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A shared journey: evaluating a patient-assessed measure of self-management of chronic conditions in an Australian setting
Journal article   Peer reviewed

A shared journey: evaluating a patient-assessed measure of self-management of chronic conditions in an Australian setting

Phillip Davis, Joanne Bradbury, Kirstine Shrubsole and John Parke
Australian journal of primary health, Vol.30(5), PY24003
26/09/2024
DOI: https://doi.org/10.1071/PY24003
PMID: 39325933
Appears in  Recent Faculty of Health Publications

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Abstract

bootstrapping chronic care model chronic illness PACIC+ patient activation patient empowerment self-efficacy self-management
Background Patient Assessment of Care in Chronic Conditions (PACIC+), included in some Australian guidelines, has been shown reliable for measuring patient engagement and perception of their care in primary care settings. Various studies have focussed on PACIC+ use in specific conditions. This study aims to expand PACIC+ to measure patient empowerment to self-manage their chronic condition and validate it in the broader Australian primary care population. This study aims to evaluate internal consistency and reliability of PACIC+ and six new supplementary items proposed to assess patient wellbeing and empowerment to self-manage their chronic condition. Methods A repeated-measures correlation design study assessed the expanded PACIC+ over three time-points. Participants were patients with at least one chronic disease, referred by consultant physician, or recruited by advertisement posters in hospital clinic areas. Results PACIC+ (26-item) had acceptable internal consistency (Cronbach's alpha 0.96). Test-retest reliability (Time-1 and 2, P r (48)=0.43; and New supplementary items: Confidence r (48)=0.54; Understanding r (48)=0.62; Support r (48)=0.43; Overall Health r (48)=0.42; Overall Health Change r (48)=-0.31, P =0.03; and Acute Episodes of Care in 1-month r (48)=0.42, P Conclusions The expanded PACIC+ is an improved psychometric tool providing for the patient's voice in a shared health journey. It is a valid, reliable tool to monitor and measure self-management of chronic conditions in Australian population clinic and primary healthcare settings.

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