Protocol - Physical Functioning - Subjective

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.

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.

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?	____

Availability

Available

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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 Category	Required
Major equipment	No
Specialized training	No
Specialized requirements for biospecimen collection	No
Average time of greater than 15 minutes in an unaffected individual	No

Mode of Administration

Interviewer-administered questionnaire

Lifestage

Senior

Participants

Ages 60 or older

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

Standard	Name	ID	Source
Logical Observation Identifiers Names and Codes (LOINC)	Phys func subj proto	62840-4	LOINC
Human Phenotype Ontology	Impairment of activities of daily living	HP:0031058	HPO
caDSR Form	PhenX PX151101 - Physical Functioningsubjective	6179217	caDSR Form

Derived Variables

None

Process and Review

The 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)

Protocol Name from Source

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

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 Name	Variable ID	Variable Description	dbGaP Mapping
PX151101_Doing_House_Chores
	PX151101060000	By {yourself/himself/herself} and without more 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]? show less	Variable Mapping
PX151101_Dressing
	PX151101120000	By {yourself/himself/herself} and without more 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? show less	Variable Mapping
PX151101_Eating
	PX151101110000	By {yourself/himself/herself} and without more 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? show less	Variable Mapping
PX151101_Getting_Out_Of_Bed
	PX151101100000	By {yourself/himself/herself} and without more using any special equipment, how much difficulty {do you/does Sample Person (SP)} have... getting in or out of bed? show less	N/A
PX151101_Going_Out
	PX151101170000	By {yourself/himself/herself} and without more using any special equipment, how much difficulty {do you/does Sample Person (SP)} have... going out to things like shopping, movies, or sporting events? show less	N/A
PX151101_Leisure
	PX151101190000	By {yourself/himself/herself} and without more 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]? show less	N/A
PX151101_Lifting_10_Pound
	PX151101050000	By {yourself/himself/herself} and without more 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]? show less	N/A
PX151101_Managing_Money
	PX151101010000	By {yourself/himself/herself} and without more 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]? show less	Variable Mapping
PX151101_Preparing_Meals
	PX151101070000	By {yourself/himself/herself} and without more using any special equipment, how much difficulty {do you/does Sample Person (SP)} have... preparing {your/his/her} own meals? show less	Variable Mapping
PX151101_Pushing_Pulling_Large_Objects
	PX151101200000	By {yourself/himself/herself} and without more using any special equipment, how much difficulty {do you/does Sample Person (SP)} have... Pushing or pulling large objects like a living room chair? show less	Variable Mapping
PX151101_Reaching_Over_Head
	PX151101150000	By {yourself/himself/herself} and without more using any special equipment, how much difficulty {do you/does Sample Person (SP)} have... reaching up over {your/his/her} head? show less	N/A
PX151101_Sitting_2_Hours
	PX151101140000	By {yourself/himself/herself} and without more using any special equipment, how much difficulty {do you/does Sample Person (SP)} have... sitting for about 2 hours? show less	N/A
PX151101_Social_Activities
	PX151101180000	By {yourself/himself/herself} and without more 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]? show less	Variable Mapping
PX151101_Standing_2_Hours
	PX151101130000	By {yourself/himself/herself} and without more 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? show less	N/A
PX151101_Standing_Armless_Chair
	PX151101090000	By {yourself/himself/herself} and without more using any special equipment, how much difficulty {do you/does Sample Person (SP)} have... standing up from an armless straight chair? show less	Variable Mapping
PX151101_Stooping
	PX151101040000	By {yourself/himself/herself} and without more using any special equipment, how much difficulty {do you/does Sample Person (SP)} have... stooping, crouching, or kneeling? show less	N/A
PX151101_Using_Fingers_Small_Objects
	PX151101160000	By {yourself/himself/herself} and without more 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? show less	N/A
PX151101_Walking_Quarter_Mile
	PX151101020000	By {yourself/himself/herself} and without more 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]? show less	N/A
PX151101_Walking_Room_To_Room
	PX151101080000	By {yourself/himself/herself} and without more using any special equipment, how much difficulty {do you/does Sample Person (SP)} have... walking from one room to another on the same level? show less	N/A
PX151101_Walking_Up_10_Steps
	PX151101030000	By {yourself/himself/herself} and without more using any special equipment, how much difficulty {do you/does Sample Person (SP)} have... walking up 10 steps without resting? show less	Variable Mapping

Physical Activity and Physical Fitness

Measure Name

Physical Functioning - Subjective

Release Date

May 10, 2010

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.

Keywords

physical functioning - subjective, Physical Activity and Physical Fitness, physical functioning, physical limitations, activities of daily living, ADL, NHANES, gerontology, aging, geriatrics

Measure Protocols

Protocol ID	Protocol Name
151101	Physical Functioning - Subjective

Publications

There are no publications listed for this protocol.

Mapping for PX151101_Doing_House_Chores

dbGAP Study	dbGAP Variable	dbGAP Variable Description
Cardiovascular Health Study (CHS) Cohort	phv00099264	HAVE DIFFICULTY DOING LIGHT HOUSEWORK
Cardiovascular Health Study (CHS) Cohort	phv00102386	HAVE DIFFICULTY DOING LIGHT HOUSEWORK
Cardiovascular Health Study (CHS) Cohort	phv00103712	Light housework: How much difficulty
Cardiovascular Health Study (CHS) Cohort	phv00103763	Light housework: How much difficulty
Cardiovascular Health Study (CHS) Cohort	phv00104630	HAVE DIFFICULTY DOING LIGHT HOUSEWORK
Cardiovascular Health Study (CHS) Cohort	phv00105338	HAVE DIFFICULTY DOING LIGHT HOUSEWORK
Cardiovascular Health Study (CHS) Cohort	phv00106713	HAVE DIFFICULTY DOING LIGHT HOUSEWORK
Cardiovascular Health Study (CHS) Cohort	phv00107684	HAVE DIFFICULTY DOING LIGHT HOUSEWORK
Cardiovascular Health Study (CHS) Cohort	phv00108417	HAVE DIFFICULTY DOING LIGHT HOUSEWORK
Cardiovascular Health Study (CHS) Cohort	phv00109180	HAVE DIFFICULTY DOING LIGHT HOUSEWORK
Cardiovascular Health Study (CHS) Cohort	phv00110210	HAVE DIFFICULTY DOING LIGHT HOUSEWORK

Mapping for PX151101_Dressing

dbGAP Study	dbGAP Variable	dbGAP Variable Description
Cardiovascular Health Study (CHS) Cohort	phv00103724	Dressing yourself: How much difficulty
Cardiovascular Health Study (CHS) Cohort	phv00103775	Dressing yourself: How much difficulty
Women's Health Initiative	phv00111647	Can you dress and undress yourself
Women's Health Initiative	phv00169499	Can you dress and undress yourself
Women's Health Initiative	phv00192326	Can you dress and undress yourself

Mapping for PX151101_Eating

dbGAP Study	dbGAP Variable	dbGAP Variable Description
Cardiovascular Health Study (CHS) Cohort	phv00103722	Eating: How much difficulty do you have?
Cardiovascular Health Study (CHS) Cohort	phv00103773	Eating: How much difficulty do you have?
Framingham Cohort	phv00007157	DURING THE COURSE OF A NORMAL DAY, CAN YOU DO THE FOLLOWING ACTIVITIES INDEPENDENTLY OR DO YOU NEED HUMAN ASSISTANCE OR THE USE OF A DEVICE? EATING
Framingham Cohort	phv00010541	DURING THE COURSE OF A NORMAL DAY, CAN YOU DO THE FOLLOWING ACTIVITIES INDEPENDENTLY OR DO YOU NEED HUMAN ASSISTANCE OR THE USE OF A DEVICE - EATING

Mapping for PX151101_Managing_Money

dbGAP Study	dbGAP Variable	dbGAP Variable Description
Cardiovascular Health Study (CHS) Cohort	phv00103717	Because of health, do you have any difficulty to manage your money
Cardiovascular Health Study (CHS) Cohort	phv00103718	Manage money: How much difficulty
Cardiovascular Health Study (CHS) Cohort	phv00103768	Because of health, do you have any difficulty to manage your money
Cardiovascular Health Study (CHS) Cohort	phv00103769	Manage money: How much difficulty

Mapping for PX151101_Preparing_Meals

dbGAP Study	dbGAP Variable	dbGAP Variable Description
Cardiovascular Health Study (CHS) Cohort	phv00099274	HAVE DIFFICULTY PREPARING OWN MEALS
Cardiovascular Health Study (CHS) Cohort	phv00101433	HAVE DIFFICULTY PREPARING OWN MEALS
Cardiovascular Health Study (CHS) Cohort	phv00102394	HAVE DIFFICULTY PREPARING OWN MEALS
Cardiovascular Health Study (CHS) Cohort	phv00103948	HAVE DIFFICULTY PREPARING OWN MEALS
Cardiovascular Health Study (CHS) Cohort	phv00104638	HAVE DIFFICULTY PREPARING OWN MEALS
Cardiovascular Health Study (CHS) Cohort	phv00105348	HAVE DIFFICULTY PREPARING OWN MEALS
Cardiovascular Health Study (CHS) Cohort	phv00106721	HAVE DIFFICULTY PREPARING OWN MEALS
Cardiovascular Health Study (CHS) Cohort	phv00107692	HAVE DIFFICULTY PREPARING OWN MEALS
Cardiovascular Health Study (CHS) Cohort	phv00108425	HAVE DIFFICULTY PREPARING OWN MEALS
Cardiovascular Health Study (CHS) Cohort	phv00110218	HAVE DIFFICULTY PREPARING OWN MEALS

Mapping for PX151101_Pushing_Pulling_Large_Objects

dbGAP Study	dbGAP Variable	dbGAP Variable Description
Framingham Cohort	phv00006400	NAGI QUESTIONS - FOR EACH ACTIVITY THAT SUBJECT HAD A LOT OF DIFFICULTY DOING OR WAS UNABLE TO DO (CODES 3 OR 4) ASK FOR REASON(S) -PULLING OR PUSHING LARGE OBJECTS LIKE A LIVING ROOM CHAIR

Mapping for PX151101_Social_Activities

dbGAP Study	dbGAP Variable	dbGAP Variable Description
Cardiovascular Health Study (CHS) Cohort	phv00198980	10 health limited social activities
OPPERA baseline case-control study of chronic TMJD	phv00223763	SF12 Health interfered with social activities

Mapping for PX151101_Standing_Armless_Chair

dbGAP Study	dbGAP Variable	dbGAP Variable Description
Atherosclerosis Risk in Communities (ARIC) Cohort	phv00208781	Standing up from an armless straight chair? Q9 [Physical Ability Questionnaire, exam 4]

Mapping for PX151101_Walking_Up_10_Steps

dbGAP Study	dbGAP Variable	dbGAP Variable Description
Atherosclerosis Risk in Communities (ARIC) Cohort	phv00208774	Walking up 10 steps without resting? Q2 [Physical Ability Questionnaire, exam 4]
Cardiovascular Health Study (CHS) Cohort	phv00099254	HAVE DIFFICULTY WALKING UP 10 STEPS
Cardiovascular Health Study (CHS) Cohort	phv00101417	HAVE DIFFICULTY WALKING UP 10 STEPS
Cardiovascular Health Study (CHS) Cohort	phv00102378	HAVE DIFFICULTY WALKING UP 10 STEPS
Cardiovascular Health Study (CHS) Cohort	phv00103708	Walking up 10 steps: How much difficulty
Cardiovascular Health Study (CHS) Cohort	phv00103758	Do you have any difficulty walking up 10 steps
Cardiovascular Health Study (CHS) Cohort	phv00103759	Walking up 10 steps: How much difficulty
Cardiovascular Health Study (CHS) Cohort	phv00103928	HAVE DIFFICULTY WALKING UP 10 STEPS
Cardiovascular Health Study (CHS) Cohort	phv00104622	HAVE DIFFICULTY WALKING UP 10 STEPS
Cardiovascular Health Study (CHS) Cohort	phv00106705	HAVE DIFFICULTY WALKING UP 10 STEPS
Cardiovascular Health Study (CHS) Cohort	phv00107676	HAVE DIFFICULTY WALKING UP 10 STEPS
Cardiovascular Health Study (CHS) Cohort	phv00108409	HAVE DIFFICULTY WALKING UP 10 STEPS
Cardiovascular Health Study (CHS) Cohort	phv00109172	HAVE DIFFICULTY WALKING UP 10 STEPS
Cardiovascular Health Study (CHS) Cohort	phv00110202	HAVE DIFFICULTY WALKING UP 10 STEPS