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When? |
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Where? |
(EE) Intensive Protocol |
(EE) |
(EE) Intensive Protocol |
(EE) Intensive Protocol |
(EE) |
(EE) |
(EE) |
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Questionnaire |
Intake Assessment pp. 6, 7 IP: |
Intake Assessment p. 9 |
Intake Assessment p. 9 IP: |
Intake Assessment p. 9 IP: |
Intake Assessment p. 12 |
Intake Assessment p. 22 |
Intake Assessment p. 21 |
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SIR Data bank |
ZKP rec/table 10 (Z1EE) IP: |
ZKP rec/table 110 (Z2EE) |
ZKP rec/table 210 (Z3EE) IP: |
ZKP rec/table 310 (Z4EE) IP: |
ZKP rec/table 410 (Z5EE) |
ZKP rec/table 510 (Z6EE) |
ZKP rec/table 610 (75EE) |
Literature: Linden, Gilberg, Horgas, & Steinhagen-Thiessen (1996; 1999); Marsiske, Delius, Maas, Lindenberger, Scherer, & Tesch-Römer (1996; 1999).
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Time 1 |
Time 2 |
Time 3 |
Time 4 |
Time 5 |
Time 6 |
Time 7 |
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Benutzen Sie einen Rollstuhl? 1 = ja |
Do you use a wheelchair? 1 = yes |
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Benutzen Sie eine Gehhilfe? 1 = ja |
Do you use a walking aid? 1 = yes |
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Tragen Sie einen Herzschrittmacher? 1 = ja |
Do you have a pacemaker? 1 = yes |
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Seit wann tragen Sie einen Herzschrittmacher? (Monat) |
Since when have you had a pacemaker? (Month) |
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Seit wann tragen Sie einen Herzschrittmacher? (Jahr) |
Since when have you had a pacemaker? (Year) |
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Gebrauchen Sie sonst irgendwelche medizinischen Hilfsmittel, z. B. ein Hörgerät, eine Brille, eine Gehhilfe oder ähnliches? 1 = ja |
Do you use any other medical aids, for example, a hearing aid, glasses, or similar aids? 1 = yes |
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3. |
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Brille? 0 = nein |
Glasses? 0 = no |
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Hörgerät? 0 = nein |
Hearing aid? 0 = no |
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Lupe? 0 = nein |
Magnifying glass? 0 = no |
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Stock? 0 = nein |
Cane? 0 = no |
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Gehstützen? 0 = nein |
Crutches? 0 = no |
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Prothesen? 0 = nein |
Prostheses? 0 = no |
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Rollator, Deltarad? 0 = nein |
Walker, quad cane? 0 = no |
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Rollstuhl? 0 = nein |
Wheelchair? 0 = no |
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Andere Hilfsmittel 1? (Art) |
Other aids 1? (Type) |
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Andere Hilfsmittel 1? 0 = nein |
Other aids 1? 0 = no |
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Andere Hilfsmittel 2? (Art) |
Other aids 2? (Type) |
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Andere Hilfsmittel 2? 0 = nein |
Other aids 2? 0 = no |
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