I.
""
'"
INTRODUCnON
We're going to talk about the physical activity that you did YESTERDAY. What day
was yesterday?Physical activity is bodily movement in which you move your arms and legs.
Some physical activities move you from place to place, like running or walking. What are
some other physical activities like that? Some physical activities you can do in one place, like
jumping jacks or sit ups. Can you tell me any other physical activities that you can do in one
place?
ll.
"'" '"
'"
TIME
"
We're going to ask you how long you did physical activity yesterday. The c~,will
.
help you tell us. How many minutes is this whole clock? What is something that lasts this"""..,
whole 60 minutes? Some things last 30 minutes. Which piece represents 30 minutes? What is
something you know that lasts 30 minutes? Which pi~.ls-15 minutes? What is-something-that
lasts 15 minutes?This last piece is how "long? What is something you know that lasts 5
minutes? We want you to tell us the physical activities that you did yesterday for 5 minutes or
more. Let's see if we have an idea of what lasts for 5 minutes or more. [Child holds clock, put
away pIeces]
.
..
Commercial? (Child answers more/less than 5 minutes?)
Walk from car to school? (more or less than 5 minutes?)
Brush Teeth? (more or less than 5 minutes?)
Recess?(more or less than 5 minutes?)
Eating Lunch? (more or less than 5 minutes?)
You may do a physical activity for 5, 10, 20 or more than 60 minutes.
ill.
ACTUAL TIME ACnVE
Sometimes during games or physical activities you may stop and do something else,
like resting or waiting in line. We are just concerned with the time you were actually active.
Example: if you went bike riding for 20 minute", but you stopped once and went into a friends
house for 5 minutes, you were actually actively riding your bike for 15 minutes.
CATCHPbysical
Adtvity Cb«~
InterviewProtocol-12./23/92
p.
1
IV.
v.
A.
CHECKLIST INTRODUCTION
We're going to break the day into 3 segments; before school, during school and after
school. For each segment we will ask which physical activity you did for 5 minutes or more
using a checklist. You may not have done some of these or any physical activity, that's ok. We
also want to know about physical activity you did that may not be on the list.
INTERVIEW
BEFORE SCHOOL
Think about before school yesterday. This is the time from when you woke up
until the bell rang for school to start (includes early care on school premises)
What did you do before school in. ~neral? Anything .~pecialbefore sch.ool?
Think about the physical activitIes you did for 5 mInutes or more yesterday
before school.
[Use the checklist, top to bottom asking only about BEFORE SCHOOL
yesterday. Give a brief explanation before asking about Walking, Running and
Walk/Jog. For each activity reported ask if they felt the body cues "breathing
hard" or "feeling tired" none, some or most of the time.]
Did you
2.
yesterdaybefore school'for 5 minutesor more?
How many minutes did you actually spend
3.
"
t.{.
?
For the
minutes you were
, were you breathing hard or
feeling tired none, some or most of the time?
j)iD <-(~
-~
'* Before asking for time WALKING
o~l..
4t~
and RtJNNING explain the following:
We walk and run many times during the day. A lot of those are short
(not 5 min). We will talk about those you did for 5 minutes or more, like taking
a walk, walking to somewhere or walking your dog.
Before you went to school did you walk for more than 5 minutes at one
time? When was the fIrst time you walked for more than 5 minutes at one time?
Second time? Any more [write the times in, then add for total and circle]
CATCH PbYliw ActJ\-ityC~1t
Iaterview Pro~
-12/23/91.Pap 2
Use
1.
2.
c.
4.
* Before asking about WALK/.JOG
expulin tile following:
Sometimes you might run for a couple of minutes then \valk for a couple of
minutes, then jog some more. Betore school yesterday did you do a
combination of walking and jogging for more than 5 minutes? Have you
already told me about this activity'?
* At the "OTHER" category, prompt for classes,lessons,teams.
DURING SCHOOL
the checklist asking about physical activities DURING SCHOOL yesterday.Probe
for intensity.
Did you
yesterdayduring school for 5 minutes or more?
How many minutes did you actually spend
?
3.
For the
4.
Have you told me about your activities during recess, PE or after lunch?
minutes you were
, were you breathing hard orfeeling
tired none, some or most of the time?
(Note: Code "PE" next to the number of minutes of any physical
education activity and Code "R" next to the number of minutes of any
recess activity in the column labelled PE I R.)
5,
Any other classes, lessons,teams?
A¥r~SCHOOL
This is the time from when the bell rings till you go to sleep. (includes after
school care on school premises). Use the checklist asking about physical
activities that occurred yesterday AFrER SCHOOL.
Did you
yesterday after school for 5 minutes or more?
2.
How many minutes did you actually spend
3.
For the
minutes you were
, were you breathing hard or
feeling tired none, some or most of the time?
Any other classes, lcssons,teams?
CATCHPhysicalActivity Checkli8C
faurnew PrococoC
-12/23/92 P.3
?
'.E.
D.
Now I'm going to ask you :\bout T. V ./Video and Computer/Video games
BEFORE SCHOOL. (To be probed for after physical activity has been
probed for)
Did you watch T. V /Video for more than 5 minutes before school yesterday?
How much time were you sitting and watching T. V ./Video? What shows? Did
you do any computer/video games for more than 5 minutes before school? How
much time were you doing computer/video games?
Now I'm going to ask you about T. V ./Video and Computer/Video games
AFrER SCHOOL. (To be probed for after physical activity has been
probed for)
Did you watch T. V /Video for more than 5 minutes after school yesterday? How
much time were you sitting and watching T. V./Video? What shows? Did you
do any computer/video games for more than 5 minutes after school? How much
time were you doing computer/video games?
CATCH PhysicalActtrity Ch«klllC lDtcnicw Pro~
-12/23m Pace~
2.
4.
PROBING GUIDELINES:
1.
Assume most play/games are not continuous. (do not have to probe
for resting/waiting time in games like 4 square, relays).
Probe for rest time (taking a break). Subtract frqffi total and give
feedback.
3.
If "practices" are mentioned, break down and ask specifics. Code
specifics separately.
If a sport played was not a part of an official team practice, ask how
much time the child was "in the game" or "actually playing".
CATCH PhysicalAcri\ity CheckJJ.Iaccniew p~~
-12/2.3/91.PI~ 5
[
CHILD AND ADOLESCENT TRIAL FOR CARDIOVASCULAR HEALTH
ACTIVITY CHECKUST INTERVIEW
(PACI)
AFFIX ill LABEL HERE ->
I
SECl10N A GENERAL INFORMA'fiON
FORM VERSION:
INTERVIEWER'S
1.CA
-~/..JL
M
D
-.:1-/-.2-
-L
Y
INmAIS
2. LA
4.TX
3.MN
SCHOOL NAME:
(NAME OF SCHOOL)
TODA Y'S DATE:
I
M
I
D
y
INI'ER VIEW START TIME:
INTER VIEW FINISH TIME:
SCHOOL STARTING TIME:
SCHOOL ENDING TIME:
AM
PM
1
AM
PM
1
2
AM
PM
2
AM
PM
1
2
2
1
ASKcmLD:
PHYSICAL
SITE:
A3.
All.
Dill YOU HAVE PHYSICAL EDUCAllON
NO
YES
H~,
CLASS YFSI'ERDA Y?
1
2
HOW MANY MINUTES LONG WASPHYSICAL EDUCAllON CLASS?
I Minutes
CATCH -PACI
Form -Version
2/05/93
-Page
1
~on
ti. ACOVWes
Code
None, Some, Most
None,Some,Most
PE =
N
.N
B. Before
A. Activity
School
S
M
During
School
Recess= 2
NA=3
1
After
S
School
M
11 Bicyclinfl
2
SwimminSJLape
21
mnastics: bars.
31
beam. tumblin
.tram
Exercise:
41
3
line
4
cks
5
51
Basketball
61
BasebalVSoftbail
---
71
Football
-
6
7
8
81
9
91
10
badminton. tennis-
101
FourSq~dodge
111
ball, kic~ball,catch
I
12
chase,ta\1.hopscotch
121
13
131 ~utdoor Play: climbinp trees, hid~ and seek
141
~: (swimming
pool
orlake)
151 ~mp
Rope
I
14
15
---
16
161 Dance
Outdoor Chores: mowi
.
17
171
181
Indoor Chores: moppin9. ~~~g.
191
M~~~~n~~_u~!)j!)Sl-
201
WaikinQ
18
sweeping
19
20
21
211 Runninp
T.V.Nideo
Video Games
& Computer
Games
=me.~
H.
F.
C.
D.
G.
--1
--i
Vo"ey~
Rac~~~:
~~~:
~
~arnes:
:::
CATCH-PACI
Form-Version 2/5/93 Page 2
Poor.
SECDON c. PHYSICAL ACI1VnY CHECKIJSr EVALUATION
Ct.
Cl.
C3.
OYE RALL RATING OF INTER VIEW wmI SUBJEcr :
Poor
Fair
1
2
Good
Very Good
3
4
Excellent,
5
ATI'EN11VE NESS OF SUBJEcr :
Poor
Fair
1
2
Good
Very Good
3
4
Excellent
5
SUBJECT'SABILITY TO RECALL ACfIVITIES:
SUBJECT'SABILrrY TO ESTIMATE TIME:
Poor
Fair
1
2
Good
3
Very Good
4
Excellent
5
LEVEL OF COOPERAllON:
BELlEY ABnnY
OF mE INTERVIEW:
1
INDICATE LANGUAGE
Fair
2
Good
Very Good
ExcelJent
3
4
5
INTERVIEW
WAS CONDUCfED
IN
ENGUSH
SPANISH
1
2
OllIER
3
CATCH -PAC!
(Specify Below)
Form -Veraion
2105/93 -Page
3