What Are The Crucial Components of Patient Activation Interventions?

DOI: 10.26717/BJSTR.2017.01.000215

Received: July 12, 2017;   Published: July 19, 2017

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Abstract

Objective: With evidence that patient activation is alterable and can be increased in adults with chronic conditions [1], interventions targeting activation it is growing. However, little is known about what constitutes a patient activation intervention (PAI). Therefore, this integrative review aims to explore the components of PAI in existing literature.

Methods: An integrative review based on updated methodology proposed by Whittemore and Knafl [2], was used to examine the components of PAIs. A literature search was conducted using CINAHL, PubMed, PsycINFO, and PsycARTICLES.

Results: A total of 10 peer-reviewed articles were identified. All articles originated from USA, with seven based in community health services. There are two main types of PAI found in this review. Half of the studies focused specifically on physician-patient relationships, with a narrower definition of activation. The others focused on self-management, facilitating behaviour changes and tailoring interventions according to activation levels.

Conclusion: There are various format and contents in the ten studies, with interventions focusing on physician-patient communication being the most widely replicated format.

Practice Implications: While there are some promising results, more studies are needed to examine components of PAI that works and the long-term effectiveness.

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