Table 2 Factor loadings of the second-order solution in the DoCCA scale

Demands

When you take care of your health, do you feel that:

... you need to make difficult decisions?

.82

.03

26.62

< .001

... you need to remember a lot?

.88

.03

34.11

< .001

... you need to keep track of many things at once?

.92

.02

45.45

< .001

... you end up in emotionally demanding situations?

.85

.03

34.28

< .001

Unnecessary tasks

Do you feel that your self-care includes tasks that:

... actually do not need to be done?

.84

.05

17.51

< .001

... do not really make sense?

.94

.05

20.37

< .001

... could be done with less effort if healthcare were organized differently?

.55

.08

7.25

< .001

Role clarity

Do you feel that:

… responsibility is reasonably distributed between you and healthcare?

.82

.04

22.76

< .001

… it is clear which areas are your responsibility?

.79

.04

18.71

< .001

… it is clear which areas are healthcare’s responsibility?

.87

.03

25.12

< .001

… you know what you can expect from healthcare?

.76

.08

9.78

< .001

… you know what is expected of you from healthcare?

.74

.05

13.68

< .001

Needs support

Do you feel that:

… you are involved in decisions about your care and treatment as much as you wish?

.77

.04

19.29

< .001

… you get the help and support you need to take care of your health?

.92

.02

48.22

< .001

… you receive all the information you need to take care of your health?

.92

.02

45.26

< .001

… the information you receive is clear?

.87

.03

30.84

< .001

Goal orientation

Do you feel that:

... healthcare knows what is important to you?

.81

.04

19.41

< .001

... you and healthcare strive in the same direction?

.81

.04

19.19

< .001

... you, together with healthcare, have agreed on goals for your health?

.88

.02

41.68

< .001

... healthcare supports you in achieving your goals?

.89

.03

35.81

< .001

Second order estimates

Activities

Demands

.26

.11

2.48

.013

Unnecessary tasks

.32

.11

3.05

.002

Role clarity

.94

.07

13.50

< .001