PMID- 34590944
OWN - NLM
STAT- MEDLINE
DCOM- 20211015
LR  - 20211015
IS  - 1938-2367 (Electronic)
IS  - 0147-7447 (Linking)
VI  - 44
IP  - 5
DP  - 2021 Sep-Oct
TI  - Effect of a Question-Building Intervention on Patient Activation in Integrated 
      Musculoskeletal Care.
PG  - e661-e667
LID - 10.3928/01477447-20210817-06 [doi]
AB  - Patient activation, the propensity for patients to engage in adaptive health 
      behaviors, is a modifiable factor associated with health outcomes and treatment 
      compliance. The authors evaluated the effect of a question-building intervention 
      (QBI) on patient activation among patients with musculoskeletal symptoms and a 
      low baseline level of activation. Patients seeking treatment for musculoskeletal 
      pain were recruited at the beginning of their outpatient clinic appointment, and 
      they completed the Patient Activation Measure 10-item version (PAM-10) and a 
      demographic questionnaire. Those identified as low activating, based on the 
      initial PAM-10 scores, completed a QBI protocol before their consultation with 
      their provider. A follow-up PAM-10 survey was administered at the end of the 
      visit. A paired sample Student's t test was used to evaluate preintervention and 
      postintervention PAM-10 scores. Fisher's exact test and an unpaired t test were 
      used to assess the association between demographic variables and achievement of 
      minimal clinically important difference (MCID) for PAM-10. Of 194 patients who 
      consented to participate, 60 were identified as low activating and completed the 
      QBI. A paired Student's t test showed a statistically significant increase in 
      mean PAM-10 scores from preintervention (47.3+/-7.4) to postintervention 
      (54.8+/-16.8; P<.001). No statistically significant differences were shown in the 
      likelihood of achieving MCID for PAM-10 scores for the sociodemographic variables 
      that were tested. Low-activating patients may benefit from a simple 
      question-formulating intervention before consultation with an orthopedic 
      provider. [Orthopedics. 2021;44(5):e661-e667.].
FAU - Sheikholeslami, Nicole
AU  - Sheikholeslami N
FAU - Moore, Meredith L Grogan
AU  - Moore MLG
FAU - Jayakumar, Prakash
AU  - Jayakumar P
FAU - Uhler, Lauren M
AU  - Uhler LM
FAU - Bozic, Kevin J
AU  - Bozic KJ
LA  - eng
PT  - Journal Article
DEP - 20210901
PL  - United States
TA  - Orthopedics
JT  - Orthopedics
JID - 7806107
SB  - IM
MH  - Humans
MH  - *Musculoskeletal Pain
MH  - *Orthopedic Procedures
MH  - *Orthopedics
MH  - Patient Participation
MH  - Surveys and Questionnaires
EDAT- 2021/10/01 06:00
MHDA- 2021/10/16 06:00
CRDT- 2021/09/30 12:17
PHST- 2021/09/30 12:17 [entrez]
PHST- 2021/10/01 06:00 [pubmed]
PHST- 2021/10/16 06:00 [medline]
AID - 10.3928/01477447-20210817-06 [doi]
PST - ppublish
SO  - Orthopedics. 2021 Sep-Oct;44(5):e661-e667. doi: 10.3928/01477447-20210817-06. 
      Epub 2021 Sep 1.