Table 1 Description of Self-management assessment areas and algorithm for scoring responses
Health Area | Questions | Level of Concern | ||
|---|---|---|---|---|
Green (low risk) | Yellow (moderate risk) | Red (greater than moderate risk) | ||
BMI | Height and weight | BMI < 25 | BMI 25–29.9 | BMI ≥30.0 |
Health Distress | Stress related to living with and managing health problems over past month. Five items on scale from “not a problem” (1) to “a very serious problem” (5). | Score < 3 on all items | No category | Score of ≥3 on any item |
Fat Intake | Number of days, and typical portion size, of regular fat foods from a fast food restaurant consumed over the past week | 0 days or 1 day /any portion size | 2 days/small or medium portions; or 3 days/small portion | 2 days/large or supersize; or 3 days/medium, large or supersize portions; or ≥ 4 days/any portion |
Fruit and Vegetable Intake | Number of servings of fruits and vegetables consumed in a usual day over the past week | ≥5 servings | 3 to 4 servings | ≤2 servings |
Sugared Beverage Intake | Number of 12-oz sodas /other sugar-sweetened drinks per day over past week | No drinks | 1 to 2 drinks | ≥3 drinks |
Salt Intake | Number days canned, processed, or pickled foods consumed over the past week, and addition of extra salt to food or in cooking | ≤ 2 days and no extra salt added to food or in cooking | No category | 3 days, and/or extra salt was added to food or in cooking |
Physical Activity | Number of minutes of physical activity over the past week | ≥150 min | No category | ≤150 min |
Medication Adherence | Number of days in past week that one or more medication doses was missed | 0 days | No category | ≥1 day |
Alcohol Intake | Number of alcoholic drinks consumed in the past week, and binge drinking (consuming more than 3 drinks (female) or 4 drinks (male) on any day in the past month) | ≤ 14 weekly drinks (men < 65), 7 weekly drinks (women and men ≥65) & no binge drinking | No category | ≥15 weekly drinks (men < 65), 8 weekly drinks (women and men ≥65), OR binge drinking |
Tobacco Use | Current tobacco use in the past week | Not a tobacco user | No category | Current tobacco user |
Depression Symptoms | Depression symptoms over the past two weeks (Patient Health Questionnaire depression scale; PHQ-8) | Score ≤ 9 | Score 10 to 14 | Score ≥ 15 |
General Life Stress | Stress around major life events in the past week (e.g., family, work) | Endorses no to general life stress | No category | Endorses yes to general life stress |