Questionnaire/survey

QualityTools

International Physical Activity Questionnaires (IPAQ) 09/10/08

The purpose of the International Physical Activity Questionnaires (IPAQ) is to provide a set of well-developed instruments that can be used internationally to obtain comparable estimates of physical activity. There are two versions of the questionnaire. The short version is suitable for use in national and regional surveillance systems. The long version provides more detailed information often required in research work or for evaluation purposes. The IPAQ is available in 15 languages.

Baby-Friendly Hospital Initiative 09/03/08

The Baby-Friendly Hospital Initiative (BFHI) USA is implementing the global program sponsored by the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) to encourage and recognize hospitals and birthing centers that offer an optimal level of care for lactation. The BFHI assists hospitals in giving breastfeeding mothers the information, confidence, and skills needed to successfully initiate and continue breastfeeding their babies and gives special recognition to...

Patient Health Questionnaire (PHQ-2) 09/03/08

The Patient Health Questionnaire (PHQ-2) screener is a two-item self report that inquires about the frequency of depressed mood and anhedonia over the last 2 weeks. The screener is part of the STAndards for BipoLar Excellence (STABLE) Project resource toolkit that provides quality improvement resources to assist the clinician in the identification and management of bipolar disorder.

The purpose of the PHQ-2 is to screen for depression in a “first step” approach. The PHQ-2...

Health Risk Appraisal 09/03/08
The Health Risk Appraisal (HRA) questionnaire assesses and gives feedback to individuals on their current health and quality of life. Repeated use lets individuals monitor their health status over time. The assessment promotes health awareness for the individual by reviewing one’s personal lifestyle practices and revealing health issues that personal choices could impact.

The personalized profile report from the HRA survey recommends healthy behaviors according to age group, gender...
HowsYourHealth Online Screening Tool 08/20/08

The HowsYourHealth Web site gives consumers evidence-based, user-friendly health information to help them become more actively involved in preventing and managing their health care problems. Patients are encouraged to complete a free, confidential, noncommercial, 10-minute survey. After completing the survey, patients are given a summary action form, which provides a snapshot of the individual and his/her situation. It includes information about problems, needs, concerns, health safety...

Develop Your "Hospital At Home" Program 08/08/08

Hospital At Home is an innovative health care model that can provide hospital-level care in a patient’s home as a full substitute for acute hospital care until the patient is ready for discharge to their primary care physician.

The Web site contains the following information and tools for organizations that are considering starting their own program:

  • Is your organization ready for Hospital At Home?
    • Innovation readiness assessment
    • Readiness and...
About Mood Disorders 08/02/08

This site provides information on depression and bipolar disorder (also known as manic depression). The site also includes a Mental Health Screening Center, which offers the following mental health screening tools:

  • Confidential online depression screening
  • Confidential online mania screening
  • Confidential online anxiety screening
  • Child mania rating scale (for parents)
Health Guides A to Z for Teen Girls 06/30/08
These guides provide easy-to-understand health information for teen girls. The guides can be browsed alphabetically or by topic.

Topics include:
  • Nutrition and fitness
  • Sexuality and sexual health
  • General health and development
  • Gynecology and reproductive health
  • Emotional health
  • Parent guides

The tool also includes quizzes on the following health topics:

  • General health
  • Nutrition and fitness
  • ...
Chronic Obstructive Pulmonary Disease Population Screener 06/25/08

This screener can help patients determine if they are at risk for chronic obstructive pulmonary disease (COPD). It asks five questions about the patient, their breathing, and what they are able to do. Once complete, patients are encouraged to share the results with their doctor.

This site also provides a doctor-patient discussion guide. It includes information and tools to help patients prepare for, and make the most of, their next doctor visit.

Inner-City Asthma Study Questionnaires 06/24/08

These questionnaires were used in the Inner City Asthma Study (ICAS) to evaluate the effectiveness of two types of interventions to reduce asthma morbidity and severity among inner-city children, ages 5-11, with moderate to severe asthma.

Questionnaires include:

  • Adult baseline clinical evaluation form–Completed at study enrollment by the adult caretaker of the child
  • Child baseline clinical evaluation form–Completed at study enrollment by the...

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