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We adapted and validated the 13-item Patient Activation Measure (PAM-13) in the\u2009\u2265\u200940\u00a0years old Hungarian general population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross-sectional web survey was conducted among 900 respondents selected from an online panel via quota sampling. After 10\u00a0days, the survey was repeated on 100 respondents. The distribution, internal consistency, test\u2013retest reliability, factor structure, convergent, discriminant and known-groups validity of PAM-13 were assessed according to the COSMIN guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The sample comprised 779 respondents. Mean (\u00b1\u2009SD) age was 60.4\u2009\u00b1\u200910.6\u00a0years, 54% were female and 67% had chronic illness. Mean (\u00b1\u2009SD) PAM-13 score was 60.6\u2009\u00b1\u200910.0. We found good internal consistency (Cronbach alpha: 0.77), moderate test\u2013retest reliability (ICC: 0.62;<jats:italic>n<\/jats:italic>\u2009=\u200975), a single-factor structure and good content validity: PAM-13 showed moderate correlation with the eHealth Literacy Scale (<jats:italic>r<\/jats:italic>\u2009=\u20090.40), and no correlation with age (<jats:italic>r<\/jats:italic>\u2009=\u20090.02), education (<jats:italic>r<\/jats:italic>\u2009=\u20090.04) or income (<jats:italic>\u03c1<\/jats:italic>\u2009=\u20090.04). Higher PAM-13 scores were associated with fewer lifestyle risks (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), more frequent health information seeking (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), participation in patient education (<jats:italic>p<\/jats:italic>\u2009=\u20090.018) and various online health-related behaviours. When controlling for health literacy, sociodemographic factors and health status, the association of higher PAM-13 scores with overall fewer lifestyle risks, normal body mass index, physical activity and adequate diet remained significant. Similar properties were observed in the subgroup of participants with chronic morbidity, but not in the age group 65+.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>PAM-13 demonstrated good validity in the general population. 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TKP2020-NKA-02 of the National Research, Development and Innovation Fund of Hungary, financed under the T\u00e9mater\u00fcleti Kiv\u00e1l\u00f3s\u00e1gi Program\u00a0funding scheme at Corvinus University of Budapest. During writing this article, ZZ has received funding from the European Research Council (ERC) under the European Union's Horizon 2020 research and innovation programme (grant agreement No 679681). MP has received funding from Project no. 2019-1.3.1-KK-2019-00007 implemented with the support provided from the National Research, Development and Innovation Fund of Hungary, financed under the 2019-1.3.1-KK funding scheme. PV has received funding from the National Research, Development and Innovation Office (FK-132343) Health Economics Research Center. <i>Non-financial interests<\/i>: MP is member of the EuroQol Group, a not-for-profit organisation that develops and distributes instruments that assess and value health. KNIA has no relevant financial or non-financial interests to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This study was approved by the Ethical Committee of the Medical Research Council of Hungary (ETT TUKEB, ID: 49702-3\/2019\/EKU).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"All participants were informed and provided their consent prior to completing the survey.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"All the authors have approved the final manuscript and consent for publication.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}}]}}