Adaptation of patient activation measure into Turkish: Reliability and validity test

Aim: The aim of this study is to test reliability and validity of Patient Activation Measure (PAM). Methodology: It is a methodological study. Research sample consisted of 130 patient who have diabetes, hypertension and rheumatoid arthritis, resorted to the diabetes, cardiology and rheumatology out patient clinics between December 2014 and January 2015. Data were collected through socio-demographic information form and PAM. Results: Internal consistency reliability coefficient of the PAM is .81. Correlation coefficients between item score and total scale scores varies between .38-.66. Result of explanatory factor analysis Kaiser-Meyer-Olkin coefficient (KMO) .75 and Barlett test result x2: 646,870; p: 0, 000. Result of confirmatory factor analysis, model fit indexes were determined as x2: 98,72 df: 62, x2 / df oranı 1,59, RMSEA: 0.071, CFI: 0.96, NFI: 0.90; NNFI: 0.95. The result of Rasch analysis, reliability coefficient varies between 0.83-0.87 and in validity assesment, item fit statistics are varies between for INFIT: 0.68-1.53 and for OUTFIT: 0.65-1.54. Conclusion and Recommendations: It was concluded that PAM is a valid and reliable scale, can be used to determine activation level of the patients who have chronical disease in Turkey. Health team couldn't precise the patient's ability and capacity to take an active role in self management. PAM can be used to diagnose patient activation, determine the patient who couldn't keep self management strategies enough and detect interventions that proper for activation level and for develop care plan. Key words: Patient activation, self management, self care, health behaviours, chronic disease management.