Spiritual Health Outcome Measures

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1 Spiritual Health Outcome Measures Compassion Santa Clara Brief Compassion Scale Self-Compassion, Short-form 5 items 12 items Meaning in Life Sense of Coherence Scale 29 items Hope Hope Scale Herth Hope Scale 12 items 12 items Serenity Brief Serenity Scale 22 items Self-Transcendence Self-Transcendence Scale 15 items Gratitude Gratitude Questionnaire 6 items Scoring is not required today. Scoring information is provided for your reference. 1

2 Compassion Santa Clara Brief Compassion Scale Please answer the following questions honestly and quickly using the scale below SCBC 1 SCBC 2 SCBC3 SCBC4 SCBC5 When I hear about someone (a stranger) going through a difficult time, I feel a great deal of compassion for him/her. I tend to feel compassion for people, even though I do not know them. One of the activities that provide me with the most meaning to my life is helping others in the world when they need help. I would rather engage in actions that help others, even though they are strangers, than engage in actions that would help me. I often have tender feelings toward people (strangers) when they seem to be in need. Not at all Very True true of me of me Not at all Very True true of me of me Not at all Very True true of me of me Not at all Very True true of me of me Not at all Very True true of me of me Scoring: These are simply added up for the raw score Cronbach s alpha = 0.90 Notes on SCBC: Hwang JY, Plante T, Lackey K. The Development of the Santa Clara Brief Compassion Scale: An Abbreviation of Sprecher and Fehr s Compassionate Love Scale. Pastoral Psych, 2008; 2

3 Compassion Compassion- Neff s Self-Compassion Scale (Short-form) Please respond to each item by marking one box per row Rarely Sometimes Often 1 When I fail at something important to me I become consumed by feelings of inadequacy. (R) I try to be understanding and patient towards those aspects of my personality I don t like. 5 3 When something painful happens I try to take a balanced view of the situation. 5 4 When I m feeling down, I tend to feel like most other people are probably happier than I am. (R) I try to see my failings as part of the human condition. 5 6 When I m going through a very hard time, I give myself the caring and tenderness I need. 5 7 When something upsets me I try to keep my emotions in balance. 5 8 When I fail at something that s important to me, I tend to feel alone in my failure(r) When I m feeling down I tend to obsess and fixate on everything that s wrong. (R) When I feel inadequate in some way, I try to 10 remind myself that feelings of inadequacy are 5 shared by most people. 11 I m disapproving and judgmental about my own flaws and inadequacies. (R) I m intolerant and impatient towards those aspects of my personality I don t like. (R) Scoring: Coding and Scoring Key: Self-Kindness Items: 2, 6 Self-Judgment Items: 11, 12 Common Humanity Items: 5, 10 Isolation Items: 4, 8 Mindfulness Items: 3, 7 Over-identified Items: 1, 9 My Scores Total: Subscale scores are computed by calculating the mean of subscale item responses. To compute a total self-compassion score, note the reverse scores (the negative subscale items - self-judgment, isolation, and over-identification)- then compute a total mean. Notes on self-compassion scale: Raes, F., Pommier, E., Neff, K.D., and Gucht, D.V. (2010). Construction and factorial validation of a short form of the self-compassion scale. Clinical Psychology and Psychotherapy, 18, Meaning of Life- 3

4 Sense of Meaning in Life (Sense of Coherence Scale) Here is a series of questions relating to various aspects of your lives. Each question has seven possible answers. Please mark the number, which expresses your answer When you talk to people, do you have the feeling that they don t understand you? (R) In the past, when you had to do something which depended upon cooperation with others, did you have the feeling that it: Think of the people with whom you come into contact daily, aside from the ones to whom you feel closest. How well do you know most of them? Do you have the feeling that you don t really care about what goes on around you? (R) Has it happened in the past that you were surprised by the behaviour of people whom you thought you knew well? (R) Has it happened that people whom you counted on disappointed you? (R) have this feeling Wouldn t Would get done get done You feel You know they re them very strangers well Seldom/ Very Often 7 Life is: (R) 8 Until now your life has had: Full of Completely Interest Routine No clear Very clear goals or goals & purpose purpose 9 Do you have the feeling that you re being treated unfairly? In the past ten years your life has been: Most of the things you do in the future will probably be: (R) Do you have the feeling that you are in an unfamiliar situation and don t know what to do? Full of Completely changes Consistent without knowing what s next Completely Deadly fascinating Boring 4

5 13 What best describes how you see life: (R) a No solution solution to to painful painful things things 14 When you think about your life, you very often: (R) Feel how Ask yourself good it why you feels to exist at all be alive When you face a difficult problem, the choice of a solution is: Doing the things you do every day is: (R) clear confusing & hard to find A source A source of pleasure of pain & satisfaction boredom 17 Your life in the future will probably be: Full of Completely changes Consistent without knowing what s next When something unpleasant happened in the past your tendency was: Do you have very mixed-up feelings and ideas? To beat To say ok yourself up that s that. about it I have to live with it When you do something that gives you a good feeling: (R) Does it happen that you have feelings inside you would rather not feel? You anticipate that your personal life in the future will be: Certain you Something will go on will happen feeling to spoil good the fun Without Full of Meaning or Meaning & Purpose Purpose 5

6 Do you think that there will always be people whom you ll be able to count on in the future? (R) Does it happen that you have the feeling that you don t know exactly what s about to happen? Many people even those with a strong character sometimes feel like sad sacks (losers) in certain situations. How often have you felt this way in the past? (R) Certain you doubt there will there will be be When something happened, have you generally found that: When you think of the difficulties you are likely to face in important aspects of your life, do you have the feeling that: (R) How often do you have the feeling that there s little meaning in the things you do in your daily life? How often do you have feelings that you re not sure you can keep under control? You over/ You won t underestimate succeed in its importance overcoming the difficulties You will You wont succeed in succeed in overcoming overcoming difficulties difficulties Scoring: (Note: R = reverse-scored item) Coding and Scoring Key: Comprehensibility: # 1, 3, 5, 10, 12, 15, 17, 19, 21, 24, 26 Manageability: # 2, 6, 9, 13, 18, 20, 23, 25, 27, 29 Meaningfulness: # 4, 7, 8, 11, 14, 16, 22, 28 My Scores A higher score expresses a strong sense of coherence. Notes on Sense of Coherence: Antonovsky, A. (1993). The structure and properties of the sense of coherence scale. Social Science and Medicine, 36 (6):

7 Hope- Hope scale (The Future Scale) Using the scale shown below, please select the number that best describes YOU. I can think of many ways HS1 HS2 HS3 HS4 HS5 HS6 HS7 HS8 HS9 HS1 0 HS1 1 HS1 2 Definitely False Mostly False Somewhat False Slightly False Slightly True Somewhat True Mostly True Definitely True to get out of a jam. 8 I energetically pursue my goals. 8 I feel tired most of the time. 8 There are lots of ways around any problem. 8 I am easily downed in an argument. 8 I can think of many ways to get the things in life that are important to me. 8 I worry about my health. 8 Even when others get discouraged, I know I can find a way to solve the 8 problem. My past experiences have prepared me well for my future. 8 I've been pretty successful in life. 8 I usually find myself worrying about something. 8 I meet the goals that I set for myself. 8 Scoring: When administering the scale, it is called The Future Scale. Items 3, 5, 7, & 11 are distracters, and are not used for scoring. The Pathways subscale score is the sum of items 1, 4, 6, & 8: the agency subscale is the sum of items 2, 9, 10, & 12. Hope is the sum of the 4 Pathways and 4 Agency items. Scores can range from a low of 8 to a high of 64. My score for Agency: My score for Pathway: TOTAL HOPE SCORE: Notes on the Hope Scale: Snyder, C. R., Harris, C., Anderson, J. R., Holleran, S. A., Irving, L. M., Sigmon, S. T., & Harney, P. (1991). The will and the ways: development and validation of an individual-differences measure of hope. Journal of personality and social psychology, 60(4),

8 Hope- Herth Hope Index Please respond to each item by marking one box per row 1 I have a positive outlook toward life. 2 Strongly Disagree Disagree Agree Strongly Agree I have short, intermediate, and/or long range goals. 3 I feel all alone. (R) 4 I can see a light at the end of the tunnel. 5 I have a faith that gives me comfort. 6 I feel scared about my future. (R) 7 I can recall happy/joyful times. 8 I have a deep inner strength. 9 I am able to give and receive caring/love. 10 I have a sense of direction. 11 I believe that each day has potential. 12 I feel my life has value and worth Scoring: (Note: R = reverse-scored item) Coding and Scoring Key: Temporarily and Future- #1,2,6,11 Positive Readiness- # 4,7,10,12 Expectancy and Interconnectedness- # 3,5,8,9 My Scores Sum all scores. The higher the score, the greater the hope. Notes on the Hope Index: Herth, K. (1992). Abbreviated instrument to measure hope: development and psychometric evaluation. Journal of Advanced Nursing, 17,

9 Serenity- Brief Serenity Scale In the last month: A B C D I am aware of an inner source of comfort, strength and security. During troubled times, I experience an inner source of strength. I trust that life events happen to fit a plan which is larger and more gentle than I can know. I see the good in painful events that have happened to me E I experience peace of mind. 5 F I am forgiving of myself for past mistakes. 5 G H I take care of today and let yesterday and tomorrow take care of themselves. In problem situations, I do what I am able to do and then accept whatever happens even if I dislike it. 5 5 I I accept situations that I cannot change. 5 J I try to place my problems in the proper perspective in any given situation. 5 K I am aware of inner peace. 5 L I experience an inner quiet that does not depend on events. 5 M I find ways to share my talents with others. 5 N O P Q When I get upset, I become peaceful by getting in touch with my inner self. I attempt to deal with what is, rather than what was, or what will be. Even though I do not understand, I trust in the ultimate goodness of the plan of things. I experience an inner calm even when I am under pressure

10 R I feel that I have done the best I could in life. 5 I can feel angry and observe my feeling of anger S and separate myself from it and still feel an inner 5 peace. T I trust that everything happens as it should. 5 U I feel forgiving of those who have harmed me. 5 V I feel serene. 5 Scoring: Coding and Scoring Key: Acceptance Items F,G, H, I, J, M, O, R, U, and V and divide by 10 Inner haven Items A, B, E, K, L, N, Q, and S and divide by 8 Trust Items: C, D, P, and T and divide by 4 My Scores Notes on the Brief Serenity Scale: Kreitzer, M.J., Gross, C., Waleekhachonloet, O., Reilly-Spong, M., and Byrd, M. (2009). The Brief Serenity Scale: A Psychometric Analysis of a Measure of Spirituality and Well-being. Journal of Holistic Nursing, 27(1):

11 Self-Transcendence- Self-Transcendence Scale STS1 STS2 STS3 STS4 STS5 STS6 STS7 STS8 STS9 STS10 STS11 STS12 STS13 STS14 At this time in my life, I see myself as: Not at all Very little Somewhat Very much Having hobbies or interests I enjoy. Accepting myself as I grow older. Being involved with other people or my community when possible. Adjusting well to my present situation. Adjusting to the changes in my physical abilities. Sharing my experiences and what I know with others. Finding meaning in my past experiences. Helping others in some way. Having an interest in continuing to learn about things. Putting things aside that I once thought were so important. Accepting death as a part of life. Finding meaning in my spiritual beliefs. Letting others help me when I may need it. Enjoying the pace of my life. STS15 Dwelling on my unmet dreams or goals. (R ) Scoring: Note that 15 is reversed scored. Sum of all values reflect greater self-transcendence qualities. Your total score: Notes on Self-Transcendence Scale: Reed, P.G. (1991). Self-transcendence and mental health in the oldest-adults. Nursing Research, 40(1),

12 GQ 1 GQ 2 Gratitude- Gratitude Questionnaire Please check a box on how you Strongly Slightly Slightly Disagree Neutral feel right now. Disagree Disagree Agree Agree I have so much in life to be thankful for. If I had to list everything that I felt grateful for, it would be a very long list. GQ 3 GQ 4 GQ 5 GQ 6 When I look at the world, I don t see much to be grateful for. (R) Strongly Agree I am grateful to a wide variety of people. As I get older I find myself more able to appreciate the people, events, and situations that have been part of my life history. Long amounts of time can go by before I feel grateful to something or someone. (R) Scoring: Add the responses varying from 1-7 for all eight items giving a range from A higher score represents a person with more gratitude. (Note: R = reverse-scored item) Your total score: Notes on Gratitude Questionnaire: McCullough, M. E., Emmons, R. A., & Tsang, J. A. (2002). The grateful disposition: a conceptual and empirical topography. Journal of personality and social psychology, 82(1),

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