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Definitions, instruments and correlates of patient empowerment: A descriptive review
University of Borås, Faculty of Caring Science, Work Life and Social Welfare. Institute of Health and Care Sciences, University of Gothenburg, Sweden.
Institute of Health and Care Sciences, University of Gothenburg, Sweden.
Institute of Health and Care Sciences, University of Gothenburg, Sweden; Department of Public Health and Primary Care, KU Leuven, Belgium; Department of Paediatrics and Child Health, University of Cape Town, South Africa.
Institute of Health and Care Sciences, University of Gothenburg, Sweden; Department of Pediatric Cardiology, The Queen Silvia Children’s Hospital, Sweden.
2021 (English)In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134Article, review/survey (Refereed) Published
Abstract [en]

Objective: This review aimed to: (i) inventory the definitions and measurements of patient empowerment in healthcare literature; (ii) appraise the conceptual and methodological rigor of included studies; and (iii) identify correlates of patient empowerment in persons with chronic conditions.

Methods: Four databases were searched to identify articles measuring patient empowerment in persons with chronic conditions, used a quantitative design and provided evidence on correlates of patient empowerment. Seventy-six articles were included and analyzed by descriptive statistics and summative content analysis.

Results: The articles used a range of definitions (n = 35) and instruments (n = 38), evaluating a range of correlates in four categories: sociodemographic characteristics, clinical outcomes, patient-reported outcomes and patient-reported experiences. The most frequent associations were between patient empowerment and age (n = 21), sex (n = 15), educational level (n = 15) and quality of life (n = 18). However, they were not always significant.

Conclusion: The broad variation of definitions and instruments highlights the lack of consensus on how to interpret and measure patient empowerment. Although several covariates have been evaluated, there are few studies assess the same relationships.

Practice implications: Consensus on a definition and measurement of patient empowerment is needed to improve the quality of future research and to provide a more cohesive body of knowledge. 

Place, publisher, year, edition, pages
Elsevier, 2021.
Keywords [en]
Chronic conditions, Correlates, Definitions, Patient empowerment, Questionnaires
National Category
Nursing
Research subject
The Human Perspective in Care
Identifiers
URN: urn:nbn:se:hb:diva-25980DOI: 10.1016/j.pec.2021.06.014ISI: 000751467200013Scopus ID: 2-s2.0-85107954163OAI: oai:DiVA.org:hb-25980DiVA, id: diva2:1579477
Available from: 2021-07-09 Created: 2021-07-09 Last updated: 2025-09-24Bibliographically approved

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Acuña Mora, Mariela

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