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Protocol - Physical Functioning - Subjective

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Protocol Name from Source:

2005-2006 National Health and Nutrition Examination Survey (NHANES) Sample Person Questionnaire: Physical Functioning Module

Availability:

Publicly available

Description:

The interviewer asks the participant (or proxy) a series of questions about the level of difficulty he/she has performing everyday activities. These activities may be prohibited by a long-term (chronic) health problem. A hand card with the questions and response options is provided to the participant. Temporary conditions (e.g., broken leg, pregnancy) that prevent the participant from doing the activity do not apply.

Protocol:

By {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does Sample Person (SP)} have . . .

HAND CARD - [IDENTICAL TO THE QUESTIONS AND RESPONSES BELOW.] DO NOT INCLUDE TEMPORARY CONDITIONS LIKE PREGNANCY OR BROKEN LIMBS.

RESPONSES: NO DIFFICULTY = 1, SOME DIFFICULTY = 2, MUCH DIFFICULTY = 3, UNABLE TO DO = 4, DO NOT DO THIS ACTIVITY = 5, REFUSED = 7, DON’T KNOW = 9.

a.

managing {your/his/her} money [such as keeping track of {your/his/her} expenses or paying bills]?

____

b.

walking for a quarter of a mile [that is about 2 or 3 blocks]?

____

c.

walking up 10 steps without resting?

____

d.

stooping, crouching, or kneeling?

____

e.

lifting or carrying something as heavy as 10 pounds [like a sack of potatoes or rice]?

____

f.

doing chores around the house [like vacuuming, sweeping, dusting or straightening up]?

____

g.

preparing {your/his/her} own meals?

____

h.

walking from one room to another on the same level?

____

i.

standing up from an armless straight chair?

____

j.

getting in or out of bed?

____

k.

eating, like holding a fork, cutting food or drinking from a glass?

____

l.

dressing {yourself/himself/herself}, including tying shoes, working zippers, and doing buttons?

____

m.

standing or being on {your/his/her} feet for about 2 hours?

____

n.

sitting for about 2 hours?

____

o.

reaching up over {your/his/her} head?

____

p.

using {your/his/her} fingers to grasp or handle small objects?

____

q.

going out to things like shopping, movies, or sporting events?

____

r.

participating in social activities [visiting friends, attending clubs or meetings or going to parties]?

____

s.

Doing things to relax at home or for leisure [reading, watching TV, sewing, listening to music]?

____

t.

Pushing or pulling large objects like a living room chair?

____

Personnel and Training Required

The interviewer must be trained to conduct personal interviews with individuals from the general population. The interviewer must be trained and found to be competent (i.e., tested by an expert) at the completion of personal interviews*.

* There are multiple modes to administer this question (e.g., pencil and paper and computer-assisted interviews).

Equipment Needs

Although the source instrument was developed to be administered by computer, the PhenX Working Group acknowledges that these questions can be administered in a non-computerized format (i.e., pencil-and-paper instrument). Computer software is necessary to develop computer-assisted instruments. The interviewer will require a laptop or handheld computer to administer a computer-assisted questionnaire.

Requirements

Requirement CategoryRequired
Average time of greater than 15 minutes in an unaffected individualNo
Major equipmentNo
Specialized requirements for biospecimen collectionNo
Specialized trainingNo

Mode of Administration

Self-administered

Life Stage:

Senior

Specific Instructions:

Questions may be answered by a proxy. Items a., q., r., and s. are not related to physical functioning and may be omitted.

Research Domain Information

Release Date:

October 1, 2015

Definition

A measure to determine if a person has difficulty performing everyday activities.

Purpose

Physical limitations may prevent a person from performing activities of daily living and engaging in normal physical activity.

Selection Rationale

This protocol covers a range of activities associated with daily living and is useful in assessing the extent to which an individual has physical limitations in doing those activities. The protocol was administered and validated during a large national survey.

Language

English

Standards

StandardNameIDSource
Common Data Elements (CDE)Person Physical Function Subjective Assessment Description Text3061275CDE Browser
Logical Observation Identifiers Names and Codes (LOINC)Phys func subj proto62840-4LOINC

Process and Review

The [link[phenx.org/node/62|Expert Review Panel #1]] reviewed the measures in the Anthropometrics, Diabetes, Physical Activity and Physical Fitness, and Nutrition and Dietary Supplements domains.

Guidance from the ERP includes:

  • No significant changes

Back-compatible: no changes to Data Dictionary

Previous version in Toolkit archive ([link[www.phenxtoolkit.org/index.php?pageLink=browse.archive.protocols&id=150000|link]])

Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics. (2005-2006). National Health and Nutrition Examination Survey (NHANES) sample person questionnaire: Physical functioning module. Question number PFQ.061.

General References

None

Protocol ID:

151101

Variables:

Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX151101_DressingPX151101120000By {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does Sample Person (SP)} have... dressing {yourself/himself/herself}, including tying shoes, working zippers, and doing buttons?4Variable Mapping
PX151101_Standing_2_HoursPX151101130000By {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does Sample Person (SP)} have... standing or being on {your/his/her} feet for about 2 hours?4N/A
PX151101_Sitting_2_HoursPX151101140000By {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does Sample Person (SP)} have... sitting for about 2 hours?4N/A
PX151101_Reaching_Over_HeadPX151101150000By {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does Sample Person (SP)} have... reaching up over {your/his/her} head?4N/A
PX151101_Using_Fingers_Small_ObjectsPX151101160000By {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does Sample Person (SP)} have... using {your/his/her} fingers to grasp or handle small objects?4N/A
PX151101_Going_OutPX151101170000By {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does Sample Person (SP)} have... going out to things like shopping, movies, or sporting events?4N/A
PX151101_Social_ActivitiesPX151101180000By {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does Sample Person (SP)} have... participating in social activities [visiting friends, attending clubs or meetings or going to parties]?4N/A
PX151101_LeisurePX151101190000By {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does Sample Person (SP)} have... Doing things to relax at home or for leisure [reading, watching TV, sewing, listening to music]?4N/A
PX151101_Pushing_Pulling_Large_ObjectsPX151101200000By {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does Sample Person (SP)} have... Pushing or pulling large objects like a living room chair?4N/A
PX151101_Managing_MoneyPX151101010000By {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does Sample Person (SP)} have... managing {your/his/her} money [such as keeping track of {your/his/her} expenses or paying bills]?4N/A
PX151101_Walking_Quarter_MilePX151101020000By {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does Sample Person (SP)} have... walking for a quarter of a mile [that is about 2 or 3 blocks]?4N/A
PX151101_Walking_Up_10_StepsPX151101030000By {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does Sample Person (SP)} have... walking up 10 steps without resting?4N/A
PX151101_StoopingPX151101040000By {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does Sample Person (SP)} have... stooping, crouching, or kneeling?4N/A
PX151101_Lifting_10_PoundPX151101050000By {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does Sample Person (SP)} have... lifting or carrying something as heavy as 10 pound [like a sack of potatoes or rice]?4N/A
PX151101_Doing_House_ChoresPX151101060000By {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does Sample Person (SP)} have... doing chores around the house [like vacuuming, sweeping, dusting or straightening up]?4N/A
PX151101_Preparing_MealsPX151101070000By {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does Sample Person (SP)} have... preparing {your/his/her} own meals?4N/A
PX151101_Walking_Room_To_RoomPX151101080000By {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does Sample Person (SP)} have... walking from one room to another on the same level?4N/A
PX151101_Standing_Armless_ChairPX151101090000By {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does Sample Person (SP)} have... standing up from an armless straight chair?4N/A
PX151101_Getting_Out_Of_BedPX151101100000By {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does Sample Person (SP)} have... getting in or out of bed?4N/A
PX151101_EatingPX151101110000By {yourself/himself/herself} and without using any special equipment, how much difficulty {do you/does Sample Person (SP)} have... eating, like holding a fork, cutting food or drinking from a glass?4N/A