Disability Interview Schedule (DIS)
Bennett and Garrad‚ 1970
فهرست مصاحبه ناتوانی
MOBILITY
Walking
Do you walk outdoors in the street (with crutch or stick if used)?
If ‘Yes’:
· one mile or more
· 1⁄4 mile
· 100 yds.
· 10 yds.
If ‘No’:
· Between rooms
· Within room
· Unable to walk
and:
· Unaccompanied
· Accompanied
· Acc. & support
Stairs
· Do you walk up stairs?
· To 1st floor or above
· 5–8 steps or stairs
· 2–4 steps or stairs
· 1 step
· Unacc.
· Acc.
· Acc. & Supp.
· No need to mount stairs
· Mounts stairs other than by walking
· Unable to mount stairs
Do you walk down stairs?
· From 1 floor to another
· 5–8 steps or stairs
· 2–4 steps or stairs
· 1 step
· Goes down stairs other than by walking
· Unable to descend stairs
· Unacc.
· Acc.
· Acc. & Supp.
· No need to descend stairs
Transfer
· Do you need help to get into bed? ........................................ Yes No
· Do you need help to get out of bed? ........................................ Yes No
· Bedfast........................................
· Do you need help to sit down in a chair? ............................................ Yes No
· Do you need help to stand up from a chair? ............................................ Yes No
· Not applicable ..................................
Travel
Do you drive yourself in a car?
· Normal (unadapt.)
· Adapted
· Invacar
· Self-propelled vehicle (outdoors)
· Does not drive
Do you travel by bus or train?
If ‘Yes’:
· Whenever necessary
· Only out of rush hour
and:
· Unaccompanied
· Accompanied
If ‘No’:
· Unable to use bus and train
· Unable to use bus‚ train and car
· Does not travel by choice
· Uses private transport by choice
SELF CARE
Are you able to feed yourself:
· Without any help
· With specially prepared food or containers
· With assistance
· Not at all‚ must be fed
Are you able to dress yourself completely:
· Without any help
· With help other fastenings
· With help other than fastenings
· Does not dress
Are you able to undress yourself completely:
· Without any help
· With help other fastenings
· With help other than fastenings
· Not applicable
Are you able to use the lavatory:
· Without any help
· Receptacles with- out assistance
· Lavatory with assistance
· Receptacles with assistance
Are you able to wash yourself:
· Without any help
· With assistance for shaving‚ combing hair‚ etc.
· With help for bodily washing
· Not at all
DOMESTIC DUTIES
Do you do your own:
Shopping… all‚ part‚ none‚ preference‚ unable
Cooking… all‚ part‚ none‚ preference‚ unable
Cleaning… all‚ part‚ none‚ preference‚ unable
Clothes washing… all‚ part‚ none‚ preference‚ unable
Men with no household duties… part
OCCUPATION
Do you have a paid job at present?
If ‘Yes’:
· Full-time
· Part-time
and:
· Normal working
· Modified working
· Sheltered employment
If ‘No’:
Males 65 and over Females 60 and over
· Age retired
· Prem. retired
· Non-employed
Males 64 and under Females 59 and under
· Unemployed
· Unfit
· Non-employed
شرح سایت روان سنجی: این فرم مصاحبه برای اندازه گیری میزان شیوع، شدت ناتوانی در بررسی های اپیدمیولوژیک در خدمات سلامت و رفاه برای تمیز میان اختلال و معلولیت پدید امده است. بنت و همکار یک فهرست 20 صفحه ای به کار بردند، و یک ابزار غربالگری 15 و 18 ماده ای ارائه کردند که همه آن در اینجا نیامده است.
اعتبار: بازآزمایی رده بندی 0.80 پس از 12 ماه، ضریب تکرار پذیری گاتمن 0.96 و ضریب مقیاس پذیری 0.69 برای زنان و 0.71 برای مردان
چگونگی دستیابی
منبع برای آگاهی بیشتر
Garrad‚ J. & Bennett‚ A. E. (1971). A validated interview schedule for use in population surveys of chronic disease and disability. British Journal of Preventive and Social Medicine‚ 25‚ 97-104.
Williams‚ R. G. A.‚ Johnston‚ M.‚ Willis‚ I. A. et al. (1976). Disability: A model and measurement. British Journal of Preventive and Social Medicine‚ 30‚ 71-78.
McDowell‚ Ian. (2006). Measuring Health: A Guide to Rating Scales and Questionnaires‚ Third Edition. OXFORD UNIVERSITY PRESS