Table 1 Self-administered questionnaires sent out before the home visit
Variable | Questionnaire | Number of items | Number of response categories (scoring) | Total score range (interpretation) | Time reference when rating |
|---|---|---|---|---|---|
Activities in Daily Living (ADL) | PADLS | 1 | 5 (1–5) | 1-5 (higher = worse) | last month |
Walking difficulties in daily life | Walk-12G | 12 | 3 (0–2): items 1–3 5 (0–4): items 4-12 | 0-42 (higher = worse) | last two weeks |
Freezing of gait | FOG-Qsa | 6 | 5 (0–4) | 0-24 (higher = worse) | last week (except item 3) |
Fall-related self-efficacy | FES-I | 16 | 4 (1–4) | 16-64 (higher = worse) | - |
Activity avoidance due to a risk of falling | mSAFFE | 17 | 3 (1–3) | 17-51 (higher = worse) | - |
General self-efficacy | GSE | 10 | 4 (1–4) | 10-40 (higher = better)* | - |
Non-motor symptoms | NMSQuest | 30 | 3: Yes/Don’t know/No | Not applicable | last month |
Fatigue | NHP-EN | 3 | 2: Yes/No | 0-100 (higher = worse)** | at present |