Swipe om te navigeren naar een ander artikel
The patient activation measure short form (PAM-13) assesses patients’ self-reported health management skills, knowledge, confidence, and motivation. We used item response theory to evaluate the psychometric properties of the PAM-13 utilized in rural settings.
A Rasch partial credit model analysis was conducted on the PAM-13 instrument using a sample of 812 rural patients recruited by providers and our research staff. Specially, we examined dimensionality, item fit, and quality of measures, category response curves, and item differential functioning. Convergent and divergent validities were also examined.
The PAM-13 instrument has excellent convergent and divergent validities. It is fairly unidimensional, and all items fit the Rasch model well. It has relatively high person and item reliability indices. Majority of the items were free of item differential functioning. There were, however, some issues with ceiling effects. Additionally, there was a lack of responses for category one across all items.
Patient activation measure short form (PAM-13) performs well in some areas, but not all. In general, more items need to be added to cover the upper end of the trait. The four response categories of PAM-13 should be collapsed into three.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Hibbard, J. H., Stockard, J., Mahoney, E. R., & Tusler, M. (2004). Development of the patient activation measure (PAM): Conceptualizing and measuring activation in patients and consumers. Health Service Research, 39(4 Pt 1), 1005–1026. CrossRef
Rasch, G. (1980). Probabilistic models for some intelligence and attainment tests. Chicago: The University of Chicago Press.
Phillips, C. D., Hawes, C., & Leyk Williams, M. (2003). Nursing homes in rural and urban areas, 2000. College Station, TX, USA: The Texas A&M University System Health Science Center, School of Rural Public Health, Southwest Rural Health Research Center.
Eberhardt, M., Ingram, D., & Makuc, D. (2001). Health, United States 2001: Urban and rural health chart book. Hyattsville, MD, USA: National Center for Health Statistics.
Coward, R. T., McLaughlin, D., & Duncan, R. P. (1994). An overview of health and aging in rural America. In R. T. Coward, G. Brill, & G. Kukulaka (Eds.), Health services for rural elders. New York, NY, USA: Springer.
Norton, C. H., & McManus, M. A. (1989). Background tables on demographic characteristics, health status, and health services utilization. Health Services Research, 23(6), 725–756. PubMed
Gamm, L., Hutchison, L., & Dabney, B. J. (2003). Rural healthy people 2010: A companion document to healthy people 2010. College Station, TX, USA: The Texas A&M University System Health Science Center, School of Rural Public Health, Southwest Rural Health Research Center.
Bond, T. G., & Fox, C. M. (2001). Applying the Rasch model: Fundamental measurement in the human sciences. Mahwah, NJ, USA: Lawrence Erlbaum.
Masters, G. N. (1982). A Rasch model for partial credit scoring. Psychometrika, 47, 149–174. CrossRef
Masters, G. N. (1988). The analysis of partial credit scoring. Applied Measurement in Education, 1(4), 279–297. CrossRef
Joyce, T. B., & Yates, S. M. (2007). A Rasch analysis of the academic self-concept questionnaire. International Education Journal, 8(2), 470–484.
Linacre, J. M. (2011). A user’s guide to WINSTEPS/MINISTEPS rasch model computer programs. USA: Elsevier.
Teresi, J., Ocepek-Welikson, K., Kleinman, M., Eimicke, J. P., Crane, P. K., Jones, R. N., et al. (2009). Analysis of differential item functioning in the depression item bank from the patient reported outcome measurement information system (PROMIS): An item response theory approach. Psychology Science Quarterly, 51(2), 148–180. PubMed
Thissen, D., Steinberg, L., & Gerrard, M. (1986). Beyond group-mean differences: The concept of item bias. Psychological Bullentin, 99, 118–128. CrossRef
Wang, W. C., & Yeh, Y. L. (2003). Effects of anchor item methods on differential item functioning detection with likelihood ratio test. Applied Psychological Measurement, 27, 479–498. CrossRef
- Psychometric assessment of the patient activation measure short form (PAM-13) in rural settings
- Springer Netherlands