Self-Efficacy for Managing Chronic Disease 6-Item Scale
We would like to know how confident you are in doing certain activities. For each of the following questions, please choose the number that corresponds to your confidence that you can do the tasks regularly at the present time.
1. How confident are you that you can keep the fatigue caused by your disease from interfering with the things you want to do?
______________________________
not at all | | | | | | | | | | totally
confident 1 2 3 4 5 6 7 8 9 10 confident
2. How confident are you that you can keep the physical discomfort or pain of your disease from interfering with the things you want to do?
______________________________
not at all | | | | | | | | | | totally
confident 1 2 3 4 5 6 7 8 9 10 confident
3. How confident are you that you can keep the emotional distress caused by your disease from interfering with the things you want to do?
______________________________
not at all | | | | | | | | | | totally
confident 1 2 3 4 5 6 7 8 9 10 confident
4. How confident are you that you can keep any other symptoms or health problems you have from interfering with the things you want to do?
______________________________
not at all | | | | | | | | | | totally
confident 1 2 3 4 5 6 7 8 9 10 confident
5. How confident are you that you can do the different tasks and activities needed to manage your health condition so as to reduce you need to see a doctor?
______________________________
not at all | | | | | | | | | | totally
confident 1 2 3 4 5 6 7 8 9 10 confident
6. How confident are you that you can do things other than just taking medication to reduce how much you illness affects your everyday life?
______________________________
not at all | | | | | | | | | | totally
confident 1 2 3 4 5 6 7 8 9 10 confident
Scoring
The score for each item is the number circled. If two consecutive numbers are circled, code the lower number (less self-efficacy). If the numbers are not consecutive, do not score the item. The score for the scale is the mean of the six items. If more than two items are missing, do not score the scale. Higher number indicates higher self-efficacy. 1
2
Characteristics
Tested on 605 subjects with chronic disease
.
No. of items
Observed Range
Mean
Standard Deviation
Internal Consistency Reliability
Test-Retest Reliability
6
1-10
5.17
2.22
.91
NA
Source of Psychometric Data
Stanford/Garfield Kaiser Chronic Disease Dissemination Study. Psychometrics reported in: Lorig KR, Sobel, DS, Ritter PL, Laurent, D, Hobbs, M. Effect of a self-management program for patients with chronic disease. Effective Clinical Practice, 4, 2001,pp. 256-262.
Comments
This 6-item scale contains items taken from several SE scales developed for the Chronic Disease Self-Management study. We use this scale now, as it is much less burdensome for subjects. It covers several domains that are common across many chronic diseases, symptom control, role function, emotional functioning and communicating with physicians. For internet studies, we add radio buttons below each number. There are 2 ways to format these items. We use the format on this document, the other is shown on the web page. A 4-item version of this scale available in Spanish.
References
Lorig KR, Sobel, DS, Ritter PL, Laurent, D, Hobbs, M. Effect of a self-management program for patients with chronic disease. Effective Clinical Practice, 4, 2001,pp. 256-262.
This scale is free to use without permission
Stanford Patient Education Research Center
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self-management@stanford.edu
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Funded by the National Institute of Nursing Research (NINR)