| Category | Details |
|---|---|
| Description | The Advance Care Planning Self-Efficacy Scale (Murray et al., 2024) is a 12-item rating scale designed to measure confidence in performing advance care planning (ACP) behaviors across diverse situations. This scale assesses confidence in completing a living will, designating a healthcare agent, and discussing life-quality preferences. Developed using the Transtheoretical Model (TTM), the instrument was validated with adults aged 50 and older in the U.S. and underwent iterative factor analyses to ensure its validity and reliability. The final scale is grounded in robust psychometric properties. |
| Author | Murray, Alexandra N.; Monahan, Katie; Sacco, Allegra; Paiva, Andrea; Redding, Collen; Robbins, Mark |
| Purpose | To evaluate situation-specific self-efficacy for advance care planning based on the Transtheoretical Model of behavior change. |
| Construct | Advance Care Planning Self-Efficacy |
| Instrument Type | Rating Scale |
| Test Type | Original |
| Reliability | Internal Consistency: Final 12-item measure (α = .95). |
| Validity | Construct validity: Relationships among self-efficacy, pros, and cons across stages of change (Precontemplation, Contemplation, Preparation, Action, Maintenance) were evaluated. The scale showed cross-validation with other TTM-based ACP scales and indicated varying patterns across stages of change. |
| Factor Analysis | Exploratory: Reduced from 35 to 12 items after seven iterative analyses, supporting a one-factor solution.Confirmatory: Good model fit with one-factor restriction (χ² (54) = 182.07, p < .001; CFI = .89; RMSEA = .13). |
| Administration Method | Electronic |
| Format | Participants rated their confidence in performing ACP behaviors on a five-point scale ranging from 1 (“Not at all confident”) to 5 (“Completely confident”). |
| Number of Items | 12 |
| Population Details | Adults aged 50-99, including females, males, and transgender individuals in the United States. |
| Keywords | Advance Care Planning, Behavior Change, Confidence, End-of-Life Care, Older Adults, Self-Efficacy, Transtheoretical Model |
| Population Group | Human; Male; Female |
| Age Group | Adulthood (18+); Middle Age (40-64); Aged (65+); Very Old (85+) |
| Affiliation | Digestive Disease & Surgical Institute, Cleveland Clinic Foundation; Department of Psychology, College of Health Sciences, University of Rhode Island |
| Murray, Alexandra N. ([email protected]) | |
| Correspondence Address | Cleveland Clinic, Breast Center, Digestive Disease Institute, 9500 Euclid Avenue, Cleveland, Ohio, United States, 44102 |
| Test Year | 2024 |
| Files | No file is available for download. |
| Reference | Murray, A. N., Monahan, K., Sacco, A., Paiva, A., Redding, C., & Robbins, M. (2024). Development and validation of a measure of self-efficacy for advance care planning. American Journal of Hospice & Palliative Medicine, 41(8), 873–881. https://doi.org/10.1177/10499091231210504 |
Items:
You do not like to think about death and dying.
You would not want to upset your loved ones by sharing your wishes with them.
Your loved ones do not seem to think you need to do advance care planning yet.
You do not trust that healthcare providers will respect your wishes at end of life.
You do not have anybody to talk to about your end of life care wishes.
Your healthcare providers did not seem to think you needed to do advance care planning.
You think it is not yet time for you to consider advance care planning.
You are too busy to complete advance care planning.
You do not know what kind of medical care you would want at the end of your life.
Your physician seemed as though they did not have time for the conversations.
Talking about end of life care makes you uncomfortable.
You have little experience with death and dying.
Cite this article
Mohammed looti (2026). Advance Care Planning Self-Efficacy Scale. PSYCHOLOGICAL SCALES. Retrieved from https://scales.arabpsychology.com/s/advance-care-planning-self-efficacy-scale/
Mohammed looti. "Advance Care Planning Self-Efficacy Scale." PSYCHOLOGICAL SCALES, 4 Apr. 2026, https://scales.arabpsychology.com/s/advance-care-planning-self-efficacy-scale/.
Mohammed looti. "Advance Care Planning Self-Efficacy Scale." PSYCHOLOGICAL SCALES, 2026. https://scales.arabpsychology.com/s/advance-care-planning-self-efficacy-scale/.
Mohammed looti (2026) 'Advance Care Planning Self-Efficacy Scale', PSYCHOLOGICAL SCALES. Available at: https://scales.arabpsychology.com/s/advance-care-planning-self-efficacy-scale/.
[1] Mohammed looti, "Advance Care Planning Self-Efficacy Scale," PSYCHOLOGICAL SCALES, vol. X, no. Y, ص Z-Z, April, 2026.
Mohammed looti. Advance Care Planning Self-Efficacy Scale. PSYCHOLOGICAL SCALES. 2026;vol(issue):pages.