NV. Nurse Visit

NV. Nurse Visit Module of ELSA 2012

item label type description
NAME Question NURSE: Enter the name of person number [person number from Household Grid] from section 7 on the NRF.
SEX Question NURSE: Code the sex of person number [person number from Household Grid] from section 7 on the NRF.
AGE Question NURSE: Enter the age of person number [person number from Household Grid] from section 7 on the NRF.
POC Question NURSE: Enter the nurse status code for person number PNo from section 7 on the NRF.
OC Question Nurse status code:
MORE Question NURSE: Is there anyone else in the household who agreed or refused to see you? i.e. coded 1, 2 or 4 at section 7 on the NRF.
STRTNUR Question NURSE: Enter the start time of the interview in hours and minutes using the 24-hour clock e.g 17:30.
DATEOK Question NURSE: Today's date according to the laptop is [automatically recorded date of interview]. Is this the correct date?
NURDATE Question NURSE: Enter the date of this interview.
NDOBD Question Can I just check your date of birth? NURSE: Enter day, month and year of [Name of respondent]'s date of birth separately. Enter the day here.
NDOBM Question NURSE: Enter the code for the month of [Name of respondent]'s date of birth.
NDOBY1 Question NURSE: Enter the year of [Name of respondent]'s date of birth.
DISPAGE Question CHECK WITH RESPONDENT: So your age is [respondent's age derived from respondent's date of birth and today's date]?
MEDCNJD Question Are you taking or using any medicines, pills, syrups, ointments, puffers or injections prescribed for you by a doctor or a nurse? NURSE: If statins have been prescribed by a doctor please code them here. If they have been bought without a prescription code at the Statins question.
MEDINTRO Question Could I take down the names of the medicines, including pills, syrups, ointments, puffers or injections, prescribed for you by a doctor or a nurse? NURSE: Including the contraceptive pill.
MEDBI Question NURSE: Enter name of drug number. Ask if you can see the containers for all prescribed medicines currently being taken. If Aspirin, record dosage as well as name.
MEDBIA Question Have you taken/used MedBI in the last 7 days?
MEDBIC Question NURSE CHECK: Any more drugs to enter?
STATINS Question Are you taking statins drugs to lower cholesterol bought over the counter from a pharmacist, without prescription from a doctor? NURSE:Here are some examples of common statins, which may be bought over the counter: Atorvastatin Lipitor Fluvastatin Lescol, Lescol XL Pravastatin Lipostat Rosuvastatin Crestor and Simvastatin Zocor
STATINA Question Have you taken/used statins in the last 7 days?
BPTODAY Question May I just check, have you taken any medication for your blood pressure today?
BPHOUR Question When did you last take medication for your blood pressure? Was it... READ OUT...
DrCod1 Question NURSE: To do the drug coding now, press , select Drug Code with the highlight bar and press .
DRC1 Question NURSE: Enter code for name of drug
YTAKE1 Question Do you take MedBI because of a heart problem, high blood pressure or for some other reason?
TAKEOTH1 Question NURSE: Give full details of reasons for taking MedBI.
BPMOD Question NURSE: Now follows the Blood Pressure module.
BPCONST3 Question As I mentioned earlier We would like to measure your blood pressure. The analysis of blood pressure readings will tell us a lot about the health of the population. NURSE: Does the respondent agree to blood pressure measurement?
CONSUBX Question May I just check, have you eaten, smoked, drunk alcohol or done any [BLANK / vigorous] exercise in the past 30 minutes?
OMRONNO Question NURSE: Record blood pressure equipment serial number.
CUFSIZE Question NURSE: Select cuff and attach to the respondent's right arm. Ask the respondent to sit still for five minutes. READ OUT: 'I am going to leave you to sit quietly now for 5 minutes. During that you must not read and your legs are to remain uncrossed. After the 5 minutes, I will carry out 3 recordings with a minute between them. While I am doing these recordings I will not speak to you, and you must not speak to me. Once I have completed the recordings I will tell you what they are.' Record cuff size chosen.
AIRTEMP Question NURSE: Record the ambient air temperature. Enter the temperature in centigrades to one decimal place.
BPREADY Question NURSE: During five minute wait, prepare documents for rest of Nurse Visit: - Consent booklet - Grip strength measurement card - Measurement record card If appropriate, prepare equipment for rest of Nurse Visit. Once respondent has sat still for 5 minutes you are ready to take the measurements. Ensure the Ready to measure symbol is lit before pressing the Start button to start the measurements.
DrCod2 Question NURSE: To do the drug coding now, press , select Drug Code with the highlight bar and press .
SYS Question NURSE: Take three measurements from right arm. Enter [first / second / third] systolic reading mmHg. If reading not obtained, enter 999. If you are not going to get any bp readings at all, enter 996.
DIAS Question Enter [first / second / third] diastolic reading mmHg. If reading not obtained, enter 999.
PULSE Question Enter [first / second / third] pulse reading bpm. If reading not obtained, enter 999.
WHYNOBP Question NURSE: Enter reason for not recording any full BP readings.
RespBPS Question Number of BP measurements obtained
NATTBPD Question NURSE: Record why [only two readings obtained /only one reading obtained / reading not obtained / reading not attempted / reading refused / unable to take reading].
OTHNBP Question NURSE: Enter full details of other reasons for not obtaining / attempting three BP readings.
DIFBPC Question NURSE: Record any problems taking readings.
OTHDIFBP Question NURSE: Record full details of other problems taking readings.
GPREGB Question Are you registered with a GP?
GPSEND Question May we send your blood pressure readings to your GP?
GPREFC Question NURSE: Specify reasons for refusal to allow BP readings to be sent to GP.
OTHREFC Question NURSE: Give full details of reasons for refusal.
Code022 Question NURSE: Circle consent code 02 on the front of the Consent Booklet. Explain the need for written consent and ask the respondent to print name, sign and date the Consent Form in the spaces provided at the bottom of page 5 of the Consent Booklet. Nurse: Print your name, sign and date in the spaces provided at the bottom of page 5 of the Consent Booklet.
BPOFFER Question NURSE: Offer blood pressure results to respondent. Systolic Diastolic Pulse i [Sys1] [Dias1] [Pulse1] ii [Sys2] [Dias2] [Pulse2] iii [Sys3] [Dias3] [Pulse3] Enter these on [Name of respondent]'s Measurement Record Card. Tick the [considerably raised / moderately raised / mildly raised / normal] box and read out to respondent:
CONSFRM1 Question NURSE: a) Ask respondent to read and initial Blood pressure to GP on page 2 of the Consent Booklet. Explain the need for written consent and ask the respondent to print name, sign and date the Consent Form in the spaces provided at the bottom of pag
GRINT Question NURSE: Now follows the Grip Strength module.
MMGSWIL Question Now I would like to assess the strength of your hand in a gripping action. I will count up to three and then ask you to squeeze this handle as hard as you can, just for two or three seconds and then let go. NURSE: Demonstrate. READ OUT: I will take alternately three measurements from your right and your left hand. Would you be willing to have your handgrip measured?
MMGSWN Question NURSE: Give details why grip strength test not attempted.
MMGSDOM Question NURSE: ASK OR CODE : Which is your dominant hand?
MMGSSTA Question Can I just check, have you had a recent hand injury or surgery to either hand within the last six months? NURSE: If yes, do not attempt grip strength measure with affected hands. If respondent cannot use hands for this or any other reason, code below. Record respondent status.
MMGSSTP Question NURSE: Stop test, no handgrip measurement to be taken.
MMGSINT Question NURSE: Position the respondent correctly. Adjust gripometer to hand size by turning the lever and reset arrow at zero. Explain the procedure once again. Show the respondent how to do the test and let [him / her] have a practice with one hand.
MMGSN1 Question NURSE: [Left / Right Non-dominant] hand, first measurement. Say: 'One, two, three, squeeze!' Enter the result to the nearest whole value.
MMGSD1 Question NURSE: [Left / Right Dominant] hand, first measurement. Say: 'One, two, three, squeeze!' Enter the result to the nearest whole value.
MMGSN2 Question NURSE: [Left / Right Non-dominant] hand, second measurement. Say: 'One, two, three, squeeze!' Enter the result to the nearest whole value.
MMGSD2 Question NURSE: [Left / Right Dominant] hand, second measurement. Say: 'One, two, three, squeeze!' Enter the result to the nearest whole value.
MMGSN3 Question NURSE: [Left / Right Non-dominant] hand, third measurement. Say: 'One, two, three, squeeze!' Enter the result to the nearest whole value.
MMGSD3 Question NURSE: [Left / Right Dominant] hand, third measurement. Say: 'One, two, three, squeeze!' Enter the result to the nearest whole value.
MMGSTP Question NURSE: Record respondent's position.
MMGSRES Question NURSE CHECK: Code one only.
MMGSPRX Question NURSE: Record any problems taking the grip strength measurement.
MMGSPR Question NURSE: Give reasons why no or only some measures were obtained.
MMGSPRO Question NURSE: Give details of why no or only some measures obtained.
BLINTRO Question NURSE: Now follows the Blood Sample module.
CLOTB Question NURSE: Explain the purpose and procedure for taking blood. READ OUT: May I just check, do you have a clotting or bleeding disorder or are you currently on anti-coagulant drugs such as Warfarin or other blood thinning drugs? NURSE: Aspirin or other antiplatelet therapy is not a contraindication for blood sample. If in doubt press F9 to check list of anticoagulant / antiplatelet drugs. HELP DO NOT TAKE A BLOOD SAMPLE IF RESPONDENT IS TAKING: Warfarin Sinthrome Acenocoumarol Phenindione Pradaxa Dabigatran Etexilate Xareloto Rivaroxaban. TAKE A BLOOD SAMPLE IF RESPONDENT IS TAKING: Aspirin Caprin; Nu-Seals Flamasacard Clopidogrel Plavix Dipyridamole Persantin, Persantin Retard, Asasantin Retard Prasugrel Efient Eptifibatide Inteligrin Tirofiban Aggrastat
FIT Question May I just check, have you ever had a fit including epileptic fit or convulsion?
BSWILL Question Would you be willing to have a blood sample taken?
FASTASK Question NURSE: Did you ask the respondent to fast?
DATELEAT Question When did you last have anything to eat or drink excluding water? NURSE: Enter the date dd / mm / yyyy.
DLEATC1 Question NURSE: It seems that the respondent last ate whenate. Is this correct?
DLEATC2 Question NURSE: Please enter when the respondent last ate.
TIMELEAT Question NURSE: Enter the time in hours and minutes using the 24 hour clock e.g. 17:30.
CHKDRK Question Have you been drinking water during this time?
TLEATC1 Question NURSE: It seems that the respondent last ate TimeAgo. Is this correct?
TLEATC2 Question NURSE: Did the respondent eat less than 5 hours ago?
TLEATC3 Question NURSE: Did the respondent eat less than 8 hours ago?
FASTELIG Question Eligible for a fasting sample? - based on when and what last ate
LIGHTEAT Question What did you have to eat? NURSE: Only code 1 below if the respondent has followed the instructions on the appointment record card, that is either: Afternoon appointment - a light breakfast only Evening appointment - a light lunch and/or their usual breakfast only
WHATEAT Question Did you have...
BLREADY Question NURSE: This respondent can give a blood sample now. Remember to complete the Consent Forms.
BSCONS Question NURSE: Explain need for written consent: 'Before I can take any blood, I have to obtain written consent from you.'
CODE03 Question NURSE: Ask the respondent to read and initial 'Blood Sample Consent part 1', on page 3 of the Consent Booklet. Explain the need for written consent and ask the respondent to print name, sign and date the Consent Form in the spaces provided at the bottom of page 5 of the Consent Booklet if not done already. Nurse: Print your name, sign and date in the spaces provided at the bottom of page 5 of the Consent Booklet. - Circle consent code 03 on front of the Consent Booklet.
GPSAM Question NURSE CHECK:
SENDSAMF Question May we send the results of your blood sample analysis to your GP?
BSSIGN Question NURSE: Ask the respondent to read and initial 'Blood Sample Consent part 2', on page 3 of the Consent Booklet. Explain the need for written consent and ask the respondent to print name, sign and date the Consent Form in the spaces provided at the bottom of page 5 of the Consent Booklet if not done already. Nurse: Print your name, sign and date in the spaces provided at the bottom of page 5 of the Consent Booklet. - Circle consent code 05 on front of the Consent Booklet.
SENSAM Question Why do you not want your blood sample results sent to your GP?
OTHSAM Question NURSE: Give full details of reasons for not wanting results sent to GP.
CODE06 Question NURSE: Circle consent code 06 on front of the Consent Booklet.
CONSTORB Question May we have your consent to store any remaining blood for future analysis?
CODE09 Question NURSE: Ask the respondent to read and initial 'Blood Sample Consent part 3', on page 3 of the Consent Booklet. Explain the need for written consent and ask the respondent to print name, sign and date the Consent Form in the spaces provided at the bottom of page 5 of the Consent Booklet if not done already. Nurse: Print your name, sign and date in the spaces provided at the bottom of page 5 of the Consent Booklet. - Circle consent code 09 on front of the Consent Booklet.
CONSDNA Question There is currently interest in genetic tests which use the DNA contained in blood and you were given a separate leaflet by the interviewer explaining this. Do you have any questions about this? NURSE: Answer any questions by referring to the leaflet. READ OUT: May we have your consent to extract DNA from your sample and store this DNA for future analysis?
CODE11 Question NURSE: Ask the respondent to read and initial 'Genetics Consent', on page 4 of the Consent Booklet. Explain the need for written consent and ask the respondent to print name, sign and date the Consent Form in the spaces provided at the bottom of page 5 of the Consent Booklet if not done already. Nurse: Print your name, sign and date in the spaces provided at the bottom of page 5 of the Consent Booklet. - Circle consent code 11 on front of the Consent Booklet.
CODE12 Question NURSE: Circle consent code 12 on front of the Consent Booklet.
CODE12B Question NURSE: The respondent is not in the refreshment sample. Therefore they are not eligible for DNA sample collection. Circle consent code 12 on front of the Consent Booklet.
CODE10 Question NURSE: Circle consent code 10 on front of the Consent Booklet.
TAKESA1 Question NURSE: - Check that the respondent has initialled all applicable boxes. Take the samples in order of priority: First the 1.8ml citrate tube blue then the 6ml plain tube red [BLANK / then the 2ml fluoride tube grey] [then the 2ml EDTA tube light purple / then two 4ml EDTA tubes dark purple].
TAKESA2 Question NURSE: - Check that you have the correct sheet of barcode labels for the respondent. - Check with respondent their name and date of birth on the label sheet. - Stick one barcode label on each tube.
SAMPF1 Question NURSE: Code if the plain red tube was filled include partially filled tube:
SAMPF2 Question NURSE: Code if the citrate blue tube was filled include partially filled tube:
SAMPF3 Question NURSE: Code if the fluoride grey tube was filled include partially filled tube:
SAMPF4 Question NURSE: Code if the 2ml EDTA LIGHT purple tube was filled include partially filled tube:
SAMPF5 Question NURSE: Code if the first EDTA DARK purple tube was filled include partially filled tube:
SAMPF6 Question NURSE: Code if the second EDTA DARK purple tube was filled include partially filled tube:
SAMPARM Question NURSE: Code from which arm the blood was taken.
SAMDIF Question NURSE: Record any problems in taking blood sample.
OTHBDIF Question NURSE: Give full details of other problems in taking blood sample.
BREAKFAST Question NURSE: Encourage the respondent to have something to eat now, [he / she] should not feel faint for the physical performance measures.
SNDRSAM Question Would you like to be sent the results of your blood sample analysis?
CODE07 Question NURSE: Circle consent code 07 on front of the Consent Booklet.
CODE08 Question NURSE: Circle consent code 08 on front of the Consent Booklet.
NOBSM Question NURSE: Code reasons no blood obtained.
OTHNOBSM Question NURSE: Give full details of reasons no blood obtained.
CODE10A Question NURSE: Cross out consent codes 03, 05, 07, 09, and 11 if already circled on the front of the Consent Booklet. Replace with consent codes 04, 06, 08, 10, and 12 on the front of the Consent Booklet.
REFBSC Question NURSE: Record why blood sample refused. CODE ALL THAT APPLY.
OTHREFBS Question NURSE: Give full details of other reasons for refusing blood sample.
NOCODES Question NURSE: No blood to be taken. Circle consent codes 04, 06, 08, 10, and 12 on the front of the Consent Booklet.
VPSYS Question NURSE: Which system did you use to take blood?
VPHAND Question NURSE: Was the respondent left handed or right handed?
VPARM Question NURSE: Which arm did you use to take blood?
VPSKIN Question NURSE: Code the skin condition of the arm used.
VPALCO Question NURSE: Did you use an alcohol wipe?
VPALCONO Question NURSE: Why was alcohol wipe not used?
VPSAM Question NURSE: Code the number of attempts made to take blood.
VPPRESS Question NURSE: Code who applied pressure to the puncture site.
VPSENS Question NURSE: Was the respondent sensitive to the tape or plaster?
VPPROB Question NURSE: Was there any abnormality noted after 5 minutes? Please remember to recheck the site after completion of the blood sample module.
VPOTHER Question NURSE: Record the details of the other abnormality fully.
VPDETAIL Question NURSE: You have coded that an abnormality was noted after 5 minutes.
VPCHECK Question NURSE: Did you re-check the puncture site after completion of the blood sample module?
HGT1INT Question NURSE: Now follows the Standing Height Measurement module.
HTINTRO Question I would now like to measure your height.
RESPHTS Question NURSE: Measure standing height and code below. Include 'disguised' refusals such as 'It will take too long', 'I have to go out' etc. at code 2: Height refused.
HEIGHT Question NURSE: Record standing height in centimetres. Please record height with one decimal digit, using the full stop as decimal point.
RELHITE Question NURSE: Code one only.
HINREL Question NURSE: What caused the height measurement to be unreliable?
OHINREL Question NURSE: Please specify what caused unreliable height measurement.
MBOOKHT Question NURSE: Enter this height measurement on [Name of respondent]'s Measurement Record Card. Height: [Standing height - centimetres] cm or [Standing height - feet] feet [Standing height - inches] inches.
RESNHI Question NURSE: Give reasons for refusal.
NOHTBC Question NURSE: Code reason for not obtaining height.
NOHITCO Question NURSE: Please specify other reason.
EHTCH Question NURSE: Ask the respondent for an estimated height. Will it be given in metres or in feet and inches? If respondent doesn't know height use , If respondent isn't willing to give height use .
EHTM Question NURSE: Please record estimated height in metres.
EHTFT Question NURSE: Please record estimated height.
EHTIN Question NURSE: Please record estimated height.
WGTINT Question NURSE: Now follows the Weight Measurement module.
RESPWTS Question NURSE: Measure weight and code. If the respondent weighs more than 130 kg 20 . stones do not weigh. Code as weight not attempted. Include 'disguised' refusals such as 'It will take too long', 'I have to go out' etc. at code 2: Weight refused.
WEIGHT Question NURSE: Record weight in kilograms. Record weight with one decimal digit, using the full stop as decimal point.
FLOORC Question NURSE CODE: Scales placed on?
RELWAIT Question NURSE: Code one only.
MBOOKWT Question NURSE: Enter the weight measurement on [Name of respondent]'s Measurement Record Card. Weight: [Weight - kg] kg or [Weight - stone] stones [Weight - pounds] pounds. If weight looks wrong, go back to 'Weight' and re-weigh.
RESNWT Question NURSE: Give reasons for refusal.
NOWTBC Question NURSE: Code reason for not obtaining weight.
NOWATCO Question NURSE: Please specify other reason.
EWTCH Question NURSE: Ask the respondent for an estimated weight. Will it be given in kilograms or in stones and pounds?
EWTKG Question NURSE: Please record estimated weight in kilograms.
EWTST Question NURSE: Please record estimated weight. Enter stones here.
EWTL Question NURSE: Please record estimated weight. Enter pounds here.
WHMOD Question NURSE: Now follows the Waist Measurement.
WHINTRO4 Question I would now like to measure your waist. NURSE CODE:
WAIST Question NURSE: Measure the waist to the nearest mm. Enter the [first / second / third] waist measurement in centimetres. Remember to include the decimal point. If measurement not obtained, enter '999.9'.
YNOWH Question NURSE: Enter reason for not getting both measurements.
WHPNABM Question NURSE: Give reasons [for refusal / why unable / for not obtaining measurement / for not attempting / why only one measurement obtained]. CODE ALL THAT APPLY.
OTHWH Question NURSE: Give full details of 'other' reasons for not getting full waist measurement
WJREL Question NURSE: Record any problems with waist measurement:
PROBWJ Question NURSE: Record whether problems experienced are likely to increase or decrease the waist measurement.
WHRES Question NURSE: Offer to write results of waist measurement, where applicable, onto respondent's Measurement Record Card. Waist [Waist1] cms inches [Waist2] cms inches
LFINT Question NURSE: Now follows the Lung Function module. The next part of my visit is a lung function test. This will involve you breathing out as hard and as fast as you can for as long as you can into a tube. Before I explain more about the test, I need to ask you a couple of questions to make sure it is safe for you to do.
HASURG Question Can I check, have you had abdominal or chest surgery in the past three months?
EYESURG Question Do you have detached retina or have you had eye or ear surgery in the past 3 months?
LFHRT Question Have you had a heart attack in the past 3 months?
HASTRO Question Have you been admitted to hospital for a heart complaint in the past month?
LFTB Question Are you currently taking any medications for the treatment of tuberculosis?
NOLUNG Question NURSE: This respondent is not eligible for a lung function test. Explain to the respondent that it will not be safe for them to do the lung function test.
LFWILL Question A lung function test tells us how well people's lungs are working. It measures the amount of air you can blow out of your lungs and how fast you can blow the air out. On it's own this test can't tell me if there are any problems with your lungs so if you have any concerns about your lungs you should talk to your GP. To do the test you will need to blow out into a tube as hard and as fast as you can for as long as you can. To get an accurate test you will need to do more than one blow. Would you be willing to have your lung function measured?
NOATTLF Question NURSE: Record why unable to take reading.
NOATTO Question NURSE: Give other reason why the respondent did not attempt / refused lung function test.
LFSMOK Question Can I just check, have you smoked in the last 24 hours? This may have been a cigarette, cigar or pipe
LFSMHR Question How many hours ago did you last smoke? NURSE: Code the number of hours. If less than one hour, code 0.
INHALER Question Can I just check, have you used an inhaler, puffer or any medication for your breathing in the last 24 hours?
INHALHRS Question How many hours ago did you use it? NURSE: Enter number of hours. If less than one hour, code 0.
CHESTINF Question In the past three weeks, have you had any respiratory infections such as influenza, pneumonia, bronchitis or a severe cold?
LFCODE3 Question NURSE: Circle consent code 14 on front of the Consent Booklet.
LFCODE5 Question NURSE: Circle consent code 14 on front of the Consent Booklet.
LFPRAC Question NURSE: Launch the spirometry program and Explain the manoeuvre to the respondent. Point out the following: Tight seal round the spirette Breathe in as deeply as possible Straight away blast the air out as hard as they can and as fast as they can and keep going for as long as possible Need a few blows, will guide them through Demonstrate the blow to the respondent Give the spirometer to the respondent. Ask them to breath normally.
FVC Question Enter FVC reading. If no reading obtained enter '0'. If you are not going to obtain any readings at all enter '9.95'. [Highest technically satisfactory FVC reading is recorded in variable HTFVC]
FEV Question Enter FEV reading. If no reading obtained enter '0'.
PEF Question Enter PEF reading. If no reading obtained enter '0'.
PCFEV Question Enter _____ reading. If no reading obtained enter '0'.
PCFVC Question Enter _____ reading. If no reading obtained enter '0'.
PCPEF Question Enter _____ reading. If no reading obtained enter '0'.
QUALITY Question Derived: Outcome from lung function software A - F. Testing: Enter quality level letter.
QUALCDF Question Nurse: Explain the reason for the session quality for this respondent.
QUALOTH Question NURSE: Please give other reason.
CDFCOM1 Question NURSE: Are there any comments which need to be noted about this respondent's lung function test.
QUALAB Question NURSE: Are there any comments which need to be noted about this respondent's lung function test.
QUALABOt Question NURSE: Please note comment about this respondent's spirometry test.
NULLLF Question NURSE: Record why you were unable to take any readings.
LFSAM Question NURSE: If not already asked: Can I just check are you registered with a GP?
GPSENDLF Question May we send your lung function test results to your GP?
LFCODE4 Question NURSE: Circle consent code 04 on front of the Consent Booklet.
GPRLFM Question NURSE: Specify reasons for refusal to allow LF readings to be sent to GP.
OTHREFM Question NURSE: Give full details of reasons for refusal.
NCINS1 Question NURSE: Ask the respondent to read and initial 'Lung Function to GP consent', on page 5 of the consent booklet Explain the need for written consent and ask the respondent to print name, sign and date the Consent Form in the spaces provided at the bottom of page 5 of the Consent Booklet if not done already. Nurse: Print your name, sign and date in the spaces provided at the bottom of page 5 of the Consent Booklet. - Check the name by which the GP knows the respondent. - Check GP name, address and phone number are recorded on the front of the consent booklet. - Circle consent code 13 on the front of the Consent Booklet.
CODE04 Question NURSE: Circle code 06 on the front of the Consent Booklet.
BALINT Question NURSE: Now follows the Balancing module.
MMBCINT Question NURSE: Explain the purpose of the tests: 'I would now like to carry on with some more physical performance measurements, this will involve asking you to move your body in different ways. I will first describe and show each movement to you, then I'd like you to try to do it. If you cannot do a particular movement, or if you feel it would be unsafe to try to do it, please tell me and we'll move on to the next one. Let me emphasize that I do not want you to try to do any exercise that you feel might be unsafe. Do you have any questions before we begin?'
MMBCSC Question NURSE: Check respondent's status and availability. ASK: 'Do you have any problems from recent surgery, injury or other health conditions that might prevent you from standing up from a chair or balancing?'
MMBCCH Question NURSE: After you describe each test, discuss with respondent whether [he / she] should attempt the test given [his / her] physical problems. Do not assume a respondent is too physically limited to attempt a test without discussing it with [him / her]. However, remember that the respondent's health is paramount.
MMSSINT Question NURSE: First explain and then demonstrate the side-by-side stand to the respondent. 'Now I will show you the first movement. I want you to try to stand with your feet together, side-by-side, for about 10 seconds. You may use your arms, bend your knees, or move your body to maintain your balance, but try not to move your feet. Try to hold this position until I tell you to stop. You may support yourself on a chair, table or wall while getting into position.'
MMSSSC Question Do you feel that would be safe?
MMSSSTT Question When I want you to start, I will say: 'Ready, begin'. NURSE: Ask the respondent to stand up. Stand to the side of the respondent. SAY: 'Ready, begin!' Press the start button to start the stopwatch as soon as the respondent gets into the position and removes their hand from the support. If necessary, provide gentle support to the respondent's arm to help [him / her] into the side-by-side stand. SAY: 'Ready, begin!' and then let go of [his / her] arm. Stop the stopwatch and say 'Stop' after 10 seconds or when the participant steps out of position or grabs your arm.
MMSSRE Question NURSE: Record the outcome of the side-by-side stand.
MMSSTI Question NURSE: Record the time in seconds to two decimal places. enter the large numbers on the stopwatch display before the decimal point and the small numbers after it. Use the full stop as the decimal point, e.g. 6.55.
MMSSNA Question NURSE: Record reason side-by-side stand was not attempted.
MMSTINT Question NURSE: First explain and then demonstrate the semi-tandem stand to the respondent: 'Now I will show you the next movement. I want you to try to stand with the side of the heel of one foot touching the big toe of the other foot for about 10 seconds. You may put either foot in front, whichever is more comfortable for you. You may use your arms, bend your knees, or move your body to maintain your balance, but try not to move your feet. Try to hold this position until I tell you to stop. You may support yourself on a chair, table or wall while getting into position.'
MMSTSC Question Do you feel that would be safe?
MMSTSTT Question When I want you to start, I will say: 'Ready, begin'. NURSE: Ask the respondent to stand up. Stand to the side of the respondent. SAY: 'Ready, begin!' Press the start button to start the stopwatch as soon as the respondent gets into the position and removes their hand from the support. If necessary, provide gentle support to the respondent's arm to help [him / her] into the semi-tandem position. SAY: 'Ready, begin!' and then let go of [his / her] arm. Stop the stopwatch and say 'Stop' after 10 seconds or when the participant steps out of position or grabs your arm.
MMSTRE Question NURSE: Record the outcome of the semi-tandem stand.
MMSTTI Question NURSE: Record the time in seconds to two decimal places. enter the large numbers on the stopwatch display before the decimal point and the small numbers after it. Use the full stop as the decimal point, e.g. 6.55.
MMSTNA Question NURSE: Code the reason why semi-tandem stand was not attempted.
MMFTINT Question NURSE: First explain and then demonstrate the full tandem stand to the respondent: 'Now I will show you the next movement. I want you to try to stand with the heel of one foot in front of and touching the toes of the other foot for about [30 / 10] seconds. You may put either foot in front, whichever is more comfortable for you. You may use your arms, bend your knees, or move your body to maintain your balance, but try not to move your feet. Try to hold this position until I tell you to stop. You may support yourself on a chair, table or wall while getting into position.'
MMFTSC Question Do you feel that would be safe?
MMFTSTT Question When I want you to start, I will say: 'Ready, begin'. NURSE: Ask the respondent to stand up. Stand to the side of the respondent. SAY: 'Ready, begin!' Press the start button to start the stopwatch as soon as the respondent gets into the position and removes their hand from the support. If necessary, provide gentle support to the respondent's arm to help [him / her] into the full tandem position. SAY: 'Ready, begin!' and then let go of [his / her] arm. Stop the stopwatch and say 'Stop' after [30 / 10] seconds or when the participant steps out of position or grabs your arm.
MMFTRE Question NURSE: Record the outcome of the full tandem stand.
MMFTTI Question NURSE: Record the time in seconds to two decimal places. enter the large numbers on the stopwatch display before the decimal point and the small numbers after it. Use the full stop as the decimal point, e.g. 6.55.
MMFTNA Question NURSE: Record reason full tandem stand was not attempted.
LEGINT Question NURSE: Now follows the Leg Raise module.
MMLOINT Question NURSE: First explain and then demonstrate the leg raise to the respondent: 'Now I will show you the next movement. I want you to try to stand on one leg, whichever one you want, and raise the other leg off the ground a few inches. Stand for as long as you can - I will stop you at 30 seconds. You may use your arms, bend your knees, or move your body to maintain your balance, but try not to move your feet. Try to hold this position until I tell you to stop. You may support yourself on a chair, table or wall while getting into position.' NURSE: Make sure there is a firm support nearby and allow the respondent to practice.
MMLOSC Question Do you feel that would be safe?
MMLOSTT Question When I want you to start, I will say: 'Ready, begin'. NURSE: Ask the respondent to stand up near to a firm support, eg wall or chair. Stand to the side of the respondent. SAY: 'Ready, begin!' Press the start button to start the stopwatch as soon as the respondent raises one foot off the ground and removes their hand from the support. If necessary, provide gentle support to the respondent's arm to help [him / her] into position. SAY: 'Ready, begin!' and then let go of [his / her] arm. Stop the stopwatch and say 'Stop!' either A when the raised leg touches the floor as the respondent loses [his / her] balance or B after 30 seconds, whichever happens first.
MMLORE Question NURSE: Record the outcome of the leg raise.
MMLOTI Question NURSE: Record the time in seconds to two decimal places. enter the large numbers on the stopwatch display before the decimal point and the small numbers after it. Use the full stop as the decimal point, e.g. 6.55.
MMLONA Question NURSE: Record reason leg raise was not attempted.
MMLSINT Question NURSE: First explain and then demonstrate the leg raise with eyes closed to the respondent: 'Now I would like you to repeat the procedure one more time, this time with your eyes closed. I want you to close your eyes and try to stand on one leg, whichever one you want, and raise the other leg off the ground a few inches. Stand for as long as you can - I will stop you at 30 seconds. You may use your arms, bend your knees, or move your body to maintain your balance, but try not to move your feet. Try to hold this position until I tell you to stop. You may support yourself on a chair, table or wall while getting into position.' NURSE: Make sure there is a firm support nearby and allow the respondent to practice.
MMLSSC Question Do you feel that would be safe?
MMLSSTT Question When I want you to start, I will say: 'Ready, begin'. NURSE: Ask the respondent to stand up near to a firm support, eg wall or chair. Stand to the side of the respondent. SAY: 'Ready, begin!' Press the start button to start the stopwatch as soon as the respondent raises one foot off the ground and removes their hand from the support. If necessary, provide gentle support to the respondent's arm to help [him / her] into position. SAY: 'Ready, begin!' and then let go of [his / her] arm. Stop the stopwatch and say 'Stop!' either A when the raised leg touches the floor as the respondent loses [his / her] balance or B after 30 seconds, whichever happens first.
MMLSRE Question NURSE: Record the outcome of the leg raise with eyes shut.
MMLSTI Question NURSE: Record the time in seconds to two decimal places. enter the large numbers on the stopwatch display before the decimal point and the small numbers after it. Use the full stop as the decimal point, e.g. 6.55.
MMLSNA Question NURSE: Record reason leg raise with eyes shut was not attempted.
CHRINT Question NURSE: Now follows the Chair Rise module.
MMCRAV Question NURSE: Check the availability of a suitable chair.
MMCRINT Question The next test measures the strength in your legs. NURSE: First explain and then demonstrate the procedure: 'I want you to try to stand up from a firm straight-backed chair, like a dining chair. First, fold your arms across your chest and sit so that your feet are on the floor; then stand up keeping your arms folded across your chest.'
MMCRSC Question Do you feel it would be safe to do this? NURSE: If the participant cannot rise without using arms, SAY: 'Okay, try to stand up using your arms.'
MMCRRE Question NURSE: Record the outcome of single chair rise measure.
MMCRNA Question NURSE: Record the reason why the test was not completed.
MMRRINT Question NURSE: Use the same chair and the same place as in the single chair rise. Explain the test to the respondent: 'Now I would like you to repeat the procedure but this time I want you to stand up straight as quickly as you can [ten / five] times, without stopping in between and without using your arms to push off. After standing up each time, sit down and then stand up again. Keep your arms folded across your chest. I'll be timing you with a stopwatch.' NURSE: Demonstrate.
MMRRSC Question Do you feel it would be safe to do that?
MMRRSTT Question NURSE: Ask the respondent to resume the sitting position [he / she] was in just before standing up, with feet resting on the floor and arms folded across the chest. When the participant is properly seated, say 'Ready? Begin!'. Start the stopwatch as soon as you say 'Ready? Begin!. Count out loud as [he / she] rises each time, up to [ten / five] times. A rise is complete when the respondent is fully standing with their back straight. When the respondent completes the fifth rise, press the split timer on the stopwatch. Continue counting out loud. When the respondent has straightened up completely for the [tenth / fifth] time, stop the stopwatch.
MMRRRE Question NURSE: Record the total number of rises completed.
MMRRFTI Question NURSE: Record the time in seconds to two decimal places to complete five chair rises enter the large numbers on the stopwatch display before the decimal point and the small numbers after it. Use the full stop as the decimal point, e.g. 26.55.
MMRRTTI Question NURSE: Record the time in seconds to two decimal places to complete ten chair rises enter the large numbers on the stopwatch display before the decimal point and the small numbers after it. Use the full stop as the decimal point, e.g. 26.55.
MMRRNA Question NURSE: Record reason why participant did not attempt or failed to complete all chair rises.
HAIRINTR Question NURSE: Now follows the Hair sampling module.
HAIREXCL Question NURSE: Do not read out - Participants are excluded from the hair sample in the following circumstances: - Pregnancy in 'younger partner' participants - Breastfeeding in 'younger partner' participants - Current scalp condition rendering the hair sample soiled or at risk of transmission of an unknown / known blood borne virus e.g. active bleeding or infection - Respondent is unable to sit with head remaining still e.g. continual tremor / head shaking - Has less than 2cms of hair length in the posterior vertex scalp area not including any hair extensions Is the respondent excluded from providing a hair sample for any of the above reasons?
HAIREXC2 Question NURSE: Please code the reason for respondent being excluded from hair sample collection.
HAIREXO Question NURSE: Enter full details of other reasons for not attempting hair sample.
HAIRINTRO Question READ OUT: We are interested in measuring a hormone called cortisol. Cortisol Levels will tell us about any stress you might experience. This is of particular interest because stress may be related to heart disease. The amount of cortisol released over time can be measured in hair.
HAIRPROC Question NURSE: Explain to the respondent what is involved in the hair sample collection procedure this is outlined in the project instructions / hair sample collection procedure sheet. We would like to take a small sample of your hair to test it for cortisol. Would you be willing to do this?
HAIRWHY5 Question NURSE: Give reasons for refusal.
HAIRNO Question NURSE: Circle consent code 16 on front of the Consent Booklet.
HAIRCONS Question NURSE: Ask the respondent to read and initial 'Hair Sample Consent', on page 5 of the Consent Booklet. Explain the need for written consent and ask the respondent to print name, sign and date the Consent Form in the spaces provided at the bottom of page 5 of the Consent Booklet if not done already. Nurse: Print your name, sign and date in the spaces provided at the bottom of page 5 of the Consent Booklet. Circle consent code 15on front of the Consent Booklet.
HAIRCUT Question NURSE: Take the hair sample. Once the hair sample has been cut, tighten the wire to ensure the hair strands do not become free. Place the hair sample into the sample envelope with the scalp cut end uppermost. Bend the end of the wire tie over the envelope closure to provide a fixing point for the sample and seal the envelope over the tie.
HAIRPACK Question NURSE: Place a pre-prepared respondent sample label on the sample envelope, on the same side as the envelope closure. Complete the CAPI and dispatch note as per project instructions. Place the labelled hair sample envelope into the hard backed A5 dispatch envelope with the dispatch note and post. Was a hair sample obtained?
CODE16a Question NURSE: Cross out consent code 15 if already circled on the front of the Consent Booklet. Replace with consent code16 on the front of the Consent Booklet.
HAIRCOL Question NURSE: What colour is the hair sample?
HAIRCLO Question NURSE: Please give other hair colour.
HAIRDYE Question NURSE: Is your hair dyed?
HAIRDYEL Question NURSE: When did you last have it dyed?
HAIRDYET Question NURSE: What type of dye did you use?
HAIRTREA Question Has your hair been chemically treated eg. Perm, chemical straightening?
HAIRTREA2 Question When did you last have it done?
HAIRWET Question Apart from when it rains, on average how many times per week do you get your hair wet, e.g. from swimming or washing?
HAIRNOSA Question NURSE: Why was no hair sample obtained?
HAIRNOY Question NURSE: Enter full details of other reasons for not obtaining hair sample.
ALLCHECK Question Check before leaving the respondent: # That all respondents have the relevant copies from the Consent Booklet. # That you have re-checked the puncture site after taking blood for that individual if applicable.. # That full GP details are entered on front of the Consent Booklet, along with the name by which GP knows respondent. # That all details are completed on front of the Consent Booklet. # That there are eight appropriate consent codes ringed on front of the Consent Booklet. # That all necessary initials and signatures have been collected.
ENDREACH Question NURSE: End of questionnaire reached.
NUROUTC Question NURSE: Why were you not able to complete the nurse schedule for person PerNum RName?
INTSC5 Question NURSE: Has the respondent completed the self-completion questionnaires?
SURDOC Question NURSE: Has the respondent given you any survey other documents left with them by the interviewer?
WHHDOC Question NURSE: Code which documents you have been given.
SCDOC Question Please put theself completion booklet in pre-paid envelope and post back to the office.
FULLDOC Question NURSE: If the respondent is giving you a completed consent form - check that serial number, check letter and person number have been filled in on the relevant forms yellow and/or pink. Tear off top copy and return to office in prepaid envelope. Leave bottom copy with respondent for their records.
THKDOC Question NURSE: : Leave thank you letter with cheque the with respondent. It is a token of our appreciation. If respondent cannot cash cheque or wishes to convert it to vouchers, encourage them to phone the office.
THANK Question NURSE: Thank the respondent for [his / her] co-operation.
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