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| Not at all | Slightly | Moderately | Quite a bit | Almost totally |
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| 1. Normal social activities with family, friends, neighbors, or groups? | |||||
| 2. Hobbies or recreational activities? | |||||
| 3. Household chores? | |||||
| 4. Errands and shopping? |
The score of each item is the number circled. If two consecutive numbers are circle for a single item, score the higher number (more limitation). If two non-consecutive numbers are circled, do not score the item. The score of the scale is the mean of the four items. If more than one item is missing, do not score the scale. The higher score indicates greater activities limitations.
Tested on 1,130 subjects with chronic disease. N=51 for test-retest.
items |
Range |
Mean |
Deviation |
Reliability |
Reliability |
Stanford Chronic Disease Self-Management Study. Psychometrics reported in: Lorig K, Stewart A, Ritter P, González V, Laurent D, & Lynch J, Outcome Measures for Health Education and other Health Care Interventions. Thousand Oaks CA: Sage Publications, 1996, pp.24,47.
This scale is adapted from the Medical Outcomes Study. It measures how much illness interferes with role activity. It is sensitive to change, and is a good one to use in educational studies. If you must have a short questionnaire, this is a scale to use. This scale available in Spanish. Reprinted with permission, Duke University Press.
Lorig K, Stewart A, Ritter P, González V, Laurent D, & Lynch J, Outcome Measures for Health Education and other Health Care Interventions. Thousand Oaks CA: Sage Publications, 1996, pp.24,47.
To download this scale and scoring instructions, right click the link below with your mouse and "Save as" to you hard disk or desktop (for Windows), or double click (Mac):