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Table 1 Schedule of assessments with details on location, personnel, and frequency

From: Cognitive Level Enhancement through Vision Exams and Refraction (CLEVER): study protocol for a randomised controlled trial

 

Instrument name

Details

Baseline

Year 1

Year 2

Year 3

1

Personal and demographic information questionnaire

It includes age/gender, level of education, marital status, and income

   

2

World Health Organization Quality of Life Brief Version (WHOQOL-BREF) [27]

It has 26 items and covers four domains of quality of life: a) physical health, b) psychological well-being, c) social relationships, and d) environment

3

Indian Vision Function Questionnaire [28]

It has 20 questions covering visual functioning and mobility domains

4

Patient Health Questionnaire (PHQ9) for depression [29]

It has nine questions with scores of 0–3 points per question, for a total score of 0–27 points

5

Social Networking Index questionnaire [24]

It has 12 questions that assess the number of high-contact roles (network diversity), number of people in social networks, and embedded networks

6

International Physical Activity Questionnaire (IPAQ) Short form [30]

It has 7 questions and measures a 7-day recall of physical activities

7

Risk factors (alcohol consumption and smoking)

Includes questions on present and past smoking and alcohol consumption

8

Hindi Mini mental State Examination (HMSE) [19]

It is a 22 questions-based scale with a maximum score of 31

   

9

Ocular history and systemic health questionnaire

It includes questions on previous surgeries, use of spectacles, and duration of use. Systemic health questionnaire includes information on hypertension, diabetes and other non-communicable diseases

10

Longitudinal Aging Study in India–Diagnostic Assessment of Dementia; LASI-DAD cognitive test battery [25, 26]

It covers the key cognitive domains: memory, attention/speed, orientation, language function, visuospatial skills, executive function, numerical ability, and retrieval fluency

11

Client Service Receipt Inventory for healthcare costs [32]

This collects information on the whole range of services, including estimating the costs of service receipt

12

Clinical Falls Risk Assessment: Quick screen questionnaire [31]

It assesses five factors related to falls: history of falls in the last 12 months, regular use of four or more medications, vision, peripheral sensation, balance, time reaction, and lower limb strength