Eldercare Questions Requirements (8.19.10) |
2010 |
Universe: ALL
Question text:
The next set of questions are about times you may have recently spent assisting or caring for an adult who needed help because of a condition related to aging. For example, as people grow older, it sometimes becomes difficult for them to perform various activities without help – such as grooming, driving, managing the household, taking medication or other common activities. Care may be provided in your home, their home, or at a care facility.
*Enter 1 to continue
Optional text:
* Read if necessary
A condition related to aging is an ongoing ailment or physical or emotional limitation that typically affects older people. Examples may include becoming more frail; having difficulty seeing, hearing, or physically moving; becoming more forgetful; tiring more quickly; or specific medical ailments that are more common among older adults. It also refers to existing conditions that become progressively worse as one ages.
Optional text (Spanish):
* Read if necessary
Una enfermedad relacionada con el envejecimiento es una enfermedad en curso o física o la limitación emocional que afecta típicamente a las personas mayores. Los ejemplos pueden incluir cada vez más débil, tener dificultad para ver, oír, o mover físicamente, cada vez más olvidadizo; cansa más rápidamente, o dolencias médicas específicas que son más comunes en los adultos mayores. También se refiere a las condiciones existentes que empeorar progresivamente a medida que envejecemos.
Spanish translation:
La siguiente serie de preguntas es acerca del tiempo que usted puede haber dedicado recientemente a asistir o cuidar a adultos que necesitaban ayuda debido a un padecimiento relacionado con el envejecimiento. Por ejemplo, a medida que las personas envejecen, a veces se les dificulta llevar a cabo varias actividades sin que las ayuden, tales como el aseo personal, conducir, realizar las tareas de hogar, tomar medicamentos u otras actividades cotidianas. Puede ser que usted provea el cuidado en su hogar, en el hogar de las personas que lo necesitan o en una instalación destinada para tales fines.
Valid values: 1
<1> [goto ELDER]
Universe: ELDER_INTRO = 1
Question text:
Not including financial assistance or help you provided as part of your paid job, since the 1st of [fill=REF_MONTH], have you provided any care or assistance for an adult who needed help because of a condition related to aging?
Yes
No
Don’t Know
Refusal
Spanish translation:
Sin incluir asistencia financiera o ayuda que usted haya provisto como parte de un empleo asalariado, desde el primero de [fill=REF_MONTH], ¿ha provisto usted algún tipo de cuidado o asistencia a un adulto que necesitaba ayuda debido a un padecimiento relacionado con el envejecimiento?
SPNMONTH: insert Spanish equivalent of REF_MONTH
Valid values: 1, 2, DK, R
Fill instructions:
REF_MONTH: (current month – 3 months)
<1> [goto ELFREQ]
<2, DK, R> [Exit]
Universe: ELDER = 1
Question text:
How often did you provide this care?
*If the respondent volunteers that he/she cares for multiple individuals, the respondent should answer this question based on the recipient for which he/she provides the most care.
Daily
Several times a week
About once a week
Several times a month
Once a month
One time
Other (specify) *Do not read aloud
Spanish translation:
¿Con qué frecuencia proveyó usted estos cuidados?
Diariamente
Varias veces a la semana
Alrededor de una vez de la semana
Varias veces al mes
Una vez al mes
Una vez
Other (specify) *Do not read aloud
Valid values: 1-7, DK, R
<1-5> [goto ELNUM]
<6> [Exit]
<7> [goto ELFREQ_SP]
<DK, R> [Exit]
Universe: ELFREQ = 7
Question text:
*Specify
Valid values: 250 characters
<250 characters> [goto ELNUM]
Universe: (ELFREQ = 1-5) OR (entry in ELFREQ_SP)
Question text:
Since the 1st of [fill = REF_MONTH], how many people have you provided this care to?
Spanish translation:
Desde el primero de [fill= REF_MONTH], ¿a cuántas personas les ha provisto usted cuidado?
SPNMONTH: insert Spanish equivalent of REF_MONTH
Valid values: 1-9, DK, R
Fill instructions:
REF_MONTH: (current month – 3 months)
<1-9, DK, R> [goto ELWHO]
Universe: (ELNUM = 1-9, DK, or R)
Question text:
Who did you give this care to? (*separate with commas)
*Check all that apply OR press ENTER is person is not listed below.
*Read if necessary:
Does this person live in your household?
[fill = persons from roster]
Spanish translation:
¿A quién estaba cuidando usted? (*separate with commas)
*Read if necessary
¿Esta persona vive en su hogar?
[fill = persons from roster]
Valid values: 2-32, DK, R, BLANK
Fill instructions:
Fill the names of all household members where MEM = 1
<2-32> [goto HHDUR]
< DK, R, BLANK> [goto WHO_ELSE]
Line numbers from roster should equal precode numbers
Do not allow a value between the number of persons on the roster and 33.
Make ELWHO field 12 characters wide on the form pane; accept up to 30 characters (including commas between selections).
Universe: ELWHO <> EMPTY
Question text:
How long have you provided care to <HH Member>?
Spanish translation:
¿Desde cuándo usted ha cuidado de [fill = NAME]?
0 a 5 meses
6 a 11 meses
1 año
Más de un año
Valid values: 1 – 4, DK, RF
<1-3, D, R> [If ELNUM > 1 and at least one nonhousehold care recipient, then goto WHO_ELSE]
[Else goto ELCARE]
<4> [goto HHYRS]
Universe: HHDUR = 4
Question text:
How many years?
Spanish translation:
¿Cuántos años?
Valid values: 1 – 96, DK, RF
<1-96, DK, R> [If ELNUM > 1 and at least one nonhousehold care recipient, then goto WHO_ELSE] [Else goto ELCARE]
Universe: (ELNUM > number of persons selected in ELWHO) OR (ELWHO = EMPTY)
Question text:
Who [Fill: ELSE/DID] you provide care to?
33. Mother
34. Father
35. Spouse
36. Partner
37. Brother
38. Sister
39. Mother-in-law
40. Father-in-law
41. Aunt
42. Uncle
43. Friend
44. Neighbor
45. Other (specify) *Do not read aloud
Spanish translation:
¿A [Fill: Quién/Mas] estabas cuidando usted?
33. Madre
34. Padre
35. Cónyuge
36. Pareja no casada
37. Hermano
38. Hermana
39. Suegra
40. Suegro
41. Tia
42. Tio
43. Amigo(a)
44. Vecino(a)
45. Other (specify) *Do not read aloud
Valid values: 33-45, DK, R
Fill instructions:
ELSE/DID: If ELWHO = <EMPTY> then fill “did”
Else fill “else did”.
Spanish Fill Instructions:
Quién/Mas: If ELWHO = <EMPTY> then fill “quién”
Else fill “quién mas”.
<45> [goto ELWHO_SP]
<1-44, DK, R> [goto ELAGE]
Universe: (WHO_ELSE = 45)
Question text:
*Specify.
Valid values: 250 characters
<250 characters> [goto ELAGE]
Universe: (at least one response for WHO_ELSE = 33-44, DK, or R) OR (entry in ELWHO_SP)
Question text:
[fill = ONE/MORE]
Valid values: 1-120, DK, R
Fill instructions:
ONE/MORE: If ELNUM = 1 then fill “What was his/her age on (fill REF_MONTH) 1st?”
Else fill “What was your (fill ELDER1)’s age on (fill REF_MONTH) 1st?”
ELDER1: If ELWHO = 33-44 then fill first nonhousehold person listed from ELWHO.
Else if ELWHO = 45 then fill response to ELWHO_SP
ONE/MORE: If ELNUM = 1 then fill “¿Cuál era su edad el primero de (fill SPNMONTH)?”
Else fill “¿Cuál era la edad su (fill ELDER1) el primero de (fill SPNMONTH)?”
ELDER1: If ELWHO = 33-44 then fill first nonhousehold person listed from ELWHO.
Else if ELWHO = 45 then fill response to ELWHO_SP
SPNMONTH: insert Spanish equivalent of REF_MONTH
<1-120, DK, R> [goto ELDUR]
If value entered is < 45, trigger soft edit. “The age you have entered is less than 45 years old. Hit suppress to keep this value or go back to enter the correct age.”
Universe: (ELAGE = 1-120, DK, or R)
Question text:
How long have you provided care to [fill = NAME]?
0 to 5 months
6 to 11 months
1 year
More than one year
Spanish translation:
¿Desde cuándo usted ha cuidado de [fill = NAME]?
0 a 5 meses
6 a 11 meses
1 año
Más de un año
Valid values: 1-4, DK, R
Fill instructions:
NAME: If ELWHO = 1-32 then fill first household member chosen for ELWHO
Else fill “him/her”
NAME: If ELWHO = 1-32 then fill first household member chosen for ELWHO
Else fill “él/ella”
<1-3, DK, R> [If ELNUM > 1 and at least one nonhousehold care recipient whose age has not been collected then goto ELAGE2] [Else if ELNUM > 1 and at least one household care recipient whose duration of care has not been collected then goto ELDUR2] [else goto ELCARE]
<4> [goto ELYRS]
Universe: (ELDUR = 4)
Question text:
How many years?
Spanish translation:
¿Cuántos años?
Valid values: 1-99, DK, R
Fill instructions:
<1-99, DK, R> [If ELNUM > 1 and at least one nonhousehold care recipient whose age has not been collected then goto ELAGE2] [Else if ELNUM > 1 and at least one household care recipient whose duration of care has not been collected goto ELDUR2] [else goto ELCARE]
Universe: [(ELDUR = 1-3, DK, R) AND (ELNUM > 1 and at least one nonhousehold care recipient whose age has not been collected)] OR [(ELYRS = 1-99, DK, or R) AND (ELNUM > 1 and at least one nonhousehold care recipient whose age has not been collected)]
Question text:
What was your [fill = ELDER2]'s age on [fill = REF_MONTH] 1st?
Spanish translation:
¿Cuál era la edad de su [fill= ELDER2] el primero de [fill= SPNMONTH]?
SPNMONTH: insert Spanish equivalent of REF_MONTH
Valid values: 1-120, DK, R
Fill instructions:
ELDER2: If ELWHO = 33-44 then fill second nonhousehold person listed from ELWHO.
Else if ELWHO = 45 then fill response to ELWHO_SP
<1-120, DK, R> [goto ELDUR2]
Universe: [(ELDUR = 1-3, DK, or R) AND (at least one household care recipient whose duration of care has not been collected)] OR [(ELYRS = 1-99, DK, or R) AND (at least one household care recipient whose duration of care has not been collected)] OR (ELAGE2=1-120, DK, R)
Question text:
How long have you provided care to [fill = NAME2]?
0 to 5 months
6 to 11 months
1 year
More than one year
Spanish translation:
¿Desde cuándo usted ha cuidado de [fill = NAME]?
0 a 5 meses
6 a 11 meses
1 año
Más de un año
Valid values: 1-4, DK, R
Fill instructions:
NAME2: If ELWHO = 1-32 then fill second household member chosen for ELWHO.
Else fill “him/her”
NAME2: If ELWHO = 1-32 then fill second household member chosen for ELWHO.
Else fill “él/ella”
<1-3, DK, R> [If ELNUM > 1 and at least one nonhousehold care recipient whose age has not been collected then goto ELAGE3] [Else if ELNUM > 1 and at least one household care recipient whose duration of care has not been collected then goto ELDUR3] [else goto ELCARE]
<4> [goto ELYRS2]
Universe: (ELDUR2 = 4)
Question text:
How many years?
Spanish translation:
¿Cuántos años?
Valid values: 1-99, DK, R
Fill instructions:
<1-99, DK, R> [If ELNUM > 1 and at least one nonhousehold care recipient whose age has not been collected then goto ELAGE3] [Else if ELNUM > 1 and at least one household care recipient whose duration of care has not been collected goto ELDUR3] [else goto ELCARE]
Universe: [(ELDUR2 = 1-3, DK, R) AND (ELNUM > 1 and at least one nonhousehold care recipient whose age has not been collected)] OR [(ELYRS2 = 1-99, DK, or R) AND (ELNUM > 1 and at least one nonhousehold care recipient whose age has not been collected)]
Question text:
What was your [fill = ELDER3]'s age on [fill = REF_MONTH] 1st?
Spanish translation:
¿Cuál era la edad de su [fill= ELDER3] el primero de [fill= SPNMONTH]?
SPNMONTH: insert Spanish equivalent of REF_MONTH
Valid values: 1-120, DK, R
Fill instructions:
ELDER3: If ELWHO =33-44 then fill third nonhousehold person listed from ELWHO
Else if ELWHO = 45 then fill response to ELWHO_SP
<1-120, DK, R> [goto ELDUR3]
Universe: [(ELDUR2 = 1-3, DK, or R) AND (at least one household care recipient whose duration of care has not been collected)] OR [(ELYRS2 = 1-99, DK, or R) AND (at least one household care recipient whose duration of care has not been collected)] OR (ELAGE3=1-120, DK, R)
Question text:
How long have you provided care to [fill = NAME3]?
0 to 5 months
6 to 11 months
1 year
More than one year
Spanish translation:
¿Desde cuándo usted ha cuidado de [fill = NAME]?
0 a 5 meses
6 a 11 meses
1 año
Más de un año
Valid values: 1-4, DK, R
Fill instructions:
NAME3: If ELWHO = 1-32 then fill third household member chosen for ELWHO.
Else fill “him/her”
NAME3: If ELWHO = 1-32 then fill third household member chosen for ELWHO.
Else fill “él/ella”
<1-3, DK, R> [If ELNUM > 1 and at least one nonhousehold care recipient whose age has not been collected then goto ELAGE4] [Else if ELNUM > 1 and at least one household care recipient whose duration of care has not been collected then goto ELDUR4] [else goto ELCARE]
<4> [goto ELYRS3]
Universe: (ELDUR3 = 4)
Question text:
How many years?
Spanish translation:
¿Cuántos años?
Valid values: 1-99, DK, R
Fill instructions:
<1-99, DK, R> [If ELNUM > 1 and at least one nonhousehold care recipient whose age has not been collected then goto ELAGE4] [Else if ELNUM > 1 and at least one household care recipient whose duration of care has not been collected goto ELDUR4] [else goto ELCARE]
Universe: [(ELDUR3 = 1-3, DK, R) AND (ELNUM > 1 and at least one nonhousehold care recipient whose age has not been collected)] OR [(ELYRS3 = 1-99, DK, or R) AND (ELNUM > 1 and at least one nonhousehold care recipient whose age has not been collected)]
Question text:
What was your [fill = ELDER4]'s age on [fill = REF_MONTH] 1st?
Spanish translation:
¿Cuál era la edad de su [fill= ELDER4] el primero de [fill= SPNMONTH]?
SPNMONTH: insert Spanish equivalent of REF_MONTH
Valid values: 1-120, DK, R
Fill instructions:
ELDER4: If ELWHO = 33-44 then fill fourth nonhousehold person listed from ELWHO
Else if ELWHO = 45 then fill response to ELWHO_SP
<1-120, DK, R> [goto ELDUR4]
Universe: [(ELDUR3 = 1-3, DK, or R) AND (at least one household care recipient whose duration of care has not been collected)] OR [(ELYRS3 = 1-99, DK, or R) AND (at least one household care recipient whose duration of care has not been collected)] OR (ELAGE4=1-120, DK, R)
Question text:
How long have you provided care to [fill = NAME4]?
0 to 5 months
6 to 11 months
1 year
More than one year
Spanish translation:
¿Desde cuándo usted ha cuidado de [fill = NAME]?
0 a 5 meses
6 a 11 meses
1 año
Más de un año
Valid values: 1-4, DK, R
Fill instructions:
NAME4: If ELWHO = 1 – 32 then fill fourth household member chosen for ELWHO
Else fill “him/her”
NAME4: If ELWHO = 1 – 32 then fill fourth household member chosen for ELWHO
Else fill “él/ella”
<1-3, DK, R> [goto ELCARE]
<4> [goto ELYRS4]
Universe: (ELDUR4 = 4)
Question text:
How many years?
Spanish translation:
¿Cuántos años?
Valid values: 1-99, DK, R
Fill instructions:
<1-99, DK, R> [goto ELCARE]
Universe:
[(ELDUR
= 1-3, DK, or R) AND (ELNUM = 1)]
OR [(ELDUR = 1-3, DK, or R) AND (ELNUM > 1 and ages for all nonhousehold care recipients have been collected and durations of care for all household and nonhousehold care recipients have been collected)]
OR [(ELYRS = 1-99, DK, or R) AND (ELNUM = 1)] OR [[(ELYRS = 1-99, DK, or R) AND (ELNUM > 1 and ages for all nonhousehold care recipients have been collected and durations of care for all household and nonhousehold care recipients have been collected)]
Question text:
Did you provide any care or assistance yesterday?
Yes
No
Spanish translation:
¿Proveyó usted algún tipo de cuidado o asistencia ayer?
Valid values: 1, 2, DK, R
Fill instructions:
<1> [goto EC24]
<2, DK, R> [Exit]
Universe: (ELCARE = 1)
Question text:
At which times or during which activities did you provide that care or assistance yesterday?
* Enter 1 for all relevant activities.
* Enter 97 for none / no more activities.
*Enter 96 for all day.
* Use the up/down arrow keys, to move to the correct row.
Spanish translation:
¿A qué horas o durante qué actividades proveyó usted estos cuidados o asistencia ayer?
Valid values: 1, 96, 97
Fill instructions:
[Exit]
---------------------------------------------------------------------------------------------------------
Section 5A Completion Flags:
1. Set section complete flag (Store "yes" in sectcomp (5)).
2. *If ELDER_INTRO = 2, D, or R set section complete flag.
3. *If ELFREQ = 6, D, or R set section complete flag.
4. *If ELCARE = 2, D, or R set section complete flag.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | Eldercare Questions Requirements |
| Author | mille498 |
| File Modified | 0000-00-00 |
| File Created | 2021-01-30 |