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Table 2 The PAM 13 measurement instrument

From: Evaluating the efficacy of an Advanced Care Planning Program for Health Decisions in patients with advanced heart failure: protocol for a Randomized Clinical Trial

PAM assesses a consumer’s knowledge, skills and confidence for self-management. PAM segments people into one of four progressively higher levels of activation. Below are some statements that people sometimes make when they talk about their health. Please indicate how much you agree or disagree with each statement as it applies to you personally by circling your answer. Your answers should be what is true for you and not just what you think others want you to say

1

When all is said and done, I am the person who is responsible for taking care of my health

Disagree strongly

Disagree

Agree

Agree strongly

N/A

2

Taking an active role in my own health care is the most important thing that affects my health

Disagree strongly

Disagree

Agree

Agree strongly

N/A

3

I am confident I can help prevent or reduce problems associated with my health

Disagree strongly

Disagree

Agree

Agree strongly

N/A

4

I know what each of my prescribed medications do

Disagree strongly

Disagree

Agree

Agree strongly

N/A

5

I am confident that I can tell whether I need to go to the doctor or whether I can take care of a health problem myself

Disagree strongly

Disagree

Agree

Agree strongly

N/A

6

I am confident that I can tell a doctor concerns I have even when he or she does not ask

Disagree strongly

Disagree

Agree

Agree strongly

N/A

7

I am confident that I can follow through on medical treatments I may need to do at home

Disagree strongly

Disagree

Agree

Agree strongly

N/A

8

I understand my health problems and what causes them

Disagree strongly

Disagree

Agree

Agree strongly

N/A

9

I know what treatments are available for my health problems

Disagree strongly

Disagree

Agree

Agree strongly

N/A

10

I have been able to maintain (keep up with) lifestyle changes, like eating right or exercising

Disagree strongly

Disagree

Agree

Agree strongly

N/A

11

I know how to prevent problems with my health

Disagree strongly

Disagree

Agree

Agree strongly

N/A

12

I am confident I can figure out solutions when new problems arise with my health

Disagree strongly

Disagree

Agree

Agree strongly

N/A

13

I am confident that I can maintain lifestyle changes, like eating right and exercising, even during times of stress

Disagree strongly

Disagree

Agree

Agree strongly

N/A