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Currently submitted to: JMIR Research Protocols

Date Submitted: Dec 16, 2019
Open Peer Review Period: Dec 16, 2019 - Feb 10, 2020
(currently open for review)

Influence of PARAmedical Interventions on Patient ACTivation in the Cancer Care Pathway : Protocol for implementation of the PAM 13 (PARACT multicentric study)

  • Corinne Macron; 
  • Romain Rivoirard; 
  • Franck CHAUVIN; 



The increase in the number of cancers and the chronicization of care for some of them is a major problem for the French care system. Thus, patient empowerment is a goal sought in chronic pathologies for several years. The Patient Activation Measure (PAM) has been developed to objectify the evolution of patients in this activation process. Indeed, patients with a high level of activation have less inappropriate use of care and better treatment adherence. Therefore, the implementation of an activation measure via the PAM 13 could highlight the patient’s needs and adapt the care to their needs.


The main objectif of this study is to implement the PAM 13 as a tool for measuring the patients activation in care settings for cancer patients.


This is a quasi-interventional, multicentric study open to implementation. The patient will be followed for 12 months. During this follow-up, the different patient contacts with the nurses and other health caregiver will be collected, as well as nursing strategies. The completion of the PAM 13, EQ-5D, HAD scale, and REALM R questionnaires will be done at baseline, at 6 months, and at 12 months. The completion will be carried out by a nurse.


Data collection for this study is ongoing. To date, 170 patients have participated in 3 of the 5 establishments of treatment of cancer.


This pioneering implementation study in French cancer centers, would improve the implement targeted nursing interventions, in order to offer the patient a personalized care pathway. On the other hand, the measurement of the level of activation and the implementation of measures intended to increase it, would be a major advantage in reducing social health inequalities. Clinical Trial: Identifier: NCT03240341 ANSM : 2017-A00235-48 IDRCB: 2017-A00235-48


Please cite as:


Influence of PARAmedical Interventions on Patient ACTivation in the Cancer Care Pathway : Protocol for implementation of the PAM 13 (PARACT multicentric study)

JMIR Preprints. 16/12/2019:17485

DOI: 10.2196/preprints.17485


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