Protocol - Physical Functioning - Subjective
- Cardiorespiratory Fitness - Exercise Test Estimate - One Mile Walk
- Cardiorespiratory Fitness - Exercise Test Estimate - Treadmill Test
- Integrated Fitness - Adult
- Integrated Fitness - Child
- Integrated Fitness - Older Adult
- Physical Functioning - Objective
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
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 VariablesVariable Name | Variable ID | Variable Description | dbGaP Mapping | |
---|---|---|---|---|
PX151101_Doing_House_Chores | ||||
PX151101060000 | By {yourself/himself/herself} and without more | Variable Mapping | ||
PX151101_Dressing | ||||
PX151101120000 | By {yourself/himself/herself} and without more | Variable Mapping | ||
PX151101_Eating | ||||
PX151101110000 | By {yourself/himself/herself} and without more | Variable Mapping | ||
PX151101_Getting_Out_Of_Bed | ||||
PX151101100000 | By {yourself/himself/herself} and without more | N/A | ||
PX151101_Going_Out | ||||
PX151101170000 | By {yourself/himself/herself} and without more | N/A | ||
PX151101_Leisure | ||||
PX151101190000 | By {yourself/himself/herself} and without more | N/A | ||
PX151101_Lifting_10_Pound | ||||
PX151101050000 | By {yourself/himself/herself} and without more | N/A | ||
PX151101_Managing_Money | ||||
PX151101010000 | By {yourself/himself/herself} and without more | Variable Mapping | ||
PX151101_Preparing_Meals | ||||
PX151101070000 | By {yourself/himself/herself} and without more | Variable Mapping | ||
PX151101_Pushing_Pulling_Large_Objects | ||||
PX151101200000 | By {yourself/himself/herself} and without more | Variable Mapping | ||
PX151101_Reaching_Over_Head | ||||
PX151101150000 | By {yourself/himself/herself} and without more | N/A | ||
PX151101_Sitting_2_Hours | ||||
PX151101140000 | By {yourself/himself/herself} and without more | N/A | ||
PX151101_Social_Activities | ||||
PX151101180000 | By {yourself/himself/herself} and without more | Variable Mapping | ||
PX151101_Standing_2_Hours | ||||
PX151101130000 | By {yourself/himself/herself} and without more | N/A | ||
PX151101_Standing_Armless_Chair | ||||
PX151101090000 | By {yourself/himself/herself} and without more | Variable Mapping | ||
PX151101_Stooping | ||||
PX151101040000 | By {yourself/himself/herself} and without more | N/A | ||
PX151101_Using_Fingers_Small_Objects | ||||
PX151101160000 | By {yourself/himself/herself} and without more | N/A | ||
PX151101_Walking_Quarter_Mile | ||||
PX151101020000 | By {yourself/himself/herself} and without more | N/A | ||
PX151101_Walking_Room_To_Room | ||||
PX151101080000 | By {yourself/himself/herself} and without more | N/A | ||
PX151101_Walking_Up_10_Steps | ||||
PX151101030000 | By {yourself/himself/herself} and without more | Variable Mapping |
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.