Self Care Self-Efficacy Scale (English)

Authored by
Dr. Barbara Riegel, PhD, RN, FAHA, FAAN
Professor and Edith Clemmer Steinbright Chair of Gerontology
University of Pennsylvania, School of Nursing
Claire M. Fagin Hall, 418 Curie Boulevard
Philadelphia, PA 19104-4217
briegel@nursing.upenn.edu
215-898-9927 Phone
240-282-7707 eFax
SELF-CARE SELF-EFFICACY SCALE
In general, how confident are you that you can:
(Circle one number for each statement)
Not Confident |
|
Somewhat Confident |
|
Extremely Confident |
|
1. Keep yourself stable and free of symptoms? |
1 |
2 |
3 |
4 |
5 |
2. Follow the treatment plan you have been given? |
1 |
2 |
3 |
4 |
5 |
3. Persist in following the treatment plan even when difficult? |
1 |
2 |
3 |
4 |
5 |
4. Monitor your condition routinely? |
1 |
2 |
3 |
4 |
5 |
5. Persist in routinely monitoring your condition even when difficult? |
1 |
2 |
3 |
4 |
5 |
6. Recognize changes in your health if they occur? |
1 |
2 |
3 |
4 |
5 |
7. Evaluate the importance of your symptoms? |
1 |
2 |
3 |
4 |
5 |
8. Do something to relieve your symptoms? |
1 |
2 |
3 |
4 |
5 |
9. Persist in finding a remedy for your symptoms even when difficult? |
1 |
2 |
3 |
4 |
5 |
10. Evaluate how well a remedy works? |
1 |
2 |
3 |
4 |
5 |
© Dr. Barbara Riegel