Is patient activation associated with future health outcomes and healthcare utilization among patients with diabetes?

J Ambul Care Manage. 2009 Oct-Dec;32(4):320-7. doi: 10.1097/JAC.0b013e3181ba6e77.


We examined the relationship between the patient activation measure (PAM) and future diabetes-related health outcomes through retrospective analysis of secondary data using multivariate logistic regression. PAM scores from a 2004 survey on 1180 randomly sampled adults with diabetes and health information from a 2006 diabetes registry were the data sources used. The PAM was predictive for hemoglobin A1c (HgA1c) testing (P < .008), low-density lipoprotein cholesterol (LDL-C) testing (P < .005), HgA1c control (P < .01), and all-cause discharges (P < .03), but not for lipid-lowering drug use, LDL-C control, or acute myocardial infarction discharges. These results suggest that PAM scores can be used to identify patients at risk for poorer health outcomes.

MeSH terms

  • Diabetes Mellitus / psychology
  • Diabetes Mellitus / therapy*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patient Education as Topic
  • Patient Participation / psychology*
  • Retrospective Studies
  • Self Care / psychology*
  • Self Efficacy