Variables associated with patient activation in persons with multiple sclerosis

J Health Psychol. 2016 Jan;21(1):82-92. doi: 10.1177/1359105314522085. Epub 2014 Mar 3.

Abstract

Identifying variables associated with patient activation in the multiple sclerosis population could serve to facilitate better multiple sclerosis self-management behaviors. Using a cross-sectional survey design, 199 participants were recruited from a multiple sclerosis center in the Southeastern United States. Depression, multiple sclerosis quality of life, and multiple Sclerosis self-efficacy were all significantly correlated with patient activation. Results of a hierarchical regression indicated that patient activation was significantly related to educational attainment, depression, and self-efficacy but not to quality of life. The results suggest several possible targets for intervention to increase patient activation, including health literacy, depression symptoms, and self-efficacy for multiple sclerosis disease management.

Keywords: chronic illness; coping; depression; health psychology; self-efficacy.

MeSH terms

  • Adaptation, Psychological
  • Cross-Sectional Studies
  • Depression / psychology
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Male
  • Middle Aged
  • Multiple Sclerosis, Relapsing-Remitting* / therapy
  • Patient Participation / methods*
  • Patient Participation / psychology
  • Quality of Life / psychology
  • Self Care
  • Self Efficacy*