7. PAM Survey Summary Patient Activation Measure (PAM) surveys have been conducted periodically between November 2019 through April 2021 with participants in the TIPs program at Grace West Manor and Townhomes. The Patient Activation Measure (PAM) is a well validated instrument measuring health-related confidence, engagement, behaviors, and lifestyle used extensively to establish baseline health engagement and change over time and circumstance. PAM was initiated in November 2019 with monthly measures taken through March 2020 with quarterly follow-up anticipated. At that point, the COVID-19 crisis imposed serious disruption in both program vital signs monitoring for all 200+ enrolled participants in the program and PAM data gathering for those participating in this measure. PAM surveys were re-established on a limited basis in March 2021. The program “pivots” in services from “TIP Classic” with congregate group services, to “TIPs in Touch” telephone-based services without vital signs monitoring at the outset of COVID-19 restrictions, to “TIPs at Home” with limited participation to selected elderly high-risk participants, was instrumental in maintaining health related activities and services during this time. The following sections present a summary of two measures of the overall effects of the program, particularly on the four levels of patient activation which the PAM survey measures (Level 1: Disengaged and Overwhelmed; 2: Aware but Struggling; 3: Taking Action/Gaining Control; 4: Maintaining Behaviors and Progress). The overall results include general trends and changes in levels of PAM scores among residents who were consistently participating in the program from initiation through April 2021 and who had completed at least two PAM surveys during that time. The sample included (n=49) is smaller than the number of participants in the program but offers a reasonable framework for assessing the program effects on participant health activation.
7. PAM Survey Report
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