ADMINISTRATIVE AND ASSESSMENT FORMS FOR PHASE 38

1 JUNE 2010 – 1 APRIL 2012

Dunedin Multidisciplinary Health & Development Research Unit Department of Preventive & Social Medicine Dunedin School of Medicine University of Otago PO Box 913, Dunedin 9054 New Zealand

Telephone: + 64 3 479 8508 Facsimile: + 64 3 479 5487 Email: dmhdru@otago.ac.nz Web: https://dunedinstudy.otago.ac.nz

mailto:dmhdru@otago.ac.nz

Funding Acknowledgements*

Data collection for Phase 38 of the Dunedin Study was funded by:

The Health Research Council of New Zealand:

Programme Grant PA209-09/086 (PI: Professor Richie Poulton) The Dunedin Multidisciplinary Study of Aging and Risk for Chronic Diseases. Project Grant GA209-09/086A (PI: Professor Richie Poulton) Psychiatric and Social Predictors of Poor Cardiovascular Health Project Grant GA209-09/086D (PI: A/Professor Nigel Dickson) Sexual and Reproductive Health at Age 38 in the Dunedin Cohort Project Grant GA209-09/086C (PI: Professor Murray Thomson) Oral Health to Age 38

US National Institute of Health/National Institute on Aging AGO32282 (Co-PIs: Professors Terrie E. Moffitt, Avshalom Caspi & Richie Poulton) ‘Is Mental Disorder a Preventable Cause of Age-Related Disease? The Dunedin Study’ UK Medical Research Council – GO601483 (Co-PIs: Professors Terrie E. Moffitt & Avshalom Caspi) Mental Disorders from Childhood to Adulthood: The Dunedin Study. *Please note that acknowledgements in published papers will also need to include additional grants and agencies that have funded other aspects of the research. These are available from the PI responsible for the research.

Phase 38 Data Directory

TABLE OF CONTENTS

Section 1: The Assessment Day

Overview of the Assessment Day

Morning and Afternoon Log Sheets Section 2: Invitation to Participate Package

Invitation to Participate Letter

Explanation of Procedures

Consent Form

Booking Forms

Letter to Employer

Childcare Information

Information about Next Generation Study Section 3: Cardiovascular Assessment

Anthropometry, Retinal Imaging, Blood Pressure, Endothelial Function, Cardio-respiratory Fitness, & Worksheet

Section 4: General Health

Medications Capture/General Health Interview

Well-being

Wrinkle Assessment

http://dunedinstudy.coredev.co.nz/files/1381453897_Section%201_The%20Assessment%20Day.pdfhttp://dunedinstudy.coredev.co.nz/files/1381453921_Section%202_Invitation%20to%20Participate%20Package.pdfhttp://dunedinstudy.coredev.co.nz/files/1381454017_Section%203_Cardiovascular%20Assessment.pdfhttp://dunedinstudy.coredev.co.nz/files/1381454040_Section%204_General%20Health.pdf

Phase 38 Data Directory

TABLE OF CONTENTS Section 5: Cognitive Assessment

Cognitive I o WAIS-IV Block Design o Verbal Paired Associates I o WAIS-IV Symbol Search o WAIS-IV Digit Span o Grooved Pegboard Test o Brief Smell Identification Test o WAIS-IV Similarities o Verbal Paired Associated II o WAIS-IV Picture Completion o Grip Test o WAIS-IV Vocabulary

Cognitive II o WAIS-IV Matrix Reasoning o Rey Auditory Verbal Learning Test I o Trail Making Tests, A and B o WAIS-IV Arithmetic o CANTAB Reaction Time (Computerised data) o CANTAB Visual Paired Associates (Computerised data) o Rey Auditory Verbal learning Test II o CANTAB Rapid Visual Information (Computerised data) o WAIS-IV Information o Balance Test

http://dunedinstudy.coredev.co.nz/files/1381454184_Section%205_Cognitive%20Assessment_Grip_Balance.pdf

Phase 38 Data Directory

TABLE OF CONTENTS Section 6: Respiratory Assessment

Asthma Questionnaire

Asthma Treatment Questionnaire

Respiratory Health Questionnaire o Smoking Questionnaire o Sleep Quality o Pain & Fatigue o Family Health Update

Section 7: Update of Life Events, Finances and Work

Update of Life Events (Life History Calendar)

Finances

Work Experiences Section 8: Social Relationships

Partner Relationships

Conflict Resolution

Social Support

Childhood Trauma Section 9: Self-reported Delinquency

http://dunedinstudy.coredev.co.nz/files/1381454270_Section%206_Respiratory_Health.pdfhttp://dunedinstudy.coredev.co.nz/files/1381454295_Section%207_Life%20Events_Finances_Work.pdfhttp://dunedinstudy.coredev.co.nz/files/1381454332_Section%208_Social%20Relationships.pdfhttp://dunedinstudy.coredev.co.nz/files/1381454379_Section%209_Self-Reported%20Delinquency.pdf

Phase 38 Data Directory

TABLE OF CONTENTS

Section 10: Mental Health

Mental Health Interview

Emotional Health History Calendar

Informant Form & Questionnaire

Section 11: New Zealand Society, Ethnicity and Health Section 12: Sexual and Reproductive Health (Computerised data)

Section 13: Dental Health

Clinical and Oral Examination

Socio-dental Questionnaire

Examiner Administered Questionnaire Section 14: Mobility Section 15:

Southern Community Blood Draw Form

Priority for Blood Draw Section 16: Evaluation Section 17: Feedback Policy

http://dunedinstudy.coredev.co.nz/files/1381454409_Section%2010_Mental%20Health_Informant.pdfhttp://dunedinstudy.coredev.co.nz/files/1381454436_Section%2011_NZ%20Society_Ethnicity_Health.pdfhttp://dunedinstudy.coredev.co.nz/files/1381454469_Section%2012_Sexual_Reproductive%20Health.pdfhttp://dunedinstudy.coredev.co.nz/files/1381454495_Section%2013_Dental%20Health.pdfhttp://dunedinstudy.coredev.co.nz/files/1381454532_Section%2014_Mobility.pdfhttp://dunedinstudy.coredev.co.nz/files/1381454547_Section%2015_Blood%20Draw.pdfhttp://dunedinstudy.coredev.co.nz/files/1381454587_Section%2016_Evaluation%20of%20Assessment%20Day.pdfhttp://dunedinstudy.coredev.co.nz/files/1381454604_Section%2017_Feedback%20to%20Study%20Members%20Policy.pdf

Phase 38 Data Directory

TABLE OF CONTENTS Section 18: Data Disposal Letter Section 19:

Certificate of Appreciation

City of Dunedin Civic Award to Study Members

http://dunedinstudy.coredev.co.nz/files/1381454827_Section%2018_Data%20Disposal_Letter%20to%20SM.pdfhttp://dunedinstudy.coredev.co.nz/files/1381454842_Section%2019_Certificates_Appreciation_Civic%20Award.pdf

Overview of the Assessment Day

Morning and Afternoon Log Sheets

THE ASSESSMENT DAY

Phase 38 Data Directory

SECTION 1

Invitation to Participate Letter

Explanation of Procedures

Consent Form

Booking Forms

Letter to Employer

Childcare Information

Information about Next Generation Study

Phase 38 Data Directory

SECTION 2

THE INVITATION TO PARTICIPATE PACKAGE

CARDIOVASCULAR ASSESSMENT

Anthropometry, Retinal Imaging, Blood Pressure, Endothelial Function, Cardio-respiratory Fitness, & Worksheet

Phase 38 Data Directory

SECTION 3

GENERAL HEALTH

Medications Capture/General Health Interview

Well-being

Wrinkle Assessment

Phase 38 Data Directory

SECTION 4

COGNITIVE ASSESSMENT

Cognitive I o WAIS-IV Block Design o Verbal Paired Associates I o WAIS-IV Symbol Search o WAIS-IV Digit Span o Grooved Pegboard Test o Brief Smell Identification Test o WAIS-IV Similarities o Verbal Paired Associated II o WAIS-IV Picture Completion o Grip Test o WAIS-IV Vocabulary

Cognitive II o WAIS-IV Matrix Reasoning o Rey Auditory Verbal Learning Test I o Trail Making Tests, A and B o WAIS-IV Arithmetic o CANTAB Reaction Time (Computerised data) o CANTAB Visual Paired Associates (Computerised data) o Rey Auditory Verbal learning Test II o CANTAB Rapid Visual Information (Computerised data) o WAIS-IV Information o Balance Test

Phase 38 Data Directory

SECTION 5

RESPIRATORY ASSESSMENT

Asthma Questionnaire

Asthma Treatment Questionnaire

Respiratory Health Questionnaire o Smoking Questionnaire o Sleep Quality o Pain & Fatigue o Family Health Update

Phase 38 Data Directory

SECTION 6

LIFE EVENTS, FINANCES & WORK

Update of Life Events (Life History Calendar)

Finances

Work Experiences

Phase 38 Data Directory

SECTION 7

SOCIAL RELATIONSHIPS

Partner Relationships

Conflict Resolution

Social Support

Childhood Trauma

Phase 38 Data Directory

SECTION 8

SELF-REPORTED DELINQUENCY

Phase 38 Data Directory

SECTION 9

MENTAL HEALTH

Mental Health Interview

Emotional Health History Calendar

Informant Form & Questionnaire

Phase 38 Data Directory

SECTION 10

NEW ZEALAND SOCIETY, ETHNICITY, AND HEALTH

Phase 38 Data Directory

SECTION 11

SEXUAL AND REPRODUCTIVE HEALTH

Phase 38 Data Directory

SECTION 12

DENTAL HEALTH

Clinical and Oral Examination

Socio-dental Questionnaire

Examiner Administered Questionnaire

Phase 38 Data Directory

SECTION 13

MOBILITY QUESTIONNAIRE

Phase 38 Data Directory

SECTION 14

BLOOD DRAW FORM &

PRIORITY FOR BLOOD DRAW

Phase 38 Data Directory

SECTION 15

EVALUATION OF ASSESSMENT DAY

Phase 38 Data Directory

SECTION 16

DMHDRU FEEDBACK POLICY

Phase 38 Data Directory

SECTION 17

DATA DISPOSAL LETTER

Phase 38 Data Directory

SECTION 18

CERTIFICATE OF APPRECIATION &

CITY OF DUNEDIN CIVIC AWARD

Phase 38 Data Directory

SECTION 19