Explain how patient activation and engagement are measured in coaching and why they matter.

• A. Patient Activation Measure (PAM) or similar scales assess knowledge, skills, confidence to manage health; higher activation predicts better adherence and outcomes.
• B. Clinical blood tests determine activation levels and predict outcomes.
• C. Activation is measured by therapist satisfaction scores only and has no impact on outcomes.
• D. No standard measure exists for activation in coaching.

Answer: (A)