National Survey of Health and Development
1999 (Age 53)
1999 Nurse Interview
nshd_99_cq
MRC NATIONAL SURVEY OF HEALTH AND DEVELOPMENT
University College London Medical School
Department of Epidemiology and Public Health
NURSE INTERVIEW 1999
CAPI Version 5
23rd January 2002
KEY
Normal text Nurse reads this out to cohort member
Bold Emphasis for the nurse when reading out question
Italics Instruction to nurse only
# Instruction to nurse to press shift and F2 to save
^ Instruction to nurse to press 1 to continue
[ ] Indicates inserted feed forward data from elsewhere
FF Warren's feed forward data
LFF Local feed forward data (i.e. data collected in interview)
SFF SCPR feed forward data
Point number
Enter a numeric value between 1 and 990.
Serial number
You are in the interview schedule for serial number [SFF]. Enter a numeric value between 1001 and 7002.
Interview date Version: Ver05. # ^
Nurse: check date of interview and alter if not correct.
Before I start the interview, I need to check that I have opened the right file for you.
Code: Cohort member's sex.
Can I check? What day in March is your birthday? Birth date
Enter a numeric value between 3 & 9.
Can I check, is your name still ... (read from ARF) or have you changed it for any reason?
Nurse: please record name change details in full on ARF page 1 by label. ^
Nurse: please code whether you are interviewing the cohort member themselves or conducting a proxy interview with the cohort member's carer?
Before we begin the interview, I need to get your written permission to carry out this interview. Please read and sign Consent Form 1.
Nurse: Make sure the form has been signed and dated.
Nurse: circle codes 01 and 04 on front of consent booklet. ^
Nurse: circle codes 02, 04, 06, 08, 10, 12, 14, 16, 18, 20, 22, 24 and 26 on front of consent booklet.
Before we begin the interview, I need to get your written permission to carry out this interview on behalf of the cohort member. Please read and sign Consent Form 2.
Nurse: address this question to the carer. Nurse: Make sure the form has been signed and dated.
Nurse: circle codes 02 and 03 on front of consent booklet. ^
Nurse: circle codes 02, 04, 06, 08, 10, 12, 14, 16, 18, 20, 22, 24 and 26 on front of consent booklet.
Nurse to code: Is cohort member in an institution?
I would like to start by asking you some questions about your household. How many people in total live in this household, including yourself? Number
Include individuals absent temporarily e.g. someone working away or a child that is a student. Enter a numeric value between 1 and 20.
Do you have a husband/wife or partner living in this household?
How many children under 16 live in your household all of the time? Include any step, adopted or foster children you are responsible for. Number
Include all children for whom survey member is parent figure. Enter a numeric value between 0 and 15.
Now children aged 16 or over, including grown up ones. How many live in your household all of the time? Number
Include step, foster, adopted or any for whom survey member is parent figure. Enter a numeric value between 0 and 15.
Now I would like to get some general information about your household. Does your household own or rent this accommodation? Please give an answer from this card.
(Show card A)
In what way does your household occupy this accommodation?
I would now like to update our records about marriages and partners. First, what is your current marital status ...
Can I check, have you been married once or more than once? Number
If more than once, probe for number of marriages. Enter number of marriages. Enter a numeric value between 0 and 9.
Since we last interviewed you in [FF], have you lived with a partner for more than a year?
_marriage < &&
_marriage < &&
Thinking of your [LFF e.g. first/second/last] marriage, when were you married. Can you tell me the year? Year or age
Nurse: If respondent gives you an age rather than a year you can enter the age here instead. Enter a numeric value between 16 and 1999.
How did this marriage end?
When did your partner die - just tell me the year. Year
Enter a numeric value between 1956 and 2000.
When did you stop living together - just tell me the year? Year
Enter a numeric value between 1956 and 2000.
If more marriages, go back to Q16a
Turning now to children of your own ... Refer only to biological children. Exclude still births and miscarriages. ^ Have you ever had any children of your own.
Include biological children only. Exclude still births and miscarriages.
How many children of your own have you had altogether? Number
Include biological children only. Exclude still births and miscarriages. Enter number of children. Enter a numeric value between 0 and 25.
(_children <= qc_17_b) && (_children < 26)
(_children <= qc_17_b) && (_children < 26)
Do any of your own children now have children of their own?
Now something about hospital treatment. Since we last saw you in [FF year], when you were [FF age], have you been admitted to hospital as an in-patient?
In-patient = at least one overnight stay.
How many times have you been admitted to hospital since we saw you last in [FF year]? Number
Enter no of admissions. Enter a numeric value between 1 and 25.
(_admissions <= qc_20_b) && (_admissions < 26)
(_admissions <= qc_20_b) && (_admissions < 26)
I would like some information about your in-patient admissions. ^ Thinking of the [LFF time e.g. first/last] time you were in hospital as an in-patient since we last saw you in [FF]. Which hospital did you go into? ...
Collect full name of hospital and name of town/city in which located. Enter verbatim.
Which town was this in?
Were you an NHS or a private patient?
When did you go in, first tell me the month and then the year? Month
Enter a numeric value between 1 and 12.
And the year? Year
If year not known enter age. If both not known press <Ctrl + K>. Enter a numeric value between 0 and 2000.
Why were you admitted to hospital as an in-patient on this occasion?
Probe for full reason and diagnosis. Record all reasons leading to admission. Enter verbatim.
What was the name of the ward you were in?
If in more than one ward - enter names of all wards remembered.
What was the name of the doctor who was in charge of your case while you were in hospital?
Record verbatim.
If more inpatient hospital admissions, go back to Q21a
Thank you for your help with these questions. It is possible that the research team at the Medical Research Council would like to obtain more information from the hospital's records. May we ask your permission to consult your hospital records?
Before the Medical Research Council can look at your records, they need to have your written consent to confirm that you have no objection to them collecting fuller information about your in-patient stay(s) in hospital. Please read and sign Consent form 3.
Nurse: Please make sure the form has been signed and dated by the cohort member (and carer if applicable).
Nurse: circle code 05 on front of consent booklet. ^
Nurse: circle code 06 on front of consent booklet. ^
Now some questions about going into hospital as a day patient for treatment or surgery. Since we last saw you in [FF year], aged [FF age], have you spent a day at a hospital for treatment or surgery and then come home at the end of the day?
Have you been in hospital as a day patient for just one illness or condition or have you been in for more than one type of problem? Number
Count each type of problem/illness/condition as one course of treatment. Enter number of courses of treatment. Enter a numeric value between 1 and 25.
(_admissions <= qc_23_b) && (admissions < 26)
(_admissions <= qc_23_b) && (admissions < 26)
I would like some information about the problems that caused you to go into hospital as a day patient for treatment or surgery. What was the illness or condition that was being treated on the first occasion since [FF year]
Collect information about each course of treatment. Starting with first one since last interview. #^ Record all problems treated.
In which year or what age did you go into hospital as a day patient for this first problem? Year
Nurse: Enter year - this should not be before year of last interview. Nurse: If respondent gives you an age rather than a year you can enter the age here instead. Enter a numeric value between 0 and 2000.
If more day patient admissions, go back to Q24a.
Now I am going to ask you some questions about your general health. Have you ever been told by a doctor that you have had angina?
How old were you when you first had this problem? Age
Nurse: If asked, when respondent first felt they had angina if respondent was born with this condition, enter 0. Enter number in years. Enter a numeric value between 0 and 53.
Have you had any more attacks since then?
How old were you when you last had this problem? Age
Enter number in years. Enter a numeric value between 0 and 53.
Have you consulted a doctor or other health professional about your angina in the last 12 months?
Code all that apply. Enter at most 3 values.
How often have you consulted a doctor about your angina in the last 12 months? Number
Enter a numeric value between 0 and 100
How often have you consulted a health professional about your angina in the last 12 months? Number
Enter a numeric value between 0 and 100.
Have you taken any prescribed medicines or tablets for your angina in the last 12 months?
Please tell me the name of the prescribed medicines or tablets that you have taken for this in the last 12 months.
Probe for others and record verbatim.
Have you ever had any pain or discomfort in your chest?
Have you ever had any pressure or heaviness in your chest?
Do you get it when you walk uphill or hurry?
Do you get it when you walk at an ordinary pace on the level?
What do you do if you get it while walking? Do you
... read out ...
And if you stand still what happens to it. Does the pain in your chest
... read out ...
How soon does it go away. Does it go in
... read out ...
Will you show me where you get this pressure or heaviness in the chest?
Show card B Nurse: Use show card B to help code the position. Code all that apply. Probe: Anywhere else? Enter at most 6 values.
Did you see a doctor or hospital specialist because of this pain or discomfort?
If yes, probe for who: Who? Code all that apply. Enter at most 3 values.
Do you get pain in either leg on walking?
Does this pain ever begin when you are standing still or sitting?
In what part of your leg do you feel this pain or discomfort?
Nurse: Ask respondent to point.
Do you get it if you walk uphill or hurry
Do you get it when you walk at an ordinary pace on the level?
Does the pain ever disappear while you are walking?
What do you do if you get it when you are walking? Do you
... read out ...
Have you ever suffered from a heart attack?
How many heart attacks have you had? Number
Nurse: enter number. Enter a numeric value between 1 and 20
Who diagnosed these heart attack(s). Was it
... read out ... Nurse: For more than one heart attack code all that apply. Enter at most 2 values.
How old were you when you had your first heart attack? Age
Enter number in years. If less than one, enter 0. Enter a numeric value between 0 and 53.
How old were you when you had your most recent heart attack? Age
Enter number in years. Enter a numeric value between 0 and 53.
Now I would like to ask you about some more specific health problems or illnesses. #^ Looking at this card, please tell me which of these kinds of heart trouble you have had, if any, in the last ten years that is since you were 43 years old?
Nurse code all that apply. Show card C. Enter at most 8 values.
What kind of heart trouble have you had?
Nurse type verbatim.
Has a doctor said you had this problem?
How old were you then? Age
Nurse: Enter age when diagnosis first made. Nurse; If respondent gives you a year rather than an age you can enter the year here instead. Enter 0 if born with illness. Enter a numeric value between 0 and 2000.
Have you had any kind of blood pressure problems in the last ten years that is since you were 43 years old?
What blood pressure problems have you had?
Enter at most 3 values.
Has a doctor said you had this problem?
How old were you then? Age
Nurse: Enter age when diagnosis first made. Nurse; If respondent gives you a year rather than an age you can enter the year here instead. Enter 0 if born with illness. Enter a numeric value between 0 and 2000.
And in the last ten years (that is since you were 43 years old,) have you had a stroke?
Has a doctor said you had this problem?
How old were you then? Age
Nurse: Enter age when diagnosis first made. Nurse; If respondent gives you a year rather than an age you can enter the year here instead. Enter 0 if born with illness. Enter a numeric value between 0 and 2000.
And in the last ten years (that is since you were 43 years old,) have you had a thyroid disorder?
If asked: examples include goitre, hyperthyroidism or hypothyroidism.
What kind of thyroid disorder have you had?
Nurse: code all that apply. Enter at most 4 values.
Has a doctor said you had this problem?
How old were you then? Age
Nurse: Enter age when diagnosis first made. Nurse; If respondent gives you a year rather than an age you can enter the year here instead. Enter 0 if born with illness. Enter a numeric value between 0 and 2000.
And in the last ten years (that is since you were 43 years old,) have you had meningitis or encephalitis?
Has a doctor said you had this problem?
How old were you then? Age
Nurse: Enter age when diagnosis first made. Nurse; If respondent gives you a year rather than an age you can enter the year here instead. Enter 0 if born with illness. Enter a numeric value between 0 and 2000.
(And) in the last ten years (that is since you were 43 years old,) have you had shingles?
Did you have shingles
If yes, probe 'Did your shingles involve your eyes?' ... read out ...
Has a doctor said you had this problem?
How old were you then? Age
Nurse: Enter age when diagnosis first made. Nurse; If respondent gives you a year rather than an age you can enter the year here instead. Enter 0 if born with illness. Enter a numeric value between 0 and 2000.
And in the last ten years (that is since you were 43 years old,) have you ever had any fits or epilepsy?
Has a doctor said you had this problem?
How old were you then? Age
Nurse: Enter age when diagnosis first made. Nurse; If respondent gives you a year rather than an age you can enter the year here instead. Enter 0 if born with illness. Enter a numeric value between 0 and 2000.
And in the last ten years (that is since you were 43 years old,) have you had cancer?
Looking at this card [please tell me what type of cancer you have had in the last ten years?
Show card D. Nurse: Code all that apply and give any further details by opening a notepad by using Ctrl+M. Enter at most 11 values.
What other kind of cancer have you had?
Nurse: type verbatim.
Has a doctor said you had this problem?
How old were you then? Age
Nurse: Enter age when diagnosis first made. Nurse; If respondent gives you a year rather than an age you can enter the year here instead. Enter 0 if born with illness. Enter a numeric value between 0 and 2000.
And in the last ten years (that is since you were 43 years old,) have you had Chronic fatigue syndrome or Myaligic encephalomyelitis, better known as ME?
Has a doctor said you had this problem?
How old were you then?
Nurse: Enter age when diagnosis first made. Nurse; If respondent gives you a year rather than an age you can enter the year here instead. Enter 0 if born with illness. Enter a numeric value between 0 and 2000.
And in the last ten years (that is since you were 43 years old,) have you had diabetes?
What kind of diabetes have you had. Was it
... read out ... Nurse: code all that apply. Enter at most 3 values.
Has a doctor said you had this problem?
How old were you then?
Nurse: Enter age when diagnosis first made. Nurse; If respondent gives you a year rather than an age you can enter the year here instead. Enter 0 if born with illness. Enter a numeric value between 0 and 2000.
And in the last ten years have you had asthma?
Has a doctor said you had this problem?
How old were you then?
Nurse: Enter age when diagnosis first made. Nurse; If respondent gives you a year rather than an age you can enter the year here instead. Enter 0 if born with illness. Enter a numeric value between 0 and 2000.
And in the last ten years that is since you were 43 years old, have you had hay fever?
Has a doctor said you had this problem?
How old were you then?
Nurse: Enter age when diagnosis first made. Nurse; If respondent gives you a year rather than an age you can enter the year here instead. Enter 0 if born with illness. Enter a numeric value between 0 and 2000.
And in the last ten years have you suffered from migraines?
Has a doctor said you had this problem?
How old were you then?
Nurse: Enter age when diagnosis first made. Nurse; If respondent gives you a year rather than an age you can enter the year here instead. Enter 0 if born with illness. Enter a numeric value between 0 and 2000.
(And in the last ten years that is since you were 43 years old,) have you had a sudden speech problem which got better after a day?
(And) in the last ten years (that is since you were 43 years old,) have you had sudden sight problems which got better after a day?
And in the last ten years (that is since you were 43 years old,) have you had a sudden weakness in an arm or leg which got better after a day?
And in the last ten years (that is since you were 43 years old,) have you had anaemia?
(And in the last ten years) have you had any liver diseases?
(And in the last ten years) have you had any stomach trouble such as ulcers, gastritis or acid indigestion?
(And in the last ten years) have you had gall bladder trouble?
(And in the last ten years) have you had any kidney or bladder infections?
(And in the last ten years) have you had a hernia?
(And in the last ten years) have you had any allergies?
(And in the last ten years) have you had cataracts, glaucoma or other serious eye trouble?
(And in the last ten years) have you had any skin trouble such as eczema or psoriasis?
(And in the last ten years) have you had any persistent trouble with your gums or mouth?
Do you now regularly take any prescribed medicines?
What are they called?
Nurse: Record names of all medicines and they are used for.
Do you usually cough first thing in the morning in the winter?
Do you usually cough during the day or night in winter?
Do you cough like this on most days for as much as 3 months each year?
Do you usually bring up any phlegm (spit from the chest) first thing in the morning in winter?
Do you usually bring up any phlegm during the day or at night in winter?
Do you bring up phlegm on most days for as much as 3 months each year?
In the past 3 years, have you had a period of cough and phlegm lasting for 3 weeks or more?
Does your chest ever sound wheezy or whistling?
During the past 3 years, have you had any chest illness, for example, bronchitis or pneumonia, which has kept you off work or indoors for a week or more?
How many illnesses like this have you had in the last 3 years. Have you had
... read out ...
Did you consult a doctor about this during the last 3 years?
Now a few questions about smoking. Can I check, do you smoke cigarettes at all nowadays?
How many cigarettes a day do you usually smoke?
Nurse: If roll-ups give equivalent number of cigarettes. Enter number. Enter a numeric value between 1 and 300.
What is the main brand of cigarettes you smoke?
Nurse: Ask to see packet if necessary. Type both the brand and the type.
Enter the 4 digit cigarette brand code.
Enter a numeric value between 0 and 9999.
Have you ever smoked cigarettes regularly, by which I mean at least one cigarette a day for 12 months or more?
Do any of the people you live with smoke cigarettes at home?
Thinking about all the people you live with, on average, about how many cigarettes a day do they smoke at home? Number
Enter total number of cigarettes. Enter a numeric value between 0 and 90.
Do you smoke a pipe?
How much pipe tobacco do you usually smoke per week?
Nurse: Enter code first and amount at next question.
Nurse: Enter amount in grams. Amount
If less than one gram, enter 0. Enter a numeric value between 0 and 900.
Nurse: Enter amount in ounces. Amount
If less than one ounce, enter 0. Enter a numeric value between 0 and 90.
What brand of tobacco you smoke?
Nurse: ask to see packet if necessary.
Do you smoke cigars?
How many cigars do you smoke per week?
Enter a numeric value between 0 and 300.
What brand of cigars you smoke?
Nurse: ask to see packet if necessary.
Did either of your parents smoke cigarettes, cigars or pipes when you lived with them as a child?
Nurse: If did not live with parents, ask about the people respondent lived with. Code all that apply. Enter at most 4 values.
Now some questions about your family? #^ Can I now check, is your natural mother alive?
How old was your mother when she died? Age
Enter age in years. Enter a numeric value between 10 and 120.
What was the date of her death, the year first please? Year
If don't know press Ctrl+K. Enter a numeric value between 1946 and 1999.
The month please? Month
If don't know press Ctrl+K. Enter a numeric value between 1 and 12.
The day please? Day
If don't know press Ctrl+K. Enter a numeric value between 1 and 31.
What was the cause of her death?
(If necessary, probe: What was on the death certificate?) Write in fully.
(Can I now check,) is your natural father alive?
How old was your father when she died? Age
Enter age in years. Enter a numeric value between 10 and 120.
What was the date of his death, the year first please? Year
If don't know press Ctrl+K. Enter a numeric value between 1946 and 1999.
The month please? Month
If don't know press Ctrl+K. Enter a numeric value between 1 and 12.
The day please? Day
If don't know press Ctrl+K. Enter a numeric value between 1 and 31.
What was the cause of his death?
(If necessary, probe: What was on the death certificate?) Write in fully.
I would now like to ask you some questions about mammograms, which are x-rays of the breast. Have you ever had a mammogram?
When did you have your first mammogram. Please either tell me the year or how old you were at the time?
Nurse: record whether the answer is being given as a year or as an age.
Age
Nurse: Enter age in years. Enter a numeric value between 0 and 53.
Year
Nurse: Enter year using 4 digits. Enter a numeric value between 1946 and 2001
What is the name of the hospital/medical facility you attended for your mammogram?
Nurse: type in full name. (If don't know, type 'dk')
What town is the hospital/medical facility in?
Nurse: type in full name. (If don't know, type 'dk')
Was the mammogram part of a routine breast screening?
Was anything abnormal found in your first mammogram?
Have you had any other mammograms since the one we've just talked about?
When did you have your most recent mammogram. Please either tell me the year or how old you were at the time?
Nurse: record whether the answer is being given as a year or as an age.
Age
Nurse: Enter age in years. Enter a numeric value between 0 and 53.
Year
Nurse: Enter year using 4 digits. Enter a numeric value between 1946 and 2001.
What is the name of the hospital/medical facility you attended for your mammogram?
Nurse: type in full name. (If don't know, type 'dk')
What town is the hospital/medical facility in?
Nurse: type in full name. (If don't know, type 'dk')
Was the mammogram part of a routine breast screening?
Was anything abnormal found in your most recent mammogram?
Have you ever consulted a doctor about breast lumps?
How many times have you consulted a doctor about breast lumps. Is it
... read out ... Nurse: if asked, doctor can be a doctor of any kind i.e. GP, hospital consultant etc.
I would now like to ask you some questions about your first consultation about breast lumps. When did you have your first consultation. Please either tell me the year or how old you were at the time?
Nurse: record whether the answer is being given as a year or as an age.
Age
Nurse: Enter age in years. Enter a numeric value between 0 and 53
Year
Nurse: Enter year using 4 digits. Enter a numeric value between 1946 and 2001.
So your first consultation was in [LFF year] when you were [LFF age]. Is that correct?
Nurse: go back and amend
In what month of [LFF year] did you have your first consultation? Month
Nurse: please enter the month. Enter a numeric value between 0 and 12.
Looking at the show card E, please tell me what was the diagnosis. Please choose an answer from this card.
Show Card E. Nurse: code one only.
What was the diagnosis?
Did you have a breast biopsy, (that is having a small piece of tissue removed from your breast)?
What is the name of the hospital you attended for your biopsy in [LFF month and year].
Nurse: type in full name. (If don't know, type 'dk')
What town is the hospital in?
Nurse: type in full name. (If don't know, type 'dk')
And can you tell me the name of the consultant in charge of your biopsy?
I would now like to ask you some questions about your most recent consultation about breast lumps. When did you have your most recent consultation. Please either tell me the year or how old you were at the time?
Nurse: record whether the answer is being given as a year or as an age.
Age
Nurse: Enter age in years. Enter a numeric value between 0 and 53.
Year
Nurse: Enter year using 4 digits. Enter a numeric value between 1946 and 2001.
So your first consultation was in [LFF year] when you were [LFF age]. Is that correct?
Nurse: go back and amend.
In what month of [LFF year] did you have your first consultation? Month
Nurse: please enter the month. Enter a numeric value between 0 and 12.
Looking at the show card E, please tell me what was the diagnosis. Please choose an answer from this card.
Show Card E. Nurse: code one only.
What was the diagnosis?
Did you have a breast biopsy, (that is having a small piece of tissue removed from your breast)?
What is the name of the hospital you attended for your biopsy in [LFF month and year].
Nurse: type in full name. (If don't know, type 'dk')
What town is the hospital in?
Nurse: type in full name. (If don't know, type 'dk')
And can you tell me the name of the consultant in charge of your biopsy?
To help analyse this information more effectively, we may wish to obtain a copy of your mammogram. Would you be willing for the Medical Research Council to do that?
In order for this to be done, we need to obtain your written permission. Could you please read Consent Form 4 then sign and date it? Nurse: Please make sure the form is correctly signed and dated. ^ Nurse: Circle code 07 on front of consent booklet. ^
In the last 12 months, have you had pain or stiffness in your left hand or fingers on most days for at least a month?
Probe for which. Code all that apply. Enter at most 2 values.
In the last 12 months, have you had pain or stiffness in your right hand or fingers on most days for at least a month?
Probe for which. Code all that apply. Enter at most 2 values.
Do you have difficulty because of long term health problems holding something heavy like a full kettle or removing a stiff lid from a jar?
Now I would like to examine your hands for any bumps or swellings. Would you be willing for me to examine your hands?
If no, record whether refusal or other reason.
Fill out details on front cover and make examination of each hand and record markings on page 2 of paper test booklet. Serial: [LFF] Date: [LFF] #^
How frequently at home or at work do you use your hands in strong movements, such as squeezing water out of a towel, playing racket sports, digging the garden, or carrying heavy items such as a suitcase, briefcase, bucket or shopping bag. Please choose an answer from this card.
Show card F
Do you have difficulty because of long term health problems using either arm to reach up high above your head or to reach behind to tuck a shirt in or do up a zip?
How frequently at home or at work do you use your arms to reach up above head, such as dusting high pictures, replacing light bulbs, reaching objects on high shelves, or gardening activities like pruning or trimming high hedges. Please choose an answer from this card.
Show card F
In the last 12 months, have you had pain or stiffness in your left knee on most days for at least a month?
Probe for which. Code all that apply. Enter at most 2 values.
In the last 12 months, have you had pain or stiffness in your right knee on most days for at least a month?
Probe for which. Code all that apply. Enter at most 2 values.
Have you ever injured your knees badly enough to see a doctor about it?
Probe for which. Code all that apply. Enter at most 2 values.
In the last 12 months, have you had sciatica, lumbago or severe backache?
Do you find it difficult to walk for a quarter of a mile on the level because of long term health problems?
If asked: a quarter of a mile is 400 yards.
How far can you walk without stopping or severe discomfort. Would you say
... read out ... If asked a quarter of a mile is 400 yards.
Do you find it difficult walking up and down stairs, because of long term health problems?
Can you walk up and down a flight of 12 stairs in a normal manner without holding on or taking a rest?
Do you easily fall or have difficulty keeping your balance because of long term health problems?
Have you fallen at all in the past 12 months that is since [LFF month and year]?
How many times have you fallen in the past 12 months. Have you fallen
... read out ...
I would now like to assess your balance and co-ordination. First, I will ask you to fold your arms and, after I count up to three, stand on your preferred leg, and raise your other foot off the floor like this (nurse demonstrate). I will ask you to hold this position for as long as you can or until I tell you to stop. Then I want you to repeat the test with your eyes closed. Would you be willing to have a go?
Nurse code one only.
Which is your dominant leg (ignoring any current injury)?
If asked: Which leg would you kick a ball with or hop on. Code one only.
Nurse carry out test with cohort member's eyes open. Allow the cohort member to practice.
Nurse code one only.
Nurse: record time for balance test with eyes open. Time
Enter time in seconds. Enter a numeric value between 0 and 30.
Nurse carry out test with cohort member's eyes open.
Allow the cohort member to practice. Set stop watch for 30 seconds. Nurse code one only.
Nurse: record time for balance test with eyes closed. Time
Enter time in seconds. Enter a numeric value between 0 and 30.
I would now like you to do some chair stands. First I will ask you to fold your arms and, after I count up to three, I will ask you to stand up from your chair and sit down again ten times like this (nurse demonstrate). Would you be willing to have a go?
Nurse code one only.
Nurse: Let the cohort member practice then record time for chair stands test.
Enter time in seconds. Enter code 888 if respondent unable to finish. Enter a numeric value between 0 and 888.
Have you broken a bone since you were 25 years old?
Have you ever been knocked unconscious by a blow to the head?
In the last 4 weeks, that is since [LFF day and date], have you taken part in any sports or vigorous leisure activities or done any exercises in your spare time, not including getting to and from work?
If asked: Include things like badminton, swimming, yoga, press-ups, dancing, mountain climbing or jogging and brisk walks for 30 minutes or more.
On how many occasions in the last 4 weeks did you do these activities? Number
Enter a numeric value between 1 and 100.
On how many of these occasions did your exercise make you sweaty and or out of breath? Number
Enter a numeric value between 0 and 100.
The next few questions are about your social life, particularly with friends and relatives who do not live at home with you. ^ Are there any relatives or friends with whom you have regular contact, either by visit, telephone or letters?
Thinking of all your relatives or friends, how often do you regularly visit or are visited by these people. Do you see them
... read out ...
How often do you regularly visit or are visited by these persons?
How many relatives or friends do you see once a month or more?
Do you think that you have friends, neighbours or relatives who would help you out if a problem or crisis came up? Would you say you had
... read out ...
Overall do you wish that you had more of a social life, or are things about right for you, or would you prefer to see less of people?
I would now like to ask you some questions about things you have experienced over the last 12 months, that is since [LFF month and year]. Thinking back over the last 12 months have you developed, or found out that you have, a serious illness or disability?
Have you had an accident or received an injury which has affected you for a month or more?
Have you been assaulted, robbed or been a victim of attempted robbery?
Have you lost your job or thought you would soon lose your job?
Have you had any other crises or serious disappointments in your work or career in general?
Have you moved house in the last 12 months?
Did you move away from the area where most of your friends lived?
During the last 12 months has your spouse/partner had a serious accident or illness, or received a serious injury, or been assaulted?
Has your spouse/partner lost their job or thought they would soon lose their job?
Has your spouse/partner had any other crises or serious disappointments in their work?
Have you had any serious disagreements with your spouse/partner or felt betrayed or disappointed by them?
In the last 12 months have you had any serious difficulties with any of your children, because of their health or behaviour or for other reasons?
Has a friend or relative (other than your spouse/partner or children) or someone you know well had a serious accident or illness or received a serious injury?
Has a friend or relative or someone you know well died during the last 12 months?
Have you fallen out or had a serious disagreement with a friend or relative or felt betrayed by them?
Have you lost contact with a close friend or relative for any other reason?
Have you had any other serious upsets or disappointments in the last year?
The next section of the interview is about paid work. Are you currently in paid work?
Include self-employed, government schemes for employment training, temporary absence (e.g. holiday), unpaid work for family business. Exclude: waiting to take up a job.
Are you seriously looking for any kind of paid work?
What is the main reason you are not seeking paid work.
Show Card G.
Since 1989 have you had any paid work, include any job held in 1989?
I am now going to ask some questions about your spouse/partner's work. Is your spouse/partner currently in paid work?
Include self-employed, government schemes for employment training, temporary absence (e.g. holiday), unpaid work for family business. Exclude: waiting to take up a job.
Are they seriously looking for any kind of paid work?
Since 1989 have they had any paid work, include any job held in 1989?
What is the full title of your partner's current or most recent job?
Use precise terms, for example primary school teacher not teacher, production engineer not engineer, chartered accountant not accountant, government: record grade, army: record rank
What are/were the main things they do/did in the job?
Clarify for obscure jobs only. If self-explanatory, type 'as above'.
Are/were they working as an employee or are/were they self-employed?
Do/did they have any managerial duties, or are/were they supervising any other employees?
How many employees are/were there at the place where they work(ed)?
Do/did they work on their own or do/did they have any employees?
How many people do/did they employ at the place where they work(ed)?
Please use this card to tell me your total net household income. Include your own and your partner’s earned income (after deduction for income tax and national insurance), any state benefits and any other sources of income such as pensions and interest. You should also include contributions from other members of your household (such as children). Tell me which of the letters on this card represents your total net household income?
Show card H.
I would now like to ask you some questions about your present job. What is the full title of your present job?
Use precise terms, for example primary school teacher not teacher, production engineer not engineer, chartered accountant not accountant, government: record grade, army: record rank.
What are/were the main things you do/did in the job?
Clarify for obscure jobs only. If self-explanatory, type 'as above'.
Are/were you working as an employee or self-employed?
Did/do you have any managerial duties, or were/are you supervising any other employees?
How many employees are/were there at the place where you work(ed)?
Were/are you working on your own or did/do you have employees?
How many people did/do you employ at the place where you worked/work?
In this job do/did you work
... read out ...
I would next like to ask you about your usual gross earnings before any deductions and including overtime. What pay period would it be convenient for you to use
... read out ... Nurse: If seasonally employed, do not use code 3
Which of the letters on this card represents your usual gross earnings for that pay period, before any deductions, and including regular overtime?
Nurse enter number.
How many hours a week do you usually work in this job, including regular overtime? Hours
Enter number. Enter a numeric value between 0 and 120.
Does your employer contribute towards your pension?
As well as this job, do you have a second job?
Since 1989, how many jobs have you had altogether, including any job held in 1989 and any current job?
Enter number. Enter a numeric value between 0 and 100.
Going back to 1989, have you had any spells of a month or more when you were not in any kind of paid work?
Include 1989.
Since 1989, how much of the time have you not been in any paid work? Choose an answer from this card?
Amount of time not in paid work since 1989. Show Card J.
And how much of that time were you unemployed, that is seriously looking for work. Please choose an answer from this card?
Estimate, if unsure. Show Card J.
Now please think of your present job. On the whole, how happy would you say you are /were with your job? Would you say you were
... read out ...
How often did you find your work stressful? Would you say that it was
... read out ...
On your present income do you find (as a family)
... read out ...
Has your family/have you had to go without things you really needed in the last year because you were short of money?
If yes, probe 'Often or sometimes'
Have you found you have been unable to pay the bills in the last year because you were short of money?
If yes, probe 'Often or sometimes'
Over the past 12 months would you say that you had more trouble than you used to with Anything that requires memory for example keeping appointments, remembering where you put things, remembering names of people or objects, remembering short lists of things to do?
Now for something different. I want to see how well you remember a list of fifteen words. I will show you one word at a time and when I reach the end of the list you have one minute to write down as many words as you can. Please write the words in any order you like. It is best not to talk to anyone while you are doing this.
Nurse: Hand over the paper test booklet at page 3 and make sure the cohort member has a pencil. Code one only.
Nurse: Show the words at two second intervals using Word List [FF A/B]. Make sure the last word is shown for two seconds. Tell respondent to start. Start the stopwatch and time for one minute then tell the respondent to finish. #^ Turn booklet to page 5. Show the words again. Tell respondent to start. Start the stopwatch and time for one minute then tell the respondent to finish. #^ Turn booklet to page 7. Show the words again. Tell respondent to start. Start the stopwatch and time for one minute then tell the respondent to finish. #^
Nurse: record whether the word list trials were completed. Code one only.
Nurse: Please record why no word list trials were done.
I would now like to see how quickly you can work through this list, crossing out the P's and W's. Start at the top left where the arrow is and work along the row from left to right, then go to the beginning of the next row and work from left to right again, like reading a page. Carry on this way crossing out any P's and W's with one mark of the pencil like this. (Demonstrate). Carry on until I tell you to stop. Work as quickly and as accurately as you can.
Nurse: Turn to letter search (page 4 of paper test booklet). Nurse: Set your stop watch for one minute. Tell the respondent to start and stop at the correct moment. Record whether the letter search was attempted. Code one only
Nurse: Please record why the letter search was not attempted.
Do you remember that list of 15 words I showed you earlier. I would like you to write down as many of those words as you can remember. I would like you to write down as many of those words as you can remember.
Nurse: Turn to page 8 of the paper test booklet. Record whether the fourth word list trial was attempted. Code one only.
Nurse: Please record why fourth word list trial was not attempted.
Later on I am going to give you a name and address to write on this envelope. When you have finished doing that I would like you to do the following: Turn it over, seal it, and write your initials on the back. Could you remember to do that then, without me reminding you?
Nurse: Hold up blank envelope. Nurse: Now put the envelope out of sight.
Now I would like you to tell me the names of as many different animals as you can in one minute? Animals are everything that is not vegetable or mineral.
If asks for clarification: animals include birds, insects, humans, etc. Set the stop watch for one minute and write down the animals on page 8 of the paper test booklet.
Please write the following name and address on this envelope: John Brown, 42 West Street, Bedford. Please go on remembering this name and address and I will ask you about it later.
Nurse: Hand over the envelope. Nurse record if envelope is sealed and initials written on back
I would now like you to read slowly down this list of words, starting here (nurse point to chord). Continue down this column and onto the next. I must warn you that there are many words that you won’t recognise. In fact most people don’t know them, so just guess at these. Please begin when you are ready.
Nurse: Hand over NART reading test to respondent. Turn to page 6 of paper test booklet. Place mark next to each word to indicate correct, incorrect or not sure. Nurse code:
Nurse enter reason test not attempted.
Can you tell me the name and address I asked you to remember a short while ago?
Nurse enter the codes next to the words remembered. Code all that apply. Enter at most 6 values.
Nurse: Did the survey member have visual difficulty during testing?
Nurse: Did the survey member have hearing difficulty during testing?
I would now like you to fill in this questionnaire while I am getting the equipment out for the medical exam. Please ask me if any of the questions are not clear.
Nurse enter details on front cover of yellow self-completion booklet. Serial: [FF] Date: [LFF] Nurse cross out page(s) [LFF] before handing booklet to respondent.
Nurse: count up and enter the number of animals mentioned. Number
Enter a numeric value between 0 and 100.
Nurse: Has CM completed the self completion booklet?
Nurse: set up equipment for physical measurements.#^
Nurse: Collect self-completion booklet and record.
I would now like to take some physical measurements but before I do I need to obtain your written consent. Please read, sign and date form 5 of the consent booklet.
Nurse: Make sure the form is signed and dated.
Nurse: circle 09 on front of consent booklet. #^
Nurse: circle 10 on front of consent booklet. #^
Can I check, are you pregnant at the moment?
(As I mentioned earlier) I would like to measure your blood pressure. If asked The analysis of blood pressure readings will tell us a lot about the health of the population. Are you willing to have your Blood Pressure measured?
Nurse: Enter serial of Omron. Serial
Enter a numeric value between 1 and 60.
Enter first pulse reading (bpm). Pulse
If reading not obtained, enter 999. Enter a numeric value between 1 and 999.
Enter first systolic reading (mmHg). Systolic
If reading not obtained, enter 999. Enter a numeric value between 1 and 999.
Enter first diastolic reading (mmHg). Diastolic
If reading not obtained, enter 999. Enter a numeric value between 1 and 999.
Enter second pulse reading (bpm). Pulse
If reading not obtained, enter 999. Enter a numeric value between 1 and 999.
Enter second systolic reading (mmHg). Systolic
If reading not obtained, enter 999. Enter a numeric value between 1 and 999.
Enter second diastolic reading (mmHg). Diastolic
If reading not obtained, enter 999. Enter a numeric value between 1 and 999.
Record why reading refused.
Code all that apply. Enter at most 2 values.
code 20
Enter full details of other reason(s) for not obtaining/attempting two BP readings.
Now I would like to measure your lung function. Can I check, have you had abdominal or chest surgery in the past three weeks?
Have you been admitted to hospital for a heart complaint or stroke in the past six weeks?
In the past three weeks, have you had any respiratory infections such as influenza, pneumonia, bronchitis or a severe cold?
(Can I just check), have you used an inhaler, puffer or any medication for your breathing in the last 24 hours?
How many hours ago did you use it? Hours
Interviewer, enter number of hours. If less than one hour, code 0. Enter a numeric value between 0 and 24.
(As I mentioned earlier). We would like to measure your lung function which will help us to find out more about the health of the population. Would you be willing to have your lung function measured?
Nurse: Enter the two-digit spirometer serial number. Enter a numeric value between 1 and 60.
Explain the procedure and demonstrate the test. Record the results of two blows by the respondent in the boxes below. Record each blow as it is carried out. For each blow, enter measurements and code whether technique was satisfactory. ^
First blow.
If no reading obtained enter '0' and suppress all checks. Enter a numeric value between 0.00 and 9.95.
First blow.
If no reading obtained enter '0' and suppress all checks. Enter a numeric value between 0.00 and 9.95
First blow.
If no reading obtained enter '0' and suppress all checks. Enter a numeric value between 0 and 200.
First blow.
If no reading obtained enter '0' and suppress all checks. Enter a numeric value between 0 and 995.
First blow. Now switch off the spirometer and switch it on again to take another reading. Press enter to continue.
First blow. Technique satisfactory?
Second blow.
If no reading obtained enter '0' and suppress all checks. Enter a numeric value between 0.00 and 9.95.
Second blow.
If no reading obtained enter '0' and suppress all checks. Enter a numeric value between 0.00 and 9.95.
Second blow.
If no reading obtained enter '0' and suppress all checks. Enter a numeric value between 0 and 200.
Second blow.
If no reading obtained enter '0' and suppress all checks. Enter a numeric value between 0 and 995.
Second blow. Now switch off the spirometer and switch it on again to take another reading. Press enter to continue.
Second blow. Technique satisfactory?
I would now like to measure your height and weight.
^ Nurse code:
Nurse: Measure standing height and enter in centimetres to nearest 0.5cm.
Enter a numeric value between 0.0 and 244.0.
You are [LFF] centimetres high or [LFF] feet [LFF] inches?
Nurse: Check standing height is entered correctly.
Nurse code:
Nurse: Measure sitting height and enter in centimetres to nearest 0.5cm.
Enter a numeric value between 0.0 and 244.0.
Nurse code:
A few interviews on any survey are checked by a supervisor to make sure people are happy with the way the interview was carried out. In case my supervisor needs to contact you ...
Nurse check front of ARF: If telephone number recorded: may I check your telephone number is ... (read out and amend ARF if different)? If telephone number not recorded: it would be helpful if you could let me have your telephone number? (nurse record on front of ARF.
^ to close the interview. Please enter the first four digits of your nurse number. If already entered just press <enter> to continue.