Table 5.

Breast cancer and cervical cancer screening self-efficacy assessments.

Original questiona	Breast or cervical cancer screening questionsb	Caregiver modificationc
How sure are you that you can decide whether or not to get screened for colon cancer?	How sure are you that you can decide whether or not to get a mammogram/Papd test?	...support the woman with a disability that you care for in deciding whether or not to get a mammogram/Pap test?
How sure are you that you can complete colon cancer screening?	How sure are you that you can get a mammogram/Pap test?	...support the woman with a disability that you care for to get a mammogram/Pap test?
How sure are you that you can complete colon cancer testing even if you are nervous about it?	How sure are you that you can get a mammogram/Pap test, even if you are nervous about it?	...support the woman with a disability that you care for to get a mammogram/Pap test, even if she is nervous about it?
How sure are you that you can do what is needed to prepare for colon cancer screening?	How sure are you that you can do what is needed to prepare for a mammogram/Pap test?	Not assessed

^aThe original survey had 8 questions, of which we use 4.

^bMammogram and Papanicolaou test asked as separate questions.

^cText in this column replaces underlined words from the previous column.

^dPap test: Papanicolaou.