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Download PhenX Toolkit Supplemental Information Domain: Environmental
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PhenX Toolkit Supplemental Information Domain: Environmental Exposures Release Date: May 31, 2016 Characteristics of Current Residence-Technician Observations About the Measure Domain Environmental Exposures Measure Characteristics of Current Residence - Technician Observations Definition Observations the technician makes about the current residence. About the Protocol Description of Protocol The technician who visits the residence makes observations about the basement and type of flooring in the home. Protocol Text Basement 1. Is there a basement in the house? 1 [ ] Yes 2 [ ] No (Skip to Flooring Type) 99 [ ] Don’t know (Skip to Flooring Type) 2. Is the basement wet or damp? 1 [ ] Yes 2 [ ] No 99 [ ] Don’t know 3. Are there signs of previous flooding? 1 [ ] Yes 2 [ ] No 99 [ ] Don’t know Flooring Type (Carpeting, etc.) Note: Ask 4. a–h for the Family Room, Child’s Bedroom, and Adult’s Bedroom. 4. What floor covering is present? CHECK “1” FOR ALL THAT ARE PRESENT AND “0” FOR ALL THAT ARE NOT PRESENT. a. Wall-to-wall carpeting 1 [ ] Yes 0 [ ] No PhenX Toolkit Supplemental Information Characteristics of Current Residence-Technician Observations PhenX Toolkit Supplemental Information Domain: Environmental Exposures Release Date: May 31, 2016 Characteristics of Current Residence-Technician Observations b. Large rug 1 [ ] Yes 0 [ ] No c. Scatter rug 1 [ ] Yes 0 [ ] No d. Linoleum/tile 1 [ ] Yes 0 [ ] No e. Wood 1 [ ] Yes 0 [ ] No f. Concrete 1 [ ] Yes 0 [ ] No g. Other 1 [ ] Yes 0 [ ] No Specify: h.________________________________________ Participant Adult 18 + Source National Institutes of Health, National Institute of Allergy and Infectious Diseases, National Institute of Environmental Health Sciences. (1998). Inner-City Asthma Study (ICAS). Bethesda, MD: Author. Home Environment Survey Form. Question number C7 (Question 4). http://www.icasweb.org/ Seattle–King County Healthy Homes Project. (2003). Homebase Home Environment Checklist. Seattle, WA: Author. Question numbers BT1, BT3, BT4 (source for Questions 1–3 in Protocol Text). Language of Source English Personnel and The basement and flooring-type questions (in source protocols) are PhenX Toolkit Supplemental Information Characteristics of Current Residence-Technician Observations PhenX Toolkit Supplemental Information Domain: Environmental Exposures Release Date: May 31, 2016 Characteristics of Current Residence-Technician Observations Training Required observations made by a technician who walks through the home. Equipment Needs The source instruments were administered via a paper-and-pencil questionnaire. However, the PhenX Working Group recognizes that these questions may be administered via a computer-assisted interview. Computer software is necessary to develop computerassisted instruments. The technician will require a laptop computer or handheld computer to administer a computer-assisted questionnaire. Protocol Type Proxy-administered questionnaire General References None Process and Review The Expert Review Panel #2 (ERP 2) reviewed the measures in the Demographics, Environmental Exposures, and Social Environments domains. Guidance from ERP 2 includes: • No significant changes to measure PhenX Toolkit Supplemental Information Characteristics of Current Residence-Technician Observations
