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. Author manuscript; available in PMC: 2012 Jul 5.
Published in final edited form as: J Natl Med Assoc. 2011 Jun;103(6):503–512. doi: 10.1016/s0027-9684(15)30365-5

Table 1.

Hypertension—Self-care Activity Level Effects (H-SCALE) Items

Medication Usage
How many of the past 7 days did you:
1. Take your blood pressure pills?
2. Take your blood pressure pills at the same time every day?
3. Take the recommended number of blood pressure pills?
Low-salt Diet

How many of the past 7 days did you…
4. Follow a healthy eating plan?
5. Eat potato chips, salted nuts, or salted popcorn?
6. Eat processed meats such as ham, bacon, bologna, or sausage?
7. Eat smoked meats or smoked fish?
8. Eat pickles, olives, or other vegetables in brine?
9. Eat ≥5 servings of fruits and vegetables?
10. Eat frozen prepared dinners or frozen pizza?
11. Eat store bought or packaged bakery goods?
12. Salt your food at the table?
13. Add salt to food when you’re cooking?
14. Eat fried foods such as chicken, french fries, or fish?
15. Avoid eating fatty foods?
Physical Activity

How many of the past 7 days did you…
16. Do at least 30 minutes total of physical activity?
17. Do a specific exercise activity (such as swimming, walking, or biking) other than what you do around
 the house or as part of your work?
Smoking

How many of the past 7 days did you…
18. Smoke a cigarette or cigar, even just one puff?
Weight Management

In order to lose weight or maintain my weight…
19. I am careful about what I eat.
20. I read food labels when I grocery shop.
21. I exercise in order to lose or maintain weight.
22. I have cut out drinking sugary sodas and sweet tea.
23. I eat smaller portions or eat fewer portions.
24. I have stopped buying or bringing unhealthy foods into my home.
25. I have cut out or limit some foods that I like but that are not good for me.
26. I eat at restaurants or fast food places less often.
27. I substitute healthier foods for things that I used to eat.
28. I have modified my recipes when I cook.
Alcohol

A drink of alcohol is defined as: one 12-oz can or bottle of beer, one 4-oz glass of wine, one 12-oz can or
bottle of wine cooler, 1 mixed drink or cocktail, or 1 shot of hard liquor.
29. On average, how many days per week do you drink alcohol?
30. On a typical day that you drink alcohol, how many drinks do you have?
31. What is the largest number of drinks that you’ve had on any given day within the last month?