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Racial Disparities in Patient Activation: The Role of Economic Diversity.
- Source :
-
Western Journal of Nursing Research . Jun2021, Vol. 43 Issue 6, p517-529. 13p. - Publication Year :
- 2021
-
Abstract
- The Patient Activation Measure (PAM) assesses a person's level of knowledge, skills, and confidence to self-manage their day-to-day health. We conducted a mediation analysis to examine potential direct effects of race on significantly lower baseline PAM scores in Black than in White participants (p<0.001) who were a subset of 184 adults who participated in a randomized controlled trial. In the mediation analysis, using natural indirect effects, the continuous outcome was the PAM score. The mediators were income, education, ability to pay bills, and health literacy; race (Black or White) was the "exposure." The results indicate that income (p=0.025) and difficulty paying monthly bills (p=0.04) mediated the relationship between race and baseline PAM score, whereas health literacy (p=0.301) and education (p=0.436) did not. Researchers must further investigate the role of economic diversity as an underlying mechanism of patient activation and differences in outcomes. Clinical Trial Registration: Avoiding Health Disparities When Collecting Patient Contextual Data for Clinical Care and Pragmatic Research: NCT03766841 https://clinicaltrials.gov/ct2/show/NCT03766841?term=crotty&draw=2&rank=1 [ABSTRACT FROM AUTHOR]
- Subjects :
- *RACISM
*STATISTICS
*CONFIDENCE
*CONFIDENCE intervals
*PATIENT participation
*SELF-management (Psychology)
*BLACK people
*MATHEMATICAL models
*FISHER exact test
*RACE
*HEALTH literacy
*SOCIOECONOMIC factors
*T-test (Statistics)
*INCOME
*REPEATED measures design
*THEORY
*DESCRIPTIVE statistics
*AT-risk people
*FACTOR analysis
*RESEARCH funding
*WHITE people
*EDUCATIONAL attainment
Subjects
Details
- Language :
- English
- ISSN :
- 01939459
- Volume :
- 43
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- Western Journal of Nursing Research
- Publication Type :
- Academic Journal
- Accession number :
- 150449927
- Full Text :
- https://doi.org/10.1177/0193945920963130