Table 1.
Patient Engagement Subscales, Based on Selected Items in the 2016 PACT Survey
| Patient-planning and goal-setting practicesa |
| PLAN1. Use comprehensive personalized health assessment that includes values and goals for health |
| PLAN2. Explore how the health plan and recommendations will work in the veteran’s daily life |
| PLAN3. Conduct treatment planning, including veteran’s life priorities and preferences |
| PLAN4. Involve veteran/family in goal setting |
| PLAN5. Document plan, goals, and progress so that all on the care team can see them |
| Motivational interviewing techniques to promote behavior changea |
| MI1. Use of importance scale to assess the importance of a specific behavior change to the veteran |
| MI2. Use of confidence ruler to assess the veteran’s confidence that he/she can make a specific behavior change |
| Organizational strategies to promote self-managementb |
| ORG1. Recommend online Veterans Health Library |
| ORG2. Distribute patient education materials |
| ORG3. Offer group visits or shared medical appointments |
| ORG4. Use health coaching |
| ORG5. Use peer support |
| ORG6. Use home telehealth |
MI = motivational interviewing; ORG = organizational strategies to promote self-management; PACT = Patient-Aligned Care Team; PLAN = patient-planning and goal-setting practices.
a
Response choices were Yes, No, and Don’t know.
b
Participants were asked to indicate which strategies were used at their facility (“Check all that apply”).
Note: To calculate a normalized subscale score for each respondent, we summed the number of affirmative items in each subscale and divided this sum by the number of items in the subscale (and multiplied by 100).