Does disease severity affect patient activation scores in COPD?

As part of the NHS Plan patients are encouraged to
manage their own health. Healthcare professionals have a responsibility to ensure that patients have the right tools and education to self-manage their conditions. Hibbard et al have developed a patient activation measure (PAM) which measures the extent to which individuals have the attributes and skills to manage their condition. The PAM determines how “activated” an individual is and can highlight what help an individual needs to improve self-management skills. For example, Level 2 indicates when patients lack confidence/ knowledge to take action, whereas Level 3 is where individuals start to take action.