Section MC [MEDICAL CARE ACTIVITIES] Sequence: 24

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1 NHATS Round 6 Section MC [MEDICAL CARE ACTIVITIES] Sequence: 4 MCPRE MCPRE T ON FILE The next few questions are about medicines that {you take/sp takes} that are prescribed by a doctor. PRESS AND ENTER TO CONTINUE MC mc6meds R6 MC IN MNTH TKE MEDS PRESCRBD DISPLAY in the last month IN BOD UNDERLINED TEXT In the last month, did {you/sp} take any medicines prescribed by a doctor? GO MC0PRE GO MC0PRE GO MC0PRE MC mc6medstrk R6 MC KEEP TRCK PRESCRIED MEDS If PROXY flag is null, display a. If PROXY flag = (yes), display b. DISPLAY "last month" IN BOLD UNDERLINED TEXT SHOW CARD {a/b} Next we d like to know more about how {you keep/sp keeps} track of {your/{his/her}} prescribed medicines. By keeping track, we mean making sure {you take/{he/she} takes} the correct amount at the right time. Which answer best describes how {you/sp} did that in the last month? Did {you/{he/she}} always do this by {yourself/{himself/herself}}, always do it together with someone else, did someone else always do it for {you/{him/her}}, or did it vary? 4 5 ALWAYS DID IT BY SELF ALWAYS DID IT TOGETHER WITH SOMEONE ELSE SOMEONE ELSE ALWAYS DID IT IT VARIED (MORE THAN ONE WAY) T DONE IN LAST MONTH MC MC MC5A MC6 MC7 MC7 Page of 4

2 MCA mc6medsslf R6 MCA LAST MNTH KEEP TRACK SLF DISPLAY by {yourself/{himself/herself}} IN BOLD UNDERLINED TEXT In the last month, did {you/sp} ever keep track of {your/{his/her}} prescribed medicines by {yourself/{himself/herself}}? MC mc6whrgtmed mc6whrgtmed mc6whrgtmed mc6whrgtmed4 R6 MC SP GOT MEDS LOCAL STORE R6 MC SP GOT MEDS BY MAIL R6 MC SP GOT MEDS HEC PRVD_HSP R6 MC SP GOT MEDS OTHR SPECIFY Display local IN BOLD UNDERLINED TEXT Where did {you/sp} get the medicines that {you/{he/she}} took in the last month? Did {you/{he/she}} get any of these from a local store or pharmacy, by mail, or somewhere else? SELECT ALL THAT APPLY 9 LOCAL STORE OR PHARMACY BY MAIL HEALTH CARE PROVIDER/HOSPITAL SOMEWHERE ELSE (SPECIFY) BOX MCB BOX MCB BOX MCB MC4 MC4 PROGRAMMERS INSTRUCTIONS: If 9 (SOMEWHERE ELSE) is selected with any other response, go to MCA. MCA MCA T ON FILE SPECIFY PLACE {SP} GOT PRESCRIBED MEDICINES IN THE LAST MONTH ENTER TEXT Length 50 BOX MCB BOX MCB T ON FILE Page of 4

3 If MC = (LOCAL STORE OR PHARMACY), go to MCB. Otherwise, go to MC4. MCB mc6howpkupm mc6howpkupm mc6howpkupm R6 MCB SP PICKD UP MEDS BY SELF R6 MCB SP HAD MEDS DELIVERED R6 MCB SMEON ELSE PICKD UP MEDS Thinking of these prescribed medicines that {you/sp} took in the last month and got from a local store or pharmacy, did {you/{he/she}} pick them up {yourself/{himself/herself}}, have them delivered, or did someone else pick them up for {you/{him/her}}? SELECT ALL THAT APPLY Code All That Apply PICKED THEM UP BY SELF HAD THEM DELIVERED HAD SOMEONE ELSE PICK THEM UP MC4 mc6medsrem R6 MC4 USE REMNDERS TO KEEP TRCK Display In the last month IN BOLD UNDERLINED TEXT SHOW CARD MC In the last month, when {you/sp} kept track of {your/{his/her}} medicines, how often did {you/{he/she}} use reminders such as a pill organizer, box, dispenser, or calendar? Would you say every time, most times, sometimes, rarely, or never? 4 5 EVERY TIME MOST TIMES SOMETIMES RARELY NEVER BOX MC5A BOX MC5A T ON FILE If MC = (always did by self), DK or RF, go MC7. Otherwise, go to MC5A. MC5A op6medshlp op6relatnshp Display HELPER RELATIONSHIP. Page of 4 R6 MC5A HELPS SP WITH MEDICINES R6 RELASHIP TO SP UPDATE AND NEW

4 Display PERSON ROSTER with FIRST NAME, LAST NAME, and RELATIONSHIP TO SP. Allow entry for FIRST NAME, LAST NAME, and RELATIONSHIP TO SP fields. If FACILITY flag = (yes), display a staff person from the place where {you live/{he/she} lives},. If FACILITY flag=() or RETIREMENT COMMUNITY flag=(), display SERVICE/SOMEONE FROM THE PLACE SP LIVES/DIED on the PERSON ROSTER. If MC = (always with someone else) display with. If MC = (someone else always did) display for. If MC = 4 (varied), display with or for. Display "first" and "last" in underlined text in the question text for name. In the last month, who kept track of {your/sp s} medicines {with/for/with or for} {you/{him/her}}? IF NEEDED: This includes family, friends, {a staff person from the place where {you live/{he/she} lives},} or someone paid to help {you/{him/her}}. PROBE: Anyone else? SELECT ALL THAT APPLY IF PERSON NAMED IS T ON THE ROSTER, PRESS CTRL/P TO ADD A PERSON MC5b. [What is (his/her) first name?] CONFIRM SPELLING MC5c. [What is (his/her) last name?] CONFIRM SPELLING MC5d. [What is (his/her) relationship to {you/sp}?] PRESS F FOR HELP SCREEN SPOUSE/PARTNER DAUGHTER SON DAUGHTER-IN-LAW SON-IN-LAW STEPDAUGHTER STEPSON SISTER BROTHER SISTER-IN-LAW BROTHER-IN-LAW MOTHER STEPMOTHER MOTHER-IN-LAW FATHER STEPFATHER FATHER-IN-LAW GRANDDAUGHTER GRANDSON NIECE NEPHEW AUNT UNCLE COUSIN STEPDAUGHTER S SON/DAUGHTER STEPSON S SON/DAUGHTER Page 4 of 4

5 DAUGHTER-IN-LAW S SON/DAUGHTER SON-IN-LAW S SON/DAUGHTER BOARDER/RENTER PAID AIDE/HOUSEKEEPER/EMPLOYEE ROOMMATE EX-WIFE/EX-HUSBAND BOYFRIEND/GIRLFRIEND NEIGHBOR FRIEND SOMEONE/SERVICE AT THE PLACE SP LIVES/LIVED CO-WORKER MINISTER, PRIEST, OR OTHER CLERGY PSYCHIATRIST, PSYCHOLOGIST, COUNSELOR, OR THERAPIST OTHER RELATIVE OTHER NRELATIVE PROGRAMMER INSTRUCTIONS: For each roster selection/addition at MC5, set HELPEDTRACKMEDS flag = (yes). BOX MC6 BOX MC6 T ON FILE If MC = (always with someone else), and HELPEDTRACKMEDS flag = (yes) for SERVICE/SOMEONE FROM PLACE SP LIVES, go to MC8. If MC = (someone else always did), and HELPEDTRACKMEDS flag = (yes) for SERVICE/SOMEONE FROM PLACE SP LIVES, go to BOX MC9. If MC = 4 (varied) and HELPEDTRACKMEDS flag = (yes) for SERVICE/SOMEONE FROM PLACE SP LIVES, go to BOX MC7. Otherwise go to MC6 MC6 mc6dmedsreas R6 D MEDS REASN BY WITH OTHERS If MC = (always with someone else), display with. If MC = (someone else always did), display for. If MC = 4 (varied) display, with or for. If MC = 5 (not done in last month), do not display first sentence. Display HEALTH OR FUNCTIONING and OTHER REASON in underlined text in the response text. Display response codes in two side-by-side columns with "HEALTH AND FUNCTIONING" and "OTHER REASONS" as column headers. Display the remaining text for CODE and CODE as lists below each of the corresponding column headers {What is the reason someone else kept track of {your/sp s} medicines {with/for/with or for} {you/{him/her}}?} Was that because of {your/{his/her}} health or functioning or some other reason? SELECT ALL THAT APPLY Page 5 of 4 Code All That Apply HEALTH OR FUNCTIONING INCLUDES: AGE, MEMORY, VISION, HEALTH CONDITION/DISEASE NAMES, SURGERY, UNABLE TO DRIVE OTHER REASON INCLUDES: SHARED ACTIVITY, ALWAYS DONE THIS WAY, SMEONE ELSE WANTED TO DO IT, PAY SOMEONE, DOESN LIKE TO DO IT

6 PROGRAMMERS INSTRUCTIONS: If MC6 = (HEALTH OR FUNCTIONING), set HEALTHREASONHELPTRACKMEDS flag = (yes). BOX MC7 BOX MC7 T ON FILE If MCa = (yes by self), go to MC7. If MC = (always with someone else) or (MCa = (didn't do by self), DK or RF), go to MC8. If [MC = (someone else always did) or 5 (not done in last month)] and HEALTHREASONHELPTRACKMEDS flag = (yes), go to BOX MC9. Otherwise go to MC0PRE. MC7 mc6medsdif R6 MC7 HOW DIFFIC KEEP TRACK MED DISPLAY by {yourself/{himself/herself}} IN BOLD UNDERLINED TEXT In the last month, how much difficulty did {you/sp} have keeping track of {your/{his/her}} medicines by {yourself/{himself/herself}}? Would you say none, a little, some, or a lot? 4 NE A LITLE SOME A LOT MC8 mc6medsyrgo R6 MC8 COMPAR YR AGO HW KEP TRCK DISPLAY a year ago IN BOLD UNDERLINED TEXT Compared to a year ago, {do you/does SP} keep track of {your/{his/her}} medicines {yourself/himself/herself} more often, less often, or about the same? MORE OFTEN LESS OFTEN SAME BOX MC9 BOX MC9 T ON FILE If [MC = (always by self) or 4 (varied)] and [MC7 = (a little difficulty) or MC7 = (some difficulty) or MC7 = 4 (a lot of difficulty)], go to MC9. Page 6 of 4 If [MC = (always with someone else) or MC = (someone else always did) or MC = 4 (varied) or MC

7 = 5 (not done in last month)] and [HEALTHREASONHELPTRACKMEDS flag = (yes) or HELPEDTRACKMEDS flag = (yes) for SERVICE/SOMEONE FROM PLACE SP LIVES], go to MC9. Otherwise, go to MC0PRE. MC9 mc6medsmis R6 MC9 MAKE MISTAKE TAKING MEDS If MC = (always by self) or 5 (not done in last month) or MCa = (yes by self), display it was too difficult to keep track of them by {yourself/{himself/herself}} Otherwise display "no one was there to help or keep track of them for {you/{him/her}}". In the last month, did {you/sp} ever make a mistake in taking {your/{his/her}} prescribed medicines because {it was too difficult to keep track of them by {yourself/{himself/herself}} /no one was there to help or keep track of them for {you/{him/her}}}? IF NEEDED: That is, did {you/sp} take {your/{his/her}} medicines at the wrong time or in the wrong amount or miss taking them altogether? MC0PRE MC0PRE T ON FILE The next questions are about how {you handle/sp handles} {your/{his/her}} medical care. PRESS AND ENTER TO CONTINUE MC0 mc6havregdoc R6 MC0 YOU HAVE REGULAR DOCTOR Is there a doctor that {you think/sp thinks} of as {your/{his/her}} regular doctor, that is, a doctor {you usually go/{he/she} usually goes} to when {you are sick and need/{he/she} is sick and needs} advice about {your/{his/her}} health? MC MC MC MC MC T ON FILE Display FIRST in bold underlined text. Please tell me the first and last name of {your/sp's} regular doctor. Page 7 of 4

8 ENTER FIRST NAME. CONFIRM SPELLING. IF FIRST NAME UNKWN, ENTER DR. ENTER TEXT Length 5 MCA MCA T ON FILE Display LAST in bold underlined text. [Please tell me the first and last name of {your/sp s} regular doctor.] ENTER LAST NAME. CONFIRM SPELLING. ENTER TEXT Length 5 MC mc6regdoclyr R6 MC SEEN REG DOC WTHN LST YR If MC0 = (yes, regular doctor), display {your/{his/her}} regular doctor Otherwise, display a doctor DISPLAY last year IN BOLD UNDERLINED TEXT {Have you/has SP} seen {{your/{his/her}} regular doctor/ a doctor} within the last year? That is, since {MONTH AND YEAR MONTHS PRIOR TO TODAY S DATE}. MC0PRE MC0PRE MC0PRE MC5 mc6hwgtregd mc6hwgtregd mc6hwgtregd mc6hwgtregd4 mc6hwgtregd5 mc6hwgtregd6 mc6hwgtregd7 mc6hwgtregd8 mc6hwgtregd9 R6 MC5 SP DROVE SELF TO REG DOC R6 MC5 FAM PD HLP DRVE REG DOC R6 MC5 VAN PLC SP LIVE REG DOC R6 MC5 VAN FR DIS SENIOR REG DC R6 MC5 PUBLIC TRANSPORT REG DOC R6 MC5 SP TOOK TAXI TO REG DOC R6 MC 5 SP WALKED TO REG DOC R6 MC5 REG DOC WAS HOME VISIT R6 MC5 OTHR SPECIFY REG DOC Page 8 of 4

9 If DT = (drives every day), (drives most days), (drives some days) or 4 (rarely) OR DROVEINLASTYEAR flag = (yes), display drive, and response. If FACILITY flag = (yes), display use a service provided by the place where {you live/{he/she} lives},. If FACILITY flag = (yes) or RETIREMENT COMMUNITY flag = (yes), display response and for response 4, not provided by the place SP lives. If MC0 = (yes, regular doctor), display {your/{his/her}} regular doctor. Otherwise, display the doctor. DISPLAY In the last year IN BOLD UNDERLINED TEXT SHOWCARD MC In the last year, how did {you/sp} get to {{{your/{his/her}} regular doctor/the doctor}? Did {you/{he/she}} {drive,} get a ride from a family member or friend, {use a service provided by the place where {you live/{he/she} lives},} or what? SELECT ALL THAT APPLY {DROVE} GOT A RIDE FROM A FAMILY MEMBER OR FRIEND OR SOMEONE PAID TO HELP {USED A VAN OR SHUTTLE SERVICE PROVIDED BY THE PLACE SP LIVES} USED A VAN OR SHUTTLE SERVICE FOR PEOPLE WITH DISABILITIES OR SENIORS {(T PROVIDED BY THE PLACE SP LIVES)} TOOK PUBLIC TRANSPORTATION (THE BUS, SUBWAY, TRAIN, OR TRAM) TOOK A TAXI WALKED HOME VISIT OTHER (SPECIFY) MC6 MC6 MC6 MC6 MC6 MC6 MC6 MC6 MC6 MC6 MC5A MC5A T ON FILE SPECIFY HOW GOT TO DOCTOR ENTER TEXT Length 50 MC6 mc6ansitindr R6 MC6 ANE SIT IN W YOU AT DR If FACILITY flag = (yes), display a staff person from the place where {you live/{he/she} lives},. If MC0 = (yes, regular doctor), display regular. DISPLAY "last year" IN BOLD UNDERLINED TEXT Page 9 of 4

10 In the last year, did anyone sit in with {you/sp} and {your/{his/her}} {regular} doctor during {your/{his/her}} visits? IF NEEDED: This includes family, friends, {a staff person from the place where {you live/{he/she} lives},} or someone paid to help {you/{him/her}}. MC0PRE MC0PRE MC0PRE MC7A op6dochlp op6relatnshp Display HELPER RELATIONSHIP. R6 MC7A SITS IN W SP AT DRS R6 RELASHIP TO SP UPDATE AND NEW Display PERSON ROSTER with FIRST NAME, LAST NAME, and RELATIONSHIP TO SP. Allow entry for FIRST NAME and RELATIONSHIP TO SP fields. If FACILITY flag = (yes), display a staff person from the place where {you live/{he/she} lives},. If FACILITY flag = () or RETIREMENTCOMMUNITY flag = (), display SERVICE/SOMEONE FROM THE PLACE SP LIVES/DIED on the PERSON ROSTER. Display "first" and "last" in underlined text in the question text for name. Who was that (who sat in with {you/sp} and {your/{his/her}} doctor)? IF NEEDED: This includes family, friends, {a staff person from the place where {you live/{he/she} lives},} or someone paid to help {you/{him/her}}. PROBE: Anyone else? SELECT ALL THAT APPLY IF PERSON NAMED IS T ON THE ROSTER, PRESS CTRL/P TO ADD A PERSON MC7b. [What is (his/her) first name?] CONFIRM SPELLING MC7c. [What is (his/her) last name?] CONFIRM SPELLING MC7d. [What is (his/her) relationship to {you/sp}?] PRESS F FOR HELP SCREEN Page 0 of 4 SPOUSE/PARTNER DAUGHTER SON DAUGHTER-IN-LAW SON-IN-LAW STEPDAUGHTER STEPSON SISTER BROTHER SISTER-IN-LAW

11 BROTHER-IN-LAW MOTHER STEPMOTHER MOTHER-IN-LAW FATHER STEPFATHER FATHER-IN-LAW GRANDDAUGHTER GRANDSON NIECE NEPHEW AUNT UNCLE COUSIN STEPDAUGHTER S SON/DAUGHTER STEPSON S SON/DAUGHTER DAUGHTER-IN-LAW S SON/DAUGHTER SON-IN-LAW S SON/DAUGHTER BOARDER/RENTER PAID AIDE/HOUSEKEEPER/EMPLOYEE ROOMMATE EX-WIFE/EX-HUSBAND BOYFRIEND/GIRLFRIEND NEIGHBOR FRIEND SOMEONE/SERVICE AT THE PLACE SP LIVES/LIVED CO-WORKER MINISTER, PRIEST, OR OTHER CLERGY PSYCHIATRIST, PSYCHOLOGIST, COUNSELOR, OR THERAPIST OTHER RELATIVE OTHER NRELATIVE PROGRAMMER INSTRUCTIONS: For each roster selection/addition at MC7 set SATINWITHDOCTOR flag = (yes). MC7B MC7B T ON FILE PRESS AND ENTER TO CONTINUE BOX MC8 BOX MC8 T ON FILE If only one person selected/added at MC7, set SATINWITHDOCTORMOST FLAG= () for person selected and go to MC9. Otherwise, go to MC8 MC8 op6dochlpmst R6 MC8 SITS MOST IF MORE THAN Display person roster with FIRST NAME, LAST NAME, and RELATIONSHIP TO SP. Display only those roster items selected at MC7. Do not allow new entries. Allow only one roster item to be selected. If MC0 = (yes, regular doctor), display regular. DISPLAY most often AS BOLD UNDERLINED TEXT Page of 4

12 Who sat in with {you/sp} and {your/{his/her}} {regular} doctor most often? SELECT ONE PROGRAMMERS INSTRUCTIONS: For roster entry selected at MC8, set SATINWITHDOCTORMOST flag = (yes) MC9 mc6tpersevr mc6tpersevr mc6tpersevr mc6tpersevr4 R6 MC9 HLP UPTO EXAM TBL DRESS R6 MC9 REMND SP OF QSTNS FR DOC R6 MC9 ASK TELL DOC THINGS 4 SP R6 MC9 HLP SP UNDERSTAND DOC If at MC9b, do not display question text in brackets. Otherwise, display question text in brackets. USE SAME QUESTION STEM DISPLAY. DISPLAY last year IN BOLD UNDERLINED TEXT If SATINWITHDOCTOR MOST flag = () for SERVICE/SOMEONE FROM PLACE SPLIVES, display "the person from the place where {you live/sp lives}". Otherwise, display "FIRST NAME LAST NAME OF PERSON with SATINWITHDOCTORMOST flag = () [{]During those visits in the last year, did {FIRST NAME LAST NAME OF PERSON WITH SATINWITHDOCTORMOST flag = ()/the person from the place where {you live/sp lives}} ever {]} [variable text {b-e}] RESPONSE [b] help {you/sp} with getting on the exam table, dressing, and undressing? RESPONSE [c] remind {you / SP} about things {you/{he/she}} wanted to ask or tell the doctor? RESPONSE 4 [d] ask or tell the doctor things for {you/sp}? RESPONSE 5 [e] help {you/sp} understand what the doctor was saying? MC0PRE MCOPRE T ON FILE Page of 4 Now I have a few questions about handling medical bills and insurance. PRESS AND ENTER TO CONTINUE MC0 mc6chginspln R6 MC0 CHGD ADD INS OR DRUG PLN Display last year AS BOLD UNDERLINED TEXT In the last year, that is since {MONTH AND YEAR MONTHS PRIOR TO TODAY S DATE}, {have you/has SP} changed {your/his/her} Medicare supplemental plan, {your/his/her} prescription drug

13 plan, or decided to leave a managed care plan? Section PA Section PA Section PA MC mc6anhlpwdec R6 MC ANYONE HELP W DECISION Did anyone help {you/sp} with that decision or make that decision for {you/him/her}? Section PA Section PA Section PA MCA op6insurhlp op6relatnshp Display HELPER RELATIONSHIP. R6 MCA HELPS WITH INSUR DECIS R6 RELASHIP TO SP UPDATE AND NEW Display PERSON ROSTER with FIRST NAME, LAST NAME, and RELATIONSHIP TO SP. Allow entry for FIRST NAME and RELATIONSHIP TO SP fields. If FACILITY flag = (yes), display a staff person from the place where {you live/{he/she} lives},. If FACILITY flag = () or RETIREMENTCOMMUNITY flag = (), display SERVICE/SOMEONE FROM THE PLACE SP LIVES/DIED on the PERSON ROSTER. Display "first" and "last" in underlined text in the question text for name. Who was that (who sat in with {you/sp} and {your/{his/her}} doctor)? IF NEEDED: This includes family, friends, {a staff person from the place where {you live/{he/she} lives},} or someone paid to help {you/{him/her}}. PROBE: Anyone else? SELECT ALL THAT APPLY IF PERSON NAMED IS T ON THE ROSTER, PRESS CTRL/P TO ADD A PERSON MCb. [What is (his/her) first name?] CONFIRM SPELLING MCc. [What is (his/her) last name?] CONFIRM SPELLING MCd. [What is (his/her) relationship to {you/sp}?] PRESS F FOR HELP SCREEN Page of 4 SPOUSE/PARTNER DAUGHTER SON DAUGHTER-IN-LAW SON-IN-LAW

14 STEPDAUGHTER STEPSON SISTER BROTHER SISTER-IN-LAW BROTHER-IN-LAW MOTHER STEPMOTHER MOTHER-IN-LAW FATHER STEPFATHER FATHER-IN-LAW GRANDDAUGHTER GRANDSON NIECE NEPHEW AUNT UNCLE COUSIN STEPDAUGHTER S SON/DAUGHTER STEPSON S SON/DAUGHTER DAUGHTER-IN-LAW S SON/DAUGHTER SON-IN-LAW S SON/DAUGHTER BOARDER/RENTER PAID AIDE/HOUSEKEEPER/EMPLOYEE ROOMMATE EX-WIFE/EX-HUSBAND BOYFRIEND/GIRLFRIEND NEIGHBOR FRIEND SOMEONE/SERVICE AT THE PLACE SP LIVES/LIVED CO-WORKER MINISTER, PRIEST, OR OTHER CLERGY PSYCHIATRIST, PSYCHOLOGIST, COUNSELOR, OR THERAPIST OTHER RELATIVE OTHER NRELATIVE PROGRAMMER INSTRUCTIONS: For each roster selection/addition at MC set HELPEDMAKEINSURANCEDECITIONS flag = (yes). Go to Section PA- Participation. Derived Variables from Items in the MC Section mc6dmedssfdf R6 D DIFF LEVEL MEDICATIONS SELF mc6dmedsreas R6 D MEDS REASN BY WITH OTHERS Page 4 of 4

Section RH [Rehabilitation] Sequence: 26

NHATS Round 6 Section RH [Rehabilitation] Sequence: 6 RH rh6rehab R6 RH RECEIVED REHAB IN LAST YEAR Display last year in underlined text. Physical rehabilitation or rehab services can help you improve