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1

Alexander, Jeff, Larry Hearld, and Jessica N. Mittler. "Patient–Physician Role Relationships and Patient Activation." Medical Care Research and Review 71, no. 5 (2014): 472–95. http://dx.doi.org/10.1177/1077558714541967.

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Grogan Moore, Meredith L., Prakash Jayakumar, David Laverty, Austin D. Hill, and Karl M. Koenig. "Patient-Reported Outcome Measures and Patient Activation." Journal of Orthopaedic Trauma 33 (November 2019): S38—S42. http://dx.doi.org/10.1097/bot.0000000000001612.

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Chen, Jie, Karoline Mortensen, and Robin Bloodworth. "Exploring Contextual Factors and Patient Activation." Health Education & Behavior 41, no. 6 (2014): 614–24. http://dx.doi.org/10.1177/1090198114531781.

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Patient activation has been considered as a “blockbuster drug of the century.” Patients with mental disorders are less activated compared to patients with other chronic diseases. Low activation due to mental disorders can affect the efficiency of treatment of other comorbidities. Contextual factors are significantly associated with mental health care access and utilization. However, evidence of their association with patient activation is still lacking. Using data from the Health Tracking Household Survey 2007 and Area Health Resource File 2008, we examine the association between contextual fa
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Wilhite, Jeffrey A., Frida Velcani, Amanda Watsula-Morley, et al. "Igniting activation: Using unannounced standardized patients to measure patient activation in smoking cessation." Addictive Behaviors Reports 9 (June 2019): 100179. http://dx.doi.org/10.1016/j.abrep.2019.100179.

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Milani, Richard V., and Arthur G. Grant. "Expanding the Activation Continuum: From Patient to Provider Activation." American Journal of the Medical Sciences 361, no. 6 (2021): 812–13. http://dx.doi.org/10.1016/j.amjms.2021.01.010.

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6

Gibbon, Bernard, and Maria Kenney. "Nurses’ attitudes to patient activation." Nursing Standard 8, no. 8 (1993): 35–39. http://dx.doi.org/10.7748/ns.8.8.35.s51.

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Williams, Sunyna S., and Amy Heller. "Patient activation among Medicare beneficiaries." International Journal of Pharmaceutical and Healthcare Marketing 1, no. 3 (2007): 199–213. http://dx.doi.org/10.1108/17506120710818210.

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8

Wong, Sabrina T., Sandra Peterson, and Charlyn Black. "Patient Activation in Primary Healthcare." Medical Care 49, no. 5 (2011): 469–79. http://dx.doi.org/10.1097/mlr.0b013e31820bf970.

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9

Halbert, Chanita Hughes, Melanie Jefferson, Caitlin G. Allen, et al. "Racial Differences in Patient Portal Activation and Research Enrollment Among Patients With Prostate Cancer." JCO Clinical Cancer Informatics, no. 5 (June 2021): 768–74. http://dx.doi.org/10.1200/cci.20.00131.

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PURPOSE The purpose of this study was to examine racial differences in patient portal activation and research participation among patients with prostate cancer. MATERIALS AND METHODS Participants were African American and White patients with prostate cancer who were treated with radical prostatectomy (n = 218). Patient portal activation was determined using electronic health records, and research participation was measured based on completion of a social determinants survey. RESULTS Thirty-one percent of patients completed the social determinants survey and enrolled in the study and 66% activa
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Ricaurte, Daniel, Daniel Slack, Aaron Gilson, et al. "Head injury alert: A new level of trauma activation?" Trauma 22, no. 3 (2019): 213–19. http://dx.doi.org/10.1177/1460408619871811.

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Introduction Trauma activation requires mobilization of significant resources to be available at short notice. In 2014, the American College of Surgeons Committee on Trauma issued its latest recommendations for care of the injured patient. Amongst trauma activation criteria, elderly patients that fell from any height on anticoagulation were included. We hypothesized that a reduced trauma team could preserve patient safety while reducing time and cost spent. Method A ‘Head Injury Alert’ was created to denote anti-coagulated patients with a GCS > 14 who fell from a height of <20 feet. An E
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Marshall, Rebecca, Mary Catherine Beach, Somnath Saha, et al. "Patient Activation and Improved Outcomes in HIV-Infected Patients." Journal of General Internal Medicine 28, no. 5 (2013): 668–74. http://dx.doi.org/10.1007/s11606-012-2307-y.

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12

Veale, David. "Behavioural activation for depression." Advances in Psychiatric Treatment 14, no. 1 (2008): 29–36. http://dx.doi.org/10.1192/apt.bp.107.004051.

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A formal therapy for depression, behavioural activation focuses on activity scheduling to encourage patients to approach activities that they are avoiding and on analysing the function of cognitive processes (e.g. rumination) that serve as a form of avoidance. Patients are thus refocused on their goals and valued directions in life. The main advantage of behavioural activation over traditional cognitive–behavioural therapy for depression is that it may be easier to train staff in it and it can be used in both in-patient and out-patient settings. This article describes the theory and rationale
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13

Lamerato, L., Y. Harris, A. Bissoonauth, et al. "Characterization of Patient Activation, Clinical Assessments, and Patient Reported Outcomes in T2DM Patients." Value in Health 21 (May 2018): S77. http://dx.doi.org/10.1016/j.jval.2018.04.538.

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14

Ancker, Jessica S., Snezana N. Osorio, Adam Cheriff, Curtis L. Cole, Michael Silver, and Rainu Kaushal. "Patient activation and use of an electronic patient portal." Informatics for Health and Social Care 40, no. 3 (2014): 254–66. http://dx.doi.org/10.3109/17538157.2014.908200.

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15

Hibbard, Judith H., Eldon Mahoney, and Ellen Sonet. "Does patient activation level affect the cancer patient journey?" Patient Education and Counseling 100, no. 7 (2017): 1276–79. http://dx.doi.org/10.1016/j.pec.2017.03.019.

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16

Bates, Jill S., Jessica Auten, Margaret R. Sketch, et al. "Patient engagement in first cycle comprehensive chemotherapy consultation pharmacist services and impact on patient activation." Journal of Oncology Pharmacy Practice 25, no. 4 (2019): 896–902. http://dx.doi.org/10.1177/1078155219832644.

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Background Healthcare systems and policy makers worldwide are demonstrating interest in shared decision making, which requires patient activation. Patient activation can be measured using a validated tool called the patient activation measure-10. First cycle comprehensive chemotherapy consultation services (3CS) is provided by an oncology pharmacy team member during a patient encounter at the beginning of the patient's treatment for cancer. Methods This was a single center, prospective, non-randomized, observational clinical study in patients with cancer who required a new chemotherapy plan. A
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17

Pace, J., B. Tillmann, I. Ball, R. Leeper, N. Parry, and K. Vogt. "LO90: Trauma triage accuracy at a Canadian trauma centre." CJEM 19, S1 (2017): S59. http://dx.doi.org/10.1017/cem.2017.152.

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Introduction: Trauma teams have been shown to improve outcomes in severely injured patients. The criteria used to mobilize trauma teams is highly variable and debated. This study was undertaken to define the triage accuracy at our level 1 trauma centre and identify the criteria predictive of appropriate activations. Methods: A 3-month prospective observational study was performed and all patients presenting to the ER who received a trauma flag were identified. Patient demographics, vital signs, trauma team activation and criteria for activation were documented. Trauma activations were deemed a
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18

Ledford, Christy J. W., Christopher C. Ledford, and Marc A. Childress. "Exploring Patient Activation in the Clinic." Health Education & Behavior 40, no. 3 (2012): 339–45. http://dx.doi.org/10.1177/1090198112455173.

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19

Hibbard, Judith H., Jean Stockard, Eldon R. Mahoney, and Martin Tusler. "Development of the Patient Activation Measure (PAM): Conceptualizing and Measuring Activation in Patients and Consumers." Health Services Research 39, no. 4p1 (2004): 1005–26. http://dx.doi.org/10.1111/j.1475-6773.2004.00269.x.

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20

Harris, Andrew B., Floreana Kebaish, Lee H. Riley, Khaled M. Kebaish, and Richard L. Skolasky. "The engaged patient: patient activation can predict satisfaction with surgical treatment of lumbar and cervical spine disorders." Journal of Neurosurgery: Spine 32, no. 6 (2020): 914–20. http://dx.doi.org/10.3171/2019.11.spine191159.

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OBJECTIVECare satisfaction is an important metric to health systems and payers. Patient activation is a hierarchical construct following 4 stages: 1) having a belief that taking an active role in their care is important, 2) having knowledge and skills to manage their condition, 3) having the confidence to make necessary behavioral changes, and 4) having an ability to maintain those changes in times of stress. The authors hypothesized that patients with a high level of activation, measured using the Patient Activation Measure (PAM), will be more engaged in their care and, therefore, will be mor
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21

Peters, Anthony, and Ellen Keeley. "THE IMPACT OF PATIENT ACTIVATION IN PATIENTS POST-MYOCARDIAL INFARCTION." Journal of the American College of Cardiology 69, no. 11 (2017): 2506. http://dx.doi.org/10.1016/s0735-1097(17)35895-3.

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22

Tecson, Kristen M., Kyle Bass, Joost Felius, Shelley A. Hall, Aayla K. Jamil, and Sandy A. Carey. "Patient “Activation” of Patients Referred for Advanced Heart Failure Therapy." American Journal of Cardiology 123, no. 4 (2019): 627–31. http://dx.doi.org/10.1016/j.amjcard.2018.11.013.

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23

Welter, Saskia, Christian Keinki, Emadaldin Ahmadi, and Jutta Huebner. "Lay Etiology, Self-Efficacy and Patient Activation Among Cancer Patients." Cancer Investigation 39, no. 3 (2021): 219–28. http://dx.doi.org/10.1080/07357907.2021.1878528.

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24

Schnock, Kumiko O., Julia E. Snyder, Theresa E. Fuller, et al. "Acute Care Patient Portal Intervention: Portal Use and Patient Activation." Journal of Medical Internet Research 21, no. 7 (2019): e13336. http://dx.doi.org/10.2196/13336.

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25

Barnes, Edward L., Millie D. Long, Michael D. Kappelman, Christopher F. Martin, and Robert S. Sandler. "High Patient Activation Is Associated With Remission in Patients With Inflammatory Bowel Disease." Inflammatory Bowel Diseases 25, no. 7 (2018): 1248–54. http://dx.doi.org/10.1093/ibd/izy378.

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Abstract Background High levels of patient activation (having the knowledge, skills, and confidence to effectively manage one’s care), have been associated with improved outcomes in many chronic conditions. There have been few studies of the effects of activation in patients with inflammatory bowel disease (IBD). We performed a large, prospective Internet-based study to assess the relationship between patient activation level and clinical remission in patients with Crohn’s disease or ulcerative colitis. Methods We administered the Patient Activation Measure (Insignia Health) to 1486 cohort par
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26

Greene, Jessica, and Judith H. Hibbard. "Why Does Patient Activation Matter? An Examination of the Relationships Between Patient Activation and Health-Related Outcomes." Journal of General Internal Medicine 27, no. 5 (2011): 520–26. http://dx.doi.org/10.1007/s11606-011-1931-2.

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27

Schmaderer, Myra, Bunny Pozehl, Melody Hertzog, and Lani Zimmerman. "Psychometric Properties of the Patient Activation Measure in Multimorbid Hospitalized Patients." Journal of Nursing Measurement 23, no. 3 (2015): 128E—141E. http://dx.doi.org/10.1891/1061-3749.23.3.128.

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Background and Purpose: The purpose of this study was to document the psychometric properties of the Patient Activation Measure (PAM) in hospitalized multimorbid patients. Methods: Data from 313 patients were used for psychometric testing. Results: Estimated reliability of the PAM was .88; the content validity index was .91. Convergent and divergent validity with measures of physical functioning, depression, quality of care, severity of illness, and number of multimorbid conditions were confirmed. Confirmatory factor analysis did not support a good fit of the 1-factor model. Conclusion: The PA
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28

Hardman, Matthew I., S. Chandralekha Kruthiventi, Michelle R. Schmugge, et al. "Risk factors and outcomes of postoperative emergency response team activation: a matched case-control study." Critical Care and Resuscitation 22, no. 1 (2020): 6–14. http://dx.doi.org/10.51893/2020.1.oa1.

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OBJECTIVE: To determine patient and perioperative characteristics associated with unexpected postoperative clinical deterioration as determined for the need of a postoperative emergency response team (ERT) activation. DESIGN: Retrospective case–control study. SETTING: Tertiary academic hospital. PARTICIPANTS: Patients who underwent general anaesthesia discharged to regular wards between 1 January 2013 and 31 December 2015 and required ERT activation within 48 postoperative hours. Controls were matched based on age, sex and procedure. MAIN OUTCOME MEASURES: Baseline patient and perioperative ch
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29

OLeary, Stephanie, Megan Shulman, Kevin Ritt, et al. "The TIME Trial Network to facilitate rapid clinical trial activation, patient screening, and enrollment in molecularly targeted trials." Journal of Clinical Oncology 39, no. 15_suppl (2021): 1563. http://dx.doi.org/10.1200/jco.2021.39.15_suppl.1563.

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1563 Background: Clinical trials that require patients to have specific actionable mutations based on next generation sequencing (NGS) present unique problems, such as recruiting patients with rare mutations, low enrollment rates, and distance between patients and trial sites. Such barriers can slow the pace of trial enrollment and delay the development of new therapeutic options. Methods: Tempus Labs has partnered with experienced research sites and pharmaceutical companies with molecularly targeted clinical trials to create the TIME Trial Network. The study portfolio includes pharmaceutical
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30

Hendriks, Steven H., Laura C. Hartog, Klaas H. Groenier, et al. "Patient Activation in Type 2 Diabetes: Does It Differ between Men and Women?" Journal of Diabetes Research 2016 (2016): 1–8. http://dx.doi.org/10.1155/2016/7386532.

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Background.Aim was to investigate whether the degree of patient activation of patients with type 2 diabetes (T2D) is different between men and women. Furthermore, we investigated which factors are associated with patient activation in men and women.Methods.This cross-sectional study included 1615 patients with T2D from general practices. Patient activation was measured with the Patient Activation Measure (PAM) questionnaire. Multivariate linear regression analyses were used to investigate the association between gender and patient activation. Stratified analyses according to gender were perfor
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31

Magnezi, Racheli, Saralee Glasser, Hadar Shalev, Asher Sheiber, and Haim Reuveni. "Patient activation, depression and quality of life." Patient Education and Counseling 94, no. 3 (2014): 432–37. http://dx.doi.org/10.1016/j.pec.2013.10.015.

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32

Smyth, Susan S., Dougald M. Monroe, Waldemar E. Wysokinski, et al. "Platelet activation and its patient-specific consequences." Thrombosis Research 122, no. 4 (2008): 435–41. http://dx.doi.org/10.1016/j.thromres.2007.08.023.

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33

Rost, Kathryn. "Patient Activation Interventions: Research Issues in Dissemination." Diabetes Educator 15, no. 1 (1989): 80–82. http://dx.doi.org/10.1177/014572178901500121.

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34

Dunlay, Shannon M., Joan M. Griffin, Margaret M. Redfield, and Véronique L. Roger. "Patient Activation in Acute Decompensated Heart Failure." Journal of Cardiovascular Nursing 32, no. 6 (2017): 560–67. http://dx.doi.org/10.1097/jcn.0000000000000367.

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Davis, Mary McLaughlin. "Case Managers a Catalyst for Patient Activation." Professional Case Management 24, no. 3 (2019): 155–57. http://dx.doi.org/10.1097/ncm.0000000000000362.

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36

Hamilton, Clayon B., and Linda C. Li. "Measures of Patient Activation and Self‐Efficacy." Arthritis Care & Research 72, S10 (2020): 645–59. http://dx.doi.org/10.1002/acr.24350.

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37

Sola, Davide, Jerome Couturier, and Ben Voyer. "Unlocking patient activation in chronic disease care." British Journal of Healthcare Management 21, no. 5 (2015): 220–25. http://dx.doi.org/10.12968/bjhc.2015.21.5.220.

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38

Gair, Rachel, Esther Wong, Catherine Stannard, Sabine Van der Veer, ken Farrington, and Richard Fluck. "FP363ASSOCIATIONS BETWEEN PATIENT ACTIVATION, CHARACTERISTICS AND OUTCOMES." Nephrology Dialysis Transplantation 33, suppl_1 (2018): i153—i154. http://dx.doi.org/10.1093/ndt/gfy104.fp363.

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39

Bush, Ruth A., Vijaya M. Vemulakonda, Andrew C. Richardson, Sara J. Deakyne Davies, and George J. Chiang. "Providing Access: Differences in Pediatric Portal Activation Begin at Patient Check-in." Applied Clinical Informatics 10, no. 04 (2019): 670–78. http://dx.doi.org/10.1055/s-0039-1695792.

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Abstract Background The patient portal interface with individual electronic health records (EHR) was introduced as a tool to enhance participatory medicine. Recent studies suggest adults from racial and ethnic minorities as well as non-English speakers face disproportionate barriers to adoption; however, little data are available for pediatric patients. Objective The purpose of this study was to examine patient portal offers and activation patterns among pediatric urology patients at two geographically diverse tertiary pediatric hospitals. Methods Retrospective analysis of 2011 to 2016 electro
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40

Shah, Chirayu, Khaled Sanber, Rachael Jacobson, et al. "I-PASS Illness Severity Identifies Patients at Risk for Overnight Clinical Deterioration." Journal of Graduate Medical Education 12, no. 5 (2020): 578–82. http://dx.doi.org/10.4300/jgme-d-19-00755.1.

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ABSTRACT Background The I-PASS framework is increasingly being adopted for patient handoffs after a recent study reported a decrease in medical errors and preventable adverse events. A key component of the I-PASS handoff included assignment of illness severity. Objective We evaluated whether illness severity categories can identify patients at higher risk of overnight clinical deterioration as defined by activation of the rapid response team (RRT). Methods The I-PASS handoff documentation created by internal medicine residents and patient charts with overnight RRT activations from April 2016 t
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Loudová, Martina, and Jan Krejsek. "Platelets Activation in Patients Undergoing PTCA and Their Responsiveness After in vitro Stimulation." Acta Medica (Hradec Kralove, Czech Republic) 46, no. 4 (2003): 183–88. http://dx.doi.org/10.14712/18059694.2019.31.

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We evaluated expression of platelet activation markers in blood samples of 15 patients who underwent percutaneous transluminal coronary angioplasty (PTCA) by flow cytometry. Analysis was performed before the beginning of PTCA, during initial coronary angiography and after the end of PTCA or after a stent placement, respectively. We evaluated platelet-derived microparticles, platelet-leukocyte aggregates, platelet aggregates and a membrane expression of CD62P and CD63 molecules. Responsiveness of platelets to the activationin vitrowith thrombin-receptor activating protein – 6 (TRAP-6) was teste
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42

Fenech, V. A., N. Kamperidis, T. Tyrrell, et al. "P134 Patient empowerment in inflammatory bowel disease (IBD): early education at a new diagnosis IBD clinic (NDC)." Journal of Crohn's and Colitis 14, Supplement_1 (2020): S204. http://dx.doi.org/10.1093/ecco-jcc/jjz203.263.

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Abstract Background IBD is a chronic condition that affects young and older people. Co-existing diseases are common. Patient-centred care includes education and support to empower patients and is a recognised dimension of high-quality care. Patient empowerment with knowledge, skills and confidence (‘patient activation’) is associated with better outcomes in many chronic diseases. We aimed to measure patient activation in recently diagnosed IBD patients and to identify factors associated with levels of activation. Methods A NDC was set up at St Mark’s Hospital to offer patients education, infor
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Chen, Jennifer, Kevin J. Fowler, and Morgan E. Grams. "Knowledge Is Power: Patient Education as a Tool for Patient Activation." American Journal of Kidney Diseases 76, no. 2 (2020): 163–65. http://dx.doi.org/10.1053/j.ajkd.2020.03.012.

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Prey, Jennifer E., Min Qian, Susan Restaino, et al. "Reliability and validity of the patient activation measure in hospitalized patients." Patient Education and Counseling 99, no. 12 (2016): 2026–33. http://dx.doi.org/10.1016/j.pec.2016.06.029.

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Schmaderer, Myra S., Lani Zimmerman, Melody Hertzog, Bunny Pozehl, and Audrey Paulman. "Correlates of Patient Activation and Acute Care Utilization Among Multimorbid Patients." Western Journal of Nursing Research 38, no. 10 (2016): 1335–53. http://dx.doi.org/10.1177/0193945916651264.

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46

Schmaderer, Myra, Bunny Pozehl, Melody Hertzog, and Lani Zimmerman. "Psychometric Properties of the Patient Activation Measure in Multimorbid Hospitalized Patients." Journal of Nursing Measurement 23, no. 3 (2015): 128–41. http://dx.doi.org/10.1891/1061-3749.23.3.e128.

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47

Gardetto, Nancy J. "Heart PACT: Patient Activation in High-Risk Patients with Heart Failure." Journal of Cardiac Failure 20, no. 8 (2014): S64—S65. http://dx.doi.org/10.1016/j.cardfail.2014.06.183.

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48

Masterson Creber, Ruth, Ting Chen, Chao Wei, and Christopher S. Lee. "Brief Report: Patient Activation Among Urban Hospitalized Patients With Heart Failure." Journal of Cardiac Failure 23, no. 11 (2017): 817–20. http://dx.doi.org/10.1016/j.cardfail.2017.08.452.

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49

Nair, Devika, and Kerri L. Cavanaugh. "Measuring Patient Activation as Part of Kidney Disease Policy: Are We There Yet?" Journal of the American Society of Nephrology 31, no. 7 (2020): 1435–43. http://dx.doi.org/10.1681/asn.2019121331.

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Optimal care occurs when patients possess the skills, knowledge, and confidence needed to effectively manage their health. Promoting such patient activation in kidney disease care is increasingly being prioritized, and patient activation has recently emerged as central to kidney disease legislative policy in the United States. Two options of the Centers for Medicare and Medicaid Services Kidney Care Choices model—the Kidney Care First option and the Comprehensive Kidney Care Contracting option—now include patient activation as a quality metric; both models specifically name the patient activat
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50

Leiter, Sarah M., Victoria E. R. Parker, Alena Welters, et al. "Hypoinsulinaemic, hypoketotic hypoglycaemia due to mosaic genetic activation of PI3-kinase." European Journal of Endocrinology 177, no. 2 (2017): 175–86. http://dx.doi.org/10.1530/eje-17-0132.

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Objective Genetic activation of the insulin signal-transducing kinase AKT2 causes syndromic hypoketotic hypoglycaemia without elevated insulin. Mosaic activating mutations in class 1A phospatidylinositol-3-kinase (PI3K), upstream from AKT2 in insulin signalling, are known to cause segmental overgrowth, but the metabolic consequences have not been systematically reported. We assess the metabolic phenotype of 22 patients with mosaic activating mutations affecting PI3K, thereby providing new insight into the metabolic function of this complex node in insulin signal transduction. Methods Three pat
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