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. Author manuscript; available in PMC: 2010 Jul 2.
Published in final edited form as: J Empir Res Hum Res Ethics. 2009 Sep;4(3):21–31. doi: 10.1525/jer.2009.4.3.21

TABLE 1.

Adapted Instruments and Items.

Instrument What It
Measures
Example of
Original Item
1st Revision for
New Instrument
Final Revision for
New Instrument
Self-
 determination
 Scale
Beliefs about whether one
 perceives oneself as the
 origin of one’s actions
 (“trait autonomy”)
“What I do is often not
what I’d choose to do.”
“I was not really free
to decide what
I wanted.”
  • “I was not really free to decide what decide what I wanted. (reverse-scored)”

  • “I was free to decide what I wanted.”

Rotter Locus
 of Control
 Scale
Beliefs about whether
 outcomes are causally
dependent on variations
 in one’s own behavior
“By taking an active part
in political and social
affairs, the people can
control world events.”
“By taking an active
part in decision part in decision
making, I was able to
control the decision
that was made.”
“I was actively involved
in this decision.”
Multi-dimensional
 Health Locus
 of Control
 Scale
Beliefs about whether
 one’s health outcomes
 are causally dependent
 on variations in one’s
 own behavior.
“If I get sick, it is my
own behavior which
determines how soon
I get well again.”
“It was my own
behavior that
determined the
decision that
was made.”
“I had an influence
on the decision about
the protocol.”
General
 Self-
 efficacy
 Scale
Beliefs about one’s ability
 to successfully execute
 behaviors required to
 produce particular
 outcomes.
“When I make plans,
I am certain I can
make them work.”
“When confronted with
this decision, I was
certain that I could
make the decision
for myself.”
Omitted
Decision
 Self-
 efficacy
 Scale
Beliefs about one’s ability
 to make effective
 decisions about
 treatment options.
“I feel confident that
I can express my
concerns about each
choice.”
“When making this
decision, I felt
confident that I
could express my
medical team.”
“I was able to express
my point of view
about the decision.”
Decisional
 Conflict
 Scale
Beliefs about one’s
 uncertainty and effective
 decision making (e.g., feeling
 the choice is informed,
 values-based, and likely
 to be implemented) for
 a specific decision.
“I have enough support
from others to make
a choice.”
“When making this
decision, I felt
supported in making
my own choice.”
“I was the one to choose.”
Admission
 Experiences
 Survey–Short
 Form
Perceptions of coercion
 when being admitted for
 psychiatric hospitalization.
“People tried to force me
to come to the hospital.”
“Someone took this
decision away
from me.”
  • “Someone took this decision away from me.”(reverse-scored)

  • “Others made this decision against my wishes.” (reverse-scored)