Patients’ Psychological Distress and Activation
| Measure and Group | Time Point | AOR (95% CI)a or Cohen db | P Value | |
|---|---|---|---|---|
| Baseline | 6 Mo | |||
| Psychological distress (K6 score ≥13)c | ||||
| Intervention group, No. (%) | 33 (26.2) | 20 (15.9) | 0.43 (0.19–0.95) | .04 |
| Control group, No. (%) | 35 (28.9) | 31 (25.6) | (reference) | |
| Activation (PAM score)d | ||||
| Intervention group, mean (SD) score | 60.5 (15.1) | 65.5 (16.8) | 0.17 | .43 |
| Control group, mean (SD) score | 63.0 (15.6) | 65.4 (16.3) | (reference) | |
AOR = adjusted odds ratio; K6 = Psychological Distress Scale; PAM = Patient Activation Measure.
Note: Analyses based on 126 patients in intervention group, 121 patients in control group.
↵a From logistic regression analysis. Group comparison at 6 months adjusted for baseline psychological distress.
↵b From analysis of covariance (ANCOVA). Group comparison at 6 months adjusted for baseline score.
↵c K6 scores range from 0 to 24, with higher scores indicating greater psychological distress.
↵d PAM scores range from 0 to 100, with higher scores indicating greater activation. Scores can be categorized into 4 levels: Level 1 (score ≤47), may not yet believe that patient role is important; Level 2 (score 47.1–55.1), lacks confidence and knowledge to take action; Level 3 (score 55.2–66.9), beginning to take action; Level 4 (score ≥67), taking action.