Journal article
Stages of Change and Patient Activation Measure Scores in the Context of Incentive-Based Health Interventions
American journal of health promotion, v 30(2)
01 Nov 2015
PMID: 26517587
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Purpose. To determine if two widely used behavioral change measures-Stages of Change (SoC) and Patient Activation Measure (PAM)-correlate with each other; are affected by financial incentives, or predict positive outcomes in the context of incentive-based health interventions.
Design. Secondary analysis of two randomized controlled trials of incentives. for weight loss and for improved diabetes self-monitoring.
Setting. Philadelphia, Pennsylvania; Newark, New Jersey.
Subjects. A total of 132 obese and 75 diabetic adults enrolled in one of two trials.
Measures. SoC and PAM scores; weight loss and usage rate of diabetes self-monitoring equipment.
Analysis. Multiple regression; Kruskal-Wallis test.
Results. We found no association between baseline SoC and PAM sews in either study (p = .30 and p = .89). Regression models showed no association between baseline PAM score and SoC and subsequent outcomes for either study (weight loss study: PAM: p = .14, SoC: p = .1; diabetes study: PAM: p = .45, SoC: p = .61). Change in PAM score and SoC among participants in the intervention groups did not differ by study arm or among participants with better outcomes.
Conclusion. PAM score and SoC may not effectively predict success or monitor progress among individuals enrolled in incentive-based interventions.
Metrics
Details
- Title
- Stages of Change and Patient Activation Measure Scores in the Context of Incentive-Based Health Interventions
- Creators
- Nora V. Becker - University of PennsylvaniaDavid A. Asch - VA Medical CenterJeffrey T. Kullgren - Internal Medicine - General MedicineScarlett L. Bellamy - University of PennsylvaniaAditi P. Sen - University of PennsylvaniaKevin G. Volpp - VA Medical Center
- Publication Details
- American journal of health promotion, v 30(2)
- Publisher
- AMER JOURNAL HEALTH PROMOTION INC
- Number of pages
- 3
- Grant note
- P30AG034546 / NATIONAL INSTITUTE ON AGING; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000363909000012
- Scopus ID
- 2-s2.0-85000444134
- Other Identifier
- 991019299110904721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health