Patient activation among people living with HIV: a cross-sectional comparative analysis with people living with diabetes mellitus |
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| Authors: | Claire E Kendall Esther S Shoemaker Lois Crowe Paul MacPherson Marissa L Becker Eleni Levreault |
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| Affiliation: | 1. C.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute, Ottawa, ON, Canada;2. Department of Medicine, University of Ottawa, Ottawa, ON, Canada;3. Institute of Clinical and Evaluative Sciences, Toronto, ON, Canada;4. Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada;5. Chronic Disease Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada;6. Departments of Medicine, Medical Microbiology and Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada;7. Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada |
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| Abstract: | ![]()
Standardized self-management supports are an integral part of care delivery for many chronic conditions. We used the validated Patient Activation Measure (PAM®) to assess level of engagement for self-management from a sample of 165 people living with HIV (PLWH) and 163 people with diabetes. We conducted multivariable logistic regression to assess associations between demographics and PAM® scores. PLWH had high levels of activation that were no different from those of people with diabetes (mean score?=?67.2, SD?=?14.2 versus 65.0, SD?=?14.9, p?=?0.183). After adjusting for patient characteristics, only being on disability compared to being employed or a student was associated with being less activated (AOR?=?0.276, 95%CI?=?0.103–0.742). Our findings highlight the potential for the implementation of existing standardized chronic disease self-management programs to enhance the care delivery for PLWH, with people on disability as potential target populations. |
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| Keywords: | Patient activation self-management chronic disease HIV/AIDS diabetes |
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