Patient Activation is Inconsistently Associated with Positive Health Behaviors Among Obese Safety Net Patients.

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Tytuł:: Patient Activation is Inconsistently Associated with Positive Health Behaviors Among Obese Safety Net Patients.
Autorzy:: AuYoung M; Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA. .; Department of Veterans Affairs, Center for Clinical Management Research, VA HSR&D/CCMR (Mail Stop 152), P.O. Box 130170, Ann Arbor, MI, 48113-0170, USA. .
Ponce NA; Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA.; UCLA Center for Health Policy Research, University of California, Los Angeles, Los Angeles, CA, USA.
Duru OK; Division of General Internal Medicine and Health Services Research, Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.
Bustamante AV; Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA.
Mangione CM; Division of General Internal Medicine and Health Services Research, Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.
Rodriguez HP; Division of Health Policy and Management, School of Public Health, University of California, Berkeley, Berkeley, CA, USA.
Źródło:: Journal of immigrant and minority health [J Immigr Minor Health] 2016 Dec; Vol. 18 (6), pp. 1489-1497.
Typ publikacji:: Journal Article; Research Support, Non-U.S. Gov't; Research Support, N.I.H., Extramural
Język:: English
Imprint Name(s):: Original Publication: New York, NY : Springer, c 2006-
MeSH Terms:: Health Behavior*
Diet/*psychology
Exercise/*psychology
Obesity/*psychology
Patient Participation/*psychology
Adult ; Body Mass Index ; Communication ; Female ; Fruit ; Health Status ; Humans ; Logistic Models ; Male ; Middle Aged ; Obesity/therapy ; Odds Ratio ; Professional-Patient Relations ; Safety-net Providers/statistics & numerical data ; Socioeconomic Factors ; Vegetables
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Grant Information:: RC2 HL101811 United States HL NHLBI NIH HHS
Contributed Indexing:: Keywords: Health behaviors; Minority health; Patient activation; Physical activity; Practice redesign; Safety net clinics
Entry Date(s):: Date Created: 20151003 Date Completed: 20180105 Latest Revision: 20181113
Update Code:: 20240104
PubMed Central ID:: PMC4818205
DOI:: 10.1007/s10903-015-0285-y
PMID:: 26429574
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We examine the association of patient activation and physical activity and fruit and vegetable consumption among obese safety net patients. Adult obese patients (n = 198) of three safety net clinics completed a survey assessing patient activation, physical activity, fruit and vegetable consumption, care experiences, and health status. Multivariate logistic regression models incrementally assessed the adjusted relation of patient activation and physical activity and fruit and vegetable consumption. In adjusted analyses, higher activated patients had higher odds [Odds ratio (OR) 1.58, p < 0.01] of consuming fruits and vegetables daily than less activated patients. There was no significant association between patient activation and regular physical activity. Engaging in regular physical activity appears to be difficult, even for highly activated patients. In contrast, additional fruit and vegetable consumption is a relatively easier change. Patient activation was inconsistently associated with two positive health behaviors among obese safety net patients.

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