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    <original_author id="date">2022-07-11</original_author>
    <original_author id="name">Sarah Ballout</original_author>
    <original_author id="organisation">Peter L. Reichertz Institut für Medizinische Informatik</original_author>
    <original_author id="email">Sarah.Ballout@mh-hannover.de</original_author>
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    <other_details id="licence">This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/.</other_details>
    <other_details id="custodian_organisation">HiGHmed</other_details>
    <other_details id="references">- Patient Activation Measure (PAM13) - Deutsche Version: Kurzversion: Hibbard, J. H., Mahoney, E. R., Stockard, J., &amp; Tusler, M. (2005). Development and testing of a short form of the patient activation measure. Health Services Research, 40:6 Part 1.&#xD;
- Orginalversion: Hibbard, J. H., Stockard, J., Mahoney, E. R., &amp; Tusler, M. (2004). Development of the Patient Activation Measure (PAM): conceptualizing and measuring activation in patients and consumers. Health Services Research, 39.</other_details>
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      <purpose>Zur Repräsentation des Activation Measure (PAM13) Fragebogen, der zur Anwendung in der klinischen Praxis und der Forschung entwickelt wurde. Es wird das Wissen, die Fähigkeiten und die Zuversicht Gesundheitsbeschwerden selbst zu bewältigen hierbei erfasst.</purpose>
      <keywords>PAM-13</keywords>
      <keywords>Selbstbeurteilungsverfahren</keywords>
      <keywords>Patient Activation Measure</keywords>
      <keywords>Gesundheitsbeschwerden</keywords>
      <keywords>Gesundheit</keywords>
      <keywords>Umgang</keywords>
      <use>Zur Repräsentation des Activation Measure (PAM13) Fragebogen, der zur Anwendung in der klinischen Praxis und der Forschung entwickelt wurde. Es wird das Wissen, die Fähigkeiten und die Zuversicht Gesundheitsbeschwerden selbst zu bewältigen hierbei erfasst. Das Instrument misst die Aktivierung von Patienten im Umgang mit ihrer Gesundheit. Dabei können die Patienten vier Stufen der Aktivierung zugeordnet werden : (1) Überzeugung, dass die aktive (Patienten-) Rolle wichtig ist (2) Zuversicht and Wissen um aktiv zu werden (3) Aktiv sein (4) Aktiv bleiben, auch unter Stress. &#xD;
&#xD;
Die Auswertung erfolgt über die Addition der Rohwerte (Range 13-52). Es wird empfohlen, fehlende Werte durch den Mittelwert zu ersetzen. Bei weniger als neun vollständig ausgefüllten Antworten (ca. 30%) sollte auf eine Auswertung verzichtet werden. Zur Standardisierung des Rohgesamtwertes wird  eine Transformation auf eine 0-100 Skala empfohlen (100 *(Summe - 13) / (52 - 13)).&#xD;
&#xD;
Objektivität:&#xD;
Die Durchführungs-, Auswertungs- und Interpretationsobjektivität sind durch die standardisierte Darbietung und Auswertungsinstruktionen gegeben.&#xD;
&#xD;
Reliabilität:&#xD;
Die interne Konsistenz kann als sehr gut befunden werden (Cronbach’s α = 0.88). Die Inter-Rest-Korrelationen der Items variierten zwischen moderat und hoch (0.46 bis 0.63) und weisen damit auf die Unidimensionaltität des Konstruktes hin. Die in der amerikanischen Version des Instruments gefundene Reihenfolge der Items konnte in der deutschen Adaption nicht gefunden werden. &#xD;
Retest-, Paralleltest- und Testhalbierungs-Reliabilität liegen nicht vor. &#xD;
&#xD;
Validität:&#xD;
Konstruktvalidität: alle Items laden auf einem Faktor (40.9% Varianzaufklärung). &#xD;
Angaben zur konvergenten Validität, Kriteriumsvalidität und Veränderungssensitivität liegen nicht vor. &#xD;
&#xD;
Akzeptanz:&#xD;
Beantwortungsquoten von über 95% deuten auf eine hohe Akzeptanz hin. Nur für Item vier war die Akzeptanz mit 85% niedriger.&#xD;
&#xD;
Höhere Summenwerte weisen auf eine höhere Patientenaktivierung hin. Der finale Wert kann den 4 Stufen der Aktivierung zugeordnet werden.  Ein Patient mit einem hohen Wert kann sich besser aktiv in den Behandlungsprozess einbringen und mehr Verantwortung für seine Gesundheit übernehmen.</use>
      <misuse>Nicht zur Repräsentation von HADS-Fragebogen oder andere Screening-Fragebögen verwenden.</misuse>
      <copyright>© HiGHmed</copyright>
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                        <list>
                          <value>3</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0106</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                        <list>
                          <value>4</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0107</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                      </children>
                    </attributes>
                  </children>
                  <children xsi:type="C_COMPLEX_OBJECT">
                    <rm_type_name>ELEMENT</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <upper_included>true</upper_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>false</upper_unbounded>
                      <lower>0</lower>
                      <upper>1</upper>
                    </occurrences>
                    <node_id>at0011</node_id>
                    <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                      <rm_attribute_name>value</rm_attribute_name>
                      <existence>
                        <lower_included>true</lower_included>
                        <upper_included>true</upper_included>
                        <lower_unbounded>false</lower_unbounded>
                        <upper_unbounded>false</upper_unbounded>
                        <lower>0</lower>
                        <upper>1</upper>
                      </existence>
                      <children xsi:type="C_DV_ORDINAL">
                        <rm_type_name>DV_ORDINAL</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>1</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id />
                        <list>
                          <value>1</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0100</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                        <list>
                          <value>2</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0101</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                        <list>
                          <value>3</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0102</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                        <list>
                          <value>4</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0103</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                      </children>
                    </attributes>
                  </children>
                  <children xsi:type="C_COMPLEX_OBJECT">
                    <rm_type_name>ELEMENT</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <upper_included>true</upper_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>false</upper_unbounded>
                      <lower>0</lower>
                      <upper>1</upper>
                    </occurrences>
                    <node_id>at0012</node_id>
                    <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                      <rm_attribute_name>value</rm_attribute_name>
                      <existence>
                        <lower_included>true</lower_included>
                        <upper_included>true</upper_included>
                        <lower_unbounded>false</lower_unbounded>
                        <upper_unbounded>false</upper_unbounded>
                        <lower>0</lower>
                        <upper>1</upper>
                      </existence>
                      <children xsi:type="C_DV_ORDINAL">
                        <rm_type_name>DV_ORDINAL</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>1</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id />
                        <list>
                          <value>1</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0096</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                        <list>
                          <value>2</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0097</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                        <list>
                          <value>3</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0098</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                        <list>
                          <value>4</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0099</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                      </children>
                    </attributes>
                  </children>
                  <children xsi:type="C_COMPLEX_OBJECT">
                    <rm_type_name>ELEMENT</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <upper_included>true</upper_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>false</upper_unbounded>
                      <lower>0</lower>
                      <upper>1</upper>
                    </occurrences>
                    <node_id>at0013</node_id>
                    <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                      <rm_attribute_name>value</rm_attribute_name>
                      <existence>
                        <lower_included>true</lower_included>
                        <upper_included>true</upper_included>
                        <lower_unbounded>false</lower_unbounded>
                        <upper_unbounded>false</upper_unbounded>
                        <lower>0</lower>
                        <upper>1</upper>
                      </existence>
                      <children xsi:type="C_DV_ORDINAL">
                        <rm_type_name>DV_ORDINAL</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>1</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id />
                        <list>
                          <value>1</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0092</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                        <list>
                          <value>2</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0093</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                        <list>
                          <value>3</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0094</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                        <list>
                          <value>4</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0095</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                      </children>
                    </attributes>
                  </children>
                  <children xsi:type="C_COMPLEX_OBJECT">
                    <rm_type_name>ELEMENT</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <upper_included>true</upper_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>false</upper_unbounded>
                      <lower>0</lower>
                      <upper>1</upper>
                    </occurrences>
                    <node_id>at0014</node_id>
                    <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                      <rm_attribute_name>value</rm_attribute_name>
                      <existence>
                        <lower_included>true</lower_included>
                        <upper_included>true</upper_included>
                        <lower_unbounded>false</lower_unbounded>
                        <upper_unbounded>false</upper_unbounded>
                        <lower>0</lower>
                        <upper>1</upper>
                      </existence>
                      <children xsi:type="C_DV_ORDINAL">
                        <rm_type_name>DV_ORDINAL</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>1</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id />
                        <list>
                          <value>1</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0088</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                        <list>
                          <value>2</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0089</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                        <list>
                          <value>3</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0090</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                        <list>
                          <value>4</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0091</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                      </children>
                    </attributes>
                  </children>
                  <children xsi:type="C_COMPLEX_OBJECT">
                    <rm_type_name>ELEMENT</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <upper_included>true</upper_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>false</upper_unbounded>
                      <lower>0</lower>
                      <upper>1</upper>
                    </occurrences>
                    <node_id>at0015</node_id>
                    <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                      <rm_attribute_name>value</rm_attribute_name>
                      <existence>
                        <lower_included>true</lower_included>
                        <upper_included>true</upper_included>
                        <lower_unbounded>false</lower_unbounded>
                        <upper_unbounded>false</upper_unbounded>
                        <lower>0</lower>
                        <upper>1</upper>
                      </existence>
                      <children xsi:type="C_DV_ORDINAL">
                        <rm_type_name>DV_ORDINAL</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>1</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id />
                        <list>
                          <value>1</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0084</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                        <list>
                          <value>2</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0085</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                        <list>
                          <value>3</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0086</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                        <list>
                          <value>4</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0087</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                      </children>
                    </attributes>
                  </children>
                  <children xsi:type="C_COMPLEX_OBJECT">
                    <rm_type_name>ELEMENT</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <upper_included>true</upper_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>false</upper_unbounded>
                      <lower>0</lower>
                      <upper>1</upper>
                    </occurrences>
                    <node_id>at0016</node_id>
                    <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                      <rm_attribute_name>value</rm_attribute_name>
                      <existence>
                        <lower_included>true</lower_included>
                        <upper_included>true</upper_included>
                        <lower_unbounded>false</lower_unbounded>
                        <upper_unbounded>false</upper_unbounded>
                        <lower>0</lower>
                        <upper>1</upper>
                      </existence>
                      <children xsi:type="C_DV_ORDINAL">
                        <rm_type_name>DV_ORDINAL</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>1</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id />
                        <list>
                          <value>1</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0080</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                        <list>
                          <value>2</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0081</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                        <list>
                          <value>3</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0082</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                        <list>
                          <value>4</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0083</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                      </children>
                    </attributes>
                  </children>
                  <children xsi:type="C_COMPLEX_OBJECT">
                    <rm_type_name>ELEMENT</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <upper_included>true</upper_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>false</upper_unbounded>
                      <lower>0</lower>
                      <upper>1</upper>
                    </occurrences>
                    <node_id>at0017</node_id>
                    <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                      <rm_attribute_name>value</rm_attribute_name>
                      <existence>
                        <lower_included>true</lower_included>
                        <upper_included>true</upper_included>
                        <lower_unbounded>false</lower_unbounded>
                        <upper_unbounded>false</upper_unbounded>
                        <lower>0</lower>
                        <upper>1</upper>
                      </existence>
                      <children xsi:type="C_DV_ORDINAL">
                        <rm_type_name>DV_ORDINAL</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>1</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id />
                        <list>
                          <value>1</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0076</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                        <list>
                          <value>2</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0077</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                        <list>
                          <value>3</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0078</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                        <list>
                          <value>4</value>
                          <symbol>
                            <value />
                            <defining_code>
                              <terminology_id>
                                <value>local</value>
                              </terminology_id>
                              <code_string>at0079</code_string>
                            </defining_code>
                          </symbol>
                        </list>
                      </children>
                    </attributes>
                  </children>
                  <children xsi:type="C_COMPLEX_OBJECT">
                    <rm_type_name>ELEMENT</rm_type_name>
                    <occurrences>
                      <lower_included>true</lower_included>
                      <upper_included>true</upper_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>false</upper_unbounded>
                      <lower>0</lower>
                      <upper>1</upper>
                    </occurrences>
                    <node_id>at0018</node_id>
                    <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                      <rm_attribute_name>value</rm_attribute_name>
                      <existence>
                        <lower_included>true</lower_included>
                        <upper_included>true</upper_included>
                        <lower_unbounded>false</lower_unbounded>
                        <upper_unbounded>false</upper_unbounded>
                        <lower>0</lower>
                        <upper>1</upper>
                      </existence>
                      <children xsi:type="C_COMPLEX_OBJECT">
                        <rm_type_name>DV_COUNT</rm_type_name>
                        <occurrences>
                          <lower_included>true</lower_included>
                          <upper_included>true</upper_included>
                          <lower_unbounded>false</lower_unbounded>
                          <upper_unbounded>false</upper_unbounded>
                          <lower>1</lower>
                          <upper>1</upper>
                        </occurrences>
                        <node_id />
                        <attributes xsi:type="C_SINGLE_ATTRIBUTE">
                          <rm_attribute_name>magnitude</rm_attribute_name>
                          <existence>
                            <lower_included>true</lower_included>
                            <upper_included>true</upper_included>
                            <lower_unbounded>false</lower_unbounded>
                            <upper_unbounded>false</upper_unbounded>
                            <lower>1</lower>
                            <upper>1</upper>
                          </existence>
                          <children xsi:type="C_PRIMITIVE_OBJECT">
                            <rm_type_name>INTEGER</rm_type_name>
                            <occurrences>
                              <lower_included>true</lower_included>
                              <upper_included>true</upper_included>
                              <lower_unbounded>false</lower_unbounded>
                              <upper_unbounded>false</upper_unbounded>
                              <lower>1</lower>
                              <upper>1</upper>
                            </occurrences>
                            <node_id />
                            <item xsi:type="C_INTEGER">
                              <range>
                                <lower_included>true</lower_included>
                                <upper_included>true</upper_included>
                                <lower_unbounded>false</lower_unbounded>
                                <upper_unbounded>false</upper_unbounded>
                                <lower>13</lower>
                                <upper>52</upper>
                              </range>
                            </item>
                          </children>
                        </attributes>
                      </children>
                    </attributes>
                  </children>
                  <cardinality>
                    <is_ordered>false</is_ordered>
                    <is_unique>false</is_unique>
                    <interval>
                      <lower_included>true</lower_included>
                      <lower_unbounded>false</lower_unbounded>
                      <upper_unbounded>true</upper_unbounded>
                      <lower>0</lower>
                    </interval>
                  </cardinality>
                </attributes>
              </children>
            </attributes>
          </children>
          <cardinality>
            <is_ordered>false</is_ordered>
            <is_unique>false</is_unique>
            <interval>
              <lower_included>true</lower_included>
              <lower_unbounded>false</lower_unbounded>
              <upper_unbounded>true</upper_unbounded>
              <lower>1</lower>
            </interval>
          </cardinality>
        </attributes>
      </children>
    </attributes>
    <attributes xsi:type="C_SINGLE_ATTRIBUTE">
      <rm_attribute_name>protocol</rm_attribute_name>
      <existence>
        <lower_included>true</lower_included>
        <upper_included>true</upper_included>
        <lower_unbounded>false</lower_unbounded>
        <upper_unbounded>false</upper_unbounded>
        <lower>0</lower>
        <upper>1</upper>
      </existence>
      <children xsi:type="C_COMPLEX_OBJECT">
        <rm_type_name>ITEM_TREE</rm_type_name>
        <occurrences>
          <lower_included>true</lower_included>
          <upper_included>true</upper_included>
          <lower_unbounded>false</lower_unbounded>
          <upper_unbounded>false</upper_unbounded>
          <lower>1</lower>
          <upper>1</upper>
        </occurrences>
        <node_id>at0004</node_id>
        <attributes xsi:type="C_MULTIPLE_ATTRIBUTE">
          <rm_attribute_name>items</rm_attribute_name>
          <existence>
            <lower_included>true</lower_included>
            <upper_included>true</upper_included>
            <lower_unbounded>false</lower_unbounded>
            <upper_unbounded>false</upper_unbounded>
            <lower>0</lower>
            <upper>1</upper>
          </existence>
          <children xsi:type="C_COMPLEX_OBJECT">
            <rm_type_name>ELEMENT</rm_type_name>
            <occurrences>
              <lower_included>true</lower_included>
              <upper_included>true</upper_included>
              <lower_unbounded>false</lower_unbounded>
              <upper_unbounded>false</upper_unbounded>
              <lower>0</lower>
              <upper>1</upper>
            </occurrences>
            <node_id>at0019</node_id>
            <attributes xsi:type="C_SINGLE_ATTRIBUTE">
              <rm_attribute_name>value</rm_attribute_name>
              <existence>
                <lower_included>true</lower_included>
                <upper_included>true</upper_included>
                <lower_unbounded>false</lower_unbounded>
                <upper_unbounded>false</upper_unbounded>
                <lower>0</lower>
                <upper>1</upper>
              </existence>
              <children xsi:type="C_COMPLEX_OBJECT">
                <rm_type_name>DV_TEXT</rm_type_name>
                <occurrences>
                  <lower_included>true</lower_included>
                  <upper_included>true</upper_included>
                  <lower_unbounded>false</lower_unbounded>
                  <upper_unbounded>false</upper_unbounded>
                  <lower>1</lower>
                  <upper>1</upper>
                </occurrences>
                <node_id />
              </children>
            </attributes>
          </children>
          <cardinality>
            <is_ordered>false</is_ordered>
            <is_unique>false</is_unique>
            <interval>
              <lower_included>true</lower_included>
              <lower_unbounded>false</lower_unbounded>
              <upper_unbounded>true</upper_unbounded>
              <lower>0</lower>
            </interval>
          </cardinality>
        </attributes>
      </children>
    </attributes>
  </definition>
  <ontology>
    <term_definitions language="de">
      <items code="at0000">
        <items id="text">PAM-13 Selbstmanagement</items>
        <items id="description">Patient Activation Measure (PAM13)</items>
      </items>
      <items code="at0001">
        <items id="text">History</items>
        <items id="description">@ internal @</items>
      </items>
      <items code="at0002">
        <items id="text">Any event</items>
        <items id="description" />
      </items>
      <items code="at0003">
        <items id="text">Tree</items>
        <items id="description">@ internal @</items>
      </items>
      <items code="at0004">
        <items id="text">Item tree</items>
        <items id="description">@ internal @</items>
      </items>
      <items code="at0005">
        <items id="text">Ich bin dafür verantwortlich, für meine Gesundheit zu sorgen.</items>
        <items id="description" />
      </items>
      <items code="at0006">
        <items id="text">Das Wichtigste für meine Gesundheit ist, eine aktive Rolle in meiner Gesundheitsversorgung zu übernehmen.</items>
        <items id="description" />
      </items>
      <items code="at0007">
        <items id="text">Ich bin überzeugt, dass ich selbst etwas unternehmen kann, um Krankheiten vorzubeugen.</items>
        <items id="description" />
      </items>
      <items code="at0008">
        <items id="text">Ich weiß bei jedem meiner Medikamente, weshalb ich es nehme.</items>
        <items id="description" />
      </items>
      <items code="at0009">
        <items id="text">Ich weiß, wann ich zum Arzt gehen muss und wann ich ein Gesundheitsproblem selbst behandeln kann.</items>
        <items id="description" />
      </items>
      <items code="at0010">
        <items id="text">Ich bin überzeugt, dass ich meinem Facharzt meine Sorgen mitteilen kann, auch wenn er mich nicht direkt darauf anspricht.</items>
        <items id="description" />
      </items>
      <items code="at0011">
        <items id="text">Ich bin überzeugt, dass ich die zu Hause notwendigen medizinischen Behandlungen selbst durchführen kann.</items>
        <items id="description" />
      </items>
      <items code="at0012">
        <items id="text">Ich kenne die Ursachen meiner Erkrankung.</items>
        <items id="description" />
      </items>
      <items code="at0013">
        <items id="text">Ich kenne verschiedene Behandlungs-Optionen für meine Erkrankungen.</items>
        <items id="description" />
      </items>
      <items code="at0014">
        <items id="text">Ich habe es bisher geschafft, meinen Tagesablauf an meine Krankheit anzupassen.</items>
        <items id="description" />
      </items>
      <items code="at0015">
        <items id="text">Ich weiß, wie ich einer Verschlechterung meiner Gesundheit vorbeugen kann.</items>
        <items id="description" />
      </items>
      <items code="at0016">
        <items id="text">Ich bin überzeugt, Lösungen zu finden, wenn sich meine Gesundheit verschlechtert.</items>
        <items id="description" />
      </items>
      <items code="at0017">
        <items id="text">Ich schaffe es, auch in stressigen Zeiten auf meine Gesundheit zu achten (z.B. Inhalieren, richtige Ernährung, regelmäßiges Messen).</items>
        <items id="description" />
      </items>
      <items code="at0018">
        <items id="text">Ergebniswert PAM-13 Selbstmanagement</items>
        <items id="description">Die Auswertung erfolgt über die Addition der Rohwerte (Range 13-52). Es wird empfohlen, fehlende Werte durch den Mittelwert zu ersetzen. Bei weniger als neun vollständig ausgefüllten Antworten (ca. 30%) sollte auf eine Auswertung verzichtet werden. Zur Standardisierung des Rohgesamtwertes wird  eine Transformation auf eine 0-100 Skala empfohlen (100 *(Summe - 13) / (52 - 13)).</items>
      </items>
      <items code="at0019">
        <items id="text">Kommentar</items>
        <items id="description">Weitere wichtige Angaben.</items>
      </items>
      <items code="at0020">
        <items id="text">stimme überhaupt nicht zu</items>
        <items id="description">Überzeugung, dass die aktive (Patienten-) Rolle wichtig ist.</items>
      </items>
      <items code="at0021">
        <items id="text">stimme nicht zu</items>
        <items id="description">Zuversicht and Wissen um aktiv zu werden.</items>
      </items>
      <items code="at0022">
        <items id="text">stimme zu</items>
        <items id="description">Aktiv sein.</items>
      </items>
      <items code="at0023">
        <items id="text">stimme voll und ganz zu</items>
        <items id="description">Aktiv bleiben, auch unter Stress.</items>
      </items>
      <items code="at0076">
        <items id="text">stimme überhaupt nicht zu</items>
        <items id="description">Überzeugung, dass die aktive (Patienten-) Rolle wichtig ist.</items>
      </items>
      <items code="at0077">
        <items id="text">stimme nicht zu</items>
        <items id="description">Zuversicht and Wissen um aktiv zu werden.</items>
      </items>
      <items code="at0078">
        <items id="text">stimme zu</items>
        <items id="description">Aktiv sein.</items>
      </items>
      <items code="at0079">
        <items id="text">stimme voll und ganz zu</items>
        <items id="description">Aktiv bleiben, auch unter Stress.</items>
      </items>
      <items code="at0080">
        <items id="text">stimme überhaupt nicht zu</items>
        <items id="description">Überzeugung, dass die aktive (Patienten-) Rolle wichtig ist.</items>
      </items>
      <items code="at0081">
        <items id="text">stimme nicht zu</items>
        <items id="description">Zuversicht and Wissen um aktiv zu werden.</items>
      </items>
      <items code="at0082">
        <items id="text">stimme zu</items>
        <items id="description">Aktiv sein.</items>
      </items>
      <items code="at0083">
        <items id="text">stimme voll und ganz zu</items>
        <items id="description">Aktiv bleiben, auch unter Stress.</items>
      </items>
      <items code="at0084">
        <items id="text">stimme überhaupt nicht zu</items>
        <items id="description">Überzeugung, dass die aktive (Patienten-) Rolle wichtig ist.</items>
      </items>
      <items code="at0085">
        <items id="text">stimme nicht zu</items>
        <items id="description">Zuversicht and Wissen um aktiv zu werden.</items>
      </items>
      <items code="at0086">
        <items id="text">stimme zu</items>
        <items id="description">Aktiv sein.</items>
      </items>
      <items code="at0087">
        <items id="text">stimme voll und ganz zu</items>
        <items id="description">Aktiv bleiben, auch unter Stress.</items>
      </items>
      <items code="at0088">
        <items id="text">stimme überhaupt nicht zu</items>
        <items id="description">Überzeugung, dass die aktive (Patienten-) Rolle wichtig ist.</items>
      </items>
      <items code="at0089">
        <items id="text">stimme nicht zu</items>
        <items id="description">Zuversicht and Wissen um aktiv zu werden.</items>
      </items>
      <items code="at0090">
        <items id="text">stimme zu</items>
        <items id="description">Aktiv sein.</items>
      </items>
      <items code="at0091">
        <items id="text">stimme voll und ganz zu</items>
        <items id="description">Aktiv bleiben, auch unter Stress.</items>
      </items>
      <items code="at0092">
        <items id="text">stimme überhaupt nicht zu</items>
        <items id="description">Überzeugung, dass die aktive (Patienten-) Rolle wichtig ist.</items>
      </items>
      <items code="at0093">
        <items id="text">stimme nicht zu</items>
        <items id="description">Zuversicht and Wissen um aktiv zu werden.</items>
      </items>
      <items code="at0094">
        <items id="text">stimme zu</items>
        <items id="description">Aktiv sein.</items>
      </items>
      <items code="at0095">
        <items id="text">stimme voll und ganz zu</items>
        <items id="description">Aktiv bleiben, auch unter Stress.</items>
      </items>
      <items code="at0096">
        <items id="text">stimme überhaupt nicht zu</items>
        <items id="description">Überzeugung, dass die aktive (Patienten-) Rolle wichtig ist.</items>
      </items>
      <items code="at0097">
        <items id="text">stimme nicht zu</items>
        <items id="description">Zuversicht and Wissen um aktiv zu werden.</items>
      </items>
      <items code="at0098">
        <items id="text">stimme zu</items>
        <items id="description">Aktiv sein.</items>
      </items>
      <items code="at0099">
        <items id="text">stimme voll und ganz zu</items>
        <items id="description">Aktiv bleiben, auch unter Stress.</items>
      </items>
      <items code="at0100">
        <items id="text">stimme überhaupt nicht zu</items>
        <items id="description">Überzeugung, dass die aktive (Patienten-) Rolle wichtig ist.</items>
      </items>
      <items code="at0101">
        <items id="text">stimme nicht zu</items>
        <items id="description">Zuversicht and Wissen um aktiv zu werden.</items>
      </items>
      <items code="at0102">
        <items id="text">stimme zu</items>
        <items id="description">Aktiv sein.</items>
      </items>
      <items code="at0103">
        <items id="text">stimme voll und ganz zu</items>
        <items id="description">Aktiv bleiben, auch unter Stress.</items>
      </items>
      <items code="at0104">
        <items id="text">stimme überhaupt nicht zu</items>
        <items id="description">Überzeugung, dass die aktive (Patienten-) Rolle wichtig ist.</items>
      </items>
      <items code="at0105">
        <items id="text">stimme nicht zu</items>
        <items id="description">Zuversicht and Wissen um aktiv zu werden.</items>
      </items>
      <items code="at0106">
        <items id="text">stimme zu</items>
        <items id="description">Aktiv sein.</items>
      </items>
      <items code="at0107">
        <items id="text">stimme voll und ganz zu</items>
        <items id="description">Aktiv bleiben, auch unter Stress.</items>
      </items>
      <items code="at0108">
        <items id="text">stimme überhaupt nicht zu</items>
        <items id="description">Überzeugung, dass die aktive (Patienten-) Rolle wichtig ist.</items>
      </items>
      <items code="at0109">
        <items id="text">stimme nicht zu</items>
        <items id="description">Zuversicht and Wissen um aktiv zu werden.</items>
      </items>
      <items code="at0110">
        <items id="text">stimme zu</items>
        <items id="description">Aktiv sein.</items>
      </items>
      <items code="at0111">
        <items id="text">stimme voll und ganz zu</items>
        <items id="description">Aktiv bleiben, auch unter Stress.</items>
      </items>
      <items code="at0112">
        <items id="text">stimme überhaupt nicht zu</items>
        <items id="description">Überzeugung, dass die aktive (Patienten-) Rolle wichtig ist.</items>
      </items>
      <items code="at0113">
        <items id="text">stimme nicht zu</items>
        <items id="description">Zuversicht and Wissen um aktiv zu werden.</items>
      </items>
      <items code="at0114">
        <items id="text">stimme zu</items>
        <items id="description">Aktiv sein.</items>
      </items>
      <items code="at0115">
        <items id="text">stimme voll und ganz zu</items>
        <items id="description">Aktiv bleiben, auch unter Stress.</items>
      </items>
      <items code="at0116">
        <items id="text">stimme überhaupt nicht zu</items>
        <items id="description">Überzeugung, dass die aktive (Patienten-) Rolle wichtig ist.</items>
      </items>
      <items code="at0117">
        <items id="text">stimme nicht zu</items>
        <items id="description">Zuversicht and Wissen um aktiv zu werden.</items>
      </items>
      <items code="at0118">
        <items id="text">stimme zu</items>
        <items id="description">Aktiv sein.</items>
      </items>
      <items code="at0119">
        <items id="text">stimme voll und ganz zu</items>
        <items id="description">Aktiv bleiben, auch unter Stress.</items>
      </items>
      <items code="at0120">
        <items id="text">stimme überhaupt nicht zu</items>
        <items id="description">Überzeugung, dass die aktive (Patienten-) Rolle wichtig ist.</items>
      </items>
      <items code="at0121">
        <items id="text">stimme nicht zu</items>
        <items id="description">Zuversicht and Wissen um aktiv zu werden.</items>
      </items>
      <items code="at0122">
        <items id="text">stimme zu</items>
        <items id="description">Aktiv sein.</items>
      </items>
      <items code="at0123">
        <items id="text">stimme voll und ganz zu</items>
        <items id="description">Aktiv bleiben, auch unter Stress.</items>
      </items>
      <items code="at0125">
        <items id="text">Ich nehme keine Medikamente ein</items>
        <items id="description">Für das 4. Item gibt es zusätzlich die Antwortoption «Ich nehme keine Medikamente ein».</items>
      </items>
    </term_definitions>
  </ontology>
</archetype>
