Stages of Change and XXXX Activation Measure Scores in the Context of Incentive-Based Health Interventions.

@entity1 @entity353 @entity28 @entity6 @entity2357
UNASSIGNED: Purpose . To determine if two widely used behavioral change measures-Stages of Change (SoC) and @entity1 Activation Measure (PAM)-correlate with each other, are affected by financial incentives, or predict positive outcomes in the context of incentive-based health interventions. Design . Secondary analysis of two randomized controlled trials of incentives for @entity353 and for improved @entity6 self-monitoring. Setting . Philadelphia, Pennsylvania; Newark, New Jersey. Subjects . A total of 132 @entity28 and 75 @entity6 adults enrolled in one of two trials. Measures . SoC and PAM scores; @entity353 and usage rate of @entity6 self-monitoring equipment. Analysis . Multiple regression; Kruskal-Wallis test. Results . We found no association between baseline SoC and PAM scores in either study (p = .30 and p = .89). @entity2357 models showed no association between baseline PAM score and SoC and subsequent outcomes for either study ( @entity353 study: PAM: p = .14, SoC: p = .1; @entity6 study: PAM: p = .45, SoC: p = .61). Change in PAM score and SoC among @entity1 in the intervention groups did not differ by study arm or among @entity1 with better outcomes. Conclusion . PAM score and SoC may not effectively predict success or monitor progress among individuals enrolled in incentive-based interventions.
