Protocol - Health and Wellness Before, During, and After Pregnancy
- Body Mass Index
- Cigarette Smoking Status - Adolescent
- Cigarette Smoking Status - Adult
- Depression Screener - Adults
- Ethnicity and Race
- Gestational Diabetes
- Height - Knee Height
- Quality of Life Enjoyment and Satisfaction - Adult
- Quality of Life Enjoyment and Satisfaction - Children
- Reproductive History - Female
- Reproductive History - Male
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).
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.
Availability
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 |
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 Category | Required |
---|---|
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
Lifestage
Adolescent, Adult, Pregnancy
Participants
Mother with child 2-7 years old
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
Standard | Name | ID | Source |
---|---|---|---|
caDSR Form | PhenX PX241101 - Health And Wellness Before | 6912788 | caDSR Form |
Derived Variables
None
Process and Review
Not applicable.
Protocol Name from Source
Early Life Exposure Assessment Tool (ELEAT), 2015
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 VariablesVariable Name | Variable ID | Variable Description | dbGaP Mapping | |
---|---|---|---|---|
PX241101_Health_Wellness_After_Pregnancy_Feel_Control | ||||
PX241101050300 | During Your Child?s First Year of Life: How more | N/A | ||
PX241101_Health_Wellness_After_Pregnancy_Loss_Control | ||||
PX241101040300 | During Your Child?s First Year of Life: How more | N/A | ||
PX241101_Health_Wellness_After_Pregnancy_Mental_Health | ||||
PX241101020300 | During Your Child?s First Year of Life: How more | N/A | ||
PX241101_Health_Wellness_After_Pregnancy_Physical_Health | ||||
PX241101010300 | During Your Child?s First Year of Life: How more | N/A | ||
PX241101_Health_Wellness_After_Pregnancy_Poor_Health | ||||
PX241101030300 | During Your Child?s First Year of Life: How more | N/A | ||
PX241101_Health_Wellness_Before_Pregnancy_Feel_Control | ||||
PX241101050100 | In the 3 Months Before Pregnancy: How often more | N/A | ||
PX241101_Health_Wellness_Before_Pregnancy_Loss_Control | ||||
PX241101040100 | In the 3 Months Before Pregnancy: How often more | N/A | ||
PX241101_Health_Wellness_Before_Pregnancy_Mental_Health | ||||
PX241101020100 | In the 3 Months Before Pregnancy: How would more | N/A | ||
PX241101_Health_Wellness_Before_Pregnancy_Physical_Health | ||||
PX241101010100 | In the 3 Months Before Pregnancy: How would more | N/A | ||
PX241101_Health_Wellness_Before_Pregnancy_Poor_Health | ||||
PX241101030100 | In the 3 Months Before Pregnancy: How often more | N/A | ||
PX241101_Health_Wellness_During_Pregnancy_Feel_Control | ||||
PX241101050200 | During Pregnancy: How often did you feel more | N/A | ||
PX241101_Health_Wellness_During_Pregnancy_Loss_Control | ||||
PX241101040200 | During Pregnancy: How often did you feel more | N/A | ||
PX241101_Health_Wellness_During_Pregnancy_Mental_Health | ||||
PX241101020200 | During Pregnancy: How would you describe more | N/A | ||
PX241101_Health_Wellness_During_Pregnancy_Physical_Health | ||||
PX241101010200 | During Pregnancy: How would you describe more | N/A | ||
PX241101_Health_Wellness_During_Pregnancy_Poor_Health | ||||
PX241101030200 | During Pregnancy: How often did poor more | N/A |
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
Measure Protocols
Protocol ID | Protocol Name |
---|---|
241101 | Health and Wellness Before, During, and After Pregnancy |
Publications
There are no publications listed for this protocol.