Table 1 Questions and response categories
From: Improving diet, activity and wellness in adults at risk of diabetes: randomized controlled trial
Label | Questions | Response categories | Notes |
|---|---|---|---|
Physical activity | |||
Days aerobic | In your leisure time (when you are not working or doing household or family chores): how many days do you do an aerobic activity, such as brisk walking for fitness, exercise class and cardio machines such as exercise bike? | 1: Rarely do it. 2: 1 day per week. 3: 2 days. 4: 3 days. 5: 4 days. 6: 5 days. 7: 6–7 days per week | a |
Food habits | |||
Fruit | How often do you eat any fruit, not counting juice? | 1: Once a week or less often. 2: 2–3 times a week. 3: 4–6 times a week. 4: Once a day. 5: 2 times or servings a day. 6: 3+ times or servings a day | b |
Vegetables | Not counting potatoes, how many servings of vegetables do you eat, including in salad? Count a serving as 1 cup or about the size of your closed fist | 1: Once a week or less often. 2: 2–3 times a week. 3: 4–6 times a week. 4: Once a day. 5: 2 times or servings a day. 6: 3+ times or servings a day | b |
Bread | How often do you eat any bread, bagels, rolls and so on? | 1: Less than once a week. 2: Once a week. 3: 2–3 times a week. 4: 4–6 times a week. 5: Once a day. 6: 2+ a day | b |
White rice, pasta | How often do you eat any noodles, spaghetti, pasta and white rice? | 1: Less than once a week. 2: Once a week. 3: 2–3 times a week. 4: 4–6 times a week. 5: Once a day. 6: 2+ a day | b |
Refined carb | Sum of bread, white rice and pasta | Sum of times-per-week of bread and white rice, and pasta | |
Red meat | How often do you eat any beef, pork, hamburger, ham and sausage? | 1: Less than once a week. 2: Once a week. 3: 2–3 times a week. 4: 4–6 times a week. 5: Once a day. 6: 2+ a day | b |
Sweets | How often do you eat any sweets or pastry, such as cookies, cake, ice cream and candy? | 1: Less than once a week. 2: Once a week. 3: 2–3 times a week. 4: 4–6 times a week. 5: Once a day. 6: 2+ a day | b |
Wellness/productivity | |||
Health status | During the past 3 months, how would you rate your general health? | 1: Poor. 2: Fair. 3: Good. 4: Very good. 5: Excellent | c |
Concentrate at Work | During the past 4 weeks, how much difficulty did you have concentrating at work or accomplishing tasks because of physical or emotional problems? | 1: Could not do daily activities. 2: Quite a lot. 3: Somewhat. 4: Very little. 5: Not at all | c |
Confidence diet | How confident are you that you can make or maintain lasting changes to reduce sweets and saturated fat? | 1: Not at all. 2: Might be able to. 3: Pretty sure I can. 4: Very confident | |
Confidence Physical activity | How confident are you that you can make or maintain lasting changes to be more physically active | 1: Not at all. 2: Might be able to. 3: Pretty sure I can. 4: Very confident | |
Resist illness | My body seems to resist illness very well | 1: Definitely false. 2: Mostly false. 3: Don’t know. 4: Mostly true. 5: Definitely true | c |
Fatigue score | Sum of five sub-items (low energy, tired, woke up fresh, fatigue interfered and fatigue was disabling) | 1: None of the time. 2: A little of the time. 3: Some of the time. 4: A good bit of the time. 5: Most of the time | d |
Energy | During the past 4 weeks, how much were you bothered by: feeling tired or having low energy | 1: Not at all. 2: Very little. 3: Somewhat. 4: Quite a lot. 5: Very much | |
Immunity score | Sum of three sub-items (get sick easier, catch what is going around and I resist illness) | 1: Definitely false. 2: Mostly false. 3: Don’t know. 4: Mostly true. 5: Definitely true | e |
Pain | During the past 4 weeks, how much were you bothered by pain in your back, neck or shoulders | 1: Not at all. 2:Very little. 3: Somewhat. 4: Quite a lot. 5: Very much | |
Sleep | During the past 4 weeks, how much were you bothered by trouble sleeping | 1: Not at all. 2:Very little. 3: Somewhat. 4: Quite a lot. 5: Very much | |
Depression | How often do you feel depressed, sad, blue, hopeless | 1: Almost never. 2: Sometimes. 3: Quite often. 4: Very often. | |
Stress score | Sum of four sub-items (unable to control, can handle, optimistic and difficulties piling up) | 1: Never. 2: Almost never. 3: Sometimes. 4: Fairly often. 5: Very often | f |
