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PHASE V I I DATA
INTRODUCTION
The Phase V I I d a t a c o l l e c t i o n was des igned by P.A. S i l v a , J. Bradshaw, J. Lang ley , C. J u s t i n , I.A. S tewar t , A. Simpson, and 3. Wilson. Data a r e coded as A, B, C, o r D v a r i a b l e s (see Phase 111 d a t a f o r an e x p l a n a t i o n ) .
O the r d a t a were c o l l e c t e d by J. B i r kbeck (anthropometry , n u t r i t i o n ) and P. Y a h a l s k i (a t tachment o b j e c t s ) . These a r e looked a f t e r b y those p e o p l e and d a t a s p e c i f i c a t i o n s a re a v a i l a b l e f r o m t h e u n i t on r e q u e s t .
NUMBER OF CHILDREN
Seen a t Knox N=880; Seen a t School/Home N-15; Seen by Psych. S e r v i c e N=60 T o t a l Seen N.955 (92% o f 1037)
Not Seen N=50; R e f u s a l s N=30; D ied N=2 T o t a l Not Seen N-82
INDEX TO DATA ( T o t a l o b s e r v a t i o n s 996)
Card Data V a r i a b l e Numbers Page
1 Exper iences and A c t i v i t i e s Sca le A1-60; 81-3; D l '111-5 (1978 e d i t i o n )
Number o f books r e a d i n l a s t 7 days a t home
2 General P a r e n t I n t e r v i e w Q u e s t i o n n a i r e A61-74; 84-22; C1-2 V I I - 6 Address changes M o t h e r ' s o c c u p a t i o n and number o f hours
worked C h i l d ' s schoo l Absences f r o m school Number o f teachers P a r e n t s a s s o c i a t i o n and c o n t a c t w i t h school C h i l d ' s memhership o f l i b r a r y No. o f books borrowed Bedt imes S l e e p i n g t imes S l e e p i n g problems T e l e v i s i o n wa tch ing C h i l d ' s membership o f groups eg. s p o r t , drama School codes
3 C y c l i n g and Swimming Q u e s t i o n n a i r e C y c l i n g q u e s t i o n n a i r e f o r p a r e n t A75-110; 823-27 V I I - 1 2 I I " c h i l d
Swimming q u e s t i o n n a i r e f o r p a r e n t
4 F a m i l y S t u c t u r e A l l l - 1 3 2 ; 828-49 V I I - 1 4 C h i l d r e n ' s names, d o m i c i l e R e l a t i o n s h i p , ages
5 & 6 Discipline Questionnaires (I & 11) A133-151; B50-83 VII-15 How parents feel about their
discipline of the child Types of bad behaviour Types of punishment Consistency between parents
7 Sehaviour Questionnaire (Filled in by parents) Rutter Child Behaviour and Adjustment (Scale A)
8 Health Questionnaire for Mother Al91-193; 884-111 VII-22
9 & Speech Therapists' Results (I & !I) A194-253; 5112-115 VII-24 10 Dunedin Articulation Test (DAC)
Occlusion Dunedin Articulation Screeninq Scale (DASS) Behaviour observations by speech therapist. Referral to a speech therapist Examiners' codes
11 & Burt Reading Test Results (I & 11) A254-363; C3 VII-27 12
13 Psychometric Assessment I Age child seen Time of examination Dunedin Articulation Screeninq Scale (DASS) Behaviour Observations Definitions of Behaviour Examiners' Codes
14 Psychometric Assessment I1 8124-143; C4-7 Wechsler Intel1 igence Scale for Children (Revised) Results from following subtests:
Information Similarities Arithmetic Vocabulary Picture Completion Block Design Object Assembly Coding Verbal IQ Score Performance IQ Score Full Scale IQ Score
15 Psychometric Assessment 111 A407-434; B144-150 VII-32 Lateral ity Illinois Test of Psycholinguistic Abilities (Verbal Comprehension and Expression)
Print Your Name Test Psychometrists questionnaire to parent about child Questions on ability at school Influences on the child
18 & Otological/Audiological Assessment A435-458; 8151-152; VII-35 19 Results of microscopic examination C8-15
Pure tone audiometry Tympanometry with Amplaid tympanometer Stapedius reflex Audiometry recording forms
20 School Q u e s t i o n n a i r e f i l l e d i n by Teacher A459-500; 5153-155; V I I - 3 8 Q u e s t i o n s on: C16-18 R u t t e r t e a c h e r q u e s t i o n n a i r e Schools and a t tendance r e c o r d E d u c a t i o n a l p r o g r e s s - l e a r n i n g d i f f i c u l t i e s H e a l t h prob lems a t schoo l Use o f s p e c i a l i s t s e r v i c e s , e.g. speech
t h e r a p i s t , s o c i a l w e l f a r e Teacher ' s knowledge o f c h i l d O ther comments about t h e c h i l d
2 1 ENT Assessment (Nose, t o n s i l s , e t c . ) Eye Examina t ion - V i s u a l A c u i t y ,
S t e r e o p s i s
22 Med ica l Examina t ion Form: P h y s i c a l a b n o r m a l i t i e s S k i n CNS Or thopaed ic H e a r t Lungs Abdomen Lymph g lands H e r n i a Tes tes B l o o d Pressure and P u l s e
23 O t o l o g y & O p h t h a l m o l o g i c a l Q u e s t i o n n a i r e A541-557; 8166 Q u e s t i o n s About: A c c i d e n t s r e l a t e d t o h e a r i n g prob lems Ear i n f e c t i o n s Ear o p e r a t i o n s V i s i o n problems and h i s t o r y Wear ing o f a p a t c h o v e r eye
24 General H e a l t h and Med ica l Q u e s t i o n n a i r e A558-585; B157-170; V I I - 4 7 Q u e s t i o n s About: R e f e r r a l t o s p e c i a1 i s t s Admiss ion t o h o s p i t a l s Number o f i n j u r i e s Seen b y GP f o r : co lds , s o r e t h r o a t s
s k i n problems, e p i l e p s y , g rowth problems, o r t h o p a e d i c problems, h e a r t problems, d i a b e t e s , e a r l e y e prob lems
B r e a t h i n g problems M e d i c a t i o n s r e c e i v e d Recent v i s i t s t o d o c t o r E n u r e s i s E n u r e s i s i n s i b l i n g s Genera l h e a l t h
25 F a m i l y H i s t o r y o f Asthma Ques t ions about f a m i l y h i s t o r y o f Asthma Hayf e v e r Eczema A1 l e r g i e s
C h i l d ' s c o n t r a c t i o n o f E n g l i s h measles, mumps, whooping cough, and c h i c k e n DOX
26 Family History of Heart Problems Questions about fami1.y history of High BP Angina Heart Attack Stroke Other heart problem
Mother's and father's smoking
27 Enuresis Questionnaire - for children who - were enuretic
28 Enuresis Questionnaire - for children who - are enuretic
29 Basic Motor Ability Tests Scores on: Bead stringing Target throwing Tapping hoard Hamstring stretch Standing broad jump Face down to standing Balance Chair push ups Agility run
31 Meeting Grandma Reading Test
32 Moos Family Environment Scale Scores on Cohesion Expressiveness Conflict Independence Achievement Orientation Intellectual - Cultural Orientation Active - Recreational Orientation Moral and Religious Emphasis Organisation Control
71 Accident Questionnaire
Extra Data Phase VII for the following: Fitness, Examination date Sex SES (birth, 5 year old modified) Behaviour Questionnaire (Parents) total Mother's physical and psycholopical sym~toms Phase 7 anthropmetry (15 measures) Seen, not seen
List of Research Tasks VII-1 to 48
List of Special Forms
PHASE V I I DATA
EXPERIENCES AND ACTIVITIES SCALE - 197R EDITION* (Card 1 - VII)
S e r i e s No. D l (Score 0 = no; 1 = y e s )
Exper iences ( l a s t 12 months) A c t i v i t i e s ( a t home - l a s t 5 months o n l y ) (NR, nus- a t - home n o t e lsewhere)
1 Swimming a t p o o l (deep w a t e r ) A1 1 2 T r a i n r i d e 2 2 3 Large boa t ( s h i p ) 3 3 4 Small boa t 4 4 5 P lane - f l y i n g 5 5 6 Horse r i d e s 6 6 7 L i b r a r y t o borrow a book 7 7 8 Res tauran t f o r a meal 8 8 9 Zoo o r s i m i l a r 9 0
10 Farms 10 10
11 F a c t o r y 11 11 12 Concer t 12 12 13 P u o ~ e t show 13 13
p i c t u r e s Museum A r t G a l l e r y S p o r t s event
Been f i s h i n g T r a i n s a t s t a t i o n S k i i n g o r s k a t i n g
B i k e r i d e ( 2 whee le r ) (1+ m i l e )
Long t r i p (ZOO+ m i l e s ) Camping h o l i d a y H i k e o r t ramp (3+ m i l e s ) C i r c u s Church o r Sunday School Show ( a g r i c u l t u r a l ) Been t o an a i r p o r t Been shopping on own S t a y i n g o v e r n i g h t w i t h f r i e n d
Makes t h i n g s w i t h wood R n a i l s W r i t e s l e g i b l e l e t t e r o r s t o r y '/leaves P l a s t i c i n e , dough Cooks o r bakes e d i b l e p r o d u c t Models w i t h c l a y o r s i m i l a r Makes k i t e s Dresses up Fantasy games Huts
L i s t e n s r e c o r d s Carves Cleans c a r Mus ica l i n s t r u m e n t Pets Makes models w i t h p a p i e r mache P lays w i t h model t r a i n o r c a r s e t Cl imbs t r e e s , fences Helps i n garden C o l l e c t s stamp
P lays i n p a d d l i n g poo l o r s i m i l a r
P l a y s with c h e m i s t r y s e t P i c k s o r p l a n t s f l o w e r s C o l l e c t s t h i n g s P l a y s i n s a n d p i t P l a y s on swing, b a r s P a i n t s a p i c t u r e ( p a i n t ) Reads book on own C o l l e c t s i n s e c t s P lays t a b l e games (eg, snakes & ladders , cards, e tc . )
T o t a l B 1 T o t a l 82
N books read on own l a s t 7 83 days a t home
Notes: - * T h i s s c a l e was developed b y P.A. S i l v a and i s d i f f e r e n t f r o m
t h e p r e s c h o o l sca le . It has n o t y e t been w r i t t e n up excep t i n UR13.
GENERAL PARENT INTERVIEW QUESTIONNAIRE (Card 2 - V I I )
I am s u r e you w i l l unders tand t h a t f o r a l a r g e s t u d y l i k e t h i s t o he o f most va lue, we need t o g a t h e r d e t a i l e d i n f o r m a t i o n about t h e hundreds o f c h i l d r e n and t h e i r f a m i l i e s . A l t h o u g h D r Simpson w i l l be a s k i n g more l a t e r , i t would h e l p us save t i m e i f you would l e t us have some p r e l i m i n a r y i n f o r m a t i o n . N a t u r a l l y , a l l i n f o r m a t i o n i s c o m p l e t e l y c o n f i d e n t i a l .
(Cod ing conven t ions : 0 = no; 1 = yes; 8 = n o t a p p l i c a b l e ; 9 = n o t known)
1. How many t i m e s have you changed y o u r address i n t h e l a s t two y e a r s ?
2. Do you have a j o b away f r o m home? i f you have a job, how many hours a week do you work? 9 I f no job, code 00, o t h e r w i s e code hours week ly )
3. What i s y o u r main occupat ion?** I f works away f r o m home f o r 20+ hours , n o t e t h a t o c c u p a t i o n ( 0 = housewi fe , 7 = s t u d e n t ) and code
4. What does ...... go t o ? (See School Code a t end o f t h i s s e c t i o n )
5. I s t h i s ....... f i r s t schoo l? ( I f yes code 1, 2nd = 2; e t c . )
6. How many f u l l days d i d ....... have o f f schoo l d u r i n g t h e l a s t 12 months? ( E s t i m a t e as c l o s e l y as p o s s i b l e )
7. Has ........ had any l o n g absences s i n c e he s t a r t e d schoo l? ( 4 weeks o r more) Code no. o f l o n g absences. G ive reasons f o r each
See Research Task V I I - 1 ......................................................................
8. How many t e a c h e r s has ......... had s i n c e he s t a r t e d s c h o o l ? ( E s t i m a t e i f necessary )
9. Are you o r ........ f a t h e r on a commit tee a s s o c i a t e d w i t h t h e schoo l?
10. How many t i m e s have you o r ........ f a t h e r v i s i t e d t h e schoo l ( s ) i n t h e p a s t 12 months?
11. Do you f e e l t h e schoo l keeps you w e l l i n f o r m e d about p r o g r e s s ( 0 = no; 1 = y e s )
12. Do you f e e l you have as much c o n t a c t as you would l i k e w i t h ........ t e a c h e r ? ( 0 = no; 1 = y e s )
Notes: - * T h i s q u e s t i o n n a i r e was developed b y P.A. S i l v a . ** T h i s i s coded a c c o r d i n g t o E l l e y and I r v i n g ' s SES i n d e x f o r women.
- E l l e y , JC. and I r v i n g , WB. (1977) A socio-economic i n d e x f o r t h e fema le l a b o u r f o r c e i n New Zealand. NZ J. Educ. S t u d i e s , 12; 154-165. We have never used t h i s index.
13. In general, do you feel ....... school actively encourages parents 5 7
to become involved in the school programme? (0 = no; 1 = yes) 14. Is ....... a member of a library? (not school library) (0 = no; 58
1 = yes)
15. If a member of a library, how many books have been borrowed (if any) 510 in the last 4 weeks (Code no.) (not member code 88).
hrs mins 16. What time did ........ go to bed yesterday? 811-812
17. What time did ........ get up this morning? 18. Total time in bed?
19. Total time sleeping? 817-819
20. Were there any sleeping problems last night? (4 . settling, own 59 bed, waking, nightmares) (0 =no; 1 = yes) If yes, details
See Research Task VII-2 ................................................................
21. Does ........ usuallv have sleeping problems, If no problem code 0, if usually code no. of nights each week that there would be problems. Details of problems .................................
See Research Task VII-3
................................................................. hrs mins
22. How long did ....... spend watching TV yesterday? '319-820
23. How long each day does ........ usually spend watching TV from 821-B22 Monday to Thursday?
24. Does ........ belong to any organised groups outside of school or 71-74 home he regularly attends? (Code the groupls 1 = swimming; 2 = gym; 3 = ballet; 4 = Cubs/ Brownies; 5 = GirlslBoys Brigade; 6 = Sunday School; 7 = other (specify) ..................................................... ..; 8 = n/a; 9 = n/k)
See Research Task VII-4
(Code each group and fi l l empty boxes with 8's)
VII-8
SCHOOLS A N D CODE NUMBERS
Abbotsford
A1 exandra
A1 1 anton
Andersons Bay
Ardgowan
Arthur Burns
Arthur S t r e e t
Awamoa
Awamoko
Balacl ava
Balclutha
Beaumont
Becks
Benhar
Berwi ck
Bradford
Brighton
Broad Bay
Brockvi l le
Casa Nova
Cat1 ins Area (Owaka)
C a t t l e Creek
Caversham
Cl inton
Clutha Valley
Clyde
College S t r e e t
Concord
Corstophine
Cromwell College
002 Ounhack
003
004
005
006
00 7
008
OOR
010
011
012
013
014
016
016
017
018
019
020
021
101
022
023
024
025
026
027
028
029
n u n troon
East T a i e r i
Enfield
E t t r i c k
F a i r f i e l d
Five Forks
Fernhrook
Flagswamp
Forbury
George S t r e e t Normal
Grants Braes
Green Is land
Goldf ie lds
Hakataramea Valley
Halfway Bush
Hampden
Hawea F l a t
Hen1 ey
Heriot
High S t r e e t
Hi lder thorpe
Hyde
Kaikorai
Kai tangata
Kakanui
Kari t ane
Kauru H i l l
Kel so
Kelvin Grove Occ. Centre
Kurow Area
Kyeburn
Lauder R a i l w a y
Lawrence Area (H)
Lee Stream
Macandrew Ray
Macreaes-Moon1 i g h t
Maheno
Mai a
Makarora West
M a n i o t o t o Area (H)
Maor i H i l l
Y a t a r i k i Cerebal P a l s y 071
Meldrum School 072
M e l v i l l e Park 07 3
M i l b u r n ( N r M i l t o n ) 074
M i l l e r s F l a t 075
M i 1 t o n 076
Moa Creek 077
Moerak i
Momona
Morn ing ton 081
M o s g i e l West 082
Musselburgh 083
Naseby 084
Ngapara 085
N o r t h Eas t Harbour 086 (Macandrew Bay)
N o r t h E a s t V a l l e y 087 Normal
N o r t h T a i e r i 088
Oamaru N o r t h 089
Oamaru South 090
Ocean View 091
Opoho 092
0makau 093
Omarama 094
Oteka ike 096
Otematata P r i m a r y 097
Otepopo ( H e r b e r t ) 098
Oturehua 099
Outram 100
Owaka D.H./Cat l ins 101 Area
Paerau 102
Pa lmers ton ( P r i m a r y ) 103
Papaka io 104
P a r e t a i 105
Pa tea roa 106
P i n e H i l l 107
Pool b u r n 108
P o r t Chalmers 109
P o r t Molyneux 110
P o r t o b e l l o 111
Pukeur i 112
Purakanui 113
Ravensbourne 114
Reid Park 115
R ise law Road 116
Romahapa 117
Rosebank 118
R o t a r y Park 158
Roxburgh Area 119
Roxburgh H e a l t h 160
Sara Cohen Memorial 120
Sawyers Bay 121
Seacl i f f 122
S t C l a i r 123
S t Johns 161
S t Leonards 124
S t i r l i n g 125
S t r a t h T a i e r i 126
Tahakopa 127
T a i o r i Beach 128
T a i n u i 129
Tapanui 130
Tar ras 131
The T e r r a c e 132
T o k o i t i 133
Tomahawk 134
T o t a r a 135
T o t a r a Peak (Grade 1 ) 135
Tuapeka West 136
Waianakarua 137
Waiho la 138
W a i k o i k o i 139
W a i p i a t a 141
W a i p o r i Fa1 1s 142
Wai tehuna 143
W a i t a k i B r i d g e 144
W a i t a t i
Waitepeka
Waiwera South
Wakari
W a l d r o n v i l l e
Wanaka Area
Wareoa
b l a r r i n g t o n
Windsor
k l y l l i e s Cross ing
Balmacewen
Kenmure
Macandrew
Mosgie l
DN I
Oamaru I n t e r m e d i a t e
Tahuma
Any o t h e r known school
Any n o t known school
CATHOLIC SCHOOLS
Chr is t ian Brothers Junior School
St Edmunds Primary
St Joseph ' s Par i sh , Port Chalmers
S t Joseph's Pa r i sh , Rat t ray S t r e e t
S t Mary's Pa r i sh , Kaikorai
S t Mary's Par i sh , Mosgiel
Sacred Heart Par i sh , WEV
Rosary Par i sh School, Liberton
S t P a t r i c k s , South Dunedin
St Bridgets , Tainui
S t Francis Xavier, Mornington
S t Bernadet tes , Forbury
S t Pe ter Chanel, Green Is land
S t Pauls , Corstophine
S t P a t r i c k s , Lawrence
S t Mary's, Yil ton
S t Joseph ' s , Balclutha
S t Gerards, Alexandra
St Johns, Ranfurly
220 Columba College
300 Other known school
999 Not known
VII-12
C Y C L I N G A N D SWIMMING QUESTIONNAIRE* (Card 3 - VII)
CYCLING
Parent
1. Can ........ r ide a two wheel bike? ( 0 = no; 1 = yes; 8 = nla; 9 = n / k ) *If child cannot r ide , code a l l boxes with 8 ' s except Q.8. -
2. How old was . . . ... . . when helshe learned to ride? (code months)
3. Where did ........ learn to ride? (1 = busy s t r ee t ; 2 = qui te s t r e e t ; 3 = park; 4 = back yard, lawn; 5 = foot path; 6 = country; 7 = other; 8 = nla; 9 = n / k ) ( i f a combination of places, code each one from l e f t and f i l l empty boxes with 8 ' s )
4. Where does ....... r ide the bike? (1 = on own property, i .e. not on s t r e e t ; 2 = s t r e e t ; 3 = park; 7 = other (specify) ; 8 = nla; 9 = n l k ) ( I f a combination of places, code each one from the l e f t and f i l l empty boxes with 8 ' s )
5. Does ....... r ide 1 = for fun; 2 = fo r errands; 3 = t o school; 7 = other - specify ............................................
See Research Task VII-5
( i f combination of these, code each one and f i l l empty boxes with 8 ' s )
6 . How many times has ......... ridden a bike in the l a s t week?
7. How good a r ider i s ........ ? (1 = learner; 2 = average; 3 = good
8. Would you describe the area you l ive in as 1 = f l a t ; 2 = moderately h i l l y ; 3 = steep?
Child
9. How many accidents have you had in the past week while riding the bike? (N.B. Accidents include f a l l i ng off even i f not injured) . Code N times.
Notes: - * This questionnaire was developed by J . Langley.
SWIMMING
Parent
1. Has ........ ever been in t h e water? (0 = no 1 = yes ) i .e. 2 ' 6" o r more deep.
2 . Does ........ out h i s l h e r head under water? (0 - no; 1 = yes , 9 1 e i t h e r d e l i b e r a t e l y o r acc iden t ly )
3 . ( a ) Can ........ swim? (0 = no; 1 = yes ) I f no, code r e s t of 3 2 ques t ion 8 ' s
( b ) How old was ........ when he/she learned t o swim (months) 326
4. How f a r (approx.) can ........ swim? ( 1 = a few s t r o k e s ; 2 = about 93 5 yards ; 3 = more than 5 yards)
5. Who taught ......... t o swim? (1 = s e l f ; 2 = parents ; 3 = s i b s ; 94-97 4 = f r i e n d s ; 5 = school teacher ; 6 = swimming i n s t r u c t o r ; 7 = o the r ( s p e c i f y ) ..................................................
See Research Task VII-6
(Code i n order of importance, from l e f t , f i l l empty boxes with 8 ' s )
6 . Where did ....... l earn t o swim? (1 = Moana Pool; 2 = school 98-101 pool; 3 = home pool; 4 = S t C l a i r hot s a l t pool; 5 = sea; 6 = r i v e r ; 7 = o the r spec i fy ....................................
See Research Task VII-7
( I f severa l p laces , code each one and f i l l empty boxes with 8 ' s )
7. Where does ....... swim now? (1 = Moana Pool; 2 = school pool; 192-195 3 = home pool; 4 = St C l a i r hot s a l t pool; 5 = sea; 6 = r i v e r ; 7 = o the r spec i fy ................................................
See Research Task VII-8
( I f severa l p l aces , code each one from l e f t and f i l l empty boxes with 8 ' s )
8 . How many times has ........ swum in the l a s t year? (0 = 0; 1 = 1-5 106 t imes; 2 = 6-20; 3 = 21-51; 4 = 52+)
9. Who supervises ........ swimming? (0 = no one; 1 = school 107-110 t eacher ; 2 = swimming i n s t r u c t o r ; 3 = p a r e n t l s ; 4 = older s i b s o r f r i e n d s ; 5 = pool a t t endan t ; 6 = sur f pa t ro l ( I f severa l d i f f e r e n t superv isors , code each one i n order of importance from l e f t and f i l l empty boxes with 8 ' s . )
10. Has ........ ever needed t h e help of o the r s while swimming? f i .e. B27 has ch i ld got i n t o d i f f i c u l t i e s ? ) (0 = no; i f yes , code N t imes)
FAMILY STRUCTURE* (Card 4 - VII)
Could you please give us names and ages of all the children in your household, whether they are living at home or away or are now deceased. Include any adopted or fostered children and the study child. Oldest first. If deceased, code age when died.
Living at home O = no
Relationship 1 = natural son
1 = yes 2 = died
2 = natural daughter 3 = fostered son 4 = fostered daughter 5 = adopted son 6 = adopted daughter 7 = Other (e.g. step
children of either parent)
Child's Name Age yr s rnths
Notes: - This form was developed by J. Bradshaw. The data have never
DISCIPLINE OUESTIONNAIRE I* (Card 5 - V I I )
I n t r o d u c t i o n : Now we want t o ask you how you dea l w i t h ........ when he mis- behaves. We d o n ' t t h i n k t h a t t h e r e i s a r i g h t o r wrong way o f d o i n g t h i s , so d o n ' t be embarrassed t o say what you do. E v e r y c h i l d i s naught,^, so aga in we w o n ' t b a d l y o f h im o r you o f he does a l o t o f t h i n g s wrong.
l . ( a ) On t h e whole, a r e you happy about t h e way i n which you dea l w i t h 133 ....... when he i s naughty? ( 0 = no; 1 = yes; S = n l a ; P = n l k )
I f ( a ) was no
(b) What do you t h i n k you m i g h t have been d o i n g wrong? ( d o n ' t 135-137 code) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . , . . . .
See Research Task V I I - P
2. How many t i m e s y e s t e r d a y was ( o r d i d ) ....... Rude
O b s t i n a t e l d i s o h e d i e n t
D e s t r u c t i v e
S i l l y l s h o w e d o f f
Aggress ive ( f i g h t i n g , c r u e l t o an ima ls )
Un t idy lmade a mess
S t e a l something
T e l l a l i e
Break a promise
Do a n y t h i n g dangerous
Make a nu isance b y b e i n g o v e r a c t i v e
T o t a l
3. How soon does ....... u s u a l l y obey you ( 0 = f a i r l y q u i c k l y ; 1 = have t o keep on him; 2 = sometimes one, sometimes t h e o t h e r ; 8 = n l a ; 9 = n / k )
4. How many t i m e s has ........ had a r e a l temper t a n t r u m i n t h e l a s t 363 s i x months? (Temper t a n t r u m - t o t a l l o s s o f c o n t r o l w i t h c o n t i n u a l screams and v i o l e n t movements) (88 = n/a; 99 = n/k; 00 - none)
Notes: - * T h i s q u e s t i o n n a i r e was developed b y J. Bradshaw. It has n o t y e t been f u l l y w r i t t e n up.
5. Yesterday how many times did you r e f u s e t o give in t o ....... (88 = n/a; 99 = n/k)
6. Yesterday how many times d id you give in t o ..... ... (88 = n/a; 99 = n/k)
7 . Compared with o the r mothers a r e you: ( 0 = very s t r i c t ; 1 = f a i r l y s t r i c t ; 2 = average or not sure ; 3 = f a i r l y easy going; 4 = very easy going; 8 = n/a; 9 = n/k)
8. I s your method of dea l ing with ......... when naughty: ( 0 = very changeable; 1 = sometimes changeable; ? = usua l ly t h e same; 3 = always the same; 8 = n/a; 9 = n/k)
9. Compared with o the r f a t h e r s , i s your husband: ( 0 = very s t r i c t ; 1 = f a i r l y s t r i c t ; 2 = average; 3 = f a i r l y easy going; 4 = very easy going; 8 = n/a; 9 = n/k)
10. I s your husband's method dea l ing with ........ when naughty: ( 0 - very changeable; 1 = sometimes changeable; 2 = usua1l.v t h e sane; 3 = always the same; 8 = n/a; 9 = n/k)
11. Do you and your husband handle misbehaviour d i f f e r e n t l y ? ( 0 = no; 1 = a l i t t l e ; 7 = a l o t ; 8 = n/a; 9 = n/k)
12. In t h e l a s t week have you and your husband had any disagreements i n f r o n t of ........ about any bad behaviour? ( 0 = none; 1 = s l i g h t one; 2 = major row; 3 = severa l s l i g h t ones; 4 = severa l rows; 8 = n/a; 9 = n/k)
13. Have you any resentments about t he way your husband handles d i f f i c u l t i e s with ........ ? ( 0 = no; 1 = some; 2 = a l o t ; 8 = n/a; 9 = n/k)
1 4 . ( a ) I f ....... wants t o do something and you have refused, does he t r y and ge t round your husband? ( 0 = no; 1 = yes; 8 = n/a; 9 = n/k)
( b ) I f your husband has re fused , does .. . . . . . . t r y and ge t round you? ( 0 = no; 1 = yes ; 8 = n/a; 9 = n/k)
15. How many t imes did you show you were pleased with ......... yes te rday? (88 = n/a; 99 = n/k)
16. I f you want ........ t o be good on a p a r t i c u l a r occassion, do you ever promise him anything in advance? ( 0 = no; 1 = y e s )
1. Yesterday how many times did you: (Code number of t imes - 0 = 00; 1 = 01; e t c . )
( a ) send ....... ou t of t h e room or t o bed/bedroom, i .e. exclusion
( b ) keep ....... indoors or make h i d h e r s tand s t i l l o r s tand i n a corner , i . e . r e s t r i c t i o n
( c ) smack ....... or h i t him/her with something
( d ) s t o p ....... sweets or not allow him/her t o do something he/ she enjoys
( e ) t e l l ....... you won't love him/her i f he/she behaves l i k e t h a t
ENSURE THAT TqE CHILD IS NOT LISTENIQG
........ ( f ) say y o u ' l l send away or t h a t you wi l l have t o go away i f he/she i s naughty
( g ) t r y t o f r i g h t e n ........ with someone l i k e h i s h e r f a t h e r or a policeman
( h ) t h rea t en t o smack/to deprivelany t h r e a t
( i ) shout a t ....... ( j ) look angry o r d isgus ted
( k ) t r y t o d i s t r a c t ........ / g e t ........ a t t e n t i o n onto something e l s e
(1) t a l k t o ........ about what he/she did wrong
(m) ignorelpay no a t t e n t i o n t o t h e wrong behaviour
( n ) change what you expected of .......... e.g. bedtime, amount he should e a t
( 0 ) use any o ther way of d i s c i p l i n i n g - spec i fy
See Research Task VII-10
Total P o s i t i v e ( d o n ' t code) Total Negative ( d o n ' t code)
2 . Any o ther comments about d i s c i p l i n e ( 0 = no; 1 = yes) Specify ........................................................
See Research Task VII-11
3. Was yes terday a " typ ica l " day? ( 0 = no, 1 = yes)
4 . Do you th ink has ever t r i e d smoking? ( 0 = no; 1 = uncer ta in ; 2 = yes)
CHILD BEHAVIDUR OUESTIONNAIRE I* (Card 7 - V I I )
T h i s q u e s t i o n n a i r e asks about v a r i o u s k i n d s o f b e h a v i o u r t h a t may show a t some t ime . P lease t i c k t h e answers accord ing t o t h e way v o u r c h i l d i s NOW.
Below i s a l i s t o f m ino r h e a l t h problems which most c h i l d r e n have a t some t i m e . P lease t e l l us how o f t e n each o f these happens w i t h y o u r c h i l d by p u t t i n g a t i c k i n t h e c o r r e c t space.
0 1 2 3 Never i n Less o f t e n A t l e a s t A t l e a s t l a s t y r . t h a n once once p e r once p e r
month month week
A. Complains o f headaches 152
B. Has stomach-ache o r v o m i t i n g 153
C. Compl a i n s o f h i l i o u s n e s s
0. Wet h i s l h e r bed o r p a n t s
E. S o i l s h i m l h e r s e l f o r l o s e s c o n t r o l o f bowels
F. Has temper tan t rums ( i .e. comple te l o s s o f temper w i t h shout ing, angry move- ments, e t c . )
G. Had t e a r s on a r r i v a l a t schoo l o r r e f u s e d t o go i n t o t h e b u i l d i n g
H. T r u a n t s f r o m school 159
H a b i t s
1. Does ........ stamner o r s t u t t e r ? ( 0 = no; 1 = m i l d l y ; 2 = 160 s e v e r e l y )
2. Has ........ any d i f f i c u l t y w i t h speech o t h e r than stammering o r 151 s t u t t e r i n g ? ( 0 = no; 1 = yes, m i l d ; 2 = yes, severe) I f yes, i s t h e d i f f i c u l t y 1 = l i s p i n g ; 2 = c a n ' t say words p r o p e r l y ; 3 = o t h e r ( s p e c i f y ) ; 8 = n/a;
See Research Task V I I - 1 2
Notes: * T h i s i s t h e R u t t e r Behav iou r Q u e s t i o n n a i r e
Reference: R u t t e r , M., T i z a r d , J . and Whitmore, K. ( e d s ) (1970) Educa t ion , H e a l t h and Behav iour . London, Longmans Green.
3. Does ......... e v e r s t e a l t h i n g s ? (0 = no; 1 = yes , o c c a s i o n a l l y ; 2 = y e s , f r e q u e n t l y . I f yes, ( o c c a s i o n a l l y o r f r e q u e n t l y ) when ........ s t e a l s , does i t i n v o l v e 1 = m i n o r p i l f e r i n g o f pens, sweets, t o y s , s m a l l sums o f money, e t c ; 2 = s t e a l i n g o f b i g t h i n g s ; 3 = b o t h m i n o r p i l f e r i n g and s t e a l i n g o f b i g t h i n g s ; 8 = n / a
When ........ s t e a l s , i s i t done 1 = i n t h e home; 2 = e l sewhere ; 3 = b o t h i n t h e home and e lsewhere; 8 = n / a
When ........ s t e a l s , does h e l s h e do i t 1 = on h i s f h e r own; 2 = w i t h o t h e r c h i l d r e n o r a d u l t s ; 3 = sometimes on h i s f h e r own, sometimes w i t h o t h e r s ; 8 = n / a
4. Does ....... have any e a t i n g d i f f i c u l t y ? 0 = no; 1 = yes , m i l d ; 2 = yes , seve re
If yes , i s i t 1 = f a d d i n e s s ; 2 = n o t e a t i n g enough; 3 = e a t i n g t o o much; 4 = o t h e r ( s p e c i f y ) 8 = n / a
See Research Task V I I - 1 3
5. Does ....... have any s l e e p i n g d i f f i c u l t y ? (0 = no; 1 = yes , m i l d ; 2 = yes , severe.
I f yes , i s i t d i f f i c u l t y i n 1 = g e t t i n g o f f t o s l e e p ; 2 = wak ing d u r i n g t h e n i g h t ; 3 = wak ing e a r l y i n t h e morn ing; 4 = o t h e r ( s p e c i f y ) ; 8 = n / a
See Research Task V I I - 1 4
CHILD BEHAVIOUR QUESTIONNAIRE I 1 (Card 7 - V I I Z ( R u t t e r Q u e s t i o n n a i r e Con t inued)
I n s t r u c t i o n s . T h i s q u e s t i o n n a i r e asks about t h e k i n d s o f b e h a v i o u r t h a t many c h i l d r e n show a t some t ime. P lease g i v e t h e answers a c c o r d i n g t o t h e way y o u r c h i l d has been d u r i n g t h e p a s t 12 months. Below a r e a s e r i e s o f d e s c r i p t i o n s o f b e h a v i o u r o f t e n shown b y c h i l d r e n . A f t e r each s ta tement a r e 3 columns " D o e s n ' t A p p l y " " A p p l i e s Somewhat" and " C e r t a i n l y A p p l i e s " . I f y o u r c h i l d d e f i n t e l y shows t h e b e h a v i o u r d e s c r i b e d b y t h e s ta tement , p l a c e a t i c k on t h e l i n e under " C e r t a i n l y A p p l i e s " . I f he o r she shows t h e b e h a v i o u r d e s c r i b e d b y t h e s t a t e - ment b u t t o a l e s s e r degreee o r l e s s o f t e n , p l a c e a t i c k under " A p p l i e s Somewhat". I f , as f a r as you a r e aware y o u r c h i l d does n o t shoe t h e b e h a v i o u r , p l a c e a t i c k under " D o e s n ' t App ly " . P lease p u t one t i c k a g a i n s t each s ta tement .
S ta tement 0 = 1 = 2 =
D o e s n ' t Appl i e s C e r t a i n l y Apply Somewhat A p p l i e s
1. O f t e n r u n n i n g a b o u t o r jump- i n g up and down. H a r d l y eve r s t i l l
2. Squirmy, f i d g e t y c h i l d
3. O f t e n d e s t r o y s own o r o t h e r s ' b e l o n g i n g s
4. F r e q u e n t l y f i g h t s w i t h o t h e r c h i l d r e n
5. Not much l i k e d by o t h e r c h i l d r e n
6. O f t e n w o r r i e d , w o r r i e s abou t many t h i n g s
7. Tends t o do t h i n g s on h i s own. R a t h e r s o l i t a r y
8. I r r i t a b l e . I s q u i c k t o " f l y " o f f t h e h a n d l e
9. O f t e n appears m i s e r a b l e , unhappy, t e a r f u l o r d i s - t r e s s e d
10. Has t w i t c h e s , mannerisms o r t i c s o f t h e f a c e o r body
11. F r e q u e n t l y sucks thumb o r f i n g e r
12. F r e q u e n t l y b i t e s n a i l s o r f i n g e r s
13. I s o f t e n d i s o b e d i e n t
14. Cannot settle to anything for more than a few moments
15. Tends to be fearful or afraid of new things or new situations
16. Fussy or over-particular child
17. Often tell lies
18. Bullies other children
19. Do you find your child very difficult to manage?
20. Are there any other problems?
Doesn't APP 1 Y
- -
Applies Certainly Somewhat Applies
For Office
1 = Yes
Details of other problems ........................................ 190
See Research Task VII-15
NB. The Rutter Behaviour Questionnaire was totalled. See 5218 - extra data (page 59)
References: R029, R030, R031, and others.
CONFIDENTIAL HEALTH QUESTIONNAIRE FOR MOTHERS* (Card 8- V I I )
Your answers t o t h i s c o n f i d e n t i a l h e a l t h q u e s t i o n n a i r e w i l l h e l p d o c t o r s i n v o l v e d i n p l a n n i n g b e t t e r community h e a l t h s e r v i c e s . Your c o - o p e r a t i o n i s g r a t e f u l l y a p p r e c i a t e d .
S e c t i o n A - I n s t r u c t i o n s ( P h y s i c a l Symptoms)
Please o u t a c i r c l e around t h e number o f any o f t h e symptoms l i s t e d i f t h e y a p p l y t o you over t h e p a s t month. I f d o u b t f u l , p u t a c i r c l e . I f t h e r e a r e any problems, o u r s t a f f w i l l be p leased t o adv ise you. P lease ask.
6 Changes i n sme l l o r t a s t e B84-85 7 Ach ing i n t h e f a c e 8 Ach ing neck, shou lde rs o r arms 9 Tee th t r o u b l e s
10 Sore mouth o r bad b r e a t h 11 Too much o r t o o l i t t l e s a l i v a 12 Sore t h r o a t o r neck g lands 13 T h i r s t 14 Speech d i f f i c u l t y o r hoarseness 15 Swa l low ing d i f f i c u l t y o r p a i n 16 P a i n i n t h e c h e s t 17 Shor tness o f b r e a t h 18 Cough o r s p i t 19 Wheezing 20 F a i n t i n g o r f i t s 2 1 B l u e o r p a l e l i p s , hands o r f e e t 22 V o m i t i n g 23 H iccup 24 Stomach pa in , s w e l l i n g o r lumps 25 Rup tu re 26 Too much a p p e t i t e 27 Changes i n w e i g h t 28 C o n s t i p a t i o n 29 D i a r r h o e a 30 Changes i n l o o k o f bowel m o t i o n 3 1 P a i n o r i t c h i n back passage 32 U r i n e - change i n appearance, poor c o n t r o l , f requency, p a i n 33 S k i n - rash, i n f e c t i o n s , i t c h 34 Sca lp t r o u b l e 35 Too much o r t o o l i t t l e swea t ina 36 ~ e v e r s
<
37 B r u i s i n g e a s i l y 38 Lumps i n a rmp i t s o r g r o i n 898-99 39 Ach ing i n back o r l e g s 40 V a r i c o s e v e i n s 4 1 Hands o r f e e t - p a i n , s w e l l i n g , numbness, t i n g l i n g o r co ldness 3100-101
Notes: - * T h i s was o r i g i n a l l y i n c l u d e d b y J.S. Dodge (See Phase V ) . I t was c a r r i e d f o r w a r d t o Phase V I I b y P.A. S i l v a a f t e r Dr Dodge went t o t h e UK. These d a t a have been l i t t l e used. (Phase V r e s u l t s were used.) q: 884 coded 88 i f n o t a p p l i c a b l e ( i . e . no mother ) o r 99 i f n o t f i ed i n . Otherwise, t h e number o f t h e f i r s t i t e m checked was f i l l e d i n . There was no d i f f e r e n t i a t i o n between p h y s i c a l and p s y c h o l o g i c a l symptoms.
Change in walking or running J o i n t pain, s t i f f n e s s , swel l ing Muscle weakness or cramp Tremor (shakes) Breast pain, tenderness, lumps Dis t r e s s from h e a r t , f l u s h e s New skin lumps Last period abnormal - unusual bleeding, d ischarge
Sect ion B - I n s t r u c t i o n s (Psychological Symptoms*)
Simply put a c i r c l e around the number i f your answers t o t h e fol lowing ques t ions a r e "yes". I f you answer i s "no" do not mark.
Do you o f t en have a hack ache? Do you f e e l t i r e d most of t h e time? Do you o f t en f e e l miserahle and depressed? 8106-107 Do you of ten have bad headaches? Do you o f t en g e t worried about th ings? Do you usual ly have g r e a t d i f f i c u l t y i n f a l l i n g as leep or B108-109 s t ay ing asleep? Do you usua l ly wake unnecessar i ly e a r l y in t h e morning? Do you wear yourself out worrying about your heal th? Do you o f t en ge t i n t o a v i o l e n t rage? Do people of ten annoy and i r r i t a t e you? B11D-111 Do you a t t imes have a twi tch ing of t h e f ace , head or shoulders? Do you o f t en suddenly become scared f o r no good reason? Are you scared t o be alone when t h e r e a r e no f r i e n d s near you? Are you e a s i l y upset or i r r i t a t e d ? Are you f r igh tened of going ou t alone or of meeting people? Are you cons tan t ly keyed up and j i t t e r y ? Do you s u f f e r from ind iges t ion? Do you o f t en s u f f e r from an upset stomach? I s you a p p e t i t e poor? Does every l i t t l e th ing g e t on your nerves and wear you out? Does you hea r t o f t en r ace l i k e mad? Do you o f t en have bad pains in your eyes? Are you troubled with rheumatism or f i b r o s i t i s ? Have you ever had a nervous breakdown? Number of o the r symptoms 191
74 To the bes t of your knowledge, a r e you pregnant a t t h e present time?** 192
I f so, how many months ....................... 75 Were you pregnant when you f i l l e d in t h i s form two years ago?*** 193
I f so , how many months .......................
Notes: Total physical and psychological symptoms a r e in e x t r a da ta (page 59) 8219, B220. Total symptom score i s B221.
* Psychological Symptoms were from the Rut te r Malaise Inventory; Reference: Ru t t e r , M . , Tizard, J . and Whitmore, K. ( e d s ) (1970); Health, Education and Behaviour. London, Longmans Green.
** I f pregnant, t r i m e s t e r when form f i l l e d in ( i .e. 0 = not pregnant, 1 = f i r s t t r i m e s t e r , e t c ) .
*** I f pregnant two yea r s ago, t r i m e s t e r when form f i l l e d in ( i f not pregnant coded 0 ) .
SPEECH THERAPIST RESULTS* I (Card 9 - VII)
Dunedin A r t i c u l a t i o n Check** (DAC)
s a i 1 - - r i d e - .i am thumb -
h u r r y - f e a t h e r -. f l y
t h r o w sp lashed - --
She l i k e d - her f r o t h y bubb le batJ
Dad p l a n t e d some v e g e t a b l e s -
Mother scrambled some eggs
What a t e r r i b l e e x p l o s i o n
R i n g f o r an ambulance '
T h e y ' l l have t o go t o h o s p i t a l
O c c l u s i o n
O = normal ; 1 = abnormal; 2 = n o t c l e a r 3 = tongue l y i n g f o r w a r d o r p r o t r u d i n q
Dunedin A r t i c u l a t i o n Sc reen inq Sca le (DASS)***
r a t - s i t - l e g - zebra
f i s h - - sheep - c h a i r Jam
c lown - - f l a g s m a l l f lan t -
sweep - s k i - s t e p s b read - -
f r o g - ~ e s e n t s - t r u c k - drum
194-197
198-200
203
205
2Q8
109
210-211
212
213
DAC T o t a l 8112
215-?18
219-222
223-225
227-231)
231-234
DASS T o t a l 8113
Notes: - * These i t e m s were i n c l u d e d b y C . J u s t i n
** See MON5 *** See MON3
VII-25
SPEECH THERAPIST RESULTS I1 (Card 10 - VII)
Speech Therap i s t s ' Behaviour Observations* (See Def in i t ions over)
Does t e s t e r f e e l c h i l d needs help from a speech t h e r a p i s t ? (0 = no; 1 = yes )
Does mother f e e l ch i ld needs help from a speech t h e r a p i s t ? ( 0 = no; 1 = yes )
Has ch i ld been t o a speech t h e r a p i s t ? ( 0 = no; 1 = yes )
Speech C l i n i c involved (1 - 8 i n d i c a t e s c l i n i c ; 22 - more than one; 8 = n/a; 07 = other ( s p e c i f y ) ............................ Comments ( 0 = no; 1 = yes )
These comments a re f i l e d by C . J u s t i n . .................................................................
................................................................. Codes f o r Speech C l i n i c s
Examiner's Code ............. 01 Caversham ( i n i t i a l s )
02 Forbury
03 George S t .
04 Mosgiel
05 Green Is land
06 Kaikorai
07 Other
08 Corstorphine
03 Marjory Gibson
06 Chris J u s t i n
13 Jane Anderson
Notes: Reference f o r Behaviour Observations: American Col labora t ive Study of - Cerebal Palsy, Mental Retardat ion and Other Sensory Disorders of Infancy and Childhood (1966). P a r t 111-D Manuals Behavioural Examinations. US Department of Heal th, Education and Welfare, National I n s t i t u t e of Health, Bethesda, Mary1 and.
BEHAVIOUR OBSERVATIONS (SPEECH THERAPISTS)
235(1) Separation 1. No concern
243(9! Attention Span 1. Very brief
2. Very little concern 2. ~hokt time 3. Initial reticence, appropriate 3. Adequate time 4. More than usual concern 4. More than average time 5. Very upset, cries, won't
separate 244(10) Goal Orientation 1. No effort
Fearfulness None evident Very little
2. Briefly attempts 3. Keeps goal or direction in mind 4. Keeps goal and question in miqd 5. Compulsive absorption ~ormal caution
Inhibited and uneasy Very fearful 245(11) Activity Level
1. Yypoactive 2. Little activity 3. Normo activity 4. Restless 5. Hyperactive
Rapport Very shy, withdrawn shy, waits for gestures Initial shyness, then ease Very friendly, at ease Extreme friendliness 246(12) Nature of Activity
1. Extreme rigidity Confidence Lacks, extremely self- critical
Distrusts own ability Adequately self-confident More than usual confidence Very self-confident
2. Some rigidity 3. Flexible, appropriate 4. Frequently impulsive 5. Extremely imoulsive, explosive
247(13) Nature of Communication 1. Little or none 2. Answers questions only
239(5) Emotional Reactivity 1. Extremely flat 2. Somewhat flat
3. Readily answers, may elaborate 4. Answers freely 5. Difficult to follow thinkiqg
Normal responsiveness Mood more variable than average Extreme lability
248(14) Assertiveness 1. Extremelv assertive 2. Ouite forceful, rough materials 3. Self-assertive but acceotinq
control 4. Passive acceptance 5. Extremely passive
Co-operation Extreme neqativism considerable Reasonably co-operative Accepts directions more easily Extremely suggestible 249(15) Hostility
1. Very hostile, obstructive Frustration Tolerance 2. Unusually hostile
3. No unusual hostility Withdraws completely Occasionally withdrawn Attempts difficult tasks Becomes upset by difficulty Acting-out, crying
4. Very agreeable 5. Ingratiating
242(8) Dependency 1. Very self-reliant, refuses help 2. ~arely needs reassurance 3. Dependent appropriate situations 4. Demands more attention than
average 5. Constant need of attention and help
VI 1-27
BURT READING TEST RESULTS* (Card 11 - VII) (Code 0 = failure; 1 = pass)
t o is UP he at 254 to 258 for my sun one of 259 to 253
big some his or an 254 to 268 went boys that girl water 269 to 273
just day wet Pot things 274 to 278 no told 1 ove now sad 279 to 283
nurse carry quickly village scramble 284 to 288 journey terror return twisted shelves 289 to 293
beware explorer known project.ing tongue 294 to 298 serious domineer obtain be1 ief luncheon 299 to 303
emergency events steadiness nourishment fringe 304 to 308 formulate scarcely universal commenced overwhelmed 309 to 313
(Card 12 - VII) circumstances destiny urge 1 abourers exhausted 314 to 318 trudging refrigerator me1 odrama encyclopaedia a~prehend 319 to 323
motionless ultimate atmosphere reputation binocular 324 to 328 economy theory humanity philosopher contemptuous 329 to 333
autobigraphy excessively champagne terminology perambulating 334 to 338 efficiency unique perpetual mercenary glycerine 339 to 343
influential atrocious fatigue exorbitant physician 344 to 348 microscopical contagion renown hypocritical fallacious 349 to 353
phlegmatic melancholy palpable eccentricity constitutionally 354-358 alienate phthisis poignancy ingratiating subtlety 359 to 363
Total C-3**
Notes: * This test was administered by the speech therapists.
The reference is Scottish Council for Educational Research (1976) The Burt Word Reading Test, 1974 Revision. London, Hodder and Stoughton.
** The score was recalculated - see extra date, page 60, same variable number.
Examiners ' Codes: (see o v e r )
PSYCHOMETRIC ASSESSMENT* I (Card 13 - V I I )
Yrs Mths
Age o f C h i l d Today ( t o n e a r e s t month)
Time F i n i s h e d
364 8116
h r s m ins
R117 8118
Time Begun B11q B120
Examine r ' s Code
Dunedin A r t i c u l a t i o n Sc reen inq S c a l e (DASS)
R a t - S i t - - Leg - 7ebra
F i s h - - Sheep - C h a i r Jam
Clown - - F l a g Smal l - P l a n t -
Sweep - S k i - Steps - Bread
F r o g - - Presen ts - Truck - Drum
DASS T o t a l
A d d i t i o n a l Speech I t e m s
Count one, two, t h r e e , f ou r , f i v e - t h (Code 0 = i n c o r r e c t ; 1 = c o r r e c t ) - v
Behav iou r Observa t i ons* * 388 t o 3q7 (See o v e r f o r d e f i n i t i o n s - see Phase 111 f o r r e f e r e n c e ) 393 t o 3'17
398 t o 402
C h i l d b r o u g h t back t o f i n i s h t e s t ( 0 = no; 1 = y e s ) a03
D e v i a t i o n f rom s t a n d a r d i s a t i o n ( 0 = no; 1 = y e s ) dr)4
............................................. (Why, d e t a i l s )
See Research Task V I I - 1 6
Comments o r remarks n o t covered above ( 0 = none; 1 = comments)
See Research Task V I I - 1 7
T e s t C o n d i t i o n s ( 0 = a lone ; 1 = n o t a l o n e i .e. a n o t h e r examiner 406
Notes: * The p s y c h o m e t r i c assessment was des igned b y P.A. S i l v a -
** See page V I I - 2 5 f o r source r e f e r e n c e
PHASE V I I
Code
PSYCHOYETRISTS' CODES
Name
E. Evans R. Y a r r i o t t L. J e n k i n L. Groves L. F u l t o n M. Wildman I . Emerson M. Barnes 8. B e r r y 8. Longmore R. M i t c h e l l C. E l d e r R . Smi th J. Weatherston J. L a n g l e y P s y c h o l o g i c a l S e r v i c e
N. Seen
BEHAVIOUR OSSERVATIONS
388(1) Separation 396(9) 1. No concern 1. Very 5rief 2. Very little concern 2. Short time 3. Initial reticence, appropriate 3. Adequate time 4. More than usual concern a. More than average time 5. Very upset, cries, won't
separate 397(10) Goal Orientation 1. Wo effort
389(2) Fearfulness 2. Briefly attem~ts 1. None evident 3. Keeps goal or direction in mind 2. Very little 4. Keeps goal and question in mind 3. Normal caution 5. Compulsive absorption 4. Inhibited and uneasy 5. Very fearful 398(11) Activity Level
1. Hy~oactive 390(3) Rapport 2. Little activity
1. Very shy, withdrawn 3. Normo activity 2. Shy, waits for gestures 4. Restless 3. Initial shyness, then ease 5. Hyperactive 4. Very friendly, at ease 5. Extreme friend1 iness 399(12) Nature of Activity
1. Extreme rigidity 391(4) Confidence 2. Some rigidity
1. Lacks, extremely self- 3. Flexible, appropriate critical 4. Frequently impulsive
2. Distrusts own ability 5. Extremely impulsive, explosive 3. Adequately self-confident 4. More than usual confidence 400(13) Nature of Communication 5. Very self-confident 1. Little or none
2. Answers questions only 392(5) Emotional Reactivity 3. Readily answers, may elaborate
1. Extremely flat 4. Answers freely 2. Somewhat flat 5. Difficult to follow thinking 3. Normal responsiveness 4. Mood more variable than average nOl(14) Assertiveness 5. Extreme lability 1. Extremely assertive
2. Quite forceful, rough materials 393(6) Co-operation 3. Self-assertive but accepting
1. Extreme negativism control 2. Considerable 4. Passive acceptance 3. Reasonably co-operative 5. Extremely passive 4. Accepts directions more easily 5. Extremely suggestible 402(15) Hostility
1. Very hostile, obstructive 394(7) Frustration Tolerance 2, Unusually hostile
3. No unusual hostility 1. Withdraws completely 4. Very agreeable 2. Occasionally withdrawn 5. Ingratiating 3. Attempts difficult tasks 4. Becomes upset by difficulty 5. Acting-out, crying
395(8) De endenc 1. + Very se f-reliant, refuses help 2. Rarely needs reassurance 3. Dependent appropriate situations 4. Demands more attention than
verage 5. tonstant need of attention and help
VII-31
PSYCHOMETRIC ASSESSMENT I1 (Card 14 - VII)
WECHSLER INTELLIGENCE SCALE FOR CHILDREN (Revised)*
VERBAL TESTS
Information
Similarities
Arithmetric
Vocabulary
Sum of Scaled Verbal Scores
PERFORMANCE TESTS
Picture Completion
Block Design
Object Assembly
Coding
Sum of Scaled Performance Scores
Prorated Sum of Verbal Scores
Prorated Sum of Performance Scores
Total Prorated Scores
Raw Scaled Score Score
Notes: - * From Wechsler D. (1974) Wechsler Intelligence Scale for
Children (Revised). New York, The Psychological Corporation
VII-32
PSYCHOMETRIC ASSESSMENT I11 (Card 15 - VII)
HARRIS TEST OF L A T E R A L DOMINANCE*
1. Knowledge t o t a l (Code no. c o r r e c t 0 , 1, 2 , 3; 8 = n/a; 9 = n/k)
2. Hand (both r i g h t = 0 ; both l e f t = 1, r i g h t and l e f t 408 = 2 ; 8 = n/a; 9 = n/k)
3. Eye (both r i g h t = 0; both l e f t = 1, r i g h t and l e f t = 409 2; 8 = n/a; 9 = n/k)
4. Foot (both r i g h t = 0; both l e f t = 1, r i g h t and l e f t -
410 - 2 ; 8 = n la ; 9 = n/k)
5. All t he above completely r i g h t = 0 ) )
All t he above completely l e f t = 1 ) \ I
Yixed or uncer ta in = 2; 8 = n/a; 9 = n / k
6. Crossed eyelhand l a t e r a l i t y (no = 0; 1 = yes ; 7 = o t h e r , spec i fy ............................
See Research Task VII-18
ILLINOIS TEST OF PSYCHOLINGUISTIC ABILITIES**
Verbal Comprehension
Verbal Expression
Notes: - * From Harr i s , AJ. (1958) Har r i s Tes ts of La tera l Dominance (3rd
E d i t i o n ) . New York, The Psychological Corporation ** From Kirk, SA, McCarthy J J , and Kirk W D . (1968) The I l l i n o i s
Tes t of Psycho1 i n g u i s t i c A b i l i l t i e s (Revised Ed i t i on ) . Urbana, Univers i ty of I l l i n o i s Press .
VII-33
PSYCHOMETRIC ASSESSMENT I I! (Continued)
PRINT YOUR NAME TEST
1 Omissions
2 Additions
3 Substitutions
4 Transpositions
5 <2 letters recognisable 2 but not all recognisable A1 1 recognisable
6 All reversed Some, not all reveresed No reversals
7 On line (yes 1; no 0)
8 Spacing hetween > double Spacing not uneven
9 Mirror image (Yes 0; no 1)
10 Size > 2.54 = o r < 2.54 = or < 1.27 = or < .64
11 Case all capitals (yes 0, no 1)
12 Case correct (yes 1, no 0) 424
13 Surname no = 0 part = 1 yes = 2
Total
Number of letters in first name 8147
Number of letters in surname 8148
Total letters 3149
Total number printed B150
Notes: - This test was based on the following reference: Reimer, C., Eaves, LC., Richards, R., and Crichton, JU. (1975) Name-printing as a test of developmental maturity. Dev. Med. Child. Neurol. 17; 486-492 The results have been partly written up.
PSYCHOMETRISTS' OUESTIONNAIRE* (Card 15 - VII)
1. Does ........... have any significant problems? ( 0 = no; 1 = yes) Details ......................................
See Research Task VII-19
2. How well is ........... doing at school generally? (0 = slow; 1 = ave; 2 = above ave; 8 = n/a; 9 = n/k)
3. How well is ........ getting on with reading? 4. How well is ........ getting on with printing? 5. How well is ........ getting on with arithmetic or number? 6. How well is ........ getting on with spelling? 7. Are there any ways in which ........ has changed in the last year?
(0 = no; 1 = yes) Specify ..................................... See Research Task VII-20
8. Some things happen to children that in some ways influence how they develop. Have there been any important events or experiences that have occurred to influence ........ patterns of development for the better or worse over the last year? (0 = no influences; 1 = adverse influences - details
See Research Task VII-21 .................................................................. 2 = mildly important influences (positive)
See Research Task VII-22 .................................................................. 3 = markedly important influences (positive)
See Research Task VII-23 .............................................................. ........................................ 4 = combinations or other
See Research Task VII-24 .................................................................. 9. Are there any other important comments or remarks about ..........
you would like to make?
See Research Task VII-25 ..................................................................
Notes: - * Items selected by P.A. Silva
OTOLOGICAL/AUDIOLOGICAL ASSESSMENT* (Card 18 - V I I )
Name ................................... Address ................................ Phone ..............
8 = n/a 9 = n/k Date ................
E x t e r n a l A u d i t o r y Meatus ( 0 = normal; 1 = abnormal) D e t a i l ................................................
See Research Task V I I - 2 6 ( b o t h e a r s )
L i g h t r e f l e x ( 0 = normal; 1 = abnormal) 437-435
M i c r o v a s c u l a r i s a t i o n (g rade 0 -5 ) 439-440
0 = normal 1 = h y a l i n e change draw Two drawings O F drum 2 = c h a l k p a t c h draw r e d 3 = mixed
Scar O = noels 1 = a t r o p h i c draw Two drawings o f d r ~ ~ : n 2 = non a t r o p h i c draw r e d 3 = mixed
T rans lucency ( e x c l u d e areas denoted as ca;c i f i e d o r h y a l i n e ( 7 = b r i l l i a n t l y c l e a r ; 0 = normal b u t n o t b r i l l i a n t ; 1 = m e d i a l w a l l v i s i b l e b u t w i t h d i f f i c u l t y ; 2 = opaque, med ia l w a l l n o t v i s i b l e )
S e c r e t i o n s ( 0 = nons; 1 = bubbles ; 2 = w i t h l e v e l ; 3 = f i l l i n g t.ympanum)
S e c r e t i o n Co lou r ( 0 = none; 1 = n e u t r a l ; 2 = b lue; 3 = y e l l o w )
O ther ( 0 = normal; 1 = tube; 2 = o t h e r )
S p e c i f y See Research Task V I I - 2 7
S u p e r f i c i a l desquamation ( 0 = normal; 1 = obscured)
O t o l o g i s t ' s d e c i s i o n ( 0 = normal; 1 = serous f l u i d ; 2 = g lue; 3 = u n c e r t a i n ; 4 = o t h e r )
S p e c i f y See Research Task V I I -28
Notes: * I tems des igned b y I .S. S tewar t and A. Simpson
Pure Tone code f i g u r e
AUDIOLOGICAL ASSESSMENT* (Card 19 - V I I )
M i d d l e Ear Pressure
Curve Type 0 1
4 = o t h e r
Stapedius R e f l e x kHz
kHz
Compliance code f i g u r e
Notes: - * Data c a p t u r e designed by I.A. S tewar t and A. Simpson
AUDIOMETRY RECORDING FORM
b) Compl iance a t PlEP + 200 mmli ... : ........ ............ I
I!<PEUAI;CE ............ 5.0
D a t e : .
4.8 4.6
................................... Name:
4.4 ................ 1 4.2 Fester:................
4.0 .............................. 3.8 C o l m e n t s - 3.6 nm -9 sm ,- .m a-
Prm? ""S
m 3.4 3.2 I 3.0 2.8 t .4
1 2.6 : 2.4 2 0 ! . ! 2.2 ! V 2.0
I-. 30
a " 1.8 !
1 . 6 i = 1.4
i 0.8 I ! 90
I ; 0.6 I_!-. -___- - . . 0.4 , : , .
110 i 0 .2 ! ~ i ~ 0 12'
250 % !m :m -, bxd -500 400 300 200 i n 0 o 100 200 300 400 515 FRcouENcy Nu CYCLES PER S E c o w o
! ( R e l a t i v e E x t e r n a l Ear P r e s s u r e mmh" 18r l : EFT x RCGHT D sosi; LCFT I q , ~ , . , (
. . . . . . . . . . I avaaaoa H E A R I ~ O LOSS l d e l R i qh t L e i t P r o b e i n L P r o h c i n R
C ) Compl iance a t tympani, ' membrane (a - b) ............ ............ (Normal r a n g e 0 .3 + 1.5 m l . o q u i v . v o l . a i r )
i ? ~ D ~ L E EAR ~ S C L E ~EFLEX M E A s u R E H G + -
i A c o u s t i c R e f l e x T h r e s h o l d (,VAT) ! and A c o u s t i c R e f l e x Decay (AKD) dD HL %decav ( 1 0 s I ...... ...... .5 kHz ...... ......
...... ...... ...... ...... 1 kHz
...... 2 kHz ...... ...... ...... i 4 kllz ...... ...... ......
: C o n t r a l a t e r a l ...... ...... ...... ...... ...... WD I
I p s i l a t e r a l
............
............ 1 ~ i i d l e Ear P r e s s u r e (?IEP)
(Normal r ange +50 4 -100 n m l i re a t m o s . ) a j Compl iance a t ?IEP
.5 kllz 1 kHz 2 kliz 4 kllz
.............
............
Non-acous t i c r e f l e x e s ( q > t a l i t o t i v e o n l y ) O r b i t a l p u f f ( i p s i l a t e r a l ) A u r a l p u f f (con t r a l o t c r a ~ ) O t h e r
SCHOOL QUESTIONNAIRE (Card 20 - VII) School* C16
Child's age today to nearest month .................... 8153
I. BEHAVIOUR (Rutter Behaviour Questionnaire**)
Below is a series of descriptions of behaviour often shown by children. After each statement are three columns: 'Doesn't Apply' 'Applies Somewhat', and 'Certainly Applies'. If the child definitely shows the behaviour described by the statement, place a tick under 'Certainly Applies'. If the child shows the behaviour described by the statement but to a lesser degree or less often, place a tick under 'Applies Somewhat'. If, as far as you are aware, the child does not show the behaviour, place a tick under 'Doesn't Apply'. Please put only one tick against EACH statement.
Statement Doesn't Applies Certainly
1 Very restless, often runn- 459 ing about or jumping up and down. Hardly ever still
2 Truants from school
3 Squirmy, fidety child
4 Often destroys own or others' belongings
5 Frequently fights with other children
6 Not much liked by other children
7 Often worried, worries about many things
8 Tends to do things on his own, rather solitary
9 Irritable. Is quick to 'fly off the handle'
10 Often appears miserable, un- 468 happy, tearful or distressed
11 Has twitches, mannerisms or 469 tics of the face or body -
12 Frequently sucks thumb or 470 finger
13 Frequently bites nails - 471
Notes: - * See Daqe VII-8 for school codes . -
** See page VII-25 for source reference
Statement Doesn't Applies Certainly Somewhat Apolies
Tends to be absent from school for trivial reasons
Is often disobedient
Has poor concentration or short attention span
Tends to be fearful or afraid of new things or new situations
Fussy or over-oarticular child
Often tells lies - Has stolen things on one or more occasions
Has wet or soiled self at school this year
Often complains of pains or aches
Has had tears on arrival at school or has refused to come into the building this year
24 Has a stutter or stammer -
25 Has other speech difficulty
26 Bullies other children
Are there any other problems of behaviour? (0 = no 1 = yes) No Yes
Details of other problems of behaviour ............................... See Research Task VII-29 ......................................................................
I1 SCHOOLS AND ATTENDANCE
N. Schools attended*
2. From Attendance Register: (Please give attendance details not recorded on progress card to the present date)
Actual Attendance C-17 Possible Attendance C-18
* Schools, Date of Admission, Present Class are on the original forms.
111. EDUCATIONAL PROGRESS
1. In your view, does this child appear to have any significant learning problems? Yes = 1; No = 2; Don't Know = 9 If yes, details
See Research Task VII-30
2. In your view, does this child appear to have any special strengths, Yes = 1; No = 2; Don't Know = 9 If yes, details
See Research Task VII-31
IV. HEALTH AND SCHOOLING
1. Do you know of any health or physical problems that significantly affect this child's schooling? (e.g. hearing problems, vision problems, orthopaedic problems).
Yes = 1; No = 2; Don't know = 9 If yes, details
See 4esearch Task VII-32
2. In your opinion, is this child very clumsy? Yes = 1; No = 2; Don't Know = 9
If yes, details (e.g. gross or fine co-ordination problems, specific activities where clumsiness noticed)
See Research Task VII-33
V. USE OF SPECIALIST SERVICES
To the best of your knowledge, has this child been referred by the school to any of the following agencies? Please write number of times in the box. (If none, write 0)
Details 1. Psychological Service See Research Task VII-34 2. Public Health Nurse or Doctor See Research Task VII-35 3. Vision and Hearing Testers See Research Task VII-36 4. Speech Therapist See Research Task VII-37 5. Adviser for Deaf Children See Research Task VII-38 6. Reading Adviser See Research Task VII-39 7. Social Welfare See Research Task VII-40 8. Others (Specify) See Research Task VII-41
Please give reasons for all of the above referrals, if known.
VI. TEACHER'S KNOWLEDGE OF CHILD (Teacher's name on original form)
How well do you consider you know this child? 479
(0 = Very well; 1 = moderately well; 2 = not very well)
How long have you known this child (months)? B155
VII. ANY OTHER COMMENTS ABOUT THE CHILD
Please note here any other relevant comments about the child you 500 wish to make. (These comments were not coded as they were too
unstructured. )
Examina t ion 8 = n/a; 9 = n /k
1. Nose ( a ) C l e a r ( 0 )
P a r t i a l l y o b s t r u c t e d F u l l y o b s t r u c t e d
( 1 ) ( 2 )
( b ) Septum - s t r a i g h t o r n e a r l y so - d e v i a t e d t o r i g h t - d e v i a t e d t o l e f t - o b l i q u e
( c ) T u r b i n a t e s Co lou r Normal A l l e r g i c O ther
S i z e Normal En1 arged
( 0 1
Touch ing Septum ( 1 1 ( 2 1
( d ) D ischarge None Watery Mucoid P u r u l e n t C r u s t
I f abnormal Acute C h r o n i c
( 0 ) (1.)
I f Normal ( r e f e r s t o whole q u e s t i o n )
(8 )
2. T o n s i l s Size, grade Absent
I n f e c t e d ( 0 = no; 1 = y e s ) 511
3. P o s t nasa l d i s c h a r g e None Mucoid P u r u l e n t
4. Pharynx d i s c h a r g e Normal P h a r y n g i t i s
( 0 ) ( 1 )
5. C e r v i c a l A d e n i t i s Absent P r e s e n t Grade
( 0 ) (1 -4 )
(m in ima l , m i l d , moderate, severe )
6. O the r 0 = Normal 1 = abnormal. S p e c i f y ....................... 515
See Research Task V I I - 4 2
Notes: - * Asssessment des igned t o I.A. S t e w a r t and A. Simpson. Dr Simpson c a r r i e d o u t t h e examinat ions.
EYE EXAMINATION* (Card 21 - V I I ) ( c o n t ' d )
Card 21
Code V i s u a l A c u i t v : 6 /6 = 01.; 6 /9 = 02; 6/12 = 03;
6/18 = 04; 5 /24 = 05; 6/35 = 06; 6 /50 = Q7
1. V i s u a l A c u i t y w i t h o u t g lasses - R.V. 5156
- L.V.
2. V i s u a l A c u i t y w i t h g lasses - R.V.
3. Near V i s i o n w i t h o u t g lasses - R.V.
(code N3=1; N5=2; N8=3; Nld=4) - L.V.
4. Near V i s i o n w i t h g lasses - R.V. 518
- L.V. 519
5. C.T. No movement = 1 ) w i t h g lasses i f worn
e s o t r o p i a )
= 2 )
e x o t r o p i a )
= 3 ) I
6. E.O.M.
esophor i a = 4 j I
e x o p h o r i a = 5 j
Normal (code 0 )
w i t h g lasses i f worn Abnormal - d e t a i l (code 1 )
7. Other S p e c i f y ................................ 1 = yes 0 = no ................................
8. S t e r e o p s i s w i t h g lasses i f worn
T.N.O. - B u t t e r f l y ( 0 = No 1 = Yes) 5 2 3
C i r c l e s ( 0 = No 1 = Yes 2 = D o u b t f u l ) 524
Shapes ( 0 = No 1 = Yes 2 = D o u b t f u l ) 525
Wedge (Grade 1 - 6 ) 525
Notes: * The assessment was des igned by A. Simpson. Examinat ions were - c a r r i e d o u t by C. K i r k l a n d .
MEDICAL EXAMINATION FORM* (Card 22 - V I I )
1. Has ......... any obv ious p h y s i c a l abnormal it.^? i .e . obv ious when c h i l d c l o t h e d , e.g. l a r g e b i r t h mark, scar, e t c . ( 0 = no; 1 = yes) I f yes, s p e c i f y and d e s c r i b e
2. Sk in . Has ........ any o f t h e c o n d i t i o n s below? ( 0 = none; 1 = min imal ; 2 = m i l d ; 3 = moderate; 4 = severe) (Severe - r e q u i r i n g bandaging o r obv ious when c h i l d dressed)
Eczema I m p e t i g o Scabies B i t e s Other .............................................
3. Has ......... a CNS d e f i c i t ? ( 0 = no; 1 = y e s ) I f yes, s p e c i f y and d e s c r i b e .................................
4. Has ......... an o r t h o p a e d i c handicap? e.g. c l u b f o o t , s c o l i o s i s . ( 0 = no; 1 = yes ) I f yes, s p e c i f y and d e s c r i b e ...............
5. Hear t . Murmur - ( 0 = no; 1 = yes ) I f yes, d e s c r i b e ......... ................................................................
Femoral Pulses - ( 0 = p resen t ; 1 = absent )
6. Lungs ( 0 = normal D e f o r m i t y 1 = Pigeon 2 = Funnel 3 = H a r r i s o n Sulcus 4 = Other - s p e c i f y ........................................................ A u s c u l t a t i o n 0 = C l e a r 1 = A u d i b l e sounds
S p e c i f y and grade ............................................. 7. Abdomen ( O = normal; 1 = abnormal) I f a b n ~ r m a l
s p e c i f y ........................................................ 8. Lymph g lands - i n g u i n a l . ( 0 = absent; 1 = p r e s e n t )
9. H e r n i a ( 0 = absent; 1 = p r e s e n t ) I f p r e s e n t d e s c r i b e ........
10. Testes ( 0 = descended; 1 = undescended; 8 = n / a ( g i r l ) ) I f undescended d e s c r i b e ..........................................
11. Other - s p e c i f y ( 0 = none; 1 = yes ) .........................
Notes: * T h i s f o r m and Card 23 were designed b y A. Simpson. A l l r e s e a r c h t a s k s are c o n s o l i d a t e d f o r V a r i b l e s A527 t o A 568 i n one f i l e c a l l e d Research Task V I 1-42.
12. Examinat ion* B lood Pressu re
1. B.P. S y s t . -
Phase I V -
2. R.P.
3. B.P.
Phase V -
P u l s e -
Syst . - Phase I V -
Phase V -
P u l s e -
S y s t . - Phase I V -
Phase V - P u l s e -
Code Values
Examine r ' s assessment o f B.P. accu racy
0 = good; 1= p o o r
S p e c i f y reason ....................................................
Notes: * E x a m i n a t i o n c a r r i e d o u t b y A. Simpson .-
References: CHAPT3, RNZ31
OTOLOGY AN0 OPTHALMOLOGICAL QUESTIONNAIRE (Card 23 - V I I )
O t o l o q y Q u e s t i o n n a i r e *
8 = n/a; P = n /k
Some c h i l d r e n may have a c c i d e n t s because o f h e a r i n g prob lems
1. Do you t h i n k ......... ever had an a c c i d e n t o r a nea r m i s s due t o a h e a r i n g prob lem? 0 = no; 1 = yes, a c c i d e n t ; 3 = yes, nea r m i s s
2. I n t h e p a s t two y e a r s has ......... ( a ) had any ea r i n f e c t i o n 0 = no; 1 = yes
I f yes, how many? Code no. 98 = n / a 8166
( b ) been suspected o f h a v i n g a h e a r i n g l o s s ? O = no; I = y e s .
Was t h i s c o n f i r m e d ? 0 = no; 1 = yes
1 = CDS; 2 = ENT; 3 = H e a l t h Dept. 4 = o t h e r ,
s p e c i f y ........................................................ See Research Task V I I -44
( c ) had any ea r o p e r a t i o n s ? ( e s p e c i a l l y t u b e s ) 0 = no; 1 = yes 546
1 = u n i l a t e r a l tube; 2 = b i l a t e r a l tube; 3 = o t h e r ; 8 = n / a 547
s p e c i f y ........................................................ See Research Task V I I - 4 5
If yes, where? 0 = DPH; 1 = o t h e r ; 8 = n / a S p e c i f y .........................
Notes: * See no tes Card 22. The f o r m was des igned b y I.A. S t e w a r t and A. Simpson.
VII-46
(Card (cont'd) Opthalmology Questionnaire*
........ 1. Do you think sees normally? (0 = no; 1 = yes; 2 = 549 unsure) This question refers to vision without glasses.
2. Has ........ had a real or suspected vision problem in the past 550 2 years? ( 0 = no; 1 = real (confirmed); 2 = suspected (not confirmed). (If 9.2 negative, code rest 8)
3. Has ........ seen a doctor because of a suspected vision problem 5.51 in the past 2 years? (0 = no or code N times; 8 = n/a)
4. Who has seen ...... .? (Family doctor only code 0 or specialist 552 code 1 and specify)
Name ............................. Date ............. Pub./Priv.
5. Was the suspicion of a vision problem confirmed? (0 = no; 1 = 553 yes; 8 = nla)
6. If ......... was seen by an eye specialist. a. were glasses prescribed? (0 = no) If yes, how much had the,y to be worn? 1 = all the time; 2 = part time - specify ................
b. Has ........ ever had to wear a patch over one eye? (0 = no; 1 = yes)
If yes - how did you manage with the patching?
Did you manage to follow instructions - (8 = nla; 9 = nlk)
1 = Always 2 = Most of the time 3 = Good part of the time (more than %) 4 = Some of the time (less than %) 5 = Little 6 = Never
7. Who first suspected that there was a vision problem? (8 = no prob; 0 = mother; 1 = father; 2 = child; 3 = DMCDS; 4 = Plunket; 7 = other (details below); 9 = n/k)
Notes: * Form designed by A. Simpson. -
Introduction: We want to go into a lot more detail concerning the health of children this year as we want to find out. how many of the children have minor problems as well as how man,? have major problems. In this way we can find out what effect, if any, these problems have in the long term and if there is anything we can do to avoid them.
1. First of all we would like to know something about the number of 558 children who have been referred to a soecialist during the past two years. Yas ......... been under the care of a specialist during the last two vears? 0 = no; 1 = yes; If several specialists, code no. If yes, fill in specialist form. See Specialist Forms
2. Has ........ been admitted overnight to hospital in the last two 8167 years? 0 = no; If Yes, Code number of times and fill in hospital- isation form for each admission. See Hospitalisation Forms
3. Has ......... been in hospital for any investigations, treatments, R!68 anaesthetics, etc. not requiring him/her to stay overnight? If yes, lease specify and code number of times in last two years.
................................................................ See Research Task VII-46
4. How many injuries (includinq poisonings) requiring medical 8169 attention has ........ had in the past two years? Code number or 99 = n/k If any, fill in accidents from for each one.
See Accident Forms - Card 27 at end of this section 5. How many times has ......... seen a GP about the following problems
in the last 2 years? Code up to 6. Code 7 or more as 7.
Recurrent colds and sore throats
Skin problems
Epilepsy 5 6 1
Growth problems 562
Orthopaedic (bones and joints) 56 3
Hearing problems 564
Diabetes 565
Ear problems
Eye problems
If any, please give details, e.g. type of problem
* Other - specify .................................................... 568
N~tes: * See Research Task 43 (consolidated research task)
(Card 24 - V I I ) ( c o n t ' d )
6. Has ........ ever s u f f e r e d f r o m wheezing, w h i s t l i n g i n t h e ches t , 569 n o i s y h r e a t h i n g , o r c h e s t t i g h t n e s s ?
7. Has ........ e v e r had any o f t h e f o l l o w i n g ? 570
Hay f e v e r 0 = no; 1 = yes, seasona l ;
2 = yes, p e r e n n i a l ( i . e . o f f and on a l l y e a r )
For remainder , 0 = no; 1 = yes
Asthma
Eczema
B r o n c h i t i s
A l l e r g i e s ( a n y f o r m )
P lease g i v e names h e r e o f any d o c t o r seen about above c o n d i t i o n s and s p e c i f y c o n d i t i o n
............................................................... These d e t a i l s l ooked a f t e r b y Dr M. Sears.
8. ( a ) I s ......... on any r e g u l a r t r e a t m e n t p r e s c r i b e d b y a d o c t o r ? 0 = no; 1 = yes
( b ) D i d ........ t a k e any p i l l s , med ic ines , t r e a t m e n t o f any 576 k i n d y e s t e r d a y ? 0 = no; 1 = yes.
S p e c i f y if n o t p r e s c r i b e d b y GP ........................... ( F i l l i n M e d i c a t i o n Sheet f o r each p r e s c r i b e d b y GP)
See M e d i c a t i o n Forms f o r d e t a i l s
9. Has ......... been seen b y a d o c t o r i n t h e l a s t f o u r weeks? B170 ( 0 = no o r N t i m e s ) D e t a i l s and code ( i n t e r n a t i o n a l c o d i n g o f d i s e a s e s
................................................................ See Research Task V I I - 4 7 C25
( a ) I s t h i s an a c u t e o r a c h r o n i c prob lem? ( 1 = acute ; 2 = 577 c h r o n i c ; 8 = n /a)
VII-49
(Card 2a - VII) ( c o n t ' d )
Enuresis*
10. ( a ) I s .................. d r y a l l daytime ( s i x out of seven days)? 578
(Code 0 = no 1 = yes )
( b ) I f you were t o grade number of times ................. wets h i s l h e r pants , which would i t he?
0 = Never in t h e l a s t year ; 1 = Less of ten than once/month; 2 = A t l e a s t once/mth; 3 = A t l e a s t once/wk
11. ( a ) During l a s t month has ............. usual ly been dry i n t h e morning? 0 = no; 1 = yes
( t h r e e out of four days o r 24 out of 30 days
( i . e . wet l e s s than 6 n ights in a month)
( b ) During l a s t fou r mornings has ................ been wet? 0 = no o r code no of t imes
( c ) I f you were t o grade number i f times ................. wets h i s /he r bed, which would i t be?
0 = Never in t h e l a s t year ; 1 = Less of ten than oncelmonth; 2 = A t l e a s t once/montht; 3 = A t l e a s t oncelweek*
* F i l l in Enuresis Form (See Enuresis form which i s Card 28)
........... 12. Do any of bro thers and/or s i s t e r s who a re over 10 yea r s 583 old wet t h e bed more than once a month?
0 = no 1 = yes I f s eve ra l , code no.
13. How do you th ink ............. ' s heal th i s ? 584 0 = very good; 1 = good; 2 = not too good; 3 = not a t a l l good
14. Do you think ............I s hea l th , in comparison t o l a s t years 555 i s ?
0 = much b e t t e r ; 1 = s l i g h t l y b e t t e r ; 2 = same; 3 = s l i g h t l y worse; 4 = much worse; 9 = n / k
Notes: * For those enure t i c a t 5 but not a t 7, Card 27 was f i l l e d in. For those enure t i c a t 7, Card 28 was f i l l e d in .
Reference: R045
FAMILY HISTORY OF ASTHMA (Card 25 - VII)
Has anyone else in the family ever suffered from asthma, hayfever, eczema, or a1 lergies? 0 = no; 1 = yes; 9 = n/k
Asthma Hayf ever
All Year Seasonal Round
Child's mother 586 587 588
Mother's mother 591 592 5P3
Mother's father 596 597 598
Mother's siblings 601 602 603
Child's father 606 607 608
Father's mother 611 622 613
Father's father 616 617 618
Father's sib1 ings 621 622 623
Child's siblings 626 627 628
Details ....................................... These data looked after by Or Y. Sears
Has ........ ever had - English measles 631
See Research Task VII-48 mumps 532
whooping cough 633
chicken pox 634
Eczema
589
594
599
604
609
614
619
624
629
,.... .....
Allerqies
590
595
600
605
610
615
620
625
630
0 = no; 1 = yes; 2 = not sure; 9 = n/k
FAMILY HISTORY HEART PROBLEMS (Card 25 - VII) (cont'd)
Child's mother
Mother's mother
Mother's father
Mother's sib1 ings
Child's father
Father's mother
Father's father
Father's siblings
High SP
Angina Heart Attack
Stroke
Details ....................................................
Other Heart Problem
4. Are you (mother) a non-smoker, ex-smoker, or smoker? If smoker, how many per day? Code 0 = non; 1 = ex; 7 = less than 10; 3 = 11-20; 4 = 21-30; 5 = 31-40; 6 - more than 40; n/a = 8 (no mother)
19. Is father or father figure a non-smoker, etc. (repeat as above) 8 = n/a (no father)
Interviewer
(KB = 1; JG = 2; RS = 4; O T = 5 ; J W = 6 ) 7 = Other - specify
VII-52
ENURESIS QUESTIONNAIRE* (Card 27 - VII)
Card 27
PART 11. F i l l e d in f o r those who were e n u r e t i c a t 5, from t h e l i s t
For those whose enures i s has ceased during l a s t 2 years .
1. A t what age did ......... f i r s t become dr,y a t night? ( 6 ou t 7 days) 8171 Code months
2. A t what age did he l a s t become dry? Code months 8172
3. I f answers t o 1 and 2 not t he same
( a ) p lease d e t a i l below (e.g. no. of r e l a p s e s ) 675
........ ( b ) Do you know any reasons which may have caused t o become 679 wet again? (e .g. change in r o u t i n e o r home s i t u a t i o n ) 0 = no; 1 = yes Detai l ..........................................................
4. Did t h e enu res i s s top a s a r e s u l t of t rea tment? 0 = no; 1 = yes. 680 ................................................. I f yes , spec i fy
5. We would l i k e t o know about t rea tments which have been t i r e d and how successfu l they were.
( A s k i f each of t h e fo l lowing have been t i r e d and how successfu l they were. Record number of s e p a r a t e a t tempts )
Tr ied & Reduced Success Success P a r t i a l Success Fa i l ed Incidence t h e Relaspe then Relapse
Chart
P i l l s 686 687 688 659 690
Bell ( o r s t imulus 691 692 693 694 695 t o waken)
Other ( s p e c i f y ) 596 697 698 699 700 .................... .................... Combination 701 702 703 704 705
Spec i fy ....................................................
Notes: - A The enures i s ques t ionna i r e s were designed by A. Simpson.
Reference: R045
ENURESIS QUESTIONNAIRE (Card 28 - V I I )
FOR CHILDREN WHO - ARE ENURETIC
1 ( a ) Was .......... ever d r y f o r a month o r more? 0 = no; 1 = yes. 706 If no. code 8 f o r remainder o f Q.l
( b ) I f yes, a t what age d i d ......... f i r s t become d r y (code mths) 3174
( c ) A t what age d i d ........... t h e n become wet aga in? (code mths) 3175
( d ) D i d t h i s happen more t h a n once? 0 = no; 1 = yes. I f yes, 707 ..................................................... d e t a i l s
( e ) Do you know o f any reasons which may have caused ......... t o 708 become wet aga in? (e.g. change i n r o u t i n e o r home s i t u a t i o n ) 0 = no; 1 = yes. D e t a i l s .................................
2. Have you sought anyone 's a d v i c e about t h i s problem? 0 = no; 1 = GP 5176 o n l y ; 2 = commercia l ; 3 = P s y c h o l o g i c a l S e r v i c e ; 4 = p a e d i a t r i c s p e c i a l i s t ; 5 = u r o l o g i s t ; 6 = Psych. Medic ine; 7 = o t h e r ; 10 = combinat ion; 8 = n l a ; 9 = n l k . I f comb ina t ion c i r c l e nos.
3. We would l i k e t o know about t r e a t m e n t s which have been t r i e d and how s u c c e s s f u l t h e y were.
(Ask i f each o f t h e f o l l o w i n g have been t r i e d and how s u c c e s s f u l t h e y were. Record number o f separa te a t t e m p t s )
T r i e d & Reduced Success Success P a r t i a l Success F a i l e d I n c i d e n c e t h e n Relapse t h e n Relapse
C h a r t 709 710 711 712 713
P i l l s 714 715 716 717 718
B e l l ( o r s t i m u l u s 719 720 ?21 722 723 t o waken)
O ther s p e c i f y 724 725 726 727 728
.................... Combinat ion 729
S p e c i f y .............................................................. 4. A re t h e r e any o t h e r ways you have t r i e d t o dea l w i t h t h e problem? 734
(e.g. s c o l d i n g , ounishment, rewards) 0 = no; 1 = yes; 7 = o t h e r ; ....................................... 8 = n/a; 9 = n l k . D e t a i l .................................................................. 5. Has t h i s prob lem caused any inconven iences i n t h e f a m i l y . (e.g. on 735
h o l i d a y s ) . 0 = no; 1 = yes ; 7 = o t h e r ; 8 = n l a ; 9 = n l k D e t a i l ........................................................... ..................................................................
BASIC MOTOR ABILITY TEST* (Card 29 - V I I )
Scor ing - mark t e s t i n score box Observat ions - 9 = no s i g n 1 = s i g n e v i d e n t P = no t e s t
reason
1. BEADSTRINGING (median = 9 ) Tremor
8177 6. FACE DOWN TO STANDING 5152 (median = 10)
736 Immature movement att tern 747 Slowness 737 Slowness Poor hand-eye c o - o r d i n a t i o n ?38
2. TARGET THROWING R178 7. BALANCE (median = 6) (median = 14) Irmnature movement p a t t e r n 739 eyes open Lack o f s t r e n g t h 740 eyes c losed Poor hand-eye c o - o r d i n a t i o n 74 1
3. TAPPING BOARD (median = 43) Tremor
8179 8. CHAIR PUSH-UPS (median 7 )
742 Lack o f s t r e n q t h Slowness 743 Poor hand-eye co -o rd ina t i on 744
4. HAMSTRING STRETCH (M = 20.75)
8180 9. AGILITY RUN (median = 27) Immature movement p a t t e r n 750 Slowness 751
Scores t o t a l C25
5. STANDING LONG JUMP B l B l SUBJECTIVE I M P R E S S I O N OF 752 (median = 43) PERFORMANCE Inmature movement p a t t e r n 745 0 = normal Lack o f s t r e n g t h 746 1 = susp ic ious
2 = abnormal
EXAMINER'S CODE 8188 JW - 0 1 s tuden t 02 - con t inued Other - 44 - s p e c i f y
Notes: * Th i s t e s t was se lec ted by J. Wilson. The re fe rence f o r t h i s t e s t i s - Arnheim, D., S i n c l a i r , W. (1974) The Clumsy Ch i ld . S t Louis, C.V. Mosby
References: R021, R028, R038
MEETING GRANDYA* - RUNNING RECORD SUMMARY* (Card 31 - VII)
Examiner's code PB = 21 LC = 02 CR = 03 BS = 04 PN = 05 EP = 06 RM = 07 44 = other - specify ......................
Repetitions RlsO
Substitutions grammatically acceptable B191
grammatically unacceptable B192
Substitutions Not affecting meaning B193
Affecting meaning
Total
Refusals (told)
Insertions 5197
Omissions B195
Total errors B199
Accuracy rate 02
Self-corrections 5200
Self-correction rate
Comprehension N Child read/N correct
N Tester read/N correct 755-756
Time taken 758-B201
No. of words in lines omitted B202
Test discontinued - no. of words 00 not read; 87 test complete 8203
Child does not point = 0; points spontaneously = 1; points because 758 of prompt = 2; tester points for child = 3 Book level. 00 = below red 1st box - colour code 1 = red; 2 = yellow; 3 = blue; 4 = green; B204 5 = above grreen, big books. 2nd box - small books, level 1, 2, 3, big books (5) level 1-6; 78 = other, including not classifiable; 88 = n/a; 99 = n/k & journal. Deviations from standardisation 0 = no; 1 = yes.
Details ..............................................................
Notes: * This test was developed by R. Marriott.
Reference: PJ13
MOOS FAMILY ENVIRONMENT SCALE* (Card 32 - V I I )
Measure
Cohesion
Expressiveness
C o n f l i c t
Independence
Achievement O r i e n t a t i o n
I n t e l l e c t u a l C u l t u r a l
A c t i v e Rec rea t i on
Moral R e l i g i o n
O rgan i sa t i on
C o n t r o l
V a r i a b l e
B (205)
B(206)
B (207)
B (208)
B (209)
B(210)
B(211)
B(212)
B(213)
B(214)
Notes: * The Fami ly Environment Scale was s e l e c t e d by P.A. S i l v a . The re fe rence i s Moos, R. and Moos B. (1981) Fami ly Environment Scale Manual. Pa lo A l t o , Consu l t i ng Psycho log i s t s Press.
THE DUlIEDIN 1~1ULTIDISCIPLI l~ARY CHILD DEVELDP!.lENT STUDY
ACCIDENT O U E S T I O N N A I R E * - PHASE V I I ( C a r d 7 1 )
( F i Z Z i n one form for e a c h a c c i d e n t r e s u l t i n g i n a n i n j u r g r e o u i r i n p med ica t a t t e n t i o n d u r i n g t h e l a s t two y e a r s )
m
Form no . - - - - - - - - - - - - o f - - - - - - - - - - - - - - - f o r m s
. . (6-7) [ 1 I
1 P l e a s e d e s c r i b e t h e a c c i d e n t i n d e t a i l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-11
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Code a c c o r d i n g t o I C D 3 d i g i t s e r i e s "SuppZementary C Z a s s i f i c a t i o n o f Ez ternaZ Causes o f I n j u r y and Po i - s o n i n g " . Use t h e "TabZe o f Drugs and ChemicaZs" or ;
a ITew E t h i c a Z s CasaZogue i f u n c e r t a i n how t o code a p o i s o n i n p . )
, 2 P l e a s e d e s c r i b e t h e i n j u r y / s . . . r e c e i v e d as a r e s u l t o f t h i s a c c i d e n t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Code accord ing t o ICD 3 d i o i t s e r i e s " I n j u r y and P o i s o n i n g " . I j more t h a n one t y p e o f i n j u r y - code t h e main o n e . Use t h e "Tab Ze o f Drugs and ChemicaZs" o r a New E t h i c a Z s CataZooue if u n c e r t a i n how t o code - a p o i s o n i n g . )
3 How o l d was ... when t h e a c c i d e n t o c c u r r e ' d ? . . .. y r s .... mths (Code f o r m o n t h s )
Dccurrencel
Sa:.. Who was l o o k i n g a f t e r . . . a t t h e t i m e o f t h e a c c i d e n t ? 0 = no one : 1 = an a d u l t : 2 = a c h i l d (22)
(17-18)
4 Where d i d t h e a c c i d e n t o c c u r ? 0 = home; 1 = f a r m ; 2 = m i n e and q u a r r y ; 3 = i n d u s - t r i a l p l a c e and p r e m i s e s ; 4 = p l a c e f o r r e c r e a t i o n and s p o r t ; 5 = s t r e e t a n d h i g h w a y ; 6 = p u b l i c b u i l d i n g ; 7 = r e s i d e n t i a l i n s t i t u t i o n ; 8 = o t h e r s p e c i f i e d p l a c e ; 9 = u n s p e c i f i e d p l a c e (For d e f i n i t i o n s e e ICD ~ Z a s s i i i c a t i o n f o r PZace o f
. ( A c h i l d i s anyone under 1 5 )
b.. I f " a c h i l d " : how o l d was t h e c h i l d ? ....... v r s I
(20)
e .g . 9 y e a r s = 0 9 (Code y e a r s . n / a = 0 0 ) (24-25) 6a Was ... a d m i t t e d t o h o s p i t a l ? 1 = y e s ; 2 = n o ;
3 = o t h e r ( s p e c i f y ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (27)
I f "YES", ask b and c b How l o n g - w a s ... i n h o s p i t a l ? .... days
(Code no . o f days - 4 = 004 , 54 = 054; 361 = 365; n / a = 0 0 0 )
c Was ... a d m i t t e d w i t h i n 24 h r s o f * accident? 1 = y e s ; 2 = n o ; 3 = n / k ; 4 = - fa
Notes: * This co i n form was d veloped b J . Lanqley and was f i l l e d . i n - or eac fi s 8 ara te a c c ~ 8 ent. Mr ?angley has the coding de t a i l s and lookq after these f o r m s .
How many t i m e s d i d . . . f o r m e d i c a l a t t e n t i o n I ( 3 t - 3 - ~ j ~ l [ e . g . o u t p a t i e n t s , OP) as a r e s u l t o f t h i s i n j u r y ?
(7 and 8 not used)
.. . ( c o d e n u m b e r ; n o n e = DO; n / a 8 8 )
(37-45) not used
L. I 1
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I f "YES"
b What i s t h e d i s a b i l i t y o r d i s f i g u r e m e n t ?
. . (Do n o t c o d e ) . . . . . . . . . . . . . . . . . . . . . . . . . . - - - - - - - - - - - . .
9 a D i d t h e i n j u r y ' r e s u l t i n any phys ica l d i s a b i l i h o r d i s f i g u r e - ment one m n t h l a t e r ? l=yes; 2 = no;. 3 = olie month-hasn't:'-"'.. passed) 4=other ( spec i f41 -------_- 1-
. -
(46)
If "YES" b How d i d i t a f f e c t . . .? (Do n o t c o d e ) - - - - - - - - - - - - - -
. I
l(a D i d t h e a c c i d e n t / i n j u r y a f f e c t . .. e m o t i o n a l l y o n e m o n t h l a t e r ? ( e . g . d i d . .. b e c o m e : f e a r f u Z , more d e p e q d e n t , Z e s s c o n f i d e n t , f e a r f u Z o f d o c t o r s , e t c . ) 1 = y e s ; 2 = n o ; . 3 = 3ne mon th h a s n ' t p a s s e d 4 = o t h e r ( s p e c i f y ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -- 11 a H a v e . y o u t a k e n a n y measures w h i c h w e r e i n t e n d e d t o
d e c r e a s e t h e . c h a n c e s o f t h i s t y p e o f a c c i d e n t h a p p e n - i n g a g a i n ? 1. = y e s ; 2 = no ; 3 = no - i t ' s n o t p r e v e n t a b l e ; 4 = o t h e r ( s p e c i f y ) - - - - - - - - - - - - - - - - - -
(51)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I f "YES"
b What a r e t h e s e m e a s u r e s ? . (Do n o t c o d e ) - _ - _ _ _ _ _ _ _ _
- 1 2 Is t h e r e a n y t h i n g e l s e y o u w o u l d l i k e t o s a y a b o u t
t h i s a c c i d e n t ? (Do n o t c o d e ) . . . . . . . . . . . . . . . . . . . . . .
9; uouZd Like t o f i r i s h wi th a few questions about s a f e t y i n generaZ
13 00 y o u t h i n k T h i s o f a c c i d e n t i s p r e v e n t a b l e ? 1 = y e s ; 2 = no ; tl = n / k ; 4 = o t h e r ( s p e c i f y ) . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I f "YES"
b How c a n t h e y b e p r e v e n t e d ? (Do n o t c o d e ) - - - - - - - - - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c If "NO" why a r e t h e y n o t p r e v e n t a b l e ? (Do n o t c o d e ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DMC 28 /79 .
I ' Card No.
. ~
. .
EXTRA DATA PHASE V I I . PSI~.~!A/SCE~R~CLZ~/FFJ..C.E~
. . . From C a r d s 1 t o 15 , la t o 29, 31, 32
D l - 3 P I C '9999'
A ( l - 759) PIC ' 9 '
B ( l - 214) PIC '93'
C ( l - 25) PIC '939'
Sex F ( 2 )
16-beat t i 3 2 F(4)
Exam d z t e
SES - . -7. 3irt.h - ?SI~;: ' /~~O-".SZD, . Z (31)
5 y e a r s - D Cr?s/~.;srcTm, s ( 2 ) -- . .
: i sd i f i e8 = h(7G3) u n l e s s t h i s is 0 , 0, 9 i n which c a s e A(762)
Score 1 f o r e ~ c h non-zero i n A(171-190). P u t 08 o r 99 if any 8 o r 9.
P h y s i c a l - Score 1 f o r each o f B(8C-105) that .Fs GT 0 zn2 TLE 49. P u t 88 o r 99 if any 888 o r 99.
Psycho log ica l
Score 1 f o r ezch o f B(U4-105) t h a t i s GI: 5 3 md. LZ 73 p l u s h ( 1 9 1 ) . P u t ZE o r 99 i f any 8 D o r 99. a (220)
Burt - Re-calculate C (3) by t o t a l l i n g A(254-363). Put 888 o r 999 i f any 8 o r 9.
Phase 7 Anthropozletry
16 v a r i A l e s PIC ' (5)97.999' (missing value = 9999-000)
. . (1) Height (m)
(2) s i t t i n g height (m)
(3) c o m l c index = (2) " 100.0/!1)
( 4 ) U / L Rat io = ( 2 ) / ( ( 1 ) - ( 2 ) )
(5) Mid upper a m circumference (mn)
(6) Triceps sk in fo ld (m)
(7) S u b s c a y l a r sk info ld fm)
(8) Upper wn muscle diameter (m) = (5)/a - (6) --
(9) Weight (kg)
(10) P ~ l a t i v e weight, p u a t e l e t ' s irdex, body mass inaex. = (9) 1000.0/(1)/(1) * 100.0
-
(11) Ponderal index - (1)/10.0/( (9) *1000.0) **0.333
(13) Bi . acromial diameter (nun)
( 1 9 B i l l i a c diameter (ma)
(15) EID Index
SeenfEot seen - - ..
Seen = 0, Not seen - 9 . .
Spare
AX766 - 780)
B(222 - 225)
C(28 - 30)
Total
A(760)
B(225)
C(30)
D ( 3
24 words anthroponetry
1 Sex: M / F Female.. .l Male;. - 2
2 Visua l e s t i m a t e of obes i ty :
t h i n . . . 1 average tending t o t h i n ... 2 average ... 3 average tending t o f a t . . . 4
f a t . . - 5
3 . Weight: l i g h t l y c lo thed wi thout shoes
. Heiqht: - s tanding
. Skin fo ld ti1ic1;nes.s: L. T r i ceps ..- ( d u p l i c a t e )
L. Subscapulzr ( d u p l i c a t e )
- LefC I.li.d Uc.per Arm Circi?inferenzf . . .
!c, c-xnx - rcf i i sa l . . . l o thc r . . . . - 2
- 7 P a r t i a l e:.:zT - r e r ~ ~ s a l . . ., otl;e;-. .. . . 3
18
m x 1.0 % 5 TI-
-
32
cia x 10 - i
3 5
cn x 10 I
RESEARCH TASKS - PHASE VII
Task -
VII-1
Variable Description
Reasons for long absences from school Sleeping problems last night Sleeping problems usually Other membership in organised groups Other purposes for cycling Other swimming teacher Other place where learned to swim Other place where swims now Wrong with discipline Other ways of discipling Comments about discipline Speech difficulties Eating problems Sleeping problems Other problems - Rutter Comments, deviation from standardisation Comments by psychologist Crossed lateral ity Significant problems to psychometrist Changes in last year Influences, Influences, mildly important Influences, markedly important Influences, combination Parents' comments Auditory meatus R & L Otology, other, R & L Otologist's decision R & L School (Rutter) problems Learning problems Special strengths Health problems Clumsy Psychologist, reasons for referral Public health nurse Vision and hearing tester Speech therapist Adviser on deaf children Reading adviser Social Welfare School questionnaire Other agencies ENT abnormal Medical problems - consolidated research task Other confirmed hearing loss Other ear problems - hospital for ear operations Hospitalisations for a day only (not overnight) Recent visits to doctor and International Diseases
Code Common illnesses
Spec i a1 Forms
1. Specialists (A558) 2. Hospitalisations 3. Medications