Patient empowerment outcomes in chronic disease care in Lebanon with validation of a measurement scale and associated determinants
Year: 2026
Type: article
Study design: Observational Study
Abstract: Chronic diseases are a major cause of morbidity and mortality in Lebanon, straining the healthcare system. Patient empowerment is recognized as a strategy to enhance self-management and outcomes. This study aimed to develop and validate a Patient Empowerment Outcomes (PEO) scale adapted to Lebanon and to examine associated factors. A cross-sectional survey was conducted with 640 adults with chronic conditions using structured face-to-face interviews. The questionnaire included sociodemographic and behavioral items, along with four validated tools: the focused Patient Assessment of Chronic Illness Care (fPACIC), General Practice Interpersonal Care (GPIC), Health Empowerment and Self-Management (HESM), and the new PEO scale. Higher PEO scores were significantly associated with older age (B = 0.102, p = 0.002), proactive behaviors (B = 5.486, p = 0.001), and higher GPIC (B = 0.319, p < 0.0001), HESM (B = 0.681, p < 0.0001), and fPACIC (B = 0.104, p = 0.037) scores. Negative associations included greater medication burden (B = - 0.395, p = 0.029) and health fatalism (B = - 1.406, p = 0.008). The PEO scale is a valid, culturally adapted tool to assess empowerment in Lebanese patients with chronic diseases. Findings highlight the role of communication, self-management, and informed decision-making in guiding patient-centered interventions and policies.
Source: Scientific Reports
Institutions: Université Toulouse III - Paul Sabatier, Inserm, Université de Toulouse, Institut National de Santé Publique, d'Épidémiologie Clinique et de Toxicologie-Liban, Centre d'Epidémiologie et de Recherche en santé des POPulations de Toulouse, Lebanese International University, Centre Hospitalier Universitaire de Limoges, Institut de Recherche pour le Développement, Université de Limoges, Saint George Hospital, Lebanese American University, Aix-Marseille Université, Risques Infectieux Tropicaux Microorganismes EmergentS, American University of Beirut Medical Center, American University of Beirut, Université Laval, Centre de recherche du CHU de Québec-Université Laval, Order of Pharmacists of Lebanon, Lebanese University, University of Nicosia
Language: English
Subfield: Epidemiology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,690
OpenAlex ID: W7127108362