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Background: Strategies used by patients to promote health (SUPPH), 29-item self-report instrument, is used to measure self-care self-efficacy in patients. The subject is asked to rate the degree of confidence in carrying out specific self-care behavior, mainly psychological side of self-care. Original authors found 3-factor and 4-factor structure. However, no data can be found on its performance in Slovak culture. Hence this study aimed to assess reliability, factor structure and validity of SUPPH in Slovak population. Method: A total of 162 undergraduate students completed interviews that included SUPPH, General Self-efficacy Scale and The Self-Care Self-Regulation Questionnaire. Internal consistency was measured by Cronbach's alfa. The factor structure was made by using exploration factor analysis. The validity was studied by correlations the main instrument with related instruments, which asses self-care and self-efficacy. Results: Cronbach alfa reliability coefficients surpassed the 0.70 criteria. A principal component factor analyses with orthogonal varimax rotation identified new 3-factors (positive attitude – nine items, decision for better life – five items, coping with stress and anxiety – eight items) structure. Seven items were deleted. The General Self-efficacy and The Self-Care Self-Regulation Questionnaire correlated positively to all factors SUPPH. Especially psychological self-care correlated strong positively with all SUPPH subscales. Conclusion: We became new Slovak version of Strategies used by patients to promote health (SUPPH-SK). Finely 22-items are more evenly distributed into new 3-factor structure.
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