Nursing Colleagues:

Thank you for your interest in the Health Promotion Model and your inquiry concerning measurement of component constructs.

Here are sample instruments in the domain of physical activity that may serve as prototypes for development of instruments in your specific domain of research.

Good luck with your research project!

Research instruments and scoring instructions may be viewed with Adobe Acrobat Reader 5.0. If you do not have Acrobat Reader 5.0, please download the free software from the Adobe Website.

Research Instruments

Perceived Benefits of Action (Adolescent Version)

Perceived Barriers to Action (Adolescent Version)

Exercise Benefits/Barriers Scale [EBBS] (Adult Version)

Perceived Self-Efficacy [Task Efficacy for Exercise - Treadmill Walking] (Adolescent Version)

Perceived Self-Efficacy [Self-Regulatory Efficacy] (Adolescent Version)

---

Interpersonal Influences

• Exercise Norms Scale (Adolescent Version)
  
• Exercise Role Models Scale (Adolescent Version)
  
• Exercise Social Support Scale (Adolescent Version)
  

---

Situational Influences (Adolescent Version)

Commitment to a Plan of Action [Plan for Exercise] (Adult Version)

Immediate Competing Preferences (Adolescent Version)

Scoring Instructions

Scoring Benefits of Action

Scoring Barriers to Action

Scoring Exercise Benefits/Barriers

Scoring Task Efficacy (Treadmill Walking)

Scoring Self-Regulation Efficacy

Scoring Exercise Norms

Scoring Exercise Role Model Scale

Scoring Social Support Scale

Scoring Situational Influences

Scoring Plan for Exercise

Scoring the Adolescent Preference Profile