Limited or low patient activation |
Group 1 |
Group 4 |
Understanding |
Understanding |
Have no frame of reference for understanding follow-up |
Understand what to expect as part of follow-up |
Have few skills and limited motivation to seek information and/or build skills to manage their follow-up |
Have access to skills and resources but little motivation to seek information and/or build skills to manage their follow-up |
Activation |
Activation |
Limited skills and tools to function as decision-making agent |
Limited skills and tools to function as decision-making agent |
Top-down relationship with care providers related to follow-up (rely heavily on health care team to tell them what to do) |
Top-down relationship with care providers related to follow-up (rely heavily on health care team to tell them what to do) |
Do not believe it is their responsibility to manage their care |
Do not believe it is their responsibility to manage their care |
Expect that things will work out as they should |
Expect that things will work out as they should |
High patient activation |
Group 2 |
Group 3 |
Understanding |
Understanding |
Have no frame of reference for understanding follow-up |
Understand what to expect as part of follow-up |
Have moderate/minimal knowledge and skills related to managing their follow-up |
Have access to skills and resources and high motivation to seek information and/or build skills to manage their follow-up |
Activation |
Activation |
Have goals and a plan to improve their health and manage their follow-up |
Have goals and a plan to improve their health and manage their follow-up |
Top-down relationship with care providers related to follow-up (rely heavily on doctors to tell them what to do) |
Bidirectional, shared decision-making relationship with care providers related to follow-up |
Understand they should seek care from experts so that their health care providers can tell them what to do |
Motivated to seek information and build skills and confidence necessary to manage their follow-up |
Initially motivated to seek information and build skills and confidence necessary to manage their follow-up |
Believe it is their responsibility to participate in and play an active role in the management of their care |
Can and/or have given up control for monitoring their follow-up to their health care team |
Constantly check doctor’s opinion and advice on follow-up and other behavioral health care-related issues |