3 moved to a higher level of activation after participation; 46 % who started in Level 4 moved down to Level 3 after participation. CONCLUSION AND PRACTICE IMPLICATIONS: Participation in SYCPs has potential to significantly increase patient activation for vulnerable youth which could lead to lifelong improvements in health outcomes and decrease in healthcare costs.
OBJECTIVE: To assess whether participation in Stanford Youth Coaches Programs (SYCP) increases patient activation scores and patient activation levels for vulnerable youth from low income communities. METHODS: From 2016 to 18, seven high schools and four residency programs in California, Alabama, Kansas and Missouri participated in SYCPs. Enrolled youth participants completed online pre and post-participation surveys including the Patient Activation Measure (PAM®10). We used paired T-tests, chi square tests, and linear multivariate models to compare pre-and post-scores and levels. RESULTS: 143 participants completed pre- and post-participation surveys. The PAM®10 mean pre-test score was 64.5 and post-test was 69.37, with mean difference 4.89 (p=.002). Participants showed significant improvement in patient activation levels after participation. 60 % participants in lowest activation Level 1; 63 % in Level 2; and 32 % in Level 3 moved to a higher level of activation after participation; 46 % who started in Level 4 moved down to Level 3 after participation. CONCLUSION AND PRACTICE IMPLICATIONS: Participation in SYCPs has potential to significantly increase patient activation for vulnerable youth which could lead to lifelong improvements in health outcomes and decrease in healthcare costs.
Authors: Harriette B Fox; Margaret A McManus; Charles E Irwin; Kelly J Kelleher; Ken Peake Journal: J Adolesc Health Date: 2013-09 Impact factor: 5.012
Authors: Paula A Braveman; Shiriki Kumanyika; Jonathan Fielding; Thomas Laveist; Luisa N Borrell; Ron Manderscheid; Adewale Troutman Journal: Am J Public Health Date: 2011-05-06 Impact factor: 9.308