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Twin Cities Walking Survey

The Twin Cities Walking Survey was developed for a Round 2 Active Living Research grant in St. Paul, Minnesota, for which Ann Forsyth is the principal investigator. At the 2004 ALR conference, all round 2 grantees with projects focused on community and correlates of physical activity gathered for a meeting to discuss common measures. The Twin Cities Walking Study is the result of that discussion. Ann Forsyth’s crew led the effort to compile this instrument mostly because they were the first in the field. It takes approximately 45 minutes to complete the survey as an interview. Pilot...

Author of Tool: 
Kathryn H. Schmitz

Diagnostic Infant and Preschool Assessment (DIPA)

The Diagnostic Infant Preschool Assessment (DIPA) is intended as an interview for caregivers of children up to 6 years old. It is acknowledged that many of the symptoms are not possible for infants but many scripts were worded so that they could be applied to younger children and were not based on an a priori assumption that these symptoms could not be detected in younger children. Also, the DIPA should be easily extended for use with children older than 6 years. Each disorder is in a self-contained module. All of the symptoms needed to make a DSM-IV diagnosis are in a disorder module and...

Author of Tool: 
Michael S. Scheeringa, MD, MPH

Young Child PTSD Checklist

Author of Tool: 
Michael Scheeringa, MD, MPH

Young Child PTSD Screen

The structure of six items was based upon the desire to identify youth who have at least five PTSD symptoms. When young children are diagnosed with a developmentally sensitive algorithm (Scheeringa et al., 2003; Scheeringa, Zeanah, and Cohen, 2010), the average number of symptoms ranges from seven to 10, and clinical intervention trials typically require at least five symptoms for inclusion (Cohen et al., 2004; Scheeringa et al., in press).

The YCPS has not been used in a study yet. These wordings are derived from years of experience of conducting interviews and designing diagnostic...

Author of Tool: 
Michael Scheeringa, MD, MPH

School Physical Activity Policy Assessment (S-PAPA)

The S-PAPA uses open-ended, dichotomous, multichotomous, and checklist formatting and has 7 background items and three modules: (a) Physical Education (40 items); (b) Recess (27 items), and (c) Other Before, During, and After School Programs (15 items). Test-retest results suggest SPAPA items are reliable and can be useful in assessing PA policies in elementary schools (Lounsbery et al., 2011). Total administration time for all three modules is approximately 23 minutes.

Author of Tool: 
Monica Lounsbery, PhD, Thomas McKenzie, James Morrow, & Kathryn Holt, BS

Saint Louis Environment and Physical Activity Instrument

The questionnaire includes a detailed assessment of walking behavior, places to walk, barriers to being physically active, neighborhood infrastructure for walking and cycling, perceptions about places for walking, social assets, social support for physical activity, community assets, policy attitudes, and sedentary behaviors.

Author of Tool: 
Ross Brownson, Ph.D., Jen Jen Chang, Ph.D., MPH, Amy Eyler, Ph.D.

US Determinants of Exercise in Women Phone Survey

Despite the well-established benefits of physical exercise, many adult females do not obtain the recommended amounts. Obstacles to physical activity occur at multiple levels, including at the individual, interpersonal, and environmental levels. This survey represents a measure of assessing the self-reported physical activity levels of women from diverse ethnic backgrounds and some of their correlates.

Author of Tool: 
Evenson, K. R., Eyler, A. A., Wilcox, S., Thompson, J. L., & Burke,, J. E.

The Panic Attack Questionnaire

The PAQ is a comprehensive tool that aims to for assess various aspects of panic phenomenology. It begins by providing respondents with a definition of panic attacks (according to DSM-III) to create a common understanding of the construct. From there, participants construct their self-assessment. It collects information about participant's frequency of panic attacks and the context in which they arose, as well as intensity of pain symptoms. The final section of the questionnaire consists of open-ended questions about medication use, stress, and treatment received for other illnesses or...

Author of Tool: 
Norton, G. R., Harrison, B., Hauch, J., & Rhodes, L.

Brief Body Sensations Interpretations Questionnaire (BBSIQ)

Author of Tool: 
Clark, D. M., Salkovskis, P. M., Ost, L. G., Breitholtz, E., Koehler, K. A., Westling, B. E, . & Gelder, M.

Sexual Self-Disclosure Questionnaire

The Sexual Self-Disclosure Questionnaire (Byers & Demmons, 1999) was used to assess the extent of sexual self-disclosure (SSD) between partners.  Six of 12 items assess how much participants have communicated what they like about a range of sexual activities they have engaged in as a couple (e.g., kissing, touching, intercourse) with their partner; the other six items assess how much they have told their partner about what they do not like about these sexual activities.  Respondents indicate the extent of their self-disclosure on a 7-point scale ranging from nothing at all (1) to ...

Author of Tool: 
Byers & Demmons

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