Validation of the PAM-13 instrument in the Hungarian general population 40 years old and above

Zsombor Zrubka (), Péter Vékás, Péter Németh, Ágota Dobos, Ottó Hajdu, Levente Kovács, László Gulácsi, Judith Hibbard and Márta Péntek
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Zsombor Zrubka: Óbuda University
Péter Vékás: Corvinus University of Budapest
Péter Németh: Corvinus University of Budapest
Ágota Dobos: Corvinus University of Budapest
Ottó Hajdu: Eötvös Loránd University
Levente Kovács: Óbuda University
László Gulácsi: Óbuda University
Judith Hibbard: University of Oregon
Márta Péntek: Óbuda University

The European Journal of Health Economics, 2022, vol. 23, issue 8, No 8, 1355 pages

Abstract: Abstract Background Patient activation comprises the skills, knowledge and motivation necessary for patients’ effective contribution to their care. We adapted and validated the 13-item Patient Activation Measure (PAM-13) in the ≥ 40 years old Hungarian general population. Methods A cross-sectional web survey was conducted among 900 respondents selected from an online panel via quota sampling. After 10 days, the survey was repeated on 100 respondents. The distribution, internal consistency, test–retest reliability, factor structure, convergent, discriminant and known-groups validity of PAM-13 were assessed according to the COSMIN guidelines. Results The sample comprised 779 respondents. Mean (± SD) age was 60.4 ± 10.6 years, 54% were female and 67% had chronic illness. Mean (± SD) PAM-13 score was 60.6 ± 10.0. We found good internal consistency (Cronbach alpha: 0.77), moderate test–retest reliability (ICC: 0.62; n = 75), a single-factor structure and good content validity: PAM-13 showed moderate correlation with the eHealth Literacy Scale (r = 0.40), and no correlation with age (r = 0.02), education (r = 0.04) or income (ρ = 0.04). Higher PAM-13 scores were associated with fewer lifestyle risks (p

Keywords: PAM-13; Patient activation; eHEALS; Health literacy; Lifestyle-related risks; Online survey; Psychometric validation; I10 (search for similar items in EconPapers)
JEL-codes: I10 (search for similar items in EconPapers)
Date: 2022
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DOI: 10.1007/s10198-022-01434-0

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