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Total # of Questions: 14

Parent Patient Activation Measure - 13 [PAM] Parent [87675-5]

Date Done

Time Done

Where Done

Comment

Name

Value

Units

When all is said and done, I am the person who is responsible for taking care of my child's health. [87676-3]

Taking an active role in my child's health care is the most important thing that affects her/his health. [87677-1]

I am confident that I can take actions to help prevent or reduce problems associated with my child's health. [87678-9]

I know what each of my child's prescribed medications do. [87679-7]

I am confident that I can tell whether I need to go the doctor or whether I can take care of my child's health problem myself. [87680-5]

I am confident I can tell a doctor the concerns that I have about my child's health even when he or she does not ask. [87681-3]

I am confident that I can follow through on medical treatments I need to do for my child at home. [87682-1]

I understand my child's health problems and what causes them. [87683-9]

I know what treatments are available for my child's health problems. [87684-7]

I have been able to help my child maintain (keep up with) lifestyle changes, like eating right or exercising. [87685-4]

I know how to prevent problems with my child's health. [87686-2]

I am confident I can figure out solutions when new problems arise with my child's health. [87687-0]

I am confident that I can help my child maintain lifestyle changes, like eating right and exercising, even during times of stress. [87688-8]

Total score [88174-8]

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