title: Assessment of stress and self-efficacy for the NIH Toolbox for Neurological and Behavioral Function.
abstract: OBJECTIVE
  The NIH Toolbox for Neurological and Behavioral Function assessment battery contains measures in the domains of cognitive function, motor function, sensory function, and emotional health. It was designed for use in epidemiological and clinical trials health-related research.
  
  
  METHODS
  This paper describes the first phase of instrument development for the stress and self-efficacy subdomain of emotional health. Based on an extensive literature review and expert consultation, 127 measures were initially considered for inclusion in this subdomain, including measures of stress, self-efficacy, emotion regulation, and coping.
  
  
  RESULTS
  Several measures, including emotion regulation and measures of coping strategies, did not meet criteria that were a priori established for inclusion. Psychometric properties of the remaining candidate measures were evaluated using data from five independent samples (combined N = 3175). Confirmatory and exploratory factor analyses indicated the Perceived Stress Scale and the General Self-Efficacy Scale each assessed single dimensions.
  
  
  CONCLUSIONS
  Based on their psychometric performance, these two instruments were selected for inclusion and subsequent national norming for the NIH Toolbox.
authors.affiliation: a Department of Pediatrics , Medical College of Wisconsin , Milwaukee , WI 53226 , USA.
authors.forename: Mary Jo
authors.initials: MJ
authors.lastname: Kupst
authors.forename: Zeeshan
authors.initials: Z
authors.lastname: Butt
authors.forename: Catherine M
authors.initials: CM
authors.lastname: Stoney
authors.forename: James W
authors.initials: JW
authors.lastname: Griffith
authors.forename: John M
authors.initials: JM
authors.lastname: Salsman
authors.forename: Susan
authors.initials: S
authors.lastname: Folkman
authors.forename: David
authors.initials: D
authors.lastname: Cella
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000342:Affective Symptoms / Q000150:complications / Q000523:psychology*; D002648:Child; D002675:Child, Preschool; D003071:Cognition; D004644:Emotions; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D008297:Male; D009316:National Institutes of Health (U.S.); D011594:Psychometrics; D011597:Psychomotor Performance; D020377:Self Efficacy; D013315:Stress, Psychological / Q000150:complications / Q000523:psychology*; D011795:Surveys and Questionnaires; D014481:United States; D055815:Young Adult
keywords: NIH Toolbox; perceived stress; psychometrics; self-efficacy