Multiple Sclerosis Self-Management Scale-Revised (MSSM-R)

Author of Tool: 

Malachy Bishop & Michael Frain

Key references: 

Bishop, M., & Frain, M.P. (2011). The Multiple Sclerosis Self-Management Scale: Revision and psychometric analysis. Rehabilitation Psychology, 56(2), 150-159.

Primary use / Purpose: 

Multi-dimensional evaluation of self-management among persons with Multiple Sclerosis (MS).


In the development of the Multiple Sclerosis Self-Management Scale-Revised (MSSM-R) we have attempted to create an instrument that addresses both the multidimensional nature of self-management in general, and those aspects of self-management that may be specific to the experience of persons with MS. Recent definitions of self-management consistently highlight its multidimensional nature. Among the most frequently identified dimensions, which we have incorporated in the MSSM-R, are:
(1) Understanding one’s condition and participating in learning about MS;
(2) Managing one’s health on a day-to-day basis, and being aware of and practicing
MS-specific and general health behaviors;
(3) Monitoring and managing the signs and symptoms of MS;
(4) Being an active participant in decision-making with health professionals;
(5) Managing the impact of MS on one’s physical, emotional, and social life; and
(6) Following a treatment plan agreed upon in collaboration with one’s health care


The composite scale has been found to be correlated with quality of life, self-efficacy, and functional impact scales. Information about the psychometric analyses of the scale is available from the authors.



PDF iconmssm-r_scale_and_scoring_instructions.pdf

Other Information: 

Multiple Sclerosis

Digital Object Identifier (DOI):