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Patient activation level and its associated factors in adults with chronic pain: A cross-sectional survey
BACKGROUND: Patients’ capacity to manage their own health can be graded by levels of activation. Highly activated patients tend to have better health outcomes. However, little is known about the activation levels of chronic pain patients in China. This study aimed to identify: (1).. the activation l...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8133271/ https://www.ncbi.nlm.nih.gov/pubmed/34106661 http://dx.doi.org/10.1097/MD.0000000000025929 |
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author | Yao, Fengzhen Zheng, Man Wang, Xiaoqing Ji, Shujuan Li, Sha Xu, Gang Zheng, Zhen |
author_facet | Yao, Fengzhen Zheng, Man Wang, Xiaoqing Ji, Shujuan Li, Sha Xu, Gang Zheng, Zhen |
author_sort | Yao, Fengzhen |
collection | PubMed |
description | BACKGROUND: Patients’ capacity to manage their own health can be graded by levels of activation. Highly activated patients tend to have better health outcomes. However, little is known about the activation levels of chronic pain patients in China. This study aimed to identify: (1).. the activation levels within this population; and (2).. demographic and pain factors associated with the level of activation. METHODS: In this cross-sectional survey, patients completed a sociodemographic questionnaire, Brief Pain Inventory and Patient Activation Measure (PAM) 13. Patient activation was measured and categorized into Levels 1–4. Its associations with sociodemographic, patient-reported diseases and pain variables were explored using Wilcoxon rank sum test and Kruskal-Wallis H test. RESULTS: Of 338 patients, 84 were excluded. Of the 254 remaining, 51.6% of patients were at lower activation levels (PAM Levels 1 and 2). Higher activation levels (PAM Levels 3 and 4) were recorded in patients with younger age (P = .00005), higher education (P = .0018), non-laboring occupations (P = .0239), and fewer co-morbidities (P = .00615). Intensities of the worst pain (P = .000627), average pain (P = .0213), and current pain (P = .0353), as well as the impact of pain on relationships with others (P = 0.00529), mood (P = .00391), sleep (P = .0132), and interest in life (P = .0248), were negatively correlated with activation levels. CONCLUSION: Half of the chronic pain patients in this population displayed lower activation levels. Older age, less education, manual labor, more co-morbidities, more intense pain and greater impact of pain on life were associated with lower activation levels. Pain education programs need to target the individual's PAM level. REGISTRATION: This trial was registered in Chinese Clinical Trial Registry. Number: ChiECRCT-20180170 |
format | Online Article Text |
id | pubmed-8133271 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-81332712021-05-24 Patient activation level and its associated factors in adults with chronic pain: A cross-sectional survey Yao, Fengzhen Zheng, Man Wang, Xiaoqing Ji, Shujuan Li, Sha Xu, Gang Zheng, Zhen Medicine (Baltimore) 4400 BACKGROUND: Patients’ capacity to manage their own health can be graded by levels of activation. Highly activated patients tend to have better health outcomes. However, little is known about the activation levels of chronic pain patients in China. This study aimed to identify: (1).. the activation levels within this population; and (2).. demographic and pain factors associated with the level of activation. METHODS: In this cross-sectional survey, patients completed a sociodemographic questionnaire, Brief Pain Inventory and Patient Activation Measure (PAM) 13. Patient activation was measured and categorized into Levels 1–4. Its associations with sociodemographic, patient-reported diseases and pain variables were explored using Wilcoxon rank sum test and Kruskal-Wallis H test. RESULTS: Of 338 patients, 84 were excluded. Of the 254 remaining, 51.6% of patients were at lower activation levels (PAM Levels 1 and 2). Higher activation levels (PAM Levels 3 and 4) were recorded in patients with younger age (P = .00005), higher education (P = .0018), non-laboring occupations (P = .0239), and fewer co-morbidities (P = .00615). Intensities of the worst pain (P = .000627), average pain (P = .0213), and current pain (P = .0353), as well as the impact of pain on relationships with others (P = 0.00529), mood (P = .00391), sleep (P = .0132), and interest in life (P = .0248), were negatively correlated with activation levels. CONCLUSION: Half of the chronic pain patients in this population displayed lower activation levels. Older age, less education, manual labor, more co-morbidities, more intense pain and greater impact of pain on life were associated with lower activation levels. Pain education programs need to target the individual's PAM level. REGISTRATION: This trial was registered in Chinese Clinical Trial Registry. Number: ChiECRCT-20180170 Lippincott Williams & Wilkins 2021-05-14 /pmc/articles/PMC8133271/ /pubmed/34106661 http://dx.doi.org/10.1097/MD.0000000000025929 Text en Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) |
spellingShingle | 4400 Yao, Fengzhen Zheng, Man Wang, Xiaoqing Ji, Shujuan Li, Sha Xu, Gang Zheng, Zhen Patient activation level and its associated factors in adults with chronic pain: A cross-sectional survey |
title | Patient activation level and its associated factors in adults with chronic pain: A cross-sectional survey |
title_full | Patient activation level and its associated factors in adults with chronic pain: A cross-sectional survey |
title_fullStr | Patient activation level and its associated factors in adults with chronic pain: A cross-sectional survey |
title_full_unstemmed | Patient activation level and its associated factors in adults with chronic pain: A cross-sectional survey |
title_short | Patient activation level and its associated factors in adults with chronic pain: A cross-sectional survey |
title_sort | patient activation level and its associated factors in adults with chronic pain: a cross-sectional survey |
topic | 4400 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8133271/ https://www.ncbi.nlm.nih.gov/pubmed/34106661 http://dx.doi.org/10.1097/MD.0000000000025929 |
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