This chapter mainly covers health confidence and shared decision-making. Health confidence covers ways that health services can help people look after their own health and be more empowered. People with higher health confidence and self-efficacy manage health issues more effectively. People who are actively engaged in their health and care achieve better outcomes, have a better experience, and cost less than those who are not. The challenge is how to encourage patients and staff to achieve this, especially when many patients do not understand medical jargon and many clinicians are overwhelmed with other routine work. In this chapter we describe five measures: the Health Confidence Score (HCS), the Patient Activation Measure (PAM-13), My Health Confidence (MHC), the ColaborRATE and Shared Decision-making. Health confidence supports collaborative care, empowers patients to manage chronic conditions, and encourages informed health decisions. These measures help healthcare providers tailor interventions, improve patient engagement, and drive long-term health improvements.