{rfName}

Indexed in

License and use

Citations

Altmetrics

Analysis of institutional authors

Provenzano, MariaCorresponding AuthorJimenez-Herrera, MariaAuthor

Share

Publications
>
Article

Validity and Reliability of Patient Activation Measure (PAM13-I) Italian Version Among Patient Undergoing Elective Surgery

Publicated to:Research In Nursing & Health. 48 (2): 281-293 - 2025-01-28 48(2), DOI: 10.1002/nur.22447

Authors: Provenzano M; Cillara N; Podda M; Gonzalez CIA; Cicalò E; Fransvea P; Poillucci G; Deserra A; Ricciardelli L; Jiménez-Herrera M; Sechi R; D\'Agostino F; Margiani C; Murru C; Demurtas B; Cannavera A; Sotgiu G; Scabini S; Pertile D; De Rosa R; Prosperi P; Bruscino A; Di Bella A; Casati M; Laface L; Abate E; Frontali A; Bonomi AM; Ferrario L; Mucilli F; Barone M; Borghi F; Sasia D; Giraudo G; Puzziello A; Loffredo A; Steccanella F; Donnarumma E; Galleano R; Malerba M; Runfola M; Agus M; Fortunato F; Calò PG; Medas F; Canu GL; Stella M; Ferrara F; Baldi C; Benuzzi L; Pisanu A; Saba A; Gessa E; Muratore A; Calabrò M; Cuzzola B; Garino M; Marafante C; Farfaglia R; Pandolfo G; Pata G; Lantone G; Marino F; Perrone F; Scognamillo F; Delogu D; Tilocca PL; Frena A; Malpaga A; Bertelli G; Memeo R; Ferraro V; Libia A; Sarro G; Marconi M; Nava S; Pierpaolo B; Fleres F; Clarizia G; Alfieri S; Rosa F; Longo F; Restini E; Cianci P; Capuzzolo S; Anania G; Bombardini C; Urbani A; Bona D; Aiolfi A; Lastraioli C; Di Paola M; Dall\'Oglio A; D\'Eletto M; Capelli P; Conti L; Luzietti E; Banchini F; Manca G; Calo’ G

Affiliations

Dept Surg PO SS, Cagliari, Italy - Author
Fdn Policlin Univ A Gemelli IRCCS, Emergency Surg & Trauma, Rome, Italy - Author
Osped Colli, AORN, Naples, Italy - Author
Osped San Matteo Infermi, Spoleto, Italy - Author
Univ Cagliari, Dept Surg Sci, Cagliari, Italy - Author
Univ Popular Cesar, Valledupar, Colombia - Author
Univ Rovira i Virgili, Nursing Dept, Tarragona, Spain - Author
Univ Rovira i Virgili, Tarragona, Spain - Author
Univ Sassari, Dept Architecture Design & Urban Planning, Sassari, Italy - Author
See more

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 alpha = 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.

Keywords

CareElective surgeryEmpowermentHealth outcomesItalyPatient activation measure (pam)Self-managementSurgical outcomesValidatioValidation studValidation study

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Research In Nursing & Health due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2025, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category Nursing (Miscellaneous).

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-06-24:

  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 2 (PlumX).

Leadership analysis of institutional authors

This work has been carried out with international collaboration, specifically with researchers from: Colombia; Italy.

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (Provenzano, Maria) and Last Author (Jiménez Herrera, María Francisca).

the author responsible for correspondence tasks has been Provenzano, Maria.