q-by-q steps instrument v3.1

8/21/2019 Q-By-Q STEPS Instrument V3.1

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WHO STEPS InstrumentQuestion-by-Question

Guide (Core and Expanded)

The WHO STEPwise approach tononcommunicable disease risk factorsurveillance (STEPS)World Health Organization20 Avenue Appia, 1211 Geneva 27, Switzerland

For further information: www.who.int/chp/tep

http://www.who.int/chp/stepshttp://www.who.int/chp/steps


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STEPS Question-by-Question (Q-by-Q)Guide

Overvie

Introduction

The Question-by-Question Guide presents the STEPS Instrument with a brief

explanation for each of the questions.

Purpose The purpose of the Question-by-Question Guide is to proide bac!"round

information to the interiewers and superisors as to what is intended by each

question.

Interiewers can use this information when participants request clarification

about specific questions or they do not !now the answer.

Interiewers and superisors should refrain from offerin" their own

interpretations.

Guide to the

colu

mns

The table below is a brief "uide to each of the columns in the Q-by-Q Guide.

Column Description Site Tailoring

Question Each question is to be read to the participants • Select sections to use.

• #dd expanded and optional

questions as desired.

$esponse This column lists the aailable response

options which the interiewer will be circlin"

or fillin" in the text boxes. The s!ip

instructions are shown on the ri"ht hand side

of the responses and should be carefully

followed durin" interiews.

• #dd site specific responses

for demo"raphic responses

%e.". &'(.

• &han"e s!ip question

identifiers where necessary.

&ode The column is desi"ned to match data from

the instrument into the data entry tool) data

analysis syntax) data boo!) and fact sheet.

This should neer be chan"ed

or remoed. The code is used

as a "eneral identifier for thedata entry and analysis.


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Participant Identification umber !"#"#"$!"#"#"$!"#"#"$

WHO STEPS Q-by-Q Guidefor Noncommunicable Disease

Risk Facor Sur!eillance

"inser counry#sie name$

Sur!ey %nformaion

%ocation and &ate 'esponse ode

!luter/!entre/"illage #$

Enter Cluster, Centre or Village ID from list provided. !"#"#"#"#"#"$#1

!luter/!entre/"illage na%e

Enter Cluster, Centre or Village name as appropriate.#2

#nterviewer #$Enter interviewer's identification. &'('(')

#*

$ate o+ co%pletion o+ the intru%ent

Enter date when instrument actually completed.&'(') &'(') &'('('(')

dd %% ear#-

onsent Interview %an*ua*e and ame 'esponse ode

!onent ha een read and otained

elect relevant response.

e 1#o 2 If O E&

#nterview anguage !Insert "anguage#

elect relevant response.

3nglih 1

#4 !$dd others# 2

!$dd others# *

!$dd others# -

5i%e o+ interview62- hour cloc8Enter time interview started.

&'(')9 &'(') hr %in

#7

:a%il Surna%eEnter family surname %reassure the participant on the confidential nature ofthis information and that this is only needed for follow up&.

#;

:irt a%eEnter first name of respondent %reassure the participant on the confidential

nature of this information and that this is only needed for follow up&.#<

+dditional Information that ma, be helpful

!ontact phone nu%er where poile

Enter phone numer %reassure the participant on the confidential nature ofthis information and that this is only needed for follow up&.

#10

WHO S53=wie approach to urveillance> ?>>? Guide v.*.1


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Se& ' Demo(ra&)ic %nformaion

O'E- &emo*raphic Information

.uestion 'esponse ode

Se@ 6(ecord )ale * Female as oserved&elect )ale * Female as oserved.

ale 1

!1:e%ale 2

What i our date o+ irthBDon't +now Enter date of irth of participant. If un-nown, select don/t -now0.

&'(') &'(') &'('('(') If -nown, 1o to C2 dd %% ear

!2

How old are ouBIf the age is un-nown, help participant estimate their age yinterviewing them aout their recollection of widely -nown ma3orevents.

ear&'(') !*

#n total, how %an ear have ou pent at chool and in +ull>ti%etud 6e@cluding pre>chool8B

Enter total numer of years of education %e4cluding pre5school and

-indergarten&.

ear

&'(')

!-

E/P+&E&- &emo*raphic Information

What i the hi*hest level of education ou have co%pletedB

!I6E(7 C8967(5;ECIFIC C$7E18(IE#

If a person attended a few months of the first year of secondaryschool ut did not complete the year, select primary schoolcompleted0. If a person only attended a few years of primary school,select less than primary school0.

elect appropriate response.

o +or%al chooling 1

!

e than pri%ar chool 2=ri%ar chool co%pleted *

Secondar chool co%pleted -High chool co%pleted

!ollege/Cniverit co%pleted 4=ot graduate degree 7

De+ued ;;

What i our !insert relevant ethnic group * racial group * culturalsugroup * others# back*roundB

elect the relevant ethnic*cultural group to which the participantelongs.

E"ocally defined# 1

!4E"ocally defined# 2

E"ocally defined# *

De+ued ;;

What i our marital statusB

elect the appropriate response.

ever %arried 1

!7

!urrent l %arr ied 2

Separated *

$ivorced -

Widowed

!ohaitating 4

De+ued ;;

Which o+ the +ollowing et decrie our main work tatu overthe pat 12 %onthB

!I6E(7 C8967(5;ECIFIC C$7E18(IE#

69E uestion is to help answer other >uestions suchas whether people in different -inds of occupations may econfronted with different ris- factors.

elect appropriate response.

Govern%ent e%ploee 1

!;

on>govern%ent e%ploee 2

Sel+>e%ploed *

on>paid -

Student

Ho%e%aer 4

Detired 7

Cne%ploed 6ale to wor8 ;

Cne%ploed 6unale to wor8 <

De+ued ;;

How %an people older than 1; ear, including ourel+, live in ourhoueholdB

Enter the total numer of people living in the household who are ?@ years or older.

u%er o+ people

&'(')

!<

E/P+&E&- &emo*raphic Information !ontinued



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5aing the past ,ear, can ou tell %e what the average earning o+the houehold have eenB

%(EC8(D 86" 86E, 687 $"" A&

Enter the average earnings of the household y wee-, month, or year. If refused to answer, s-ip to C??.

=er wee &'('('('('('(') 1o to 7? !10a

OD per %onth &'('('('('('(') 1o to 7? !10

OD per ear &'('('('('('(') 1o to 7? !10c

De+ued ;; !10d

#+ ou donFt now the a%ount, can ou give an estimate o+ theannual houehold inco%e i+ # read o%e option to ouB # it

!I6E(7 B9I67I"E V$"9E I6 "8C$" C9((E6C#

%(E$D 8;7I86& elect the appropriate >uintile value for the annual householdincome.

≤ ?uintile 6?8 1 1

!11

ore than ? 1, ≤ ? 2 2

ore than ? 2, ≤ ? * *

ore than ? *, ≤ ? - -

ore than ? -

$ont now 77

De+ued ;;

Se& ' *e)a!ioural +easuremens



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O'E- Tobacco 0seow # a% going to a ou o%e Iuetion aout toacco ue.


$o ou currentl, %oe an tobacco product, uch acigarette, cigar or pipeB

%9E uestion is only for current smo-ers of toacco products.

e 152

o 2

How old were ou when ou first started %oingBFor current smo-ers only. $s- the participant to thin- ofthe time when he*she started to smo-e any toacco

products.

Age 6ear8

!"#"$ If +nown, go to 7a*7aw

5*$onFt now 77

$o ou re%e%er how long ago it waB%(EC8(D 86" ?, 687 $"" A&Don/t -now If the participant doesn/t rememer his*her age whenstarted smo-ing, then record the time in years, months orwee-s as appropriate.

#n ear!"#"$ If +nown, go to 7a*7aw

5-a

OD in onth!"#"$ If +nown, go to 7a*7aw

5-

OD in Wee !"#"$ 5-c

On average, how man, o+ the +ollowing product do ou%oe each da,1week2

%IF "E 7uit attempt during the past ? months.

e 1

54o 2

$uring an viit to a doctor or other health worer in thepat 12 %onth, were ou advied to Iuit %oingtoaccoBFor current smo-ers only. $s- the participant to thin- ofvisits to a doctor or other health wor-er during the past ?months. If no visit, select no visit during the past ?months0.

e 1 If 7Ges, go to 7?H if 7G6o, go to 7

57

o 2 If 7Ges, go to 7?H if 7G6o, go to 7

o viit during the pat 12%onth * If 7Ges, go to 7?H if 7G6o, go to 7

#n the pat, did ou ever smoke an toacco productB%9E


7/18


$s- the participant to thin- of the time when he*she stopped smo-ing toacco products. !"#"$ If +nown, go to 7?$onFt now 77

How lon* a*o did ou top %oingB%(EC8(D 86" ?, 687 $"" A&Don/t +now If the participant doesn't rememer his*her age when theystopped smo-ing, then record the time in wee-s, months or

years as appropriate.

ear ago!"#"$ If +nown, go to 7?

511a

OD onth ago!"#"$ If +nown, go to 7?

511

OD Wee ago!"#"$

511c

$o ou currentl, use an smokeless tobacco productuch a !snuff, chewing toacco, etel# B

%9E uestion is as-ing aout inside the participant/s home.7his only includes fully enclosed areas of the home.

e 1

517o 2

$uring the pat *0 da, did o%eone %oe in cloedarea in ,our workplace 6in the uilding, in a wor area ora peci+ic o++ice8B

For those not wor-ing in a closed area, record don/t wor- ina closed area0.

$s- the participant to thin- of seeing someody smo-e orsmelling the smo-e in indoor areas at wor- during the pastAJ days.

e 1

51;o 2

$ont wor in a cloed area *



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O'E- +lcohol onsumption5he ne@t Iuetion a aout the conu%ption o+ alcohol.


Have ou ever conu%ed an alcohol uch a eer, wine, piritor !add other local e4amples# B

%9E


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O'E- +lcohol onsumption continued# have Mut aed ou aout our conu%ption o+ alcohol during the pat 7 da. 5he Iuetion were aout alcohol in general, while the ne@tIuetion re+er to our conu%ption o+ ho%erewed alcohol, alcohol rought over the order/+ro% another countr, an alcohol not intended+or drining or other unta@ed alcohol. =leae onl thin aout thee tpe o+ alcohol when anwering the ne@t Iuetion.

$uring the past : da,s, did ou conu%e an homebrewed alcohol, an alcohol brou*ht over the border1from anothercountr,, an alcohol not intended for drinkin* or otherunta9ed alcoholB

!$)E6D $CC8(DI61 78 "8C$" C867EK7#

%9E


10/18


O'E- &iet5he ne@t Iuetion a aout the +ruit and vegetale that ou uuall eat. # have a nutrition card here that how ou o%e e@a%ple o+local +ruit and vegetale. 3ach picture repreent the ize o+ a erving. A ou anwer thee Iuetion pleae thin o+ a tpical wee inthe lat ear..uestion 'esponse ode#n a tpical wee, on how %an da do ou eat fruitB

%9E


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E/P+&E&- &iet


How i%portant to ou i lowerin* the salt in our dietB


"er i%portant 1

$<So%ewhat i%portant 2

ot at all i%portant *

$ont now 77

$o ou thin that too %uch alt or alt auce in our dietcould caue a health problemB


e 1$10o 2

$ont now 77$o ou do an o+ the +ollowing on a regular ai to control ,our salt intakeB%(EC8(D F8( E$C ?>>? Guide v.*.1


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O'E- Ph,sical +ctivit,

e@t # a% going to a ou aout the ti%e ou pend doing di++erent tpe o+ phical activit in a tpical wee. =leae anwer thee Iuetioneven i+ ou do not conider ourel+ to e a phicall active peron.5hin +irt aout the ti%e ou pend doing wor. 5hin o+ wor a the thing that ou have to do uch a paid or unpaid wor, tud/training,houehold chore, harveting +ood/crop, +ihing or hunting +or +ood, eeing e%plo%ent. !Insert other e4amples if needed#. #n anwering the+ollowing Iuetion vigorou>intenit activitie are activitie that reIuire hard phical e++ort and caue large increae in reathing or heartrate, %oderate>intenit activitie are activitie that reIuire %oderate phical e++ort and caue %all increae in reathing or heart rate.(ead this opening statement out loud. It should not e omitted. 7he respondent will have to thin- first aout the time he*she spends doing wor- %paid orunpaid wor-, household chores, harvesting food, fishing or hunting for food, see-ing employment !Insert other e4amples if needed#&, then aout the timehe*she travels from place to place, and finally aout the time spent in vigorous as well as moderate physical activity during leisure time.(emind the respondent when he*she answers the following >uestions that 'vigorous5intensity activities' are activities that re>uire hard physical effort andcause large increases in reathing or heart rate, 'moderate5intensity activities' are activities that re>uire moderate physical effort and cause small increases inreathing or heart rate. Don't forget to use the showcard which will help the respondent when answering to the >uestions.

.uestion 'esponse odeWork

$oe our wor involve vigorou>intenit activit that caue largeincreae in reathing or heart rate lie !carrying or lifting heavy loads,digging or construction wor-# +or at leat 10 %inute continuoulB

!I6E(7 EK$);"E# %9E intenit activitiea part o+ our worB

7ypical wee-0 means a wee- when the participant is engaged in his*herusual activities. Valid responses range from ?5.

u%er o+ da

&')

=2

How %uch ti%e do ou pend doing vigorou>intenit activitie at wor ona tpical daB

$s- the participant to thin- of a typical day he*she can recall easily in whichhe*she engaged in vigorous5intensity activities at wor-. 7he participantshould only consider those activities underta-en continuously for ?Jminutes or more. ;roe very high responses %over 2 hrs& to verify.

Hour 9 %inute&'(')9 &'(') hr %in

=*6a>8

$oe our wor involve %oderate>intenit activit, that caue %allincreae in reathing or heart rate uch a ri waling !or carrying lightloads# +or at leat 10 %inute continuoulB

!I6E(7 EK$);"E# %9E intenitactivitie a part o+ our worB


u%er o+ da

&')

=

How %uch ti%e do ou pend doing %oderate>intenit activitie at wor ona tpical daB

$s- the participant to thin- of a typical day he*she can recall easily in whichhe*she engaged in moderate5intensity activities at wor-. 7he participantshould only consider those activities underta-en continuously for ?Jminutes or more. ;roe very high responses %over 2 hrs& to verify.


=46a>8

Travel to and from places5he ne@t Iuetion e@clude the phical activitie at wor that ou have alread %entioned.ow # would lie to a ou aout the uual wa ou travel to and +ro% place. :or e@a%ple to wor, +or hopping, to %aret, to place o+worhip. !Insert other e4amples if needed# 7he introductory statement to the following >uestions on transport5related physical activity is very important. It as-s and helps the participant to now thin-aout how they travel around getting from place5to5place. 7his statement should not e omitted.

$o ou wal or ue a iccle %pedal cycle& +or at leat 10 %inutecontinuoul to get to and +ro% placeB


e 1=7

o 2 If 6o, go to ; ?J#n a tpical wee, on how %an da do ou wal or iccle +or at leat 10%inute continuoul to get to and +ro% placeB


u%er o+ da

&')

=;



13/18


O'E- Ph,sical +ctivit, ontinued.uestion 'esponse ode

How %uch ti%e do ou pend waling or iccling +or travel on a tpicaldaB

$s- the participant to thin- of a typical day he*she can recall easily in whichhe*she engaged in transport5related activities. 7he participant should onlyconsider those activities underta-en continuously for ?J minutes or more.;roe very high responses %over 2 hrs& to verify.


=<6a>8

'ecreational activities5he ne@t Iuetion e@clude the wor and tranport activitie that ou have alread %entioned.ow # would lie to a ou aout port, +itne and recreational activitie 6leiure8 !Insert relevant terms# .7his introductory statement directs the participant to thin- aout recreational activities. 7his can also e called discretionary or leisure time. It includes sportsand e4ercise ut is not limited to participation in competitions. $ctivities reported should e done regularly and not 3ust occasionally. It is important to focus ononly recreational activities and not to include any activities already mentioned. 7his statement should not e omitted.

$o ou do an vigorou>intenit port, +itne or recreational %leisure& activitie that caue large increae in reathing or heart rate lie !runningor footall# +or at leat 10 %inute continuoulB

!I6E(7 EK$);"E# %9E intenit port,+itne or recreational %leisure& activitieB


u%er o+ da

&')

=11

How %uch ti%e do ou pend doing vigorou>intenit port, +itne orrecreational activitie on a tpical daB

$s- the participant to thin- of a typical day he*she can recall easily in whichhe*she engaged in recreational vigorous5intensity activities. 7he participantshould only consider those activities underta-en continuously for ?Jminutes or more. ;roe very high responses %over 2 hrs& to verify.


=126a>8

$o ou do an %oderate>intenit port, +itne or recreational %leisure& activitie that caue a %all increae in reathing or heart rate uch ari waling, !cycling, swimming, volleyall# +or at leat 10 %inutecontinuoulB

!I6E(7 EK$);"E# %9E intenit port,+itne or recreational %leisure& activitieB


u%er o+ da

&')

=1-

How %uch ti%e do ou pend doing %oderate>intenit port, +itne orrecreational %leisure& activitie on a tpical daB

$s- the participant to thin- of a typical day he*she can recall easily in whichhe*she engaged in recreational moderate5intensity activities. 7he participant should only consider those activities underta-en continuouslyfor ?J minutes or more. ;roe very high responses %over 2 hrs& to verify.


=16a>8

E/P+&E&- Ph,sical +ctivit,Sedentar, behavior5he +ollowing Iuetion i aout itting or reclining at wor, at ho%e, getting to and +ro% place, or with +riend including ti%e pent itting at ade, itting with +riend, traveling in car, u, train, reading, plaing card or watching televiion, ut do not include ti%e pent leeping.

!I6E(7 EK$);"E# %9E 8



14/18


O'E- Histor, of 'aised


15/18


O'E- Histor, of 'aised Total holesterol

.uestions 'esponse odeHave ou ever had our choleterol 6+at level in our lood8%eaured a doctor or other health worerB

$s- the participant to only consider measurements done y adoctor or other health wor-er.

e 1H12

o 2 If 6o, go to


16/18


O'E (for women onl,)- ervical ancer Screenin*5he ne@t Iuetion a aout cervical cancer prevention. Screening tet +or cervical cancer prevention can e done in di++erent wa,including "iual #npection with Acetic Acid/vinegar 6"#A8, pap %ear and Hu%an =apillo%aviru 6H="8 tet. "#A i an inpection o+ the ur+aceo+ the uterine cervi@ a+ter acetic acid 6or vinegar8 ha een applied to it. :or oth pap %ear and H=" tet, a doctor or nure ue a wa towipe +ro% inide our vagina, tae a a%ple and end it to a laorator. #t i even poile that ou were given the wa ourel+ and aed towa the inide o+ our vagina. 5he laorator chec +or anor%al cell change i+ a pap %ear i done, and +or the H= viru i+ an H=" tet idone.

(ead this opening statement out loud. It should not e omitted..uestion 'esponse ode

Have ou ever had a creening tet +or cervical cancer, uingan o+ thee %ethod decried aoveBelect the appropriate response.

e 1

!1o 2

$onFt now 77



17/18


Se& , P)ysical +easuremens

O'E-


18/18


Se& *ioc)emical +easuremens

O'E- lucose.uestion 'esponse ode

$uring the pat 12 hour have ou had anthing to eat or drin,

other than waterBIt is essential that the participant has fasted.

e 1

L1o 2

5echnician #$

(ecord ID of the person ta-ing the measurement. &'('(')L2

$evice #$

(ecord device ID. &'(')L*

5i%e o+ da lood peci%en taen 62- hour cloc8

Enter time measurement started. Hour 9 %inute&'(')9 &'(') hr %in

L-

:ating lood glucoe

!C

q-by-q steps instrument v3.1

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