Table 1 Content of "Health Survey" questionnaire
Concept | Measurement method | Details |
|---|---|---|
Perceived general health | MOS SF-12 [8] | physical and mental component summary scores |
Participation | Keele Assessment of Participation (KAP) [9] | 11 item measure of person-perceived, performance-based participation |
Social isolation | - Berkman-Syme Social Network Index [10] | 4 levels of social connection: 'Most integrated' to 'Most isolated' |
- presence and frequency of contact with confidante [11] | "Is there any one special person you know that you feel very close to; someone you can share confidences and feelings with? | |
Access to material goods and services | car, public transport, telephone, GP, bank, chemist, advice about income, education, work | |
Anxiety and depression | Hospital anxiety and depression scale (HADs) [12] | anxiety and depression sub-scales |
Causes of illness | Illness perceptions questionnaire (IPQ(R)) [13] | causes sub-scale |
Demographic characteristics | - date of birth, gender | |
- marital status | single, married, divorced, widowed, cohabiting, single | |
- living arrangements | alone, not alone | |
- ethnic origin | white, afro caribbean, chinese, asian, african, other | |
Occupational characteristics | - current employment status | employed, not working due to ill health, seeking employment, retired, housewife, other |
- current/recent job title | ||
- socio-economic classification | ||
- educational attainment | age when left school, completed higher education, gained qualifications as adult | |
Anthropometric characteristics | -self-reported height | |
-self-reported weight | ||
Lifestyle characteristics | -alcohol intake | daily, weekly, monthly, annually, never |
- smoking status | current, previous, never | |
- adequacy of income | strain, need to be careful, can manage, comfortably well off | |
Co-morbidities | chest problems, heart problems, deafness, eyesight, raised blood pressure, diabetes | |
Symptoms | falls, memory difficulties, cough with spit, breathless when walking, dizziness, weakness in arms/legs | occurred in past 3 months |
Cognition | Functional Limitations Profile (FLP) [16] | alertness sub-scale score |
Sleep problems | [17] | 4 item sub-scale |
Bodily pain | - self-completed manikin | "In the past 4 weeks have you had pain that has lasted for one day or longer in any part of your body?" |
- specific sites questions | "Have you had any problems in your hands or pain in your hands/knees/hips/feet in the last year? | |
Medication use | Painkillers, creams, natural medicine, glucosamine/ chondroitin sulphate | usage in past 4 weeks – daily, most days, some days, few days, no days |
Physical function | MOS Short Form-36 [18] | physical functioning sub-scale |
Consent | - further contact | |
- access to GP records |