Table 1.

Conviction and Confidence Scale

Question	Scale
How would you rate your communication skills with patients?	1 (poor) to 10 (excellent)
How convinced are you that it is important to use Teach Back (ask patients to explain key information in their own words)?	1 (not at all important) to 10 (very important)
How confident are you in your ability to communicate with patients from all backgrounds, cultures, and languages?	1 (not at all confident) to 10 (very confident)
How often do you ask patients to explain what they need to know or do to take care of themselves?	1 (never); 2 (some patient visits); 3 (many patient visits); 4 (all patient visits)
How would you rate these elements of communication with patients? Use a caring tone of voice and attitude Use plain language Ask the patient to explain, in his or her own words, what they were told Use open-ended questions Avoid asking questions that can be answered with a yes or no Take responsibility for making sure you were clear Explain and check again to see if the patient is unable to explain his or her care plan Use reader-friendly print materials to support learning Document use of and patient's response to his or her care plan Include family members/caregivers if they are present Provide a written care plan	1 (not at all important) to 10 (very important)