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New Study Shows Coaching to Patient Activation Levels Improves Disease Management Outcomes
Date:6/10/2009

each person is assigned an activation score and level. The PAM segments participants into one of four progressively higher activation levels.

At the low end of the spectrum, individuals tend to be passive in managing their health, and may fail to see the connection between their own behaviors and health outcomes. At the high end, individuals understand that relationship and have become good self-managers across a constellation of behaviors. However, even high activation level individuals show opportunities to improve and can benefit from coaching to help them stay on course in times of stress or change to their routine.

More than 85 studies have documented the PAM's ability to effectively measure patient activation and to predict a range of behaviors in wide demographic and socioeconomic variability. Research has shown that higher levels of activation rates correlate with improved self-care behaviors. In fact, the Hibbard study demonstrated that PAM scores increased 4.6 pts for the intervention group compared to just 1.4 points for the control group, demonstrating that the tool improved the patients' ability to manage their conditions.

"Tailoring support to an individual's level of activation and self-management ability allows coaches to address the competencies that drive the behaviors critical to better health and the more efficient use of healthcare resources," said Chris Delaney, Insignia's Chief Executive Officer. "This study clearly demonstrates the benefits of this patient-centric model."

Funded by the Health Industry Forum at Brandeis University, the study and its practical applications will be discussed on September 21-22 at DMAA: The Care Continuum Alliance's Forum 09 conference in San Diego. The American Journal of Managed Care is an independent, peer-reviewed publication dedicated to disseminating clinical information to managed care physicians, clinical decision makers and other healthc
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