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Short Initial Assessment
(Refusers Questionnaire)

- General Information
- Short Initial Assessment: Instruments / Items used in BASE
- Refusers Questionnaire: Instruments / Items used in BASE

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Short Initial Assessment:
General Information

When? | Time 1 | Time 2 | Time 3 | Time 4 | Time 5 | Time 6 | Time 7
Where? | Intake Assessment (EE) | Intake Assessment (EE) | Intake Assessment (EE) | Intake Assessment (EE) | - | - | -
Questionnaire | EE: Short Initial Assessment | EE: Short Initial Assessment | EE: Short Initial Assessment | EE: Short Initial Assessment | - | - | -
SIR Data bank | EE: ZPK rec / table 9 (Z1KURZ) | EE: ZPK rec / table 109 (Z2KURZ) | EE: ZPK rec / table 209 (Z3KURZ) | EE: ZPK rec / table 309 (Z4KURZ) | - | - | -

At the first contact, apart from motivating the target person to take part in the Intensive Protocol, the interviewers always attempted to carry out an Intake Assessment. If the potential participant had any doubts or uncertainties with respect to his / her suitability for the study or the questions to be answered, or seemed inclined to refuse to take part, the interviewer suggested beginning with the so-called Short Initial Assessment. The participant could thus gain a first impression of the type of questions asked in the study, and see whether full participation would be too tiring or taxing.

Similar to the complete Intake assessment, the Short Initial Assessment consists of items from all four research units. For the most part, it corresponds to the first 16 questions of the Intake Assessment (20 at Time 2, 22 at Time 3).

If the target person refused to answer the Short Initial Assessment, the Refusers Questionnaire was sent by post 3 or 4 weeks after the first contact, and the recipient was asked to answer the questions in writing if at all possible. Those who had absolutely refused to allow any further contact and those for whom further contact was unacceptable due to health reasons were excluded from this procedure. The Short Initial Assessment made it possible to collect at least basic information on the target person on the one hand, and to perhaps encourage a more intensive contact on the other hand. (At the end of the Short Initial Assessment the participant was asked whether he / she would agree to further contact at a later date.)

At Time 5, Time 6, and Time 7 neither the Short Initial Assessment nor the Refusers Questionaire were applied.

- General Information
- Short Initial Assessment: Instruments / Items used in BASE
- Refusers Questionnaire: Instruments / Items used in BASE

###
Short Initial Assessment:
Instruments / Items used in BASE

Note:
According to the design, variable names for Time 1 have the prefix z1, names for Time 2 have the prefix z2,
names for Time 3 have the prefix z3, and names for Time 4 have the prefix z4.

| BASE items / variables | English translation | Variable names Time 1 | Variable names Time 2 | Variable names Time 3 | Variable names Time 4
1. | Geburtsdatum laut St / vage | Date of birth according to participant / vague | z1e1x1d / m / y / z1e1 | + | + | +
2. | Formaler Familienstand | Formal marital status | z1e3 | + | + | +
3. | Datum verwitwet / geschieden / vage | Date widowed / divorced / vague | z1e4x1m / y / z1e4 | + | + | +
4. | Anzahl Kinder | Number of children | z1e5 | + | + | +
5. | Allein lebend | Lives alone | z1e6 | + | + | +
6. | Zusammenlebend mit Partner / Sohn / Tochter / Sonst. Familienangehör. / Freunde / Sonstige | Lives with partner / son / daughter / other member of the family / friends / other | z1e7x1 / 2 / 3 / 4 / 5 / 6 | + | + | +
7. | Anzahl sonstiger Mitbewohner | Number of other cohabitants | z1e7sons | - | - | -
8. | Seniorenwohnhaus oder Heim | Old people's housing unit / home | z1e8 | + | + | +
9. | Datum Einzug Wohnung / Heim / vage | Date moved into flat / home / vague | z1e9x1m / y / z1e9 | + | + | +
10. | Schulabschluß / Lehre | School certificate / appren-ticeship | z1e10 / 11 | - | - | -
11. | Lebenszufrieden-heit / Scale-Type | Life satisfaction / Scale type | z1e12 / x2 | + | + | +
12. | Körperliche Gesundheit / Scale-Type | Somatic health / Scale type | z1e13 / x2 | + | + | +
13. | Seelische und geistige Gesundheit / Scale-Type | Mental health / Scale type | z1e14 / x2 | + | + | +
14. | Gedächtnis / Scale-Type | Memory / Scale type | - | z2e12nx1 / 2 | + | +
15. | Das Schönste im Leben 1 / 2 | The best thing in life 1 / 2 | - | - | z3e13x1 / 2 | +
16. | Veränderung Zufriedenheit letzte 12 Monate / Scale-Type | Change in satisfaction over the last 12 months / Scale type | - | z2e12lx1 / 2 | + | +
17. | Veränderung körperliche Gesundheit letzte 12 Monate / Scale-Type | Change in somatic health over the last 12 months / Scale type | - | z2e13lx1 / 2 | + | +
18. | Veränderung seelische Gesundheit letzte 12 Monate / Scale-Type | Change in psychological health over the last 12 months / Scale type | - | z2e14lx1 / 2 | + | +
19. | Veränderung Gedächtnis letzte 12 Monate / Scale-Type | Change in memory over the last 12 months / Scale type | - | z2e12nl1 / 2 | + | +
20. | ADL: Hilfe beim Aufstehen / Ankleiden / zur Toilette / beim Baden / bei Nahrungs-aufnahme | ADL: Help with getting up / getting dressed / using toilet / bathing / eating | - | - | z3e18x1 / 2 / 3 / 4 / 5 | +
21. | Anzahl der Aktivitäten in den letzten 12 Monaten verändert? / Scale-Type | Change in number of activities over the last 12 months? / Scale type | - | - | z3e19x1 / 2 | +
22. | Besondere Ereignisse in den letzten 12 Monaten? | Particular events over the last 12 months? | - | z2e108n | + | +
23. | Ereignis1 / 2 / 3 / 4 / 5 | Event 1 / 2 / 3 / 4 / 5 | - | z2e110n1 / 2 / 3 / 4 / 5 | + | +
24. | Ereignis1 / 2 / 3 / 4 / 5 erwartet oder unerwartet | Event 1 / 2 / 3 / 4 / 5 expected or unexpected | - | - | z3e22x1 / 2 / 3 / 4 / 5 | +
25. | Weitere Kontaktaufnahme? | Further contact? | z1e16 | - | z3e23 | z4e23

- General Information
- Short Initial Assessment: Instruments / Items used in BASE
- Refusers Questionnaire: Instruments / Items used in BASE

###
Refusers Questionnaire:
Instruments / Items used in BASE

Note:
According to the design, variable names for Time 1 have the prefix z1, names for Time 2 have the prefix z2,
names for Time 3 have the prefix z3, and names for Time 4 have the prefix z4.

| BASE items / variables | English translation | Variable names Time 1 | Variable names Time 2 | Variable names Time 3 | Variable names Time 4
1. | Verweigerer-Kurzfragebogen | Refusers Questionnaire | z1everw | + | + | +
2. | Fta-ID | Interviewer ID | z1efta | + | + | +
3. | Geschlecht St | Sex of participant | - | z2esex | - | -
4. | Datum des 1. Interviews | Date of 1st interview | z1e1day / mo / yr | + | + | +
5. | Beginn / Ende / Dauer des 1. Interviews | Start / end / length of 1st interview | z1e1on / off / time | + | + | +
6. | Art der Befragung: 1. Interview | Type of assessment: 1st interview | z1e1way | + | + | +
7. | Datum des 2. Interviews | Date of 2nd interview | - | - | z3e2day / mo / yr | +
8. | Beginn / Ende / Dauer des 2. Interviews | Start / end / length of 2nd interview | - | - | z3e2on / off / time | +
9. | Art der Befragung: 2. Interview | Type of assessment: 2nd interview | - | - | z3e1way | +
10. | Datum des 3. Interviews | Date of 3rd interview | - | - | z3e3day / mo / yr | +
11. | Beginn / Ende / Dauer des 3. Interviews | Start / end / length of 3rd interview | - | - | z3e3on / off / time | +
12. | Art der Befragung: 3. Interview | Type of assessment: 3rd interview | - | - | z3e3way | +
13. | Gesamtzeit der Sitzungen | Total length of sessions | - | - | z3etotal | +
14. | MMSE: Butter / Uhr / Nagel (T3: Auto / Blume / Kerze | MMSE: butter / clock / nail (T3: car / flower / candle) | - | z2e56x1 / 2 / 3 | + | +
15. | MMSE: Heutiges Datum / Wochentag | MMSE: date / day of the week | - | z2e57 / 58 / 59 / 60 | + | +
16. | MMSE: 1. / 2. / 3. / 4. / 5. Subtraktion | MMSE: 1. / 2. / 3. / 4. / 5. Subtraction | - | z2e61x1 / 2 / 3 / 4 / 5 | + | +
17. | MMSE:Vogel rückwärts buchstabieren | MMSE: spell "Vogel" ["bird"] backwards | - | z2e62x1 / 2 / 3 / 4 / 5 | + | +
18. | MMSE: Butter / Uhr / Nagel (T3: Auto / Blume / Kerze (Wiederholung) | MMSE: butter / clock / nail (T3: car / flower / candle) (repetition) | - | z2e63x1 / 2 / 3 | + | +
19. | Verweigerer: Eingang Kurzbefragung Datum | Refusers: Date Refusers Questionnaire received | z1evday / mo / yr | - | - | -

- General Information
- Short Initial Assessment: Instruments / Items used in BASE
- Refusers Questionnaire: Instruments / Items used in BASE

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