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Table 3 Percent reporting “Very often” to using specific strategies to support patient behavior change, based upon CS-PAM score

From: The role of primary care providers in patient activation and engagement in self-management: a cross-sectional analysis

  CS-PAM Tercile
Lowest Middle Highest
(n = 62) (n = 56) (n = 53)
Bringing the patient back in for multiple visits to check on progress 10.0 30.0 60.0*
Work with the patient to jointly set behavioral goals and problem-solving to overcome barriers 8.7 34.8 56.5**
Refer the patient to diabetes educators, health coaches, blood pressure nurses or other Fairview support services 23.5 29.4 47.1
Emphasize the serious health risks the patient faces in the future if he or she doesn’t change behavior 25.0 31.3 43.8
Support the patient to work on whatever health behavior goal he or she wants to focus on, regardless of if it will affect quality metrics or not 24.3 27.0 48.7**
Have frank and sometimes difficult conversations with a patient about his or her behaviors 10.7 28.6 60.7***
Provide detailed after visit summaries to help a patient remember his or her care plan 24.4 40.2 35.4**
Try not to overwhelm a patient with too many recommended changes 20.0 12.0 68.0***
  1. Tercile 1: 0–58.4, Tercile 2: 58.5–69.9, Tercile 3: 70.0–100.0
  2. *p < 0.05, **p < 0.01, ***p < 0.001