NV. Nurse Visit

NV. Nurse Visit Module of ELSA 2004

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.
OC Question NURSE: Enter the nurse status code for person number [person number from Household Grid] from 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.
NDOBY 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)]?
BPMOD Question NURSE: Now follows the Blood Pressure module.
BPCONST 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? CODE ALL THAT APPLY.
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. 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 - office copy - Consent booklet - respondent copy - Grip strength measurement card - Measurement record card - Saliva home log book - (Nurse self-completion) 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.
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.
YNOBP Question NURSE: Enter reason for not recording any full BP readings.
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 reason(s) for not obtaining / attempting three BP readings.
DIFBPC Question NURSE: Record any problems taking readings.
CDIFBPC Question EDITOR: Back code answer at OthDifBP here. UP TO 3 CODES.
OTHDIFBP Question NURSE: Record full details of other problem(s) 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 reason(s) for refusal to allow BP readings to be sent to GP. CODE ALL THAT APPLY.
CGPREFC Question EDITOR: Back code the answer at OthRefC here. UP TO 3 CODES.
OTHREFC Question NURSE: Give full details of reason(s) for refusal.
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: [Your blood pressure is high today. Blood pressure can vary from day to day and throughout the day so that one high reading does not necessarily mean that you suffer from high blood pressure. You are strongly advised to visit your GP within 5 days to have a further blood pressure reading to see whether this is a once-off finding or not. NURSE: If respondent is elderly, advise [him / her] to contact GP within next 7 - 10 days. / Your blood pressure is a bit high today. Blood pressure can vary from day to day and throughout the day so that one high reading does not necessarily mean that you suffer from high blood pressure. You are advised to visit your GP within 2-3 weeks to have a further blood pressure reading to see whether this is a once-off finding or not. / Your blood pressure is a bit high today. Blood pressure can vary from day to day and throughout the day so that one high reading does not necessarily mean that you suffer from high blood pressure. You are advised to visit your GP within 3 months to have a further blood pressure reading to see whether this is a once-off finding or not. / Your blood pressure is normal.]
CODE022 Question NURSE: Circle consent code 02 on the front of the Consent Booklet.
CONSFRM1 Question NURSE: a) Complete Consent Form 1 - 'Blood pressure to GP' b) Ask respondent to read, sign and date the office copy. c) Tick the relevant box on the respondent's personal copy. d) Check that GP name, address and phone no. are recorded on the front of the Consent Booklet. e) Check the name by which GP knows respondent. f) Circle consent code 01 on front of the Consent Booklet.
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 hand(s). If respondent cannot use hand(s) 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.
MMGSPRB Question NURSE: Give reasons why no or only some measures were obtained. CODE ALL THAT APPLY.
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? (NURSE: Aspirin therapy is not a contraindication for blood sample.)
FIT Question May I just check, have you ever had a fit (including epileptic fit, convulsion, convulsion associated with high fever)?
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). Enter the time at the next question.
TIMELEAT Question NURSE: Enter the time in hours and minutes using the 24 hour clock (e.g. 17:30).
LIGHTEA 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...
FASTBL 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.'
CODE05 Question NURSE: Complete Consent Form 3 part a). - Ask the respondent to read, sign and date the office copy. - Tick the relevant box on the respondent's personal copy. - Circle consent code 05 on front of the Consent Booklet.
GPSAM Question NURSE CHECK:
SENDSAM Question May we send the results of your blood sample analysis to your GP?
BSSIGN Question NURSE: Complete Consent Form 3 part b). - Ask the respondent to read, sign and date the office copy. - Tick the relevant box on the respondent's personal copy. - Check name by which GP knows respondent. - Check GP name, address and phone no. are recorded on front of the Consent Booklet. - Circle consent code 07 on front of the Consent Booklet.
SENSAM Question Why do you not want your blood sample results sent to your GP?
CSENSAM Question EDITOR: Back code here. Why do you not want your blood sample results sent to your GP?
OTHSAM Question NURSE: Give full details of reason(s) for not wanting results sent to GP.
CODE08 Question NURSE: Circle consent code 08 on front of the Consent Booklet.
CONSTORB Question May we have your consent to store any remaining blood for future analysis?
CODE11 Question NURSE: Complete Consent Form 3 part c). - Ask the respondent to read, sign and date the office copy. - Tick the relevant box on the respondent's personal copy. - Circle consent code 11 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. READ OUT: May we have your consent to extract DNA from your sample and store this DNA for future analysis?
CODE13 Question NURSE: Complete Consent Form 4 - Ask the respondent to read, sign and date the office copy. - Tick the relevant box on the respondent's personal copy. - Circle consent code 13 on front of the Consent Booklet.
CODE14 Question NURSE: Circle consent code 14 on front of the Consent Booklet.
CODE12 Question NURSE: Circle consent code 12 on front of the Consent Booklet.
TAKESA1 Question NURSE: - Check that you have all the applicable signatures. 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 three 4ml EDTA tubes (purple) / then a single 4ml EDTA tube (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 citrate blue tube was filled (include partially filled tube):
SAMPF2 Question NURSE: Code if the plain red 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 [BLANK / first] EDTA purple tube was filled (include partially filled tube):
SAMPF5 Question NURSE: Code if the second EDTA purple tube was filled (include partially filled tube):
SAMPF6 Question NURSE: Code if the third EDTA purple tube was filled (include partially filled tube):
SAMPARM Question NURSE: Code from which arm the blood was taken.
SAMDIFC Question NURSE: Record any problems in taking blood sample. CODE ALL THAT APPLY.
CSAMDIFC Question EDITOR: Back code here. NURSE: Record any problems in taking blood sample. CODE ALL THAT APPLY.
OTHBDIF Question NURSE: Give full details of other problem(s) in taking blood sample.
VENECHK Question NURSE: Now complete the relevant sections of the venepuncture check-list in the consent booklet.
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?
CODE09 Question NURSE: Circle consent code 09 on front of the Consent Booklet.
CODE10 Question NURSE: Circle consent code 10 on front of the Consent Booklet.
NOBSM Question NURSE: Code reason(s) no blood obtained. CODE ALL THAT APPLY.
CNOBSM Question EDITOR: Back code here. NURSE: Code reason(s) no blood obtained. CODE ALL THAT APPLY.
OTHNOBSM Question NURSE: Give full details of reason(s) no blood obtained.
CODE12A Question NURSE: Cross out consent codes 05, 07, 09, 11 and 13 if already circled on the front of the Consent Booklet. Replace with consent codes 06, 08, 10, 12 and 14 on the front of the Consent Booklet.
REFBSC Question NURSE: Record why blood sample refused. CODE ALL THAT APPLY.
CREFBSC Question EDITOR: Back code here. NURSE: Record why blood sample refused. CODE ALL THAT APPLY.
OTHREFBS Question NURSE: Give full details of other reason(s) for refusing blood sample.
NOCODES Question NURSE: No blood to be taken. Circle consent codes 06, 08, 10, 12 and 14 on the front of the Consent Booklet.
HGT1INT Question NURSE: Now follows the Standing Height Measurement module.
HTINTRO Question I would now like to measure your height, both standing and sitting.
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. CODE ALL THAT APPLY.
CNOHTBC Question EDITOR: Back code reason for not obtaining height. CODE ALL THAT APPLY.
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?
EHTM Question NURSE: Please record estimated height in metres.
EHTFT Question NURSE: Please record estimated height. Enter feet here.
EHTIN Question NURSE: Please record estimated height. Enter inches here.
HGT2INT Question NURSE: Now follows the Sitting Height Measurement module.
SITHTRSP Question NURSE: Measure sitting 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.
SITHGT Question NURSE: Record sitting height (in centimetres). Please record sitting height with one decimal digit, using the full stop as decimal point.
MBOOKST Question NURSE: Enter the sitting height measurement on [Name of respondent]'s Measurement Record Card. Sitting Height: [Sitting height - centimetres] cm
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?
RELWAITB 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. CODE ALL THAT APPLY.
CNOWTBC Question EDITOR: Code reason for not obtaining weight. CODE ALL THAT APPLY.
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. (Enter pounds at the next question.)
EWTL Question NURSE: Please record estimated weight. Enter pounds here.
WHMOD Question NURSE: Now follows the Waist and Hip Circumference Measurement.
WHINTRO Question I would now like to measure your waist and hips. The waist relative to hip measurement is very useful for assessing the distribution of weight over the body. NURSE CODE:
WAIST Question NURSE: Measure the waist and hip circumferences 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'.
HIP Question NURSE: Measure the waist and hip circumferences to the nearest mm. Enter the [first / second / third] measurement of hip circumference 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 reason(s) [for refusal / why unable / for not obtaining measurement / for not attempting / why only one measurement obtained]. CODE ALL THAT APPLY.
CWHPNABM Question EDITOR: Try to backcode answer at OthWH. CODE ALL THAT APPLY.
OTHWH Question NURSE: Give full details of 'other' reason(s) for not getting full waist / hip 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.
HJREL Question NURSE: Record any problems with hip measurement:
PROBHJ Question NURSE: Record whether problems experienced are likely to increase or decrease the hip measurement.
WHRES Question NURSE: Offer to write results of waist and hip measurements, where applicable, onto respondent's Measurement Record Card. Waist Hip [Waist1] [Hip1] [Waist2] [Hip2]
LFINT Question NURSE: Now follows the Lung Function module.
HASURG Question Can I check, have you had abdominal or chest surgery in the past three weeks?
EYESURG Question Have you had eye surgery in the past four weeks?
HASTRO Question Have you been admitted to hospital for a heart complaint in the past six weeks?
CHESTINF Question In the past three weeks, have you had any respiratory infections such as influenza, pneumonia, bronchitis or a severe cold?
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.
LFINTRO Question (As I mentioned earlier). We would like to measure your lung function which will help us to find out more about the health of the population.
LFCODE2 Question NURSE: No lung function test to be done. Circle consent code 04 on front of the Consent Booklet.
LFWILL Question Would you be willing to have your Lung Function measured?
SPIRNO Question NURSE: Enter the three-digit Spirometer serial number.
LFTEMP Question NURSE: Record the ambient air temperature. Enter the temperature in centigrades to one decimal place.
XLFTEMP Question NURSE: An air temperature of [Air temperature (centigrade)] centigrades is too cold / hot for the lung function to be measured (less than 15 or more than 35 centigrade). If you made a mistake in entering the temperature, please go back and amend LFTemp. Else, try to alter the temperature in the room before taking the reading. If you wish to continue with this schedule while waiting for the room temperature to change, please press 1 and . Don't forget to return to this section. If you can't alter the temperature in the room, please go back to LFWill and change to code 3 (Unable to take lung function).
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'.
FEV Question Enter FEV reading. If no reading obtained enter '0'.
PF Question Enter PF reading. If no reading obtained enter '0'. Range: 0..995
CL Question NURSE: Now press the clear button on the spirometer.
TECHNIQUE Question Was the technique satisfactory?
YNOLF Question NURSE: Code reason for not taking any LF readings.
LFSTAND Question NURSE: Were the measurements taken while respondent was standing or sitting?
LFRESP Question NURSE CHECK: Code one only.
PROBLF Question NURSE: Give reasons why just some blows were obtained. CODE ALL THAT APPLY.
CPROBLF Question EDITOR: Back code the answer at OthProb here.
OTHPROB Question NURSE: Give details of why less than 3 blows obtained.
NOATTLF Question NURSE: Give reason why lung function measurements were not attempted / refused. CODE ONE ONLY.
OTHNOAT Question NURSE: Give details of why lung function measurements were not attempted / refused.
LFCODE5 Question NURSE: Circle consent code 04 on front of the Consent Booklet.
LFCODE3 Question NURSE: Circle consent code 04 on front of the Consent Booklet.
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 reason(s) for refusal to allow LF readings to be sent to GP. CODE ALL THAT APPLY.
CGPRLFM Question EDITOR: Back code answer at OthRefM here. UP TO 3 CODES.
OTHREFM Question NURSE: Give full details of reason(s) for refusal.
NCINS1 Question NURSE: - Complete Consent Form 2 -'Lung function to GP'. - Ask respondent to read, sign and date the office copy. - Tick the relevant box on the respondent's personal copy. - Check GP name, address and phone number are recorded on front of the Consent Booklet. - Check name by which GP knows respondent. - Circle consent code 03 on front of the Consent Booklet.
NCINS2 Question NURSE: Lung function measured. Offer lung function results to respondent. Enter their highest FVC and highest FEV and highest PF readings on MRC. (Complete new record card if required). Highest readings listed below. Highest FVC: [Highest technically satisfactory FVC reading (litres) - HTFVC] Highest FEV: [Highest technically satisfactory FEV reading (litres) - HTFEV] Highest PF: [Highest technically satisfactory PF reading (litres/min) - HTPF]
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.
SALINT Question NURSE: Now follows the Saliva module.
SALINTRO Question READ OUT: We would like you to provide some samples of your saliva on a single weekday. This will involve you chewing gently on a cotton swab for about a minute at four different times in the day. The samples will be analysed to see how the level of cortisol in your body varies. Cortisol levels will tell us about any stress you might experience. This is of particular interest because stress may be related to heart disease. Would you be willing to do this?
SALCONS Question NURSE: Complete Consent Form 5 - Saliva Sample. Explain the need for written consent and ask the respondent to read, sign and date the office copy. Tick the relevant box on the respondent's personal copy. Circle consent code 15 on front of the Consent Booklet.
SALPREP Question NURSE: Fill in the respondent's details on the front of the logbook. Ensure 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 to the front of the log book and one to the transparent plastic bag. Write the respondent's first name on the label on the plastic bag.
SALGIVE Question NURSE: Give kit to respondent. READ OUT: Here is an envelope with the tubes we would like you to use. Everything is explained in this logbook which you can work through step by step on the day you provide samples of your saliva.
SALWHEN Question READ OUT: At the top of page 3 the logbook explains when to take each sample. NURSE: Talk through section 'When to take your saliva samples'. Check that the respondent understands when to take first and second sample.
SALHOW Question READ OUT: At the bottom of page 3 the logbook explains how to take a sample - we will practise this now. NURSE: Talk through section 'How to take a sample'. Then ask the respondent to provide a test sample using one of the spare salivettes.
SALFIRS Question NURSE: Turn to page 4 and talk through the instructions for taking the orange sample: READ OUT: The first sample is taken as soon as you wake up so you should not eat, drink or brush your teeth before taking the sample.
SALQUES Question NURSE: Show respondent questions 2 - 6 for the orange sample: READ OUT: The logbook also contains questions we would like you to answer at the time you take your samples. These will help us understand your activities and the levels of stress you are experiencing at different times.
SALSEC Question NURSE: Talk through remainder of page 5. READ OUT: Please be careful to follow the instructions about what you can eat or drink before the second sample. NURSE: If the respondent seems unsure about what they can do, it may be best for them not to eat, drink or brush their teeth until after the second sample. READ OUT: After that you can do whatever you like for the rest of the day but you should not eat, drink or brush your teeth for at least 15 minutes before you take the other samples.
SALSEND Question NURSE: Show pages 6 - 8 which relate to the other samples. Then talk through further questions (questions 26-36) and instructions for return of samples. READ OUT: At the end of the logbook there are some further questions about your activities that day and instructions about how to return the samples and logbook to us. Please be sure to put your samples in the transparent plastic bag that has your name on the label. Please return them as soon as you can. If you have any questions, do call Helen Selwood on the ELSA Freephone number. NURSE: Show respondent number on last page and point out times Helen is available.
SALNO Question NURSE: Circle consent code 16 on front of the Consent Booklet.
ALLCHECK Question Check before leaving the respondent: # That all respondents have their personal copy of the consent forms. # 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 signatures have been collected. # If applicable: that you have left the saliva kit with the respondent. # If applicable: that you have fully completed all parts of the venepunture checklist.
ENDREACH Question NURSE: End of questionnaire reached.
SCTHK Question That was the final part of this stage of the study. However, I would like to leave you with this self completion booklet about your beliefs and well-being. Whilst it is not part of the main study, we would appreciate your help in answering the questions to assist us in developing the study for the future. Completion is, of course, entirely voluntary. I'll leave it with you, and, if possible, would be grateful if you could please return it to us in this prepaid envelope.
SCTHKDO Question NURSE: Prepare self-completion booklet by entering serial number.
SURDOC Question NURSE: Has the respondent given you any survey documents left with them by the interviewer?
THANK Question NURSE: Thank the respondent for [his / her] co-operation.
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