Self-efficacy expectations for functional activities were defined operationally by having individuals rate their perceived judgment or confidence in their ability to perform each specific activity of daily living (ADL) (bathing, dressing, transferring, ambulating, and stair climbing) at a given point in time. The Self-Efficacy for Functional Activities (SEFA) scale initially included 27 items focusing on efficacy expectations related to performance of each ADL independently, with adaptive equipment, and with the help of another person. After initial pilaf testing the scale was revised to include 9 items which focused on efficacy expectations related to performance of each ADL independently, or with the help of another person. Two additional studies were done and provided some evidence for the reliability and validity of the SEFA when used with older adults.