@misc{10481/106859,
year = {2025},
url = {https://hdl.handle.net/10481/106859},
abstract = {Cardiovascular diseases are among the leading causes of morbidity and mortality in Brazil. This cross-sectional study, conducted in 13 Brazilian community pharmacies, assessed patient activation levels in individuals with cardiovascular disease using the Patient Activation Measure (PAM-13). A total of 348 participants with hypertension and/or hypercholesterolemia were included, and sociodemographic, clinical, and quality-of-life variables were analyzed. The mean activation level was 2.8 out of 4, indicating high responsibility for self-care and good treatment adherence but less confidence in maintaining healthy habits such as diet and physical activity over time. Older age, physical inactivity, smoking, multimorbidity, and high cardiovascular risk were associated with lower activation. The findings highlight the role of community pharmacies in promoting self-care and developing strategies to strengthen patient activation and improve health outcomes.},
abstract = {Las enfermedades cardiovasculares representan una de las principales causas de morbilidad y mortalidad en Brasil. Este estudio transversal, realizado en 13 farmacias comunitarias brasileñas, evaluó el nivel de activación de los pacientes con enfermedad cardiovascular mediante el cuestionario Patient Activation Measure (PAM-13). Se incluyeron 348 participantes con hipertensión y/o hipercolesterolemia, analizando variables sociodemográficas, clínicas y de calidad de vida. El nivel medio de activación fue de 2,8 sobre 4, con alta responsabilidad en el autocuidado y buena adherencia al tratamiento, aunque con menor seguridad para mantener de forma constante hábitos saludables como la dieta o el ejercicio físico. La edad avanzada, el sedentarismo, el tabaquismo, la multimorbilidad y un riesgo cardiovascular elevado se asociaron con menor activación. Los resultados ponen de relieve el papel de las farmacias comunitarias en la promoción del autocuidado y en el desarrollo de estrategias que refuercen la activación del paciente y mejoren los resultados en salud.},
organization = {University of Granada (PPJIA2022-05)},
publisher = {Associação Paulista de Medicina (APM)},
keywords = {Patient activation},
keywords = {Cardiovascular disease},
keywords = {Community pharmacy},
keywords = {Self-care},
keywords = {Chronic disease management},
keywords = {Health education},
keywords = {Pharmaceutical care},
title = {Patient activation levels in cardiovascular disease: a cross-sectional study in Brazilian community pharmacies},
doi = {10.1590/1516-3180.2024.0411.R1.13062025},
author = {Marangoni Iglecias, Fabianna and Riano, Eduardo and Ferreira-Alfaya, Francisco Javier and Valverde Merino, María Isabel and Gómez Guzmán, Manuel and Piquer-Martínez, Celia and Zarzuelo Romero, María José},
}