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Protocol - Physical Functioning - Subjective

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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?

____

Protocol Name from Source:

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

Availability:

Publicly available

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
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

Life Stage:

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
StandardNameIDSource
Common Data Elements (CDE) Person Physical Function Subjective Assessment Description Text 3061275 CDE Browser
Logical Observation Identifiers Names and Codes (LOINC) Phys func subj proto 62840-4 LOINC
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)

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 IDVariable DescriptiondbGaP 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:

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.

Keywords

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