Measurement Tools in Patient Education

Measurement Tools in Patient Education

Measurement Tools in Patient Education

Measurement Tools in Patient Education


This book provides a compendium of patient teaching tools for use in all areas of health care practice. They can be used for: assessment of patient's educational needs; evaluation of effectiveness of patient teaching; tracking effectiveness of patient care; and improving quality of care by using outcomes to improve interventions. Each chapter provides a brief description of tool, its purpose, administration and scoring guidelines, information on research and validity, and the tool itself. Since the first edition was published in 1998, the number of instruments has nearly doubled - this edition has 89 tools rather than the 52 in the first edition. Instruments included in the first edition were updated. If they had not been further developed or used in the past 5 years, they were not included again. Health care professionals in virtually any setting will find this an important resource for patient care and research. A sampling of the 37 new tools in 2nd edition include: The Diabetes Self Management Profile; Asthma Knowledge Questionnaire; Cardiac Patient Learning Needs; Inventory Stroke Care Information Test; Breastfeeding Self-Efficacy Scale; English/Spanish Self-Efficacy Scale for Breast Self-Examination; Chronic Pain Self-Efficacy Scale; Osteoporosis Questionnaire; Eating Styles Questionnaire; and HIV Knowledge Questionnaire.


Virtually all health professionals teach patients, although few think of it as a potentially full-fledged intervention with measurable outcomes. The time is long past when the field of patient education should have developed, validated, and regularly used measurement tools in both research and clinical practice. Neither practice nor research will progress without the ability to rigorously assess specific patient and group learning needs, and to hone teaching interventions to a known level of effectiveness.

The literature for patient education has always been scattered among disease-specific journals in various health disciplines and social science journals applied to health. Only one journal—Patient Education and Counseling—is specific to patient education, although several of the few journals in the field of health education occasionally include materials relevant to patient education. In the author's experience, formal retrieval systems have never identified more than a small portion of the relevant literature. The portion of the literature that addresses measurement tools in patient education is similarly scattered and not easily identifiable. This becomes particularly difficult when one needs to identify possible choices of tools for a particular application, or when one is trying to determine the range of measurement tools available in a field of patient education.

The first edition of this book featured 52 instruments; since it was published in 1998, the number of instruments has nearly doubled. This trend has also accelerated because evidence-based health care has quickly become the accepted norm and in all care settings there is an emphasis on documented outcomes.

The measurement instruments described in this book were collected as part of a search for patient education literature accomplished by routine searching of approximately 300 journals, indexes, and databases of nursing and medical literature. Only instruments appearing in the published literature were included; those in unpublished sources or in dissertations were not identified.

Measures of readability and health literacy are not included as they have been adequately reviewed elsewhere. Measures of quality of life are also not included as many are not oriented toward outcomes that can be expected of patient education. One journal, Quality of Life Research, is a good source of such instruments.

Instruments included in the first edition were updated; if they had not been further developed or used in the past 5 years, they were not included in this second edition. This time frame is important since content must be current. Authors of newly identified instruments developed and/or used in the past five years were contacted and asked for permission to include their instruments. After multiple contacts 57 responded. An effort was made to obtain a full developmental history of each instrument through references and use of the Social Science Citation Index (SSCI). Because SSCI does not index all relevant journals, including many nursing journals, authors were asked where their work had been cited.

Table 1.1 describes the focus of measurement for the 86 tools included in this volume. Twenty-nine percent measured beliefs/attitudes/behaviors; 26% were developed to measure knowledge. A number of self-efficacy (SE) scales were included because this construct . . .

Search by... Author
Show... All Results Primary Sources Peer-reviewed


An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.