Section PE [PERFORMANCE] Sequence: 30
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1 NHATS Round Section PE [PERFORMANCE] Sequence: 0 PEPRE PEPRE T ON FILE QUESTION TEXT Next I would like to ask {you/sp} to try to perform a few simple movements, that is to move {your/{his/her}} body in different ways. Before we start, I need to ask a few questions. PRESS AND ENTER TO CONTINUE PE pewhhndsign R PE HAND USE TO SIGN YOR NAME Which hand {do you/does SP} use to sign {your/{his/her}} name? LEFT RIGHT BOTH If PE =, set LEFTHANDED flag = (yes). If PE =, set RIGHTHANDED flag = (yes). If PE =, set EITHERHANDED flag = (yes). PE pesurghdwrt R PE HAVE SURGRY TO HAND WRIST Display in the last months in bold underlined text. In the last months, that is since {MONTH AND YEAR MONTHS PRIOR TO TODAY S DATE}, {have you/has SP} had surgery or a serious injury on {your/{his/her}} hand or wrist? PE pesurgyside R PE WHICH SIDE WAS SURGERY Which side was that (surgery or serious injury on {your/sp s} hand or wrist)? Was it the left side or right Page of 7 NHATS Round ::PE
2 side? LEFT SIDE RIGHT SIDE If PE = (left hand/wrist surgery), set LEFTGRIPTEST flag = (no). If PE = (right hand/wrist surgery), set RIGHTGRIPTEST flag = (no). If PE = (both hands/wrists surgery), set LEFTGRIPTEST flag = (no) and RIGHTGRIPTEST flag = (no). peflruppain R EXPER FLARE UP PAIN HAND Display "currently" in bold underlined text. {Are you/is SP} currently experiencing a flare-up of pain in either hand or wrist? PE5 pesideflrup R PE5 SIDE CURRNT FLARE UP PAIN Display current in bold underlined text. Which side is that current flare-up of pain in {your/sp s} hand or wrist? Is it the left side or right side? LEFT SIDE RIGHT SIDE If PE5 = (left hand/pain flare up), set LEFTGRIPTEST flag = (no). If PE5 = (right hand/pain flare up), set RIGHTGRIPTEST flag = (no). If PE5 = (both hands/pain flare up), set LEFTGRIPTEST flag = (no) and RIGHTGRIPTEST flag = (no). pesurgarmsh R SURGERY ARM OR SHOULDER Page of 7 NHATS Round ::PE
3 Display "In the last months" in bold underlined text. In the last months, that is since {MONTH AND YEAR MONTHS PRIOR TO TODAY S DATE}, {have you/has SP} had surgery or a serious injury on {your/{his/her}} arm or shoulder? DON T PE7 pesidsurgar R PE7 SIDE SURGERY ARM OR SHLDR Which side was that (surgery or serious injury on {your/sp s} arm or shoulder)? Was it the left side or right side? LEFT SIDE RIGHT SIDE If PE7 = (left arm/shoulder surgery), set LEFTGRIPTEST flag = (no). If PE7 = (right arm/shoulder surgery), set RIGHTGRIPTEST flag = (no). If PE7 = (both arms/shoulders surgery), set LEFTGRIPTEST flag = (no) and RIGHTGRIPTEST flag = (no). pesurgyhips R SURG HIPS INCLUD REPLCMNT Display "In the last months" in bold underlined text. In the last months, that is since {MONTH AND YEAR MONTHS PRIOR TO TODAY S DATE}, {have you/has SP} had surgery or a serious injury on {your/{his/her}} hips (including hip replacement surgery)? BOX PE BOX PE BOX PE PE9 pesidhipsrg R PE9 SIDE WAS HIP SURGERY ON Page of 7 NHATS Round ::PE
4 Was that (surgery or serious injury on {your/sp s} hips) only on one side or on both sides? ONE SIDE If PE9 = (both hips surgery), set CHAIRSTANDS flag = (no). BOX PE BOXPE T ON FILE If MO4 = (always uses mobility device to get out of bed) or MO6 = 4 (never got out of bed by self), go to PE. Otherwise go to BOX PE. PE pestndwhold R PE STAND WITHOUT HOLDING ON Display "stand without holding onto anyone or anything" in bold underlined text. For a few of the body movements, I will ask {you/sp} to stand without holding onto anyone or anything. I can help {you/{him/her}} get up if {you/{he/she}} would like me to. {Are you/is SP} able to try this? If PE = (not able to stand without holding on to anyone/anything), set BALANCESTANDS flag = (no) and HEIGHT flag = (no) and WEIGHT flag = (no). BOX PE BOXPE T ON FILE If CHAIRSTANDS flag = (), go to PE. Otherwise, go to PE. PE peupchbyslf R PE GET UP OUT CHAIR BY SELF Page 4 of 7 NHATS Round ::PE
5 Display "without" and "by {yourself/{himself/herself}}" in bold underlined text. If CANE flag = (yes) or WALKER flag = (yes), display and without {your/{his/her}} {cane/walker/cane or walker}. If CANE flag = (yes) and WALKER flag is null, display cane. If WALKER flag = (yes) and CANE flag is null, display walker. If CANE flag = (yes) and WALKER flag = (yes), display cane or walker. I will also ask {you/sp} to get up out of a chair by {yourself/{himself/herself}} {and without {your/{his/her}} {cane/walker/cane or walker}}. {Are you/is SP} able to try this? If PE = (unable to try getting up from chair without mobility devices/help), set CHAIRSTANDS flag = (no). BOX PE BOXPE T ON FILE If MO5 = (used wheelchair every time to get around home/building) or MO6 = (used scooter every time to get around home/building) set WALKING COURSE flag = no () and go to. Otherwise go to PE. PE pewlkdsself R PE WALK SHORT DIST BY SELF Display "walk a short distance in this room by {yourself/{himself/herself}}" in bold underlined text. If MO =,,, or 4 (used cane every time, most times, sometimes, or rarely when walking around inside) or MO4 =,,, or 4 (used walker every time, most times, sometimes, or rarely when walking around inside), display {You/{He/She}} may use {your/{his/her}} {cane/walker/cane or walker} if {you feel/{he/she} feels} {you need/{he/she} needs} it to walk a short distance. If MO =,,, or 4 and MO4,,, or 4, display cane. If MO4 =,,, or 4 and MO,,, or 4, display walker. If MO =,,, or 4 and If MO4 =,,, or 4, display cane or walker. I will (also) be asking {you/sp} to walk a short distance in this room by {yourself/{himself/herself}}. {{{You/{He/She}} may use {your/{his/her}} {cane/walker/cane or walker} if {you feel/{he/she} feels} {you need/{he/she} needs} it to walk a short distance.} {Are you/is SP} able to try this? Page 5 of 7 NHATS Round ::PE
6 If PE = (unable to walk short distance), set WALKINGCOURSE flag = (no). T ON FILE Display ACTIVITIES TO SET UP AND DEMONSTRATE in bolded text. Display grid with 7 rows and columns. In RC, use null display. In RC, display ACTIVITY in bolded text. In RC, display ADMINISTER in bolded text. In RC, display.. In RC, display BALANCE STANDS. In RC, if BALANCESTANDS flag = (no), display. Otherwise, display. In RC, display.. In RC, display WALKING COURSE. In RC, if WALKINGCOURSE flag = (no), display. Otherwise, display. In R4C, use null display. In R4C, use null display. In R4C: If WALKINGCOURSE flag (yes) and [MO =,, or 4 (used cane most times, sometimes, or rarely inside) or MO4 =,, or 4 (used walker most times, sometimes, or rarely inside)], display B. SOMETIMES USES CANE/WALKER AROUND HOME. Else, if WALKINGCOURSE flag (yes) and [MO = (used cane every time inside) or MO4 = (used walker every time inside)], display C. ALWAYS USES CANE/WALKER AROUND HOME. Otherwise, if WALKINGCOURSE flag <> (yes) display A. DOESN T USE CANE/WALKER AROUND HOME. In R5C, display.. In R5C, display CHAIR STANDS. In R5C, if CHAIRSTANDS flag = (no), display. Otherwise, display. In R6C, display 4.. In R6C, display GRIP STRENGTH. In R6C: If LEFTGRIPTEST flag= (no) and RIGHTGRIPTEST flag= (no), display "". Else if LEFTGRIPTEST flag= (no) and RIGHTGRIPTEST flag NE (no), display " RIGHT". Else if LEFTGRIPTEST flag NE (no) and RIGHTGRIPTEST flag= (no), display " LEFT". Else if [LEFTGRIPTEST flag NE (no) and RIGHTGRIPTEST flag NE (no)] and [RIGHTHANDED flag= (yes) or EITHERHANDED flag= (yes)], display " RIGHT". Else if [LEFTGRIPTEST flag NE (no) and RIGHTGRIPTEST flag NE (no)] and [LEFTHANDED flag = (yes)], display " LEFT". Otherwise, display "". Display TRANSFER INFORMATION TO FRONT PAGE OF ACTIVITIES BOOKLET Display AFTER ACTIVITIES ARE COMPLETED, PRESS AND ENTER TO CONTINUE ACTIVITIES TO SET UP AND DEMONSTRATE Page 6 of 7 NHATS Round ::PE
7 ACTIVITY. BALANCE STANDS. WALKING COURSE. CHAIR STANDS [/} 4. GRIP STRENGTH { RIGHT/ LEFT/} TRANSFER INFORMATION TO FRONT PAGE OF ACTIVITIES BOOKLET ADMINISTER {/} {/} {A. DOESN T USE CANE/WALKER AROUND HOME/ B. SOMETIMES USES CANE/WALKER AROUND HOME/ C. ALWAYS USES CANE/WALKER AROUND HOME} AFTER ACTIVITIES ARE COMPLETED, PRESS AND ENTER TO CONTINUE PE5 PE5 T ON FILE REMEMBER TO AFFIX SP ID LABEL AND WRITE YOUR INTERVIEWER ID AND DATE ON ACTIVITIES BOOKLET COVER PRESS AND ENTER TO CONTINUE Go to Section HW Height & Weight. Flag variables set in PE Section fllefthand R F PE CAN SP DO LEFT HAND TEST flrighthand R F PE CAN SP DO RGT HAND TEST fleiherhand R F PE CAN SP DO EITHR HAND TST fllftgrptst R F PE CAN SP DO LFT GRIP TEST flrhtgrptst R F PE CAN SP DO RIGHT GRIP TST flcharstnds R F PE CAN SP DO CHAIR STANDS flbalstands R F PE CAN SP DO BALANCE STANDS fldwlkingrs R F PE D CAN SP DO WALKING COURSE Page 7 of 7 NHATS Round ::PE
Section PE [PERFORMANCE] Sequence: 27
NHATS Round 4 Section PE [PERFORMANCE] Sequence: 7 PEPRE PEPRE T ON FILE Next I would like to ask {you/sp} to try to perform a few simple movements, that is to move {your/{his/her}} body in different ways.
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