The project described was supported by the Clinical and Translational Science Award (CTSA) program, previously through the National Center for Research Resources (NCRR) grant 1UL1RR025011, and now by the National Center for Advancing Translational Sciences (NCATS), grant 9U54TR000021. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. The authors have no conflicts of interest to disclose.
The Active Patient Role and Asthma Outcomes in an Underserved Rural Community
Article first published online: 11 JUN 2013
© 2013 National Rural Health Association
The Journal of Rural Health
Volume 30, Issue 2, pages 121–127, Spring 2014
How to Cite
Young, H. N., Larson, T. L., Cox, E. D., Moreno, M. A., Thorpe, J. M. and MacKinnon, N. J. (2014), The Active Patient Role and Asthma Outcomes in an Underserved Rural Community. The Journal of Rural Health, 30: 121–127. doi: 10.1111/jrh.12031
- Issue published online: 1 APR 2014
- Article first published online: 11 JUN 2013
- patient activation;
Patient activation, an individual's knowledge, skills, and confidence for managing their own health and health care, can play an important role in the management of chronic conditions. However, few studies have examined patient activation in underserved rural communities. The purpose of this study was to describe patient activation and examine how patient activation is associated with adherence to asthma maintenance medication and disease control in a low-income rural population with asthma.
We conducted a cross-sectional telephone survey with 98 adults. Patient activation was assessed with the Patient Activation Measure. Adherence to long-term controller (LTC) medications and asthma control were examined using the Morisky Medication Adherence Scale (MMAS) and Asthma Control Test (ACT). Multivariate regression analyses were used to assess the associations between patient activation and: (1) adherence to LTC medications and (2) asthma control.
The majority of participants (50%) were classified in the highest level of patient activation. The least activated participants had lower mean MMAS and ACT scores in comparison to participants who were classified in higher patient activation levels. Multivariate analyses found significant positive associations between patient activation and adherence and asthma control.
Patient activation may be instrumental in low-income rural patients’ use of asthma medication and disease control. Study results inform interventions to help patients use asthma medications appropriately and achieve better asthma control. In addition to increasing access to health care services in rural communities, health care professionals also may develop and implement strategies to positively impact rural patients’ involvement in care.