Health Interview Survey Lithuania
Questionnaire Overview sections first level Linking to the ICF Items on disability? Capacity & Performance specified? Time frame (only disability questions) Response options (only disability questions) Any known instrument included? Filter (for the whole section) Checked (x) Relevant Comment
(e. g. household, individual, etc)   Only chapter level None Capacity   Frequency SF-36     0=no  
    1 to 5 Performance   Intensity WHODAS     1=yes  
      5 to 10 Both   Statement WG-6        
      10 to 20 Not clearly stated   Others Others (please specify)        
      More than 20     Yes/No None        
  (A.) PF, nc         None all x 0  
  B. Information about the respondent PF, nc, d8         Others (EHIS template) all x 0  
  C. Mini Health Module gh, HC         SF-36 (first item) + others all x 1 Asking to what extent sb has been limited in activities people usually do because of a health problem.
  D. Chronic diseases HC, e5, d8         Others (EHIS template) all x 0 List of health conditions, use of health services, impact on work
  E. Physical and sensory functional limitations b2, d4, d5 10 to 20 Both   Yes/No Others (based on EHIS template) all x 1  
  F. Personal Care Activities d4, d5, e1, e3 5 to 10 Both   Yes/No Others (based on EHIS template) all x 1 Disability question + use of help + need for help
  G. Household Care Activities d5, d6, d8, e1, e3 5 to 10 Both   Yes/No Others (based on EHIS template) all x 1 Disability question + use of help + need for help
  H. Other daily activities d8, d9, e1, e3 10 to 20 Both   Yes/No None all x 1  
  I. Psychological distress and well-being b1 5 to 10   past four weeks Frequency SF-36 all x 1  
  J. Temorary limitation of activity nc, hc, gh 1 to 5   last 2 weeks Statement None all x 0  
  K. Height and weight PF         Others (EHIS template) all x 0  
  L. Smoking d5         Others (EHIS template) all x 0  
  N. Physical activities d5         Others (EHIS template) all x 0  
  O. In-patient health care services e5         Others (EHIS template) all x 0  
  P. Use of out-patient health care services e5         Others (EHIS template) all x 0  
  R. Prevention e5         Others (EHIS template) all x 0 Use of health services: e.g. for vaccinations, blood pressure, mammography
  S. Use of medicine e1         Others (EHIS template) all x 0  
  U. Household composition and income e1, e5         Others (EHIS template) all x 0  
General impressions
The Health Interview Survey of Lituania is based on the EHIS template. In contrast to the EHIS template, (1) the disability questions of the Lithuanian survey ask explicitly on performance and capacity, (2) questions on participation issues are included, (3) the response options are changed from intensity to yes/no, (4) the changed the order of the modules and (5) the questions of the health care module was cut down. The survey focuses on health and disability of individuals, as well as on the use of health services and risk factors. There are no filter questions for the different modules; thus, individuals without chronic disease(s) are consequently asked questions about limitations in functioning.