Investigation and verification effect of patient activation scale on high-risk population of early stage cervical cancer
10.3760/cma.j.cn115624-20250327-00278
- VernacularTitle:患者激活量表对宫颈癌早期高危人群的调查及验证效果
- Author:
Binjie YANG
1
;
Dan HOU
1
Author Information
1. 北部战区总医院健康医学科，沈阳110003
- Publication Type:Journal Article
- Keywords:
Cervical cancer;
Patient activation scale;
Screening;
Health management;
Health promotion
- From:
Chinese Journal of Health Management
2025;19(7):557-560
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the investigation and verification effect of the patient activation scale (PAM) on high-risk population of early stage cervical cancer.Methods:It was a cross-sectional study. From June to December in 2023, 1 253 women aged 18-65 years who underwent physical examination in the Department of Health Medicine of the Northern Theater General Hospital were selected continuously, and 102 women who scored ≥8 in the early warning screening questionnaire for cervical cancer were selected as the research objects. PAM was used to investigate the subjects, and the reliability and validity of the results were tested to analyze the self-health management ability and enthusiasm of the patients.Results:Among the 102 cases of high-risk population of early stage cervical cancer included in the analysis, the age was (38.5±5.2) years, 65 cases were married, 89 cases had a history of sexual activity, and 89 cases had a monthly income of ≥3 000 yuan. The results of PAM reliability analysis showed that the Cronbach′s α coefficient was 0.87, split-half reliability was 0.82, and the correlation coefficient between item and total score was 0.45-0.68. The results of PAM validity analysis showed that KMO value in structural validity was 0.75 (>0.6, suitable for factor analysis), and Bartlett′s spherical test χ2=120.78, P<0.001. Principal component analysis extracted two common factors, the cumulative variance contribution rate was 58.6%, factor 1 (self-management ability) items 1, 2, 4, 7, 8 (load 0.48-0.75), factor 2 (decision confidence) items 3, 5, 6 (load 0.51-0.58). The item-level content validity index (I-CVI) was 0.83-1.00, and the scale-level content validity index (S-CVI) was 0.92. Conclusion:PAM has a good reliability and validity test for high-risk population of early stage cervical cancer, which is suitable for evaluating the activation level of the patients in cervical cancer screening and can accurately reflect the enthusiasm of the participants.
