S7 Does completion of a pulmonary rehabilitation programme improve patient activation scores

Introduction Patient Activation Measure (PAM) is a validated patient reported-measure that measures patients’ knowledge, skill, and confidence to manage their own health and care (Hibbard J.H. et al. Health Serv Res. 2005 Dec; 40:1918–30). Patients with low activation scores are often frequent users of elective & emergency medical services. Aim To explore changes in activation via PAM scores for patients who completed a course of Pulmonary Rehabilitation (PR) against those who failed to complete. Methods 201 patients from the Knowsley Community Respiratory Service participated in PR between April 2016 and December 2018 and completed PAM questionnaires before and after the programme. Results There were 103 males (76 completed), 98 females (78 completed) with a median age of 69 (44–93), median FEV1% predicted of 65 (22–117), median BMI of 28 (17–47) and 52 were smokers (25% of completers versus 28% of non-completers). 154 patients completed the program with a median (95% CI) PAM change of +5.53 (3.5 to 7.5), versus 47 who did not complete with a change in PAM of -2.1 (-5.7 to 2.1) points, difference between the groups 6.7 (2.5 to 10.7) p Conclusion Successful completion of a course of PR is associated with a significant positive improvement in PAM score. Baseline PAM doesn’t appear to be an indicator of future completion of PR. This reaffirms that PR plays a role in improving self-management in COPD and completion of the programme should be highly encouraged.