pam in practice 1:2 day course workbook tw...by the end of the pam® in practice workshop you will:...

Peak Health Coaching Ltd Copyright©2019

Welcome to your half-day, PAM® in Practice workshop. We hope that you will feel at ease to fully participate in the session. Learning Goals By the end of the PAM® in Practice workshop you will:

1. Understand the full impact and applications of the PAM® tool. 2. Receive practical ‘how to’ guides and best practices for using the PAM®. 3. Discover how to achieve accurate PAM® results. 4. Learn how to interpret PAM® results to inform a person-centred

approach. 5. Start to consider tailoring approaches to people at different levels of

activation. What are your learning goals for the day?


What is Patient Activation and what is the PAM®?

• The PAM® is a questionnaire designed to measure the knowledge, skills and confidence (ACTIVATION) that a person has to manage their own health and healthcare.

• The PAM results in a percentage score and a level of activation from 1 (low) to 4 (high).

• PAM® levels help tailor a general approach to a group or individual. • The percentage score identifies changes within levels.

NOTES

LEVELS

PERCENTAGES

1 2 3 4

2 IIIIIIIIIIIIIIIIIIIII

III


Why is it important to change what we are doing? Why is it important to change what we are doing for… Our patients and clients? Ourselves? Our organisations? Why is Activation important? Roots of the tree = Activation Fruits of the tree = Outcomes If we want good outcomes, then we need to pay attention to activation. NOTES


Why use the PAM®? The PAM® has been well researched and provides a robust, evidence-based measure of a person’s knowledge, confidence and skills to manage their health and healthcare. You will have received information on its development and on the relationship between activation and health care use, hospital admissions, adherence to and knowledge of medications and more importantly, Quality of Life (QoL). The PAM® is a simple to use and reliable tool when used and applied correctly. What evidence concerning the PAM® most interests you? Why do we measure anything in healthcare? (What could measuring Activation allow us to do?) 1. 2. 3. 4. . .


How do we measure the PAM® well? What factors might bias the results? What could be your words to introduce the PAM® to a patient/carer/service user? What else is important to remember when going through the PAM® questionnaire with people?

• Read the statements and the answers in the order that they appear. • Do not interpret the statements for the individual (consider PAM® primer

if needed). • If the individual cannot or will not respond to a statement, or if a

statement does not apply (which is rare), select N/A. • Redirect the individual if he/she goes off course (e.g. talking about their

symptoms, recent difficulties). • Do not start coaching during the survey. • Allow the individual adequate time to respond (even when silence is

difficult and you want to jump in and help).

What if all the responses are the same? Variation is expected so..

• Stop the survey • Check understanding (consider re-introduction) • Re-administer the survey • If all responses are still the same, then proceed as if level 2


How do you score the PAM®? Who in your organisation will score the PAM®? This is a quick, simple and absolutely essential administrative task which will allow health and social care colleagues to make use of the results to inform the care they provide. It is useful if the results are coded and easily located in the patient/client record. What additional training/information/support might they need? NOTES


So, what do the PAM® results tell us? How activated are you in …………….? (E.g. cycling, cooking…) Knowing where you are now, what would you need in order to do more…? NOTES

Four ac(va(on levels reside along a con(nuum Ac#va#on is developmental

Overwhelmed & disengaged

Becoming aware, but still struggling

Taking action & achieving many behaviours at guideline levels

Maintaining behaviours and pushing further

Level 1Level 2

Level 3

Level 4

10-20% 20-30% 25-35% 20-30%

10 20 30 40 50 60 70 80 90

0-100 point empirically derived point scaleAllows us to understand how an intervention specifically impacts a change in PAM score


What do the results tell us about how we might work with people at different levels of Activation? Write down 3 key words that capture the traits of people at different PAM® levels. PAM 1. ……………….. ………………… ………………… PAM 2. ……………….. ………………… ………………… PAM 3. ……………….. ………………… ………………… PAM 4. ……………….. ………………… ………………… Write down 1 key word that captures how you might work with people at different PAM® levels.

PAM 1. ………………….

PAM 2. ………………….

PAM 3. …………………. PAM 4. ………………….

Copyright © 2017. Insignia Health Proprietary & Confiden<al 42

Pa<ents low in ac<va<on feel overwhelmed and struggle emo<onally, making any self-management task more difficult


Summary of the session

What are your main learning points from the day? Where and with who, will you use what you have learned? When would be a good time to make a start?

pam in practice 1:2 day course workbook tw...by the end of the pam® in practice workshop you will:...

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