Listing of Proposed Items for 2019-2020

Attachment 14 : Listing of Proposed Items for 2019 and 2020

Proposed Questions to be asked beginning in 2019

Section	Content	Source
Frequency, severity, impact, and management of pain (PAI)	(Past 3 months) Frequency of pain If at least some days: (Last time had pain) Severity of pain: a lot, a little, somewhere in between If work limitation was reported in SOC section: (Currently) Pain limits kind or amount of work / unable to work due to pain (Past 3 months) Frequency of interference with life or work activities (Past 3 months) Frequency that your pain affected your family and significant others (Past 3 months) Use physical/rehabilitative/occupational therapy to manage pain (Past 3 months) Use chiropractic care to manage pain (Past 3 months) Use talk therapy to manage pain (Past 3 months) Use chronic pain self-management program or workshop (Past 3 months) Use chronic pain peer support groups (Past 3 months) Use yoga or tai chi to manage pain (Past 3 months) Use massage to manage pain (Past 3 months) Use meditation, guided imagery, or other relaxation techniques to manage pain (Past 3 months) Extent to which pain could be managed Pain locations If at least some days: (Past 3 months) How much have you been bothered by…back pain (Past 3 months) How much have you been bothered by…pain in hands, arms, or shoulders (Past 3 months) How much have you been bothered by…pain in hips, knees, or feet (Past 3 months) How much have you been bothered by…headaches or migraines (Past 3 months) How much have you been bothered by…abdominal, pelvic, or genital pain (Past 3 months) How much have you been bothered by…toothache or jaw pain	Questions about frequency, severity, impact, and location of pain have been on priors of the NHIS. The pain management questions are undergoing cognitive testing, but many are similar to questions asked on a complementary and alternative medicine supplement.
Opioid Use (OPD)	If prescribed any medication by doctor or other health professional Taken any opioid pain relievers prescribed by doctor or dentist in past 12 months If yes (Past 3 months) taken any opioid pain relievers prescribed by doctor or dentist If yes (Past 3 months) take opioid for short-term/acute pain (Past 3 months) take opioid for long-term/chronic pain If yes (Past 3 months) use of opioids someday, most days, everyday Other than those you or family are taking, are there unused opioids in your home?	New proposed questions are undergoing cognitive testing. These questions have been developed with government, academic, and nonprofit researchers. Some of these researchers are working on the National Pain Strategy.

Content to rotate on to Adult Questionnaire in 2020
Section	Content	Source
Detailed adult employment (EMD)	If working at or had a paid job or business last week, if working in a family business not for pay, if doing seasonal/contract work, or if not currently working but had a paid job or business in past 12 months: For whom do/did you work at your main job/business? (name of company, employer, etc.) Industry (kind of business) (open-ended) Occupation (kind of work) (open-ended) Most important activities on the job (open-ended) Supervisory status Work category (private sector, government employee, self-employed, etc.)	On 1997-2017 NHIS
Injuries (INJ)	(Past 3 months) any repetitive strain injuries? If yes: Were repetitive strain Injuries enough to limit activities for 24 hours? (Past 3 months) miss school or work due to repetitive strain injuries Talk to doctor or health professional about repetitive strain injuries Rate worst amount of repetitive strain injury pain (1-10 scale) Rate average amount of repetitive strain injury pain (1-10 scale) (Not including repetitive strain injuries) (Past 3 months) any accident/injury? If no In past 3 months have any injuries/accidents: From falls From collisions involving motor vehicle From hitting or being hit by person or object While playing sports or exercising While working While at home While in public place If yes to any injury/accident: Were any injuries enough to limit activities for 24 hours? Miss school or work due to injury Talk to doctor or health professional about injury Rate worst injury pain (1-10 scale) Rate average injury pain (1-10 scale)	This topic is on 1997-2017. New proposed questions are undergoing cognitive testing.
Physical activity (PHY)	Frequency of moderate-intensity leisure-time activities (# times per day/week/month/year) If at least once per year: Number of hours/minutes each time Frequency of vigorous-intensity leisure-time activities (# times per day/week/month/year) If at least once per year: Number of hours/minutes each time Frequency of leisure-time muscle-strengthening activities (# times per day/week/month/year)	On 1997-2017 NHIS
Walking for transportation and leisure (WLK)	(Past 7 days) Walked at least 10 minutes to get some place If yes: (Past 7 days) Number of times walked at least 10 minutes Average length of walk(s), in minutes/hours (Past 7 days) Walked at least 10 minutes for fun, relaxation, exercise, or to walk the dog If yes: (Past 7 days) Number of times walked at least 10 minutes Average length of walk(s), in minutes/hours	NHIS 2015 Cancer Supplement
Fatigue (FGE)	(Past 30 days) Frequency of feeling very tired or exhausted If at least some days: (Last time) Duration of feeling very tired or exhausted (some/most/all of the day) (Last time) Level of tiredness: a lot, a little, somewhere in between	On 1997-2017 NHIS
Sleep (SLP)	Average hours of sleep in 24-hour period on weekday or workday? Average hours of sleep in 24-hour period on a weekend or non-workday? (Past 30 days) Frequency waking up well-rested (Past 30 days) Frequency having trouble falling asleep (Past 30 days) Frequency having trouble staying asleep (Past 30 days) Frequency taking sleep medication	Questions have been adapted from NHIS questions and cognitive testing
Alcohol use (ALC)	(Lifetime) Had one or more drinks of any alcoholic beverage If yes: (Past 12 months) Number of days per week/month/year that alcohol was consumed If none: (In any one year) Had 12 or more drinks of any alcoholic beverage If any: (Past 12 months) Average number of drinks on days consumed any alcohol If average is less than 5 (if male) or 4 (if female): (Past 12 months) Did you have 5/4 or more drinks in a day? If average is greater than or equal to 5 (if male) or 4 (if female), or if yes, had 5/4 or more drinks in one day in past 12 months: (Past 30 days) Number of times had 5/4 or more drinks on an occasion	NHIS has included similar questions since 1997 that we have adapted for the redesign
Smoking history and cessation (CIH)	If current or former smoker: Age when first started smoking regularly If former smoker: Length of time since quit smoking cigarettes If current smoker: (Past 12 months) Stopped smoking for at least 1 day because trying to quit	On 1997-2017 NHIS
Content of care (COC)	If current smoker or recent former smoker and seen doctor in past 12 months: (Past 12 months) Doctor advised you about ways to quit smoking or prescribed medicine If current drinker and seen doctor in past 12 months: (Past 12 months) Doctor advised you to stop or cut down on your drinking If seen doctor in past 12 months: (Past 12 months) Doctor advised you to exercise more	New content derived from USPSTF recommendations
Cancer 2020 Supplement	Skin cancer Effect of exposure to sun on skin Use of clothing to protect from sun Use of sunscreen Use of indoor tanning devices Lung cancer screening Use chest x-ray or CT scan to identify lung cancer Physical activity/environment Walking for transportation Walking for leisure Physical environment for walking	These questions will be the same or similar to questions that were included on the 2015 NHIS Cancer supplement.

Content to rotate on to Child Questionnaire in 2020

Section	Content	Source
Injuries (INJ)	(Past 3 months) any accident/injury? If no: In past 3 months any injuries: From falls From collisions involving motor vehicle From hitting or being hit by person or object While playing sports or exercising While working While at home While in public place If yes to any injury/accident: Were any injures enough to limit activities for 24 hours? Miss school or work due to injury Talk to doctor or health professional about injury Rate worst injury pain (1-10 scale) Rate average injury pain (1-10 scale)	This topic is on existing NHIS. New proposed questions are undergoing cognitive testing.
Body measurements (BMI) (age 10-17)	Parent-reported height Parent-reported weight	This has been adapted from the NHIS sample adult interview
Physical activity (PHY) (age 6-17)	(Past 12 months) Whether child played on sports teams, took sports lesson in school/community (Typical week) Whether child goes to PE or a gym class (Typical week) How often physically active for a total of at least 60 minutes per day (Typical week) How often walk or ride a bike for at least 10 minutes	Content from national surveys, including National Survey of Children’s Health and Youth Risk Behavior Survey.
Neighborhood characteristics (NHC) (age 6-17)	Roads, sidewalks, paths or trails where child can walk or ride bicycle Parks or playgrounds that are close enough for child to walk or bike to Does traffic make it unsafe for child to walk or bike, even with an adult? Does crime make it unsafe for child to walk or bike, even with an adult?	Content from previous cancer supplement from NHIS.
Screen time (SED) (age 2-17)	Typical number of hours playing with smartphone or computer or in front of TV, on weekday Whether family has a rule for how much screen time child is allowed in a given day Whether there are places in child’s home where child is not allowed to use screens	Content from national surveys, including National Survey of Children’s Health and Youth Risk Behavior Survey, and American Academy of Pediatric Recommendations
Sleep (SLP) (age 2-17)	Number of hours of sleep on a typical school day or weekday Number of hours of sleep on a typical weekend day How often child has difficulty falling asleep or staying asleep How often child seems tired during the daytime Whether child has a regular bedtime on weeknights	Content from national surveys, including National Survey of Children’s Health and Youth Risk Behavior Survey, and adapted content from sample adult interview.