Development and evaluation of the patient engagement questionnaire (PEQ)
Year: 2025
Type: article
Abstract: We sought to develop and evaluate the Patient Engagement Questionnaire (PEQ); a brief, remote assessment that captures both measures of health literacy and patient activation in the context of engagement in healthcare. Participants in the COVID-19 & Chronic Conditions cohort study completed a survey that included PEQ items, demographics, Newest Vital Sign, Consumer Health Activation Index, and patient-reported outcomes. Exploratory and Confirmatory Factor Analysis were used to conduct an item reduction process and assess fit. Spearman correlations and generalized linear regression models were performed to assess convergent and predictive validity. Stratum-specific likelihood ratios were used to determine cutoffs. 630 participants completed the survey. PEQ had 6 items loading onto one single factor, with good reliability (α = 0.76), and convergent validity with the NVS ( r = 0.30, p < 0.001) and CHAI ( r = 0.41, p < 0.001). Higher PEQ scores were significantly associated with lower depression ( r = −0.30, p < 0.001) and better physical function ( r = 0.31, p < 0.01). Two categories emerged: limited (6–26, SSLR: 3.15) and adequate (26–30, SSLR: 0.53). The PEQ is a brief and easily administered tool designed to capture the intersect between health literacy and activation. The PEQ will help identify patients struggling with care engagement, aiding resource allocation to those most in need. • The PEQ, a brief tool to measure patient engagement. • Health literacy and patient activation are separate but overlapping determinants of patient outcomes. • Exploratory and Confirmatory Factor Analysis were used to develop a patient enagegement measurement.
Source: PEC Innovation
Institution: Northwestern University
Language: English
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,790
Awards: EHR-based Universal Medication Schedule to Improve Adherence to Complex Regimens, Transplant Regimen Adherence for Kidney Recipients by Engaging Information Technologies: The TAKE IT Trial, G815100389, G9000028525, G9000169586, Chicago Center for Diabetes Translation Research, LitCog V: Health Literacy and Cognitive Function Among Older Adults
OpenAlex ID: W4409423089