This article explores the use of decision aids (DA) and the RQI-developed Patient Activation Intervention (PAI) to improve patient activation. Lower SES populations are “less activated,” or less likely to ask questions, state their preferences, and take charge of their decisions. These groups may be less prepared to benefit from decision aids and may require additional strategies for increased activation. In this study, patients were categorized into control, PAI alone, DA alone, and DA + PAI groups to evaluate the impact of a decision aid video and the Patient Activation Intervention on two measures:
- Patients’ Level of Activation as measured by the Patient Activation Measure (PAM)
- Patients’ Decision-Making Confidence as measured by the Decision Self-Efficacy Scale (DSE).
According to the results, the DA alone changed DSE scores while the PAI and DA both changed PAM scores in the least activated patients. These findings show that the DA and PAI methods together are effective ways to increase level of activation and promote question-asking skills in patients who are least activated.
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