I. Physical Measures (respondent)

I. Physical Measures (respondent) module of HRS 2004

Start of I. Physical Measures (respondent)
 
JI803

R elegible for physical measures

INTERVIEWER: R IS ELIGIBLE FOR THESE MEASUREMENTS: ([BREATHING TEST/HAND STRENGTH TEST/WALKING TEST/HEIGHT/WEIGHT]) INTERVIEWER: MARK THE TESTS THAT R IS ELIGIBLE TO COMPLETE ON THE FRONT PAGE OF THE PHYSICAL MEASURES BOOKLET AND SWITCH TO PHYSICAL MEASURES BOOKLET TO ADMINISTER THE TESTS NOW. WHEN YOU HAVE COMPLETED ALL MEASUREMENTS, PRESS 1 TO CONTINUE
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JI802

Physical measures consent form

NOW I AM GOING TO ASK YOU TO DO A FEW SIMPLE ACTIVITIES FOR ME. RESEARCHERS ARE INTERESTED IN HOW PERFORMANCE ON THESE ACTIVITIES RELATES TO SOME OF THE OTHER FACTORS I HAVE ASKED YOU ABOUT IN THE INTERVIEW. I WILL ASK YOU TO DO ______ ACTIVITIES: ______ MY PRIMARY CONCERN IS FOR YOUR SAFETY, SO I WILL ASK YOU IF YOU FEEL IT WOULD BE SAFE FOR YOU TO COMPLETE EACH ACTIVITY. IF YOU HAVE ANY CONCERNS ABOUT THE ACTIVITY, PLEASE LET ME KNOW AND WE WILL SKIP IT. BEFORE WE BEGIN, I'D LIKE TO HAVE YOU READ AND SIGN A FORM EXPLAINING YOUR RIGHTS AS A PARTICIPANT IN THIS PART OF THE STUDY. INTERVIEWER: ENTER LOGGING ID ([SEE BLAISE SPECIFICATIONS FOR RTAB[1].X081_RLOGID ASSIGNMENT]) ON CONSENT FORM. INTERVIEWER: IF R REFUSES TO SIGN THE CONSENT FORM, ENTER CTRL-R. OTHERWISE, ENTER 1 TO CONTINUE.
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JI804

Breathing test at least one trial

BREATHING TEST INTERVIEWER: DID R COMPLETE AT LEAST ONE TRIAL OF THE BREATHING TEST?
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If Breathing test at least one trial = 2 »
 
   
 
JI805

Reason not complete breathing test

BREATHING TEST INTERVIEWER: WHY DIDN'T R COMPLETE THE BREATHING TEST? (SELECT ALL THAT APPLY)
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Else
 
   
 
JI807

Physical measures puff test reading

BREATHING TEST FIRST READING: SECOND READING: THIRD READING: ENTER 993 IF R TRIED BUT WAS UNABLE TO DO IT. ENTER 999 IF R CHOSE NOT TO DO IT.
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JI808

Physical measures puff test reading- 2

BREATHING TEST FIRST READING: (PUFF TEST 1) SECOND READING: THIRD READING: ENTER 993 IF R TRIED BUT WAS UNABLE TO DO IT. ENTER 999 IF R CHOSE NOT TO DO IT.
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JI809

Physical measures puff test reading- 3

BREATHING TEST FIRST READING: (PUFF TEST 1) SECOND READING: (PUFF TEST 2) THIRD READING: ENTER 993 IF R TRIED BUT WAS UNABLE TO DO IT. ENTER 999 IF R CHOSE NOT TO DO IT.
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JI810

Breathing test effort

BREATHING TEST INTERVIEWER: HOW MUCH EFFORT DID THE R GIVE TO THIS TEST?
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JI811

R position for breathing test

BREATHING TEST INTERVIEWER: WHAT WAS THE R'S POSITION FOR THIS TEST?
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JI812

Hand strength at least one trial

HAND STRENGTH TEST INTERVIEWER: DID R COMPLETE AT LEAST ONE TRIAL OF THE HAND STRENGTH TEST?
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If Hand strength at least one trial = 2 »
 
   
 
JI813

Reason hand strength test not complete

HAND STRENGTH TEST INTERVIEWER: WHY DIDN'T R COMPLETE THE HAND STRENGTH TEST? (SELECT ALL THAT APPLY)
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Else
 
   
 
JI815

Hand strength dominant hand

HAND STRENGTH TEST INTERVIEWER: RECORD R'S DOMINANT HAND.
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JI816

First left hand measurement

HAND STRENGTH TEST INTERVIEWER: LEFT HAND, FIRST MEASUREMENT. LEFT HAND, FIRST MEASUREMENT: RIGHT HAND, FIRST MEASUREMENT: LEFT HAND, SECOND MEASUREMENT: RIGHT HAND, SECOND MEASUREMENT: INTERVIEWER: ENTER THE RESULT TO THE NEAREST WHOLE NUMBER (KILOGRAMS). ENTER 99993 IF R WAS UNABLE TO PERFORM THIS MEASUREMENT ENTER 99999 IF R CHOSE NOT TO DO IT
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JI851

Right hand first measurement

HAND STRENGTH TEST INTERVIEWER: RIGHT HAND, FIRST MEASUREMENT. LEFT HAND, FIRST MEASUREMENT: (LEFT FIRST) RIGHT HAND, FIRST MEASUREMENT: LEFT HAND, SECOND MEASUREMENT: RIGHT HAND, SECOND MEASUREMENT: INTERVIEWER: ENTER THE RESULT TO THE NEAREST WHOLE NUMBER (KILOGRAMS). ENTER 99993 IF R WAS UNABLE TO PERFORM THIS MEASUREMENT ENTER 99999 IF R CHOSE NOT TO DO IT
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JI852

Left hand second measurement

HAND STRENGTH TEST INTERVIEWER: LEFT HAND, SECOND MEASUREMENT. LEFT HAND, FIRST MEASUREMENT: (LEFT FIRST) RIGHT HAND, FIRST MEASUREMENT: (RIGHT FIRST) LEFT HAND, SECOND MEASUREMENT: RIGHT HAND, SECOND MEASUREMENT: INTERVIEWER: ENTER THE RESULT TO THE NEAREST WHOLE NUMBER (KILOGRAMS). ENTER 99993 IF R WAS UNABLE TO PERFORM THIS MEASUREMENT ENTER 99999 IF R CHOSE NOT TO DO IT
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JI853

Right hand second measurement

HAND STRENGTH TEST INTERVIEWER: RIGHT HAND, SECOND MEASUREMENT. LEFT HAND, FIRST MEASUREMENT: (LEFT FIRST) RIGHT HAND, FIRST MEASUREMENT: (RIGHT FIRST) LEFT HAND, SECOND MEASUREMENT: (LEFT SECOND) RIGHT HAND, SECOND MEASUREMENT: INTERVIEWER: ENTER THE RESULT TO THE NEAREST WHOLE NUMBER (KILOGRAMS). ENTER 99993 IF R WAS UNABLE TO PERFORM THIS MEASUREMENT ENTER 99999 IF R CHOSE NOT TO DO IT
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JI817

R effort hand strength test

HAND STRENGTH TEST INTERVIEWER: HOW MUCH EFFORT DID THE R GIVE TO THIS TEST?
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JI818

R position hand strength test

HAND STRENGTH TEST INTERVIEWER: WHAT WAS THE R'S POSITION FOR THIS TEST?
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JI819

Rest arm during hand strength test

HAND STRENGTH TEST INTERVIEWER: DID THE R REST THEIR ARM ON A SUPPORT WHILE PERFORMING THIS TEST?
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JI820

Walking test complete at least one trial

WALKING TEST INTERVIEWER: DID R COMPLETE AT LEAST ONE TRIAL OF THE WALKING TEST?
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If Walking test complete at least one trial = 2 »
 
   
 
JI821

Reason not complete walking test

WALKING TEST INTERVIEWER: WHY DIDN'T R COMPLETE THE WALKING TEST? (SELECT ALL THAT APPLY)
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Else
 
   
 
JI823

Walking test first trial time

WALKING TEST INTERVIEWER: RECORD TIME IN SECONDS TO TWO DECIMAL PLACES FIRST TRIAL: SECOND TRIAL: ENTER 99993 IF R WAS UNABLE TO DO IT ENTER 99999 IF R CHOSE NOT TO DO IT
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JI824

Walking test second trial time

WALKING TEST INTERVIEWER: RECORD TIME IN SECONDS TO TWO DECIMAL PLACES FIRST TRIAL: (T WALK 1ST TRIAL TIME) SECOND TRIAL: ENTER 99993 IF R WAS UNABLE TO DO IT ENTER 99999 IF R CHOSE NOT TO DO IT
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JI825

Walking test- type of floor surface

WALKING TEST INTERVIEWER: RECORD TYPE OF FLOOR SURFACE
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JI828

Walking test- type of aid used

WALKING TEST INTERVIEWER: RECORD TYPE OF AID USED
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JI830

Walking test- r effort

WALKING TEST INTERVIEWER: HOW MUCH EFFORT DID THE R GIVE TO THIS TEST?
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JI831

R height

HEIGHT INTERVIEWER: WERE YOU ABLE TO MEASURE R'S HEIGHT?
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If R height = 2 »
 
   
 
JI832

Measure height- not complete

HEIGHT INTERVIEWER: WHY WEREN'T YOU ABLE TO MEASURE R'S HEIGHT? (SELECT ALL THAT APPLY)
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Else
 
   
 
JI834

Height measurement

HEIGHT INTERVIEWER: ENTER RESPONDENT'S HEIGHT IN INCHES. ROUND TO THE NEAREST QUARTER INCH.
   
 
JI835

Height measurment- floor surface

HEIGHT INTERVIEWER: RECORD TYPE OF FLOOR SURFACE
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JI837

Height measurement- r wearing shoes

HEIGHT INTERVIEWER: WAS R WEARING SHOES DURING MEASUREMENT?
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JI838

Able to measure weight

WEIGHT INTERVIEWER: WERE YOU ABLE TO MEASURE R'S WEIGHT?
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If Able to measure weight = 2 »
 
   
 
JI839

Reason not complete weight measurement

WEIGHT INTERVIEWER: WHY WEREN'T YOU ABLE TO MEASURE R'S WEIGHT? (SELECT ALL THAT APPLY)
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Else
 
   
 
JI841

R weight- pounds

WEIGHT INTERVIEWER: ENTER RESPONDENT'S WEIGHT IN POUNDS AS RECORDED ON SCALE (TO THE NEAREST 1/2 POUND).
   
 
JI842

Weight- floor surface

WEIGHT INTERVIEWER: RECORD TYPE OF FLOOR SURFACE
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JI844

Weight- wearing shoes

WEIGHT INTERVIEWER: WAS R WEARING SHOES DURING MEASUREMENT?
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End of I. Physical Measures (respondent)