|
|
|
Start of WS. Walking Speed
|
| |
If AGE OF RESPONDENT > 74
|
|
| |
|
| |
WS001
Record respondent status
IWER: THIS IS THE START OF WALKING SPEED TEST, PLEASE RECORD RESPONDENT STATUS
1. Observed walking without help of another person or using support
2. Observed walking with help of another person or using support
3. Not observed -in wheelchair
4. Not observed - bed bound
5. Not observed -uncertain if respondent has impairment
|
| |
|
| |
If Record respondent status != 1. Observed walking without help of another person or using support
|
|
| |
|
|
| |
|
WS002
Introduction to respondent
NOW WE HAVE A DIFFERENT KIND OF EXERCISE THAT INVOLVES WALKING A SHORT DISTANCE. ARE YOU ABLE TO WALK ALONE WITHOUT HOLDING ON TO ANOTHER PERSON (USING A WALKING STICK OR OTHER AID IF NECESSARY)?
1. Yes
2. Yes, but aid unavailable
3. No
|
| |
|
|
| |
If Record respondent status = 1. Observed walking without help of another person or using support or Introduction to respondent = 1. Yes
|
|
| |
|
|
| |
|
WS003
Is it safe to carry out the test
I WOULD NOW LIKE TO TEST WHETHER YOU CAN WALK A VERY SHORT DISTANCE COMFORTABLY (USING A WALKING STICK OR OTHER AID IF NECESSARY).FIRST, I WOULD LIKE TO CHECK IF IT IS SAFE TO CARRY OUT THE TEST. DO YOU HAVE ANY PROBLEMS FROM RECENT SURGERY, INJURY, OR OTHER HEALTH CONDITIONS THAT MIGHT PREVENT YOU FROM WALKING?
1. No apparent restriction
2. Yes, recent surgery
3. Yes, injury
4. Yes, other health condition
|
| |
|
|
| |
|
If Is it safe to carry out the test = 1. No apparent restriction
|
|
| |
|
|
|
| |
|
|
WS004
Respondent willing to do walking test
ARE YOU WILLING TO DO THE WALKING TEST?
1. Yes
5. No
|
| |
|
|
|
| |
|
|
If Respondent willing to do walking test = 1. Yes
|
|
| |
|
|
|
|
| |
|
|
|
WS005
Does respondent feel safe to continue
IWER: DO YOU FEEL THAT IT IS SAFE TO CONTINUE WITH THE WALKING TEST?
1. Yes
5. No
|
| |
|
|
|
|
| |
If Is it safe to carry out the test = 1. No apparent restriction and Respondent willing to do walking test = 1. Yes and Does respondent feel safe to continue = 1. Yes
|
|
| |
|
|
| |
|
WS007
Check available space for test
IWER: CHECK AVAILABILITY OF SUITABLE SPACE
1. Suitable space available
2. No suitable space
|
| |
|
|
| |
|
If Check available space for test = 1. Suitable space available
|
|
| |
|
|
|
| |
|
|
WS010
Result of first trial
IWER: RECORD RESULT OF THE FIRST TRIAL
1. Completed successfully
2. Attempted but unable to complete
3. Stopped by the interviewer because of safety reasons
4. Not attempted, respondent felt it would be unsafe
5. Participant unable to understand instructions
6. Respondent refused
|
| |
|
|
|
| |
|
|
If Result of first trial = 1. Completed successfully
|
|
| |
|
|
|
|
| |
|
|
|
WS011
Time of first walking speed test
IWER: RECORD TIME IN SECONDS TO TWO DECIMAL PLACES
0.00..20.00
|
| |
|
|
|
|
| |
|
|
|
WS012
Result of second trial
IWER: REPEAT WALKING SPEED TEST; RECORD RESULT OF THE SECOND TRIAL
1. Completed successfully
2. Attempted but unable to complete
3. Stopped by the interviewer because of safety reasons
4. Not attempted, respondent felt it would be unsafe
5. Participant unable to understand instructions
6. Respondent refused
|
| |
|
|
|
|
| |
|
|
|
If Result of second trial = 1. Completed successfully
|
|
| |
|
|
|
|
|
| |
|
|
|
|
WS013
Time of second walking speed test
IWER: RECORD TIME IN SECONDS TO TWO DECIMAL PLACES
0.00..20.00
|
| |
|
|
|
|
|
| |
|
|
WS014
Did the respondent have comment on pain
IWER: CODE IF RESPONDENT HAS COMMENTED ON PAIN, OTHERWISE ASK:DID YOU HAVE PAIN WHILE YOU WERE PERFORMING THE WALKING TEST?
1. Yes
5. No
|
| |
|
|
|
| |
|
|
WS015
Record type of floor surface
IWER: RECORD TYPE OF FLOOR SURFACE
1. Linoleum/tile/wood
2. Low-pile carpet
3. Thick-pile carpet
4. Concrete
5. Not sure
97. Other
|
| |
|
|
|
| |
|
|
WS017
Type of aid used during test
IWER: RECORD TYPE OF AID
1. None
2. Walking stick or cane
3. Elbow crutches
4. Walking frame
97. Other
|
| |
|
|
|
|
End of WS. Walking Speed
|
