Supporting patient behavior change: Approaches used by primary care clinicians whose patients have an increase in activation levels

Annals of Family Medicine

Volumn 14, Issue 2, 2016, Pages 148-154

  Greene, Jessica ^a   Hibbard, Judith H ^b   Alvarez, Carmen ^c   Overton, Valerie ^d  

^a GEORGE WASHINGTON UNIVERSITY   (United States)

^b UNIVERSITY OF OREGON   (United States)

^c JOHNS HOPKINS UNIVERSITY   (United States)

^d Fairview Medical Group   (United States)

Author keywords

Behavior change; Health behavior; Mixed methods research; Motivation; Patient activation; Patient empowerment; Physicians ; Practice patterns; Practice based research; Primary care; Self management

Indexed keywords

ACCOUNTABLE CARE ORGANIZATION; BEHAVIOR CHANGE; COUNSELING; DNA TRANSCRIPTION; DOCTOR PATIENT RELATION; EDUCATION; FOLLOW UP; HUMAN; INTERVIEW; MAJOR CLINICAL STUDY; PRIMARY MEDICAL CARE; CLINICAL PRACTICE; COOPERATION; FEMALE; HEALTH BEHAVIOR; MALE; PRIMARY HEALTH CARE; PROCEDURES; SELF CARE;

COOPERATIVE BEHAVIOR; COUNSELING; FEMALE; HEALTH BEHAVIOR; HUMANS; MALE; PHYSICIAN-PATIENT RELATIONS; PRACTICE PATTERNS, PHYSICIANS'; PRIMARY HEALTH CARE; SELF CARE;

EID: 84960090687     PISSN: 15441709     EISSN: 15441717     Source Type: Journal    
DOI: 10.1370/afm.1904     Document Type: Article

References (60)

1. McDonald R, Roland M. Pay for performance in primary care in England and California: comparison of unintended consequences. Ann Fam Med. 2009;7(2):121-127.
2. Greene J, Hibbard JH, Overton V. A case study of a team-based, quality-focused compensation model for primary care providers. Med Care Res Rev. 2013: 71(3):207-223.
3. Beckman H, Suchman AL, Curtin K, Greene RA. Physician reactions to quantitative individual performance reports. Am J Med Qual. 2006;21(3):192-199.
4. Wharam JF, Paasche-Orlow MK, Farber NJ, et al. High quality care and ethical pay-for-performance: a Society of General Internal Medicine policy analysis. J Gen Intern Med. 2009;24(7):854-859.
5. Thompson PD, Buchner D, Pina IL, et al; American Heart Association Council on Clinical Cardiology Subcommittee on Exercise, Rehabilitation, and Prevention; American Heart Association Council on Nutrition, Physical Activity, and Metabolism Subcommittee on Physical Activity. Exercise and physical activity in the prevention and treatment of atherosclerotic cardiovascular disease: a statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity). Circulation. 2003;107(24):3109-3116.
6. Di Loreto C, Fanelli C, Lucidi P, et al. Make your diabetic patients walk: long-term impact of different amounts of physical activity on type 2 diabetes. Diabetes Care. 2005;28(6):1295-1302.
7. American Association of Diabetes Educators. AADE Guidelines for the Practice of Diabetes Self-Management Education and Training (DSME/T). Diabetes Educ. 2009;35(3)(Suppl):85S-107S.
8. Informed Medical Decisions Foundation. Affordable Care Act. Available at: http://www.informedmedicaldecisions.org/shared-decisionmaking- policy/federal-legislation/affordable-care-act/. Accessed Feb 23, 2016.
9. Mittler JN, Martsolf GR, Telenko SJ, Scanlon DP. Making sense of "consumer engagement" initiatives to improve health and health care: a conceptual framework to guide policy and practice. Milbank Q. 2013;91(1):37-77.
10. Greene J, Hibbard JH. Why does patient activation matter? An examination of the relationships between patient activation and health-related outcomes. J Gen Intern Med. 2012;27(5):520-526.
11. Nijman J, Hendriks M, Brabers A, de Jong J, Rademakers J. Patient activation and health literacy as predictors of health information use in a general sample of Dutch health care consumers. J Health Commun. 2014;19(8):955-969.
12. Smith SG, Pandit A, Rush SR, Wolf MS, Simon C. The association between patient activation and accessing online health information: results from a national survey of US adults. Health Expect. 2014;18(6):3262-3273.
13. Alegría M, Sribney W, Perez D, Laderman M, Keefe K. The role of patient activation on patient-provider communication and quality of care for US and foreign born Latino patients. J Gen Intern Med. 2009;24(Suppl 3):534-541.
14. Greene J, Hibbard JH, Sacks R, Overton V. When seeing the same physician, highly activated patients have better care experiences than less activated patients. Health Aff (Millwood). 2013;32(7): 1299-1305.
15. Hibbard JH, Greene J, Overton V. Patients with lower activation associated with higher costs; delivery systems should know their patients' 'scores'. Health Aff (Millwood). 2013;32(2):216-222.
16. Marshall R, Beach MC, Saha S, et al. Patient activation and improved outcomes in HIV-infected patients. J Gen Intern Med. 2013;28(5):668-674.
17. Remmers C, Hibbard J, Mosen DM, Wagenfield M, Hoye RE, Jones C. Is patient activation associated with future health outcomes and healthcare utilization among patients with diabetes? J Ambul Care Manage. 2009;32(4):320-327.
18. Begum N, Donald M, Ozolins IZ, Dower J. Hospital admissions, emergency department utilisation and patient activation for selfmanagement among people with diabetes. Diabetes Res Clin Pract. 2011;93(2):260-267.
19. Dentzer S. Rx for the 'blockbuster drug' of patient engagement. Health Aff (Millwood). 2013;32(2):202.
20. Hibbard JH, Greene J. What the evidence shows about patient activation: better health outcomes and care experiences; fewer data on costs. Health Aff (Millwood). 2013;32(2):207-214.
21. Greene J, Hibbard JH, Sacks R, Overton V, Parrotta CD. When patient activation levels change, health outcomes and costs change, too. Health Aff (Millwood). 2015;34(3):431-437.
22. Hibbard J, Greene J, Shi Y, Mittler J, Scanlon D. Taking the long view: how well do patient activation scores predict outcomes four years later? Med Care Res Rev. 2015;72(3):324-337.
23. Anderson RM, Funnell MM, Butler PM, Arnold MS, Fitzgerald JT, Feste CC. Patient empowerment. Results of a randomized controlled trial. Diabetes Care. 1995;18(7):943-949.
24. Deen D, Lu WH, Weintraub MR, Maranda MJ, Elshafey S, Gold MR. The impact of different modalities for activating patients in a community health center setting. Patient Educ Couns. 2012;89(1):178-183.
25. Maranda MJ, Deen D, Elshafey S, Herrera M, Gold MR. Response to a patient activation intervention among Spanish-speaking patients at a community health center in New York City. J Health Care Poor Underserved. 2014;25(2):591-604.
26. Lorig K, Ritter PL, Laurent DD, et al. Online diabetes self-management program: a randomized study. Diabetes Care. 2010; 33(6):1275-1281.
27. Kangovi S, Mitra N, Grande D, et al. Patient-centered community health worker intervention to improve posthospital outcomes: a randomized clinical trial. JAMA Intern Med. 2014;174(4):535-543.
28. Skolasky RL, Maggard AM, Li D, Riley LH III, Wegener ST. Health behavior change counseling in surgery for degenerative lumbar spinal stenosis. Part II: patient activation mediates the effects of health behavior change counseling on rehabilitation engagement. Arch Phys Med Rehabil. 2015;96(7):1208-1214.
29. Linden A, Butterworth S. A comprehensive hospital-based intervention to reduce readmissions for chronically ill patients: a randomized controlled trial. Am J Manag Care. 2014;20(10):783-792.
30. Lawson KL, Jonk Y, O'Connor H, Riise KS, Eisenberg DM, Kreitzer MJ. The impact of telephonic health coaching on health outcomes in a high-risk population. Glob Adv Health Med. 2013;2(3):40-47.
31. Hibbard JH, Greene J, Tusler M. Improving the outcomes of disease management by tailoring care to the patient's level of activation. Am J Manag Care. 2009;15(6):353-360.
32. Lundahl B, Moleni T, Burke BL, et al. Motivational interviewing in medical care settings: a systematic review and meta-analysis of randomized controlled trials. Patient Educ Couns. 2013;93(2):157-168.
33. Noordman J, van der Weijden T, van Dulmen S. Communicationrelated behavior change techniques used in face-to-face lifestyle interventions in primary care: a systematic review of the literature. Patient Educ Couns. 2012;89(2):227-244.
34. Mercer SW, Neumann M, Wirtz M, Fitzpatrick B, Vojt G. General practitioner empathy, patient enablement, and patient-reported outcomes in primary care in an area of high socio-economic deprivation in Scotland-a pilot prospective study using structural equation modeling. Patient Educ Couns. 2008;73(2):240-245.
35. Mercer SW, Jani BD, Maxwell M, Wong SYS, Watt GCM. Patient enablement requires physician empathy: a cross-sectional study of general practice consultations in areas of high and low socioeconomic deprivation in Scotland. BMC Fam Pract. 2012;13(1):6.
36. Pawlikowska T, Zhang W, Griffiths F, van Dalen J, van der Vleuten C. Verbal and non-verbal behavior of doctors and patients in primary care consultations - how this relates to patient enablement. Patient Educ Couns. 2012;86(1):70-76.
37. Schmittdiel J, Mosen DM, Glasgow RE, Hibbard J, Remmers C, Bellows J. Patient Assessment of Chronic Illness Care (PACIC) and improved patient-centered outcomes for chronic conditions. J Gen Intern Med. 2008;23(1):77-80.
38. Greene J, Yedidia MJ; Take Care to Learn Evaluation Collaborative. Provider behaviors contributing to patient self-management of chronic Illness among underserved populations. J Health Care Poor Underserved. 2005;16(4):808-824.
39. Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness. JAMA. 2002;288(14):1775-1779.
40. Bradley EH, Curry LA, Ramanadhan S, Rowe L, Nembhard IM, Krumholz HM. Research in action: using positive deviance to improve quality of health care. Implement Sci. 2009;4(1):25.
41. Pascale R, Sternin J, Sternin M. The Power of Positive Deviance. Boston, MA: Harvard Business School Publishing; 2010.
42. Curry LA, Spatz E, Cherlin E, et al. What distinguishes topperforming hospitals in acute myocardial infarction mortality rates? A qualitative study. Ann Intern Med. 2011;154(6):384-390.
43. Landman AB, Spatz ES, Cherlin EJ, Krumholz HM, Bradley EH, Curry LA. Hospital collaboration with emergency medical services in the care of patients with acute myocardial infarction: perspectives from key hospital staff. Ann Emerg Med. 2013;61(2):185-195.
44. Taliani CA, Bricker PL, Adelman AM, Cronholm PF, Gabbay RA. Implementing effective care management in the patient-centered medical home. Am J Manag Care. 2013;19(12):957-964.
45. Gabbay RA, Friedberg MW, Miller-Day M, Cronholm PF, Adelman A, Schneider EC. A positive deviance approach to understanding key features to improving diabetes care in the medical home. Ann Fam Med. 2013;11(Suppl 1):S99-S107.
46. Marsh DR, Schroeder DG, Dearden KA, Sternin J, Sternin M. The power of positive deviance. BMJ. 2004;329(7475):1177-1179.
47. McAllister JW, Cooley WC, Van Cleave J, Boudreau AA, Kuhlthau K. Medical home transformation in pediatric primary care-what drives change? Ann Fam Med. 2013;11(Suppl 1):S90-S98.
48. Berggren WL, Wray JD. Positive deviant behavior and nutrition education. Food Nutr Bull. 2002;23(4)(Suppl):9-10.
49. Hibbard JH, Stockard J, Mahoney ER, Tusler M. Development of the patient activation measure (PAM): conceptualizing and measuring activation in patients and consumers. Health Serv Res. 2004;39 (4 Pt 1):1005-1026.
50. Hibbard JH, Mahoney ER, Stockard J, Tusler M. Development and testing of a short form of the patient activation measure. Health Serv Res. 2005;40(6 Pt 1):1918-1930.
51. Fowles JB, Terry P, Xi M, Hibbard J, Bloom CT, Harvey L. Measuring self-management of patients' and employees' health: further validation of the patient activation measure (PAM) based on its relation to employee characteristics. Patient Educ Couns. 2009;77(1):116-122.
52. Brown JB, Harris SB, Webster-Bogaert S, Wetmore S, Faulds C, Stewart M. The role of patient, physician and systemic factors in the management of type 2 diabetes mellitus. Fam Pract. 2002; 19(4):344-349.
53. Damschroder LJ, Lutes LD, Kirsh S, et al. Small-changes obesity treatment among veterans: 12-month outcomes. Am J Prev Med. 2014;47(5):541-553.
54. Bennett WL, Gudzune KA, Appel LJ, Clark JM. Insights from the POWER practice-based weight loss trial: a focus group study on the PCP's role in weight management. J Gen Intern Med. 2014; 29(1):50-58.
55. Aschner P, LaSalle J, McGill M; Global Partnership for Effective Diabetes Management. The team approach to diabetes management: partnering with patients. Int J Clin Pract Suppl. 2007;(157):22-30.
56. Dixon A, Hibbard J, Tusler M. How do people with different levels of activation self-manage their chronic conditions? Patient. 2009;2(4):257-268.
57. Pollak KI, Alexander SC, Coffman CJ, et al. Physician communication techniques and weight loss in adults: Project CHAT. Am J Prev Med. 2010;39(4):321-328.
58. Snowden AM, Vetta E, Mlodzik R, LaFrance A, Xiong M, Bachmann S. MN Community Measurement: 2013 Health Care Quality Report. Compare Clinic, Medical Group and Hospital Performance. Minneapolis, MN; MN Community Measurement; 2013.
59. Anderson RM, Funnell MM. Patient empowerment: reflections on the challenge of fostering the adoption of a new paradigm. Patient Educ Couns. 2005;57(2):153-157.
60. Funnell MM, Anderson RM. Empowerment and self-management of diabetes. Clin Diabetes. 2004;22(3):123-127.