Objective Health, Musculoskeletal System

Intake Assessment:
Dental Status

General Information
Items used in BASE
Raw Constructs Created in BASE

Dental Status (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. 11	EE: Intake Assessment p. 11	IP: Dentistry Interview pp. 11, 13, 24	IP: Dentistry Interview pp. 11, 13, 24	-
SIR Data bank	EE: ZPK rec/table 10 (Z1EE)	EE: ZPK rec/table 110 (Z2EE)	EE: ZPK rec/table 210 (Z3EE)	EE: ZPK rec/table 310 (Z4EE)	IP: MEDICI rec/table 427 (D5ZAHNIN)	IP: MEDICI rec/table 527 (D6ZAHNIN)	-

Literature: Nitschke & Hopfenmüller, 1996.

General Information
Items used in BASE
Raw Constructs Created in BASE

Dental Status (Intake Assessment):
Items used in BASE

Note:
According to the design, names for Time 1 have the prefix Z1, 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.

Haben Sie noch eigene Zähne?

1 = Ja
2 = Nein

Do you still have your own teeth?

1 = Yes
2 = No
Z1E29X1 - - - D5F075 D6F075

Wie viele Zähne haben Sie noch?

How many teeth do you have?
Z1E29X2 - - - - -

Wieviele eigene Zähne haben Sie im Oberkiefer ?

How many own teeth do you have in your upper jaw?
- - - - D5F07654 D6F07654

Wieviele eigene Zähne haben Sie im Unterkiefer?

How many own teeth do you have in your lower jaw?
- - - - D5F07757 D6F07757

2.

Wann waren Sie das letzte Mal beim Zahnarzt?

When was the last time you saw a dentist?

Monat

month
z1e30mo - - - - -

Jahr

year
z1e30yr - - - - -

Vage Angabe

1 = Ja

Vague answer

1 = Yes
z1e30 - - - - -

vor ca. __ Jahren __ Monaten

weiß ich nicht = 888

approx. __ years __ months ago

don't know = 888
- - - - D5Fv060 D6Fv060

3.

Waren Sie in den letzten 12 Monaten bei einem Zahnarzt?

1 = Ja
2 = Nein

Have you been to the dentist within the last 12 months?

1 = Yes
2 = No
- z2e30l z3e30l z4e30l - -

4.

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

Which dental treatments have you had in the last 12 months?

Zahnärztliche Versorgung: (nur) Kontrolle

1 = Ja
2 = Nein

Dental treatments: (just) check-up

1 = Yes
2 = No
- Z2E37NX1 + + D5Fv064 D6Fv064

Zahnärztliche Versorgung: Zahnsteinentfernung

1 = Ja
2 = Nein

Dental treatments: tartar removal

1 = Yes
2 = No
- Z2E37NX2 + + D5Fv065 D6Fv065

Zahnärztliche Versorgung: Zahn/Zähne gezogen (Zahnextraktion)

1 = Ja
2 = Nein

Dental treatments: tooth extraction

1 = Yes
2 = No
- Z2E37NX3 + + D5Fv066 D6Fv066

Zahnärztliche Versorgung:
neue Füllung(en)

1 = Ja
2 = Nein

Dental treatments: new filling

1 = Yes
2 = No
- Z2E37NX4 + + D5Fv067 D6Fv067

Zahnärztliche Versorgung:
neue Krone(n)/Brücke(n)

1 = Ja
2 = Nein

Dental treatments: new crown

1 = Yes
2 = No
- Z2E37NX5 + + D5Fv068 D6Fv068

Zahnärztliche Versorgung:
neue Prothese(n)

1 = Ja
2 = Nein

Dental treatments: new prosthesis

1 = Yes
2 = No
- Z2E37NX6 + + D5Fv069 D6Fv069

Zahnärztliche Versorgung: Reparatur von Prothese(n)

1 = Ja
2 = Nein

Dental treatments: prosthesis repair

1 = Yes
2 = No
- Z2E37NX7 + + D5Fv070 D6Fv070

Zahnärztliche Versorgung: Sonstiges

1 = Ja
2 = Nein

Dental treatments: others

1 = Yes
2 = No

Z2E37NX8 + + D5Fv071 D6Fv071

5.

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

1 = sehr gut
2 = gut
3 = befriedigend
4 = ausreichend
5 = mangelhaft

How would you rate your current dental care in terms of your satisfaction?

1 = very good
2 = good
3 = satisfactory
4 = sufficient
5 = poor
- z2e38nx1/2 - - - -

Sind Sie mit den bei Ihnen durchgeführten zahnärztlichen Behandlungen zufrieden?

Ich möchte Sie bitten, wie in der Schule dafür eine Note von 1 - 5 zu vergeben.

1 = sehr gut
2 = gut
3 = befriedigend
4 = ausreichend
5 = mangelhaft

Are you satisfied with the dental treatments carried out on you?

I would ask you to rate them, as in school, on this five-point scale.

1 = very good
2 = good
3 = satisfactory
4 = sufficient
5 = poor
- - - - D5F012 D6F012

General Information
Items used in BASE
Raw Constructs Created in BASE

Dental Status (Intake Assessment):
Construct Variables in BASE

	Constructs	Construct names Time 1
1.	Number of own teeth	K1Z29ANZ **
2.	Own teeth: Median	K1Z29MVZ **
3.	Own teeth, all participants: Median	K1Z29MOZ **

** These data are only available at Time 1.

General Information
Items used in BASE
Raw Constructs Created in BASE

	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.	Haben Sie noch eigene Zähne? 1 = Ja 2 = Nein	Do you still have your own teeth? 1 = Yes 2 = No	Z1E29X1	-	-	-	D5F075	D6F075
	Wie viele Zähne haben Sie noch?	How many teeth do you have?	Z1E29X2	-	-	-	-	-
	Wieviele eigene Zähne haben Sie im Oberkiefer ?	How many own teeth do you have in your upper jaw?	-	-	-	-	D5F07654	D6F07654
	Wieviele eigene Zähne haben Sie im Unterkiefer?	How many own teeth do you have in your lower jaw?	-	-	-	-	D5F07757	D6F07757
2.	Wann waren Sie das letzte Mal beim Zahnarzt?	When was the last time you saw a dentist?
	Monat	month	z1e30mo	-	-	-	-	-
	Jahr	year	z1e30yr	-	-	-	-	-
	Vage Angabe 1 = Ja	Vague answer 1 = Yes	z1e30	-	-	-	-	-
	vor ca. __ Jahren __ Monaten weiß ich nicht = 888	approx. __ years __ months ago don't know = 888	-	-	-	-	D5Fv060	D6Fv060
3.	Waren Sie in den letzten 12 Monaten bei einem Zahnarzt? 1 = Ja 2 = Nein	Have you been to the dentist within the last 12 months? 1 = Yes 2 = No	-	z2e30l	z3e30l	z4e30l	-	-
4.	Welche zahnärztliche Versorgung (Behandlung) haben Sie in den letzten 12 Monaten erhalten?	Which dental treatments have you had in the last 12 months?
	Zahnärztliche Versorgung: (nur) Kontrolle 1 = Ja 2 = Nein	Dental treatments: (just) check-up 1 = Yes 2 = No	-	Z2E37NX1	+	+	D5Fv064	D6Fv064
	Zahnärztliche Versorgung: Zahnsteinentfernung 1 = Ja 2 = Nein	Dental treatments: tartar removal 1 = Yes 2 = No	-	Z2E37NX2	+	+	D5Fv065	D6Fv065
	Zahnärztliche Versorgung: Zahn/Zähne gezogen (Zahnextraktion) 1 = Ja 2 = Nein	Dental treatments: tooth extraction 1 = Yes 2 = No	-	Z2E37NX3	+	+	D5Fv066	D6Fv066
	Zahnärztliche Versorgung: neue Füllung(en) 1 = Ja 2 = Nein	Dental treatments: new filling 1 = Yes 2 = No	-	Z2E37NX4	+	+	D5Fv067	D6Fv067
	Zahnärztliche Versorgung: neue Krone(n)/Brücke(n) 1 = Ja 2 = Nein	Dental treatments: new crown 1 = Yes 2 = No	-	Z2E37NX5	+	+	D5Fv068	D6Fv068
	Zahnärztliche Versorgung: neue Prothese(n) 1 = Ja 2 = Nein	Dental treatments: new prosthesis 1 = Yes 2 = No	-	Z2E37NX6	+	+	D5Fv069	D6Fv069
	Zahnärztliche Versorgung: Reparatur von Prothese(n) 1 = Ja 2 = Nein	Dental treatments: prosthesis repair 1 = Yes 2 = No	-	Z2E37NX7	+	+	D5Fv070	D6Fv070
	Zahnärztliche Versorgung: Sonstiges 1 = Ja 2 = Nein	Dental treatments: others 1 = Yes 2 = No		Z2E37NX8	+	+	D5Fv071	D6Fv071
5.	Wie zufrieden sind sie zur Zeit mit Ihrer zahnärztlichen Versorgung (Behandlung)? 1 = sehr gut 2 = gut 3 = befriedigend 4 = ausreichend 5 = mangelhaft	How would you rate your current dental care in terms of your satisfaction? 1 = very good 2 = good 3 = satisfactory 4 = sufficient 5 = poor	-	z2e38nx1/2	-	-	-	-
5.	Sind Sie mit den bei Ihnen durchgeführten zahnärztlichen Behandlungen zufrieden? Ich möchte Sie bitten, wie in der Schule dafür eine Note von 1 - 5 zu vergeben. 1 = sehr gut 2 = gut 3 = befriedigend 4 = ausreichend 5 = mangelhaft	Are you satisfied with the dental treatments carried out on you? I would ask you to rate them, as in school, on this five-point scale. 1 = very good 2 = good 3 = satisfactory 4 = sufficient 5 = poor	-	-	-	-	D5F012	D6F012

Intake Assessment: Dental Status

Dental Status (Intake Assessment): General Information

Dental Status (Intake Assessment): Items used in BASE

Dental Status (Intake Assessment): Construct Variables in BASE

Intake Assessment:
Dental Status

Dental Status (Intake Assessment):
General Information

Dental Status (Intake Assessment):
Items used in BASE

Dental Status (Intake Assessment):
Construct Variables in BASE