PAM® in Practice

How PAM® fits into the PDEX Project 

PAM® is embedded into the PDEX Project through a staged, supported approach that begins with clinicians and extends to patients living with Parkinson’s disease. 

This approach ensures that clinicians are supported first, before PAM® is introduced into patient care, helping to build confidence, capability and consistency in person-centred practice. 

What this means for you as a clinician

Using PAM® is about supporting better conversations and more personalised care, not adding unnecessary complexity to your practice.

As a clinician in the PDEX Project, PAM® will help you to:

  • Better understand a patient’s readiness to manage their health
  • Tailor your communication and support to what matter most to them
  • Strengthen shared decision-making and goal-setting
  • Build confidence in delivering person-centred care for people living with Parkinson’s disease

You will be supported with training, resources and ongoing guidance throughout the project, and PAM® will be integrated into your learning journey in a practical and manageable way.

Step 1: Clinician baseline assessment

As a participant in the PDEX Project, you will complete the Clinician Support for Patient Activation Measure® (CS-PAM®). It assesses your current beliefs, attitudes and confidence in supporting patient self-management and engagement in care. You will be asked to complete the CS-PAM® at registration and again towards the end of the project.

Why this matters

  • Establishes a baseline of clinician activation
  • Identifies areas where additional education or support may be helpful
  • Supports reflection on changes in practice over time

CS-PAM® results are used to guide education and support — not to assess individual performance.

Step 2: Personalised clinician education and support

Based on learning needs across the cohort, participants in the PDEX Project will gain access to a range of targeted education designed to strengthen patient-centred practice by empowering patients based on their activation.

This includes:

  • Self-paced eLearning modules focused on tailoring interactions based on patient activation levels
  • Interactive online webinars that build practical skills for engaging patients with different levels of readiness
  • Additional resources and tools to support the appropriate administration and use of PAM® with people living with Parkinson’s disease

Step 3: Patient baseline measurement and ongoing refinement

Following clinician education:

  • Participants will gain access to the Flourish platform to administer PAM®
  • PAM® will be used with patients living with Parkinson’s disease to establish baseline activation levels
  • PAM® should be re-administered over time (for example, every three to six months) to track changes and progress

Clinicians can use PAM® insights to:

  • Tailor communication and education
  • Adjust support strategies
  • Strengthen shared decision-making and self-management

Over time, this supports more responsive, person-centred care.

Support, training and resources 

To support effective and confident use of PAM®, the PDEX Project includes: 

  • Access to the Flourish platform for PAM® administration, reporting and data insights 
  • Implementation guides and ongoing support from CFEP Surveys 
  • Clinician eLearning modules aligned to PAM® activation levels 
  • Webinars focused on embedding PAM® into everyday practice 
  • Planned workforce capacity-building, including a Train-the-Trainer approach 

This ensures clinicians are supported not only to use PAM®, but to use it well and meaningfully.