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Protocol - Health and Wellness Before, During, and After Pregnancy

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Description:

A woman is asked about her general physical and mental health during the 3 months before and during her pregnancy. The five Likert-style administered questions are from the Early Life Exposure Assessment Tool (ELEAT).

Protocol:

Questions About Your Health and Wellness in the 3 Months Before Pregnancy, During Your Pregnancy and During Your Child’s First Year of Life

(Please remember that pregnancy begins with conception and includes the period of time after you conceived but before you knew you were pregnant.)

In the 3 Months Before Pregnancy

During Pregnancy

During Your Child’s First Year of Life

1. How would you describe your physical health (including physical illness and Injury?

[ ] Excellent

[ ] Very Good

[ ] Good

[ ] Fair

[ ] Poor

[ ] Declined

[ ] Don’t Know

[ ] Excellent

[ ] Very Good

[ ] Good

[ ] Fair

[ ] Poor

[ ] Declined

[ ] Don’t Know

[ ] Excellent

[ ] Very Good

[ ] Good

[ ] Fair

[ ] Poor

[ ] Declined

[ ] Don’t Know

2. How would you describe your mental health (including stress, depression, and problems with emotion)?

[ ] Excellent

[ ] Very Good

[ ] Good

[ ] Fair

[ ] Poor

[ ] Declined

[ ] Don’t Know

[ ] Excellent

[ ] Very Good

[ ] Good

[ ] Fair

[ ] Poor

[ ] Declined

[ ] Don’t Know

[ ] Excellent

[ ] Very Good

[ ] Good

[ ] Fair

[ ] Poor

[ ] Declined

[ ] Don’t Know

3. How often did poor physical or mental health keep you from doing your usual activities, such as self-care, work, or recreation?

[ ] Never

[ ] Almost Never

[ ] Sometimes

[ ] Fairly Often

[ ] Very Often

[ ] Declined

[ ] Don’t Know

[ ] Never

[ ] Almost Never

[ ] Sometimes

[ ] Fairly Often

[ ] Very Often

[ ] Declined

[ ] Don’t Know

[ ] Never

[ ] Almost Never

[ ] Sometimes

[ ] Fairly Often

[ ] Very Often

[ ] Declined

[ ] Don’t Know

4. How often did you feel that you were unable to control the important things in your life?

[ ] Never

[ ] Almost Never

[ ] Sometimes

[ ] Fairly Often

[ ] Very Often

[ ] Declined

[ ] Don’t Know

[ ] Never

[ ] Almost Never

[ ] Sometimes

[ ] Fairly Often

[ ] Very Often

[ ] Declined

[ ] Don’t Know

[ ] Never

[ ] Almost Never

[ ] Sometimes

[ ] Fairly Often

[ ] Very Often

[ ] Declined

[ ] Don’t Know

5. How often did you feel that things were going your way?

[ ] Never

[ ] Almost Never

[ ] Sometimes

[ ] Fairly Often

[ ] Very Often

[ ] Declined

[ ] Don’t Know

[ ] Never

[ ] Almost Never

[ ] Sometimes

[ ] Fairly Often

[ ] Very Often

[ ] Declined

[ ] Don’t Know

[ ] Never

[ ] Almost Never

[ ] Sometimes

[ ] Fairly Often

[ ] Very Often

[ ] Declined

[ ] Don’t Know

Protocol Name from Source:

Early Life Exposure Assessment Tool (ELEAT)

Availability:

Publicly available

Personnel and Training Required

The interviewer must be trained to conduct personal interviews with individuals from the general population. The interviewer must be trained and found to be competent (i.e., tested by an expert) at the completion of personal interviews. The interviewer should be trained to prompt respondents further if a "don’t know" response is provided.

Equipment Needs

The PhenX Working Group acknowledges these questions can be administered in a computerized or non-computerized format (i.e., paper-and-pencil instrument). Computer software is necessary to develop computer-assisted instruments. The interviewer will require a laptop computer/handheld computer to administer a computer-assisted questionnaire.

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Interviewer-administered questionnaire

Life Stage:

Adolescent, Adult, Pregnancy

Participants:

Mother with child 2-7 years old

Specific Instructions:

The Early Life Exposure Assessment Tool (ELEAT) items would be applicable to all populations of pregnant populations, but may be less reliable for teen pregnancies.

Although the questions are about different time periods, they can all be asked at one time.

Questions may need to be modified depending on which group is being assessed, for example, if the questions are administered to refugees or widely disparate socioeconomic groups.

Selection Rationale

These questions have been used in previous studies such as Markers of Autism Risk in Babies: Learning Early Signs (MARBLES).

Language

English

Standards
StandardNameIDSource
Common Data Elements (CDE) Pregnancy Prior During Post Health Assessment Text 5633899 CDE Browser
Process and Review

The Expert Review Panel has not reviewed this measure yet.

Source

University of California at Davis, Early Life Exposure Assessment Tool (ELEAT), 2015 version, Items 37-41.

General References

Schmidt, R. J., Lyall, K., & Hertz-Picciotto, I. (2014). Environment and autism: Current state of the science. Cutting Edge Psychiatry in Practice, 1(4), 21-38.

Protocol ID:

241101

Variables:
Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
Research Domain Information
Measure Name:

Health and Wellness Before, During, and After Pregnancy

Release Date:

January 31, 2017

Definition

Questions to assess a woman’s health and wellness before, during, and after pregnancy.

Purpose

The measure is used to determine a woman’s general physical and mental health in the time period surrounding her pregnancy.

Keywords

Pregnancy, post-natal, pre-natal, well-being, stress, physical health, mental health, Early Life Exposure Assessment Tool, ELEAT