Disability Interview Schedule (DIS)

Disability Interview Schedule (DIS)
Bennett and Garrad‚ 1970
 
MOBILITY
Walking
Do you walk outdoors in the street (with crutch or stick if used)?
If ‘Yes’:
·         one mile or more
·         1⁄4 mile
·         100 yds.
·         10 yds.
If ‘No’:
·         Between rooms
·         Within room
·         Unable to walk
and:
·         Unaccompanied
·         Accompanied
·         Acc. & support
Stairs
·         Do you walk up stairs?
·         To 1st floor or above
·         5–8 steps or stairs
·         2–4 steps or stairs
·         1 step
 
·         Unacc.
·         Acc.
·         Acc. & Supp.
·         No need to mount stairs
 
·         Mounts stairs other than by walking
·         Unable to mount stairs
Do you walk down stairs?
·         From 1 floor to another
·         5–8 steps or stairs
·         2–4 steps or stairs
·         1 step
 
·         Goes down stairs other than by walking
·         Unable to descend stairs
 
·         Unacc.
·         Acc.
·         Acc. & Supp.
·         No need to descend stairs
Transfer
·         Do you need help to get into bed? ........................................ Yes No
·         Do you need help to get out of bed? ........................................ Yes No
·         Bedfast........................................
·         Do you need help to sit down in a chair? ............................................ Yes No
·         Do you need help to stand up from a chair? ............................................ Yes No
·         Not applicable ..................................
Travel
Do you drive yourself in a car?
·         Normal (unadapt.)
·         Adapted
·         Invacar
·         Self-propelled vehicle (outdoors)
·         Does not drive
Do you travel by bus or train?
If ‘Yes’:
·         Whenever necessary
·         Only out of rush hour
and:
·         Unaccompanied
·         Accompanied
If ‘No’:
·         Unable to use bus and train
·         Unable to use bus‚ train and car
·         Does not travel by choice
·         Uses private transport by choice
SELF CARE
Are you able to feed yourself:
·         Without any help
·         With specially prepared food or containers
·         With assistance
·         Not at all‚ must be fed
Are you able to dress yourself completely:
·         Without any help
·         With help other fastenings
·         With help other than fastenings
·         Does not dress
Are you able to undress yourself completely:
·         Without any help
·         With help other fastenings
·         With help other than fastenings
·         Not applicable
Are you able to use the lavatory:
·         Without any help
·         Receptacles with- out assistance
·         Lavatory with assistance
·         Receptacles with assistance
Are you able to wash yourself:
·         Without any help
·         With assistance for sha‎ving‚ combing hair‚ etc.
·         With help for bodily washing
·         Not at all
DOMESTIC DUTIES
Do you do your own:
Shopping… all‚ part‚ none‚ preference‚ unable
Cooking… all‚ part‚ none‚ preference‚ unable
Cleaning… all‚ part‚ none‚ preference‚ unable
Clothes washing… all‚ part‚ none‚ preference‚ unable
Men with no household duties… part
OCCUPATION
Do you have a paid job at present?
If ‘Yes’:
·         Full-time
·         Part-time
and:
·         Normal working
·         Modified working
·         Sheltered employment
If ‘No’:
Males 65 and over Females 60 and over
·         Age retired
·         Prem. retired
·         Non-employed
Males 64 and under Females 59 and under
·         Unemployed
·         Unfit
·         Non-employed
 
 

Garrad‚ J. & Bennett‚ A. E. (1971). A validated interview schedule for use in population surveys of chronic disease and disability. British Journal of Preventive and Social Medicine‚ 25‚ 97-104.

Williams‚ R. G. A.‚ Johnston‚ M.‚ Willis‚ I. A. et al. (1976). Disability: A model and measurement. British Journal of Preventive and Social Medicine‚ 30‚ 71-78.

McDowell‚ Ian. (2006). Measuring Health: A Guide to Rating Scales and Questionnaires‚ Third Edition. OXFORD UNIVERSITY PRESS