Intake Assessment:
Dental Appointments

 

Dental Appointments (Intake 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)
Intensive Protocol
(IP)
Intensive Protocol
(IP)
-

Questionnaire
EE:
Intake Assessment
p. 8
EE:
Intake Assessment
pp. 12, 13
EE:
Intake Assessment
p. 12
EE:
Intake Assessment
p. 12
IP:
Dentistry Interview
pp. 9, 11
IP:
Dentistry Interview
pp. 9, 11
-

SIR Data bank
EE:
ZKP rec/table 10 (Z1EE)
EE:
ZKP rec/table 110 (Z2EE)
EE:
ZKP rec/table 210 (Z3EE)
EE:
ZKP rec/table 310 (Z4EE)
IP:
MEDICI
rec/table 427 (D5ZAHNIN)
IP:
MEDICI
rec/table 527 (D6ZAHNIN)
-

Literature: Nitschke & Hopfenmüller, 1996. 

Dental Appointments (Intake Assessment):
Items used in BASE

Note:
According to the design, names for Time 1 have the prefix Z1 or D1, names for Time 2 have the prefix Z2,
names for Time 3 have the prefix Z3, names for Time 4 have the prefix Z4, names for Time 5 have the prefix D5, and names for Time 6 have the prefix D6.


BASE items / variables

English translation
Variable names
Time 1
Variable names
Time 2
Variable names
Time 3
Variable names
Time 4
Variable names
Time 5
Variable names
Time 6

1.

Zahnarztbesuche:

Dental appointments:


Wann waren Sie das letzte Mal beim Zahnarzt?

When was the last time you saw a dentist?


Monat (letzter Zahnarztbesuch)

Month (last dental appointment)
z1e30mo
-
-
-
-
-

Jahr (letzter Zahnarztbesuch)

Year (last dental appointment)
z1e30yr
-
-
-
-
-

Datum (letzter Zahnarztbesuch)

Date (last dental appointment)
z1e30dat
-
-
-
-
-

Wann waren Sie das letzte Mal beim Zahnarzt?

When was the last time you saw a dentist?


vor ca. __ Jahren __ Monaten

weiß ich nicht = 888

approx. __ years __ months ago

don't know = 888

z1e30

-

-

-

-
-

Waren Sie in den letzten 12 Monaten bei einem Zahnarzt?

1 = Ja
2 = Nein

Have you seen a dentist in the past 12 months?

1 = Yes
2 = No

-

z2e30l

+

+

-
-

Welche zahnärtzliche Versorgung (Behandlung) haben Sie in den letzten 12 Monaten erhalten?


(nur) Kontrolle
1 = Ja
2 = Nein

d1f00544
z2e37nx1
+
+
+
+

Zahnsteinentfernung
1 = Ja
2 = Nein

d1f00547
z2e37nx2
+
+
+
+

Zahn/Zähne gezogen (Zahnextraktion)
1 = Ja
2 = Nein

d1f00545
z2e37nx3
+
+
+
+

neue Füllung(en)
1 = Ja
2 = Nein

d1f00546
z2e37nx4
+
+
+
+

neue Krone(n)/Brücke(n)
1 = Ja
2 = Nein

d1f00550
z2e37nx5
+
+
+
+

neue Prothese(n)
1 = Ja
2 = Nein

d1f00553
z2e37nx6
+
+
+
+

Reparatur von Prothese(n)
1 = Ja
2 = Nein

d1f00554
z2e37nx7
+
+
+
+

Sontiges

d1f00560
z2e37nx8
+
+
+
+

Wie zufrieden sind Sie zur Zeit mit Ihrer zahnärztlichen Versorgung (Behandlung)?

-
z2e38nx1/2
-
-
-
-

Dental Appointments (Intake Assessment):
Raw Constructs Created in BASE
Constructs
Construct names
Time 1
Construct names
Time 2
Construct names
Time 3
Construct names
Time 4
Construct names
Time 5
Construct names
Time 6

1.

Dental appointment
k1z30zab
-
-
-
-
-