The patient activation measure (PAM), a recognized measure of how active patients are in their care, is one of the most extensively used, widely translated, and tested instruments worldwide in measuring patient activation. This study aimed to assess the psychometric properties and construct validity of the Italian version of the 13-item Patient Activation Measure (PAM13-I) among patients undergoing elective laparoscopic cholecystectomy. A multicenter study was conducted across 111 surgical units in Italy. This study involved the preoperative administration of the PAM questionnaire to 4532 patients. The psychometric properties of the PAM were evaluated using Rasch analysis. The PAM13-I demonstrated good internal consistency (Cronbach's α = 0.95) and reliability indices. While fit statistics were acceptable, ceiling effects were observed. No significant differential item functioning was found. However, issues with targeting and local response dependency were identified. The Italian PAM-13 showed promising psychometric properties among surgical patients, indicating its potential utility in assessing patient activation. However, concerns regarding ceiling effects and targeting suggest the need for further refinement and validation in surgical populations.
Validity and reliability of patient activation measure (PAM13-I) Italian version among patient undergoing elective surgery / Provenzano, Maria; Cillara, Nicola; Podda, Mauro; Gonzalez, Cesar Ivan Aviles; Cicalò, Enrico; Fransvea, Pietro; Poillucci, Gaetano; Deserra, Antonello; Ricciardelli, Luigi; Jiménez-Herrera, Maria; Sechi, Raffaele; D'Agostino, Francesca; Margiani, Carla; Murru, Cristina; Demurtas, Barbara; Cannavera, Alessandro; Sotgiu, Giovanni; Scabini, Stefano; Pertile, Davide; De Rosa, Raffaele; Prosperi, Paolo; Bruscino, Alessandro; Di Bella, Annamaria; Casati, Massimiliano; Laface, Letizia; Abate, Emmanuele; Frontali, Alice; Bonomi, Alessandro Michele; Ferrario, Luca; Mucilli, Felice; Barone, Mirko; Borghi, Felice; Sasia, Diego; Giraudo, Giorgio; Puzziello, Alessandro; Loffredo, Andrea; Steccanella, Francesca; Donnarumma, Elio; Galleano, Raffaele; Malerba, Michele; Runfola, Matteo; Agus, Marcello; Fortunato, Federica; Calò, Pietro Giorgio; Medas, Fabio; Canu, Gian Luigi; Stella, Marco; Ferrara, Francesco; Baldi, Caterina; Benuzzi, Laura; Pisanu, Adolfo; Saba, Alessandra; Gessa, Emanuela; Muratore, Andrea; Calabrò, Marcello; Cuzzola, Bruno; Garino, Mauro; Marafante, Chiara; Farfaglia, Roberto; Pandolfo, Gianpiero; Pata, Giacomo; Lantone, Giulio; Marino, Fabio; Perrone, Fabrizio; Scognamillo, Fabrizio; Delogu, Daniele; Tilocca, Pier Luigi; Frena, Antonio; Malpaga, Anna; Bertelli, Giacomo; Memeo, Riccardo; Ferraro, Valentina; Libia, Annarita; Sarro, Giuliano; Marconi, Matteo; Nava, Samuele; Pierpaolo, Bordoni; Fleres, Francesco; Clarizia, Guglielmo; Alfieri, Sergio; Rosa, Fausto; Longo, Fabio; Restini, Enrico; Cianci, Pasquale; Capuzzolo, Sabino; Anania, Gabriele; Bombardini, Cristina; Urbani, Alessia; Bona, Davide; Aiolfi, Alberto; Lastraioli, Caterina; Di Paola, Massimiliano; Dall'Oglio, Anna; D'Eletto, Marco; Capelli, Patrizio; Conti, Luigi; Luzietti, Enrico; Banchini, Filippo; Manca, Giuseppe; Calo’, Gabriele; Centomze, Antonella; Andreano, Mauro; Sullo, Pasquale; Giuseppina, Oliva; Anastasi, Alessandro; Canonico, Giuseppe; Nelli, Tommaso; Trompetto, Mario; Gallo, Gaetano; Clerico, Giuseppe; Arganini, Marco; Palmeri, Matteo; Bonuso, Claudio; Mirabella, Antonello; Marino, Marco V; Vaccarella, Gianpaolo; Salzano, Francesco; Meccariello, Renato; Mastrorilli, Maurizio; Campanile, Fabio Cesare; Foti, Nicola; De Angelis, Monica; De Palma, Giovanni Domenico; Aprea, Giovanni; Palomba, Giuseppe; Milone, Marco; Capano, Mariana; Manigrasso, Michele; Baldazzi, Gianandrea; Cassini, Diletta; Epifani, Angelo Gabriele; Bottino, Vincenzo; Canfora, Alfonso; Ferronetti, Antonio; de Manzini, Nicolò; Biloslavo, ; Fracon, Stefano; Filauro, Marco; Barberis, Andrea; Azzinnaro, Antonio; Oliva, Alba; Razzore, Andrea; Di Maira, Lorenzo; Bima, Carlo; Gibin, Enrico; Peluso, Chiara; Perrotta, Nicola; Celiento, Marta; Scorzelli, Marco; Tuveri, Antonio; Madeddu, Francesco; Fois, Claudia; Russello, Domenico; Latteri, Saverio; Sofia, Maria; Del Rio, Paolo; Cozzani, Federico; Giuffrida, Mario; Mariani, Pierpaolo; Giussani, Martina; Ansaloni, Luca; Maestri, Marcello; Tartaglia, Giuseppe; Caricato, Marco; Capolupo, Gabriella Teresa; Carannante, Filippo; Gambino, Giovanni; Bertino, Vanessa; Bonilauri, Stefano; Frazzetta, Giuseppe; Amodio, Pietro Maria; De Siena, Teresa; Zanzi, Federico; Guariniello, Anna; Rocco, Giuseppe; Mancini, Stefano; Sagnotta, Andrea; Solinas, Luigi; Porta, Andrea; Sambucci, Daniele; Monti, Eleonora; Quaglino, Francesco; Mantova, Serena; Fiore, Alessia; Costi, Renato; Virgilio, Edoardo; Montali, Filippo; Catarci, Marco; Apa, Daniela; Bertoldi, Innocenzo; Camandona, Michele; Bossotti, Maurizio; Palagi, Silvia; Doria, Emanuele; Caltagirone, Alice; Balani, Alessandro; Petronio, Barbara; Terranova, Susanna; Martuzzi, Federica; Romeo, Carlo; Carluccio, Raffaele; Neri, Silvia; Auriemma, Pasquale Pio; Prestigiacomo, Giorgia; Sala, Stefano; Colli, Francesco; Marini, Pierluigi; Di Cosimo, Carla; Gattolin, Andrea; Rimonda, Roberto; Travaglio, Elisabetta; Cotsoglou, Christian; Granieri, Stefano; Chierici, Andrea Piero; Tamini, Nicolò; Pitoni, Ludovica; Vico, Eleonora; Altomare, Donato Francesco; Martines, Gennaro; Tomasicchio, Giovanni; Coppola, Massimiliano; Aprile, Giovanna; Sau, Paolo; Del Papa, Mauro; Manzi, Fulvio; D'Amata, Gabriele; Cocorullo, Gianfranco; Venturelli, Paolina; Carollo, Giuseppe; Tondolo, Vincenzo; Dore, Andrea; Di Giorgio, Danilo; Gusai, Giovanni Pietro Paolo; Salaris, Claudia; Sanna, Silvia; Pignata, Giusto; Andreuccetti, Jacopo; D'Alessio, Rossella; Massani, Marco; Tutino, Roberta; Viola, Vincenzo; Stella, Luigi Persico; Diana, Massimo; Sampietro, Gianluca Matteo; Merlini, David Alessio; Sica, Giuseppe; Bagaglini, Giulia; Manzia, Tommaso Maria; Siracusa, Leandro; Tisone, Giuseppe; Ercolani, Giorgio; D'Acapito, Fabrizio; Di Pietrantonio, Daniela; Fiscon, Valentino; Portale, Giuseppe; Cipollari, Chiara; Sorrentino, Mario; Piccolo, Roberta; Cojutti, Alessandro; Canova, Gualtiero; Nicotera, Antonella; Zago, Marcello; De Montis, Giorgio; Castaldi, Fabio; Morelli, Maria Morena; Parma, Emilio; Paolini, Claudia; De Marco, Giovanni; Elter, Chiara; Feo, Carlo V; Fabbri, Nicolò; Severi, Silvia; Nasto, Aurelio; Patrone, Renato; Conti, Lorenzo; Rizzi, Andrea; Broggi, Luca; Danelli, Piergiorgio; Cammarata, Francesco; Fiore, Luigi; Grande, Michele; Campanelli, Michela; Grande, Simona. - In: RESEARCH IN NURSING & HEALTH. - ISSN 1098-240X. - 48:2(2025), pp. 281-293. [10.1002/nur.22447]
Validity and reliability of patient activation measure (PAM13-I) Italian version among patient undergoing elective surgery
Del Rio, PaoloMembro del Collaboration Group
;Cozzani, FedericoMembro del Collaboration Group
;Giuffrida, MarioMembro del Collaboration Group
;Costi, RenatoMembro del Collaboration Group
;Virgilio, EdoardoMembro del Collaboration Group
;Montali, FilippoMembro del Collaboration Group
;
2025-01-01
Abstract
The patient activation measure (PAM), a recognized measure of how active patients are in their care, is one of the most extensively used, widely translated, and tested instruments worldwide in measuring patient activation. This study aimed to assess the psychometric properties and construct validity of the Italian version of the 13-item Patient Activation Measure (PAM13-I) among patients undergoing elective laparoscopic cholecystectomy. A multicenter study was conducted across 111 surgical units in Italy. This study involved the preoperative administration of the PAM questionnaire to 4532 patients. The psychometric properties of the PAM were evaluated using Rasch analysis. The PAM13-I demonstrated good internal consistency (Cronbach's α = 0.95) and reliability indices. While fit statistics were acceptable, ceiling effects were observed. No significant differential item functioning was found. However, issues with targeting and local response dependency were identified. The Italian PAM-13 showed promising psychometric properties among surgical patients, indicating its potential utility in assessing patient activation. However, concerns regarding ceiling effects and targeting suggest the need for further refinement and validation in surgical populations.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
