Patient activation among people living with HIV: a cross-sectional comparative analysis with people living with diabetes mellitus. Issue 11 (2nd November 2018)

• Record Type: Journal Article
• Authors: Kendall, Claire E; Shoemaker, Esther S; Crowe, Lois; MacPherson, Paul; Becker, Marissa L; Levreault, Eleni; Boucher, Lisa M; Rosenes, Ron; Bibeau, Christine; Lundrigan, Philip; Liddy, Clare E
• Is Part Of: AIDS care. Volume 30:Issue 11(2018)
• Page Start: 1444
• Page End: 1451
• Publication Date: 2018-11-02
• Subjects: Patient activation -- self-management -- chronic disease -- HIV/AIDS -- diabetes; AIDS (Disease) -- Social aspects -- Periodicals; AIDS (Disease) -- Psychological aspects -- Periodicals; AIDS (Disease) -- Patients -- Care -- Periodicals; Acquired Immunodeficiency Syndrome; 362.1969792
• DOI: 10.1080/09540121.2018.1469723
• Languages: English
• ISSNs: 0954-0121

Abstract

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.