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  1. Youth Risk Behavior Surveillance System (YRBSS)
    Source: Centers for Disease Control and Prevention (CDC)
    Format: Text
    Date Published: 6/9/2016
    Annotation: The Youth Risk Behavior Surveillance System (YRBSS) monitors six types of health-risk behaviors that contribute to the leading causes of death and disability among youth and adults: behaviors that contribute to unintentional injuries and violence; sexual behaviors that contribute to unintended pregnancy and sexually transmitted diseases, including HIV infection; alcohol and other drug use; tobacco use; unhealthy dietary behaviors; and inadequate physical activity. YRBSS also measures the prevalence of obesity and asthma among youth and young adults. Questionnaires are available for both high school and middle school aged participants. This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments.

    Ease of Use in Disaster Setting: Information Moderate
    Flesch-Kincaid Reading Level: 6.1
    Population: Adults and teens
    Length: The number of questions varies from middle to high school questionnaires and from year to year. The 2015 standard high school questionnaire contains 89 questions, while the middle school questionnaire contains 49 questions.
    Administered by: Self Administered/Self Report
    Language(s): English     [less]
    Data Collection on: Lifestyle and Quality of Life
    URL: https://www.cdc.gov/healthyyouth/data/yrbs/index.htm
    Type: Guideline/Assessment Tool
    Access Notes: Free/Publicly Available

    Citation(s):
    Ying L, Chen C, Lin C, Greenberger E, Wu X, Jiang L. The relationship between post-traumatic stress symptoms and suicide ideation among child survivors following the Wenchuan earthquake. Suicide Life Threat Behav. 2015 Apr;45(2):230-42. doi: 10.1111/sltb.12118. Epub 2014 Sep 10. PubMed PMID: 25196443. https://www.ncbi.nlm.nih.gov/pubmed/25196443. Subscription required.

    Zhou X, Wu X, An Y, Fu F. Longitudinal relationships between post-traumatic stress symptoms and sleep problems in adolescent survivors following the Wenchuan earthquake in China. PLoS One. 2014;9(8):e104470. doi: 10.1371/journal.pone.0104470. Epub 2014 Aug 12. PubMed PMID: 25105288; PubMed Central PMCID: PMC4126730. https://www.ncbi.nlm.nih.gov/pubmed/25105288. Subscription not required.

    Contact information:

    Institution: Centers for Disease Control and Prevention
    Web: https://wwwn.cdc.gov/dcs/ContactUs/Form
    Includes Research Tools: Yes
    ID: 12934. From Disaster Lit®, a database of the U.S. National Library of Medicine.
  2. BRFSS (Behavioral Risk Factor Surveillance System) Adverse Childhood Experiences (ACE) Module
    Source: Centers for Disease Control and Prevention (CDC)
    Format: PDF
    Date Published: 3/2/2016
    Annotation: The BRFSS (Behavioral Risk Factor Surveillance System) Adverse Childhood Experiences (ACE) module was adapted from the original CDC-Kaiser ACE Study and is used to collect information on child abuse and neglect, and household challenges. Childhood experiences, both positive and negative, have a tremendous impact on future violence victimization and perpetration, and lifelong health and opportunity. The ACE score, a total sum of the different categories of ACEs reported by participants, is used to assess cumulative childhood stress. Study findings repeatedly reveal a graded dose-response relationship between ACEs and negative health and well-being outcomes across the life course. This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments.

    Ease of Use in Disaster Setting: Information Easy
    Flesch-Kincaid Reading Level: 7.5
    Population: All/Anyone
    Length: 11 questions
    Administered by: Lay Interviewer
    Language(s): English, Spanish     [less]
    Data Collection on: Lifestyle and Quality of Life; Mental Health and Cognitive Function
    URL: https://www.cdc.gov/violenceprevention/acestudy/pdf/brfss_adverse_module.pdf
    Type: Guideline/Assessment Tool
    Access Notes: Free/Publicly Available

    Citation(s):
    Tursich M, Neufeld RW, Frewen PA, Harricharan S, Kibler JL, Rhind SG, Lanius RA. Association of trauma exposure with proinflammatory activity: a transdiagnostic meta-analysis. Transl Psychiatry. 2014;4:e413. doi: 10.1038/tp.2014.56. Epub 2014 Jul 23. PubMed PMID: 25050993; PubMed Central PMCID: PMC4119223. https://www.ncbi.nlm.nih.gov/pubmed/25050993. Subscription not required.

    Contact Information:

    Institution: Centers for Disease Control and Prevention
    Web: https://wwwn.cdc.gov/dcs/ContactUs/Form
    Includes Research Tools: Yes
    ID: 13464. From Disaster Lit®, a database of the U.S. National Library of Medicine.
  3. Emergency Nutrition Assessment (ENA)
    Source: Action Against Hunger (ACF)
    Format: Text
    Date Published: 7/9/2015
    Annotation: The purpose of the Emergency Nutrition Assessment (ENA) for Standardized Monitoring and Assessment of Relief and Transitions (SMART) is to make nutrition assessments and mortality rate calculations in emergency situations as easy and reliable as possible. It focuses on the most important indicators (anthropometric and mortality data), checks the plausibility of the entered data, and gives out an automatic report. Since the software cannot explain why children are malnourished or mortality rates are high, the results of the survey have to be complemented with other information (e.g., from the Food Security part of ENA or discussions with key informants); collection of this additional information on the household level has a high risk to reduce the quality of the anthropometric and mortality data. This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments.

    Population: All/Anyone
    Administered by: Specialist/Doctor/Expert
    Language(s): English, French, Spanish     [less]
    Data Collection on: Preparedness; Specific Disasters; Lifestyle and Quality of Life
    URL: http://smartmethodology.org/survey-planning-tools/smart-emergency-nutrition-assessment/
    Type: Guideline/Assessment Tool
    Access Notes: Free/Publicly Available

    Citation(s):
    Amagai T, Ichimaru S, Tai M, Ejiri Y, Muto A. Nutrition in the Great East Japan Earthquake Disaster. Nutr Clin Pract. 2014 Oct;29(5):585-94. Epub 2015 Jan 22. PubMed PMID: 25606634. https://www.ncbi.nlm.nih.gov/pubmed/25606634. Subscription required.

    Amagai T, Ichimaru S, Tai M, Ejiri Y, Muto A. Disaster Nutrition in the Great East Japan Earthquake Disaster. Nutr Clin Pract. 2014 Jul 23. doi: 10.1177/0884533614543833. Epub 2014 Jul 25. PubMed PMID: 25057050. https://www.ncbi.nlm.nih.gov/pubmed/25057050. Subscription required.

    Tursich M, Neufeld RW, Frewen PA, Harricharan S, Kibler JL, Rhind SG, Lanius RA. Association of trauma exposure with proinflammatory activity: a transdiagnostic meta-analysis. Transl Psychiatry. 2014;4:e413. doi: 10.1038/tp.2014.56. Epub 2014 Jul 23. PubMed PMID: 25050993; PubMed Central PMCID: PMC4119223. https://www.ncbi.nlm.nih.gov/pubmed/25050993. Subscription not required.

    Contact information:

    Institution: Action Against Hunger Canada/Action contre la Faim Canada
    Address: 720 Bathurst St., Suite 500, Toronto, ON, M55 2R4, Canada
    Includes Research Tools: Yes
    ID: 12907. From Disaster Lit®, a database of the U.S. National Library of Medicine.
  4. 2015 Bastrop County CASPER (Community Assessment for Public Health Emergency Response) Questionnaire
    Source: Centers for Disease Control and Prevention (CDC)
    Format: PDF
    Date Published: 4/23/2015
    Annotation: The survey instrument used in the 2015 Community Assessment for Public Health Emergency Response (CASPER) in Bastrop, Texas, consisted of questions addressing several areas of concern for local emergency management and public health officials involved in the disaster response and recovery efforts for a wildfire. A similar instrument was also previously administered in 2011 in Bastrop, Texas. Subject areas included structural damage to the residence, access to basic services such as utilities, access to medical care, physical and mental health status, evacuation behaviors, wildfire-related communications, and pet and livestock issues, preparedness, and recovery. This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments.

    Ease of Use in Disaster Setting: Information Easy
    Flesch-Kincaid Reading Level: 5.7
    Population: Residential/Workplace
    Length: 33 questions
    Administered by: Lay Interviewer
    Language(s): English     [less]
    Data Collection on: Specific Disasters; Preparedness
    URL: http://online.liebertpub.com/doi/suppl/10.1089/hs.2015.0060/suppl_file/Supp_App2.pdf
    Type: Guideline/Assessment Tool
    Access Notes: Free/Publicly Available

    Citation(s):
    Kirsch KR, Feldt BA, Zane DF, Haywood T, Jones RW, Horney JA. Longitudinal Community Assessment for Public Health Emergency Response to Wildfire, Bastrop County, Texas. Health Secur. 2016 Mar-Apr; PubMed PMID: 27081889. https://www.ncbi.nlm.nih.gov/pubmed/27081889. Subscription not required.

    Contact information:

    Contact person: Jennifer Horney, PhD
    Institution: Texas A&M University
    Address: Epidemiology and Biostatistics, 1266 TAMU
    College Station, TX 77843
    E-mail: horney@sph.tamhsc.edu
    Includes Research Tools: Yes
    ID: 12945. From Disaster Lit®, a database of the U.S. National Library of Medicine.
  5. About NIOSH (National Institute for Occupational Safety and Health) and the Respirator Use Questionnaire: About NIOSH-Approved Disposable N95 Respirators; Respirator Use Questionnaire, New Orleans, Louisiana
    Source: National Institute for Occupational Safety and Health [Centers for Disease Control and Prevention] (NIOSH)
    Format: Text
    Date Published: 2015
    Annotation: The National Institute for Occupational Safety and Health (NIOSH) is working with people on behalf of the State of Louisiana to encourage and explore public use of masks and respirators. This survey targets those who have experienced hurricanes living in New Orleans. Questions relate to disaster experience, health, visual evaluation, and demographics. NIOSH aims to promote cautionary tools such as masks among certain populations to minimize public inhalation of mold and other contaminants. This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments.

    Ease of Use in Disaster Setting: Information Easy
    Flesch-Kincaid Reading Level: 6.1
    Population: High Risk/Special/Unique Populations
    Length: 23 questions
    Administered by: Lay Interviewer
    Language(s): English     [less]
    Data Collection on: Specific Disasters; Environmental Exposure(s)
    URL: https://disasterlit.nlm.nih.gov/resources/content/public/files/Respirator%20Use%20Questionnaire%20New%20Orleans.doc
    Type: Guideline/Assessment Tool
    Access Notes: Contact information:
    Centers for Disease Control and Prevention, 800-CDC-INFO.
    Includes Research Tools: Yes
    ID: 11420. From Disaster Lit®, a database of the U.S. National Library of Medicine.
  6. Clinician-Administered PTSD Scale for DSM-5: Child/Adolescent Version (CAPS-CA-5)
    Source: National Center for PTSD [Post-Traumatic Stress Disorder] [U.S. Department of Veterans Affairs]
    Format: Text
    Date Published: 2015
    Annotation: The Clinician-Administered PTSD Scale for DSM-5, Child/Adolescent Version (CAPS-CA-5) is a 30-item clinician-administered post-traumatic stress disorder (PTSD) scale based upon DSM-5 criteria for children and adolescents ages 7 and above. It is a modified version of the CAPS-5 that includes age appropriate items and picture response options, and assesses the 20 DSM-5 PTSD symptoms. This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments.

    Ease of Use in Disaster Setting: Information Moderate
    Population: Children/Teens Only
    Length: 30 questions
    Administered by: Specialist/Doctor/Expert
    Language(s): English     [less]
    Data Collection on: Mental Health and Cognitive Function
    URL: http://www.ptsd.va.gov/professional/assessment/child/caps-ca.asp
    Type: Guideline/Assessment Tool
    Access Notes: Permission/Request required

    Citation(s):
    Olliac B, Birmes P, Bui E, Allenou C, Brunet A, Claudet I, Sales de Gauzy J, Grandjean H, Raynaud JP. Validation of the French version of the Child Post-Traumatic Stress Reaction Index: psychometric properties in French speaking school-aged children. PLoS One. 2014;9(12):e112603. doi: 10.1371/journal.pone.0112603. Epub 2014 Dec 3. PubMed PMID: 25460912; PubMed Central PMCID: PMC4252028. https://www.ncbi.nlm.nih.gov/pubmed/25460912. Subscription not required.

    Contact information:

    Institution: U.S. Department of Veterans Affairs, National Center for PTSD
    Phone: 802-296-6300
    Email: ncptsd@va.gov
    Includes Research Tools: Yes
    ID: 13476. From Disaster Lit®, a database of the U.S. National Library of Medicine.
  7. Depression, Anxiety and Stress Scale (DASS)
    Source: Psychology Foundation of Australia
    Format: Text
    Date Published: 11/10/2014
    Annotation: The Depression, Anxiety and Stress Scale (DASS) is a set of three self-report scales designed to measure the negative emotional states of depression, anxiety, and stress. The DASS furthers the process of defining, understanding, and measuring the ubiquitous and clinically significant emotional states usually described as depression, anxiety, and stress. The DASS should meet the requirements of both researchers and scientist-professional clinicians. This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments.

    Ease of Use in Disaster Setting: Information Moderate
    Population: All/Anyone
    Length: 42 or 21 questions
    Administered by: Specialist/Doctor/Expert, Lay Interviewer
    Language(s): English, Albanian, Arabic, Bangla, Bosnian, Chinese, Croatian, Czech, Danish, Dari, Dutch, Filipino, Finnish, French, German, Greek, Hebrew, Hindi, Hungarian, Icelandic, Indonesian, Italian, Japanese, Korean, Malaysian, Marathi, Norwegian, Pashto, Persian, Polish, Portuguese, Romanian, Russian, Serbian, Sinhala, Slovak, Slovenian, Spanish, Swedish, Taiwanese, Tamil, Thai, Turkish, Urdu, Vietnamese     [less]
    Data Collection on: Mental Health and Cognitive Function
    URL: http://www2.psy.unsw.edu.au/dass/
    Type: Guideline/Assessment Tool
    Access Notes: Free/Publicly Available

    Citation(s):
    Kaplan BJ, Rucklidge JJ, Romijn AR, Dolph M. A randomised trial of nutrient supplements to minimise psychological stress after a natural disaster. Psychiatry Res. 2015 Aug 30;228(3):373-9. doi: 10.1016/j.psychres.2015.05.080. Epub 2015 Jul 15. PubMed PMID: 26154816. https://www.ncbi.nlm.nih.gov/pubmed/26154816. Subscription required.

    Carter FA, Bell CJ, Ali AN, McKenzie J, Wilkinson TJ. The impact of major earthquakes on the psychological functioning of medical students: a Christchurch, New Zealand study. N Z Med J. 2014 Jul 18;127(1398):54-66. Epub 2014 Aug 26. PubMed PMID: 25146861. https://www.ncbi.nlm.nih.gov/pubmed/25146861. Subscription required.

    Musa R, Draman S, Jeffrey S, Jeffrey I, Abdullah N, Halim NA, Wahab NA, Mukhtar NZ, Johari SN, Rameli N, Midin M, Nik Jaafar NR, Das S, Sidi H. Post tsunami psychological impact among survivors in Aceh and West Sumatra, Indonesia. Compr Psychiatry. 2014 Jan;55 Suppl 1:S13-6. doi: 10.1016/j.comppsych.2012.12.002. Epub 2013 Jan 16. PubMed PMID: 23318005. https://www.ncbi.nlm.nih.gov/pubmed/23318005. Subscription required.

    Contact information:

    Contact person: Professor Peter Lovibond
    Address: School of Psychology, University of New South Wales
    Phone: 61-2-9385-3830
    Email: P.Lovibond@unsw.edu.au
    Includes Research Tools: Yes
    ID: 12972. From Disaster Lit®, a database of the U.S. National Library of Medicine.
  8. Resilience and Coping Intervention (RCI) (2014)
    Source: University of Missouri Disaster and Community Crisis Center (DCC)
    Format: PDF (1.8 MB)
    Date Published: 9/2014
    Annotation: This 57-page document is a guide to Resilience and Coping Intervention (RCI), a group intervention designed for use with children and adolescents to help participants identify thoughts, feelings, and coping strategies related to issues that may arise following a disaster, traumatic event, or problematic experience, as well as issues reflecting developmental challenges and the usual stresses of daily life. It includes a strengths-based child assessment. It was co-produced with the National Child Traumatic Stress Network and the Oklahoma College of Medicine. This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments. [less]
    Data Collection on: Mental Health and Cognitive Function; Social Support and Resiliency
    URL: https://www.oumedicine.com/docs/default-source/ad-psychiatry-workfiles/rci_manual_2014_final.pdf?sfvrsn=0
    Authors: Allen, Sandra
    Type: Guideline/Assessment Tool
    Access Notes: Link to guide in Spanish: http://tdc.missouri.edu/doc/rci_manual_spanish_2015.pdf
    Includes Research Tools: Yes
    ID: 9915. From Disaster Lit®, a database of the U.S. National Library of Medicine.
  9. Proximity to Natural Gas Wells and Reported Health Status: Results of a Household Survey in Washington County, Pennsylvania
    Source: National Institute of Environmental Health Sciences [National Institutes of Health] (NIEHS)
    Format: PDF
    Date Published: 8/2014
    Annotation: This Community Assessment for Public Health Emergency Response (CASPER) questionnaire was used in a community near natural gas wells in Pennsylvania. This assessment of reported health symptoms and health status is based on questions drawn from publicly available surveys. Symptom questions, covering a range of organ systems that had been mentioned in published reports, asked respondents whether they or any household members had experienced each condition during the past year. The health assessment also asked a number of general yes/no questions about concerns of environmental hazards in the community, such as whether respondents were satisfied with air quality, water quality, soil quality, environmental noise, odors, and traffic, but did not specifically mention natural gas wells, hydraulic fracturing, or other natural gas extraction activities. The survey was pretested with focus groups in the study area in collaboration with a community-based group and revised to ensure comprehensibility of questions. This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments.

    Ease of Use in Disaster Setting: Information Easy
    Flesch-Kincaid Reading Level: 5.7
    Population: Residential/Workplace
    Length: 78 questions
    Administered by: Lay Interviewer
    Language(s): English     [less]
    Data Collection on: Specific Disasters; Environmental Exposure(s); Lifestyle and Quality of Life
    URL: http://ehp.niehs.nih.gov/wp-content/uploads/123/1/ehp.1307732.s001.508.pdf
    Type: Guideline/Assessment Tool
    Access Notes: Free/Publicly Available

    Citation(s):
    Rabinowitz PM, Slizovskiy IB, Lamers V, Trufan SJ, Holford TR, Dziura JD, Peduzzi PN, Kane MJ, Reif JS, Weiss TR, Stowe MH. Proximity to natural gas wells and reported health status: results of a household survey in Washington County, Pennsylvania. Environ Health Perspect. 2015 Jan;123(1):21-6. PubMed PMID: 25204871. https://www.ncbi.nlm.nih.gov/pubmed/25204871. Subscription not required.

    Contact information:

    Contact person: P.M. Rabinowitz
    Institution: University of Washington School of Public Health, Department of Environmental and Occupational Health
    Address: 1959 NE Pacific St., F551 Health Sciences Center, Box 357234, Seattle, WA 98195
    Phone: 206-685-2654
    E-mail: peterr7@uw.edu
    Includes Research Tools: Yes
    ID: 12943. From Disaster Lit®, a database of the U.S. National Library of Medicine.
  10. Caregiver Self-Assessment Questionnaire
    Source: American Medical Association (AMA)
    Format: PDF
    Date Published: 7/2014
    Annotation: The Caregiver Health Self-Assessment Questionnaire was originally developed and tested by the American Medical Association. The questionnaire can help caregivers look at their own behavior and health risks. With their healthcare provider's help, this questionnaire can also help caregivers make decisions that may benefit both the caregiver and the older person. The questionnaire can help healthcare providers to identify and provide preventive services to an at-risk population that may be hidden. It may also improve communication and enhance the healthcare provider-caregiver health partnership. This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments.

    Ease of Use in Disaster Setting: Information Easy
    Flesch-Kincaid Reading Level: 7
    Population: High Risk/Special/Unique Populations
    Length: 18 questions
    Administered by: Self Administered/Self Report
    Language(s): English, Greek, Spanish     [less]
    Data Collection on: Occupational Health; Mental Health and Cognitive Function; Social Support and Resiliency
    URL: http://www.healthinaging.org/files/documents/caregiver.self_assessment.pdf
    Type: Guideline/Assessment Tool
    Access Notes: Free/Publicly Available

    Citation(s):
    Epstein-Lubow G, Gaudiano BA, Hinckley M, Salloway S, Miller I.W. Evidence for the validity of the American Medical Association's Caregiver Self-Assessment Questionnaire as a screening measure for depression. J Am Geriatr Soc. 2010 Feb;58(2):387-8. PubMed PMID: 20370867. https://www.ncbi.nlm.nih.gov/pubmed/20370867. Subscription required.

    Roberts YH, Huang CY, Crusto CA, Kaufman JS. Health, emergency department use, and early identification of young children exposed to trauma. J Emerg Med. 2014 May;46(5):719-24. doi: 10.1016/j.jemermed.2013.11.086. Epub 2014 Feb 26. PubMed PMID: 24565881; PubMed Central PMCID: PMC4004686. https://www.ncbi.nlm.nih.gov/pubmed/24565881. Subscription not required.

    Contact information:

    Institution: American Geriatrics Society
    Email: info@healthinaging.org
    Includes Research Tools: Yes
    ID: 12889. From Disaster Lit®, a database of the U.S. National Library of Medicine.
  11. Health Indicators for Disaster-Affected Pregnant Women, Postpartum Women, and Infants: Guide for Assessment and Surveillance of the Health of Disaster-Affected Pregnant and Postpartum Women and Infants by Using Common Epidemiologic Indicators to Affect Public Health Interventions
    Source: Centers for Disease Control and Prevention (CDC)
    Format: PDF (816 KB)
    Date Published: 6/3/2014
    Annotation: This 56-page document identifies a list of common post-disaster epidemiologic indicators for pregnant women, postpartum women, and infants. It identifies salient conditions (e.g., infant feeding, gender-based violence) and outcomes (e.g., maternal and birth outcomes) to be monitored via surveillance or post-disaster data collection; promotes use of consistent measures across post-disaster studies; and recommends building scientific knowledge regarding disaster effects on these women and infants. This tool includes a list of proposed indicators and suggested questions for measuring them. The question index is located at page 21. This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments. [less]
    Data Collection on: Specific Body Systems
    URL: https://www.cdc.gov/reproductivehealth/Emergency/PDFs/PostDisasterIndicators_final_6162014.pdf
    Type: Guideline/Assessment Tool
    Includes Research Tools: Yes
    ID: 7434. From Disaster Lit®, a database of the U.S. National Library of Medicine.
  12. PhenX Toolkit
    Source: National Human Genome Research Institute [National Institutes of Health] (NHGRI)
    Format: Text
    Date Published: 1/31/2014
    Annotation: This resource provides 425 standard measures related to complex diseases, phenotypic traits, and environmental exposures. Use of PhenX measures facilitates combining data from a variety of studies, and makes it easy for investigators to expand a study design beyond the primary research focus. It includes these sections relevant to post-disaster data collection: Alcohol Substance Abuse, Demographics, Environmental Exposure, Psychiatric Psychosocial, and Social Environments. This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments. [less]
    Data Collection on: Lifestyle and Quality of Life; Specific Body Systems; Environmental Exposure(s)
    URL: https://www.phenxtoolkit.org/
    Type: Database/Dataset
    Includes Research Tools: Yes
    ID: 8030. From Disaster Lit®, a database of the U.S. National Library of Medicine.
  13. Social Support List-Interactions (SSL-I)
    Source: Disaster Research Response Program [National Institutes of Health] (DR2)
    Format: PDF
    Date Published: 2014
    Annotation: This questionnaire assesses six important aspects of lack of perceived social supports: everyday emotional support, emotional support in response to problems, appreciation of support, instrumental support, social companionship, and informative support. This resource was identified by the NIH Disaster Research Response project (DR2) for researchers looking for pre- and post-disaster data collection instruments.

    Ease of Use in Disaster Setting: Information Easy
    Flesch-Kincaid Reading Level: 3
    Population: All/Anyone
    Length: 34 questions
    Administered by: Self Administered/Self Report
    Language(s): English, Dutch     [less]
    Data Collection on: Social Support and Resiliency
    URL: https://www.umcg.nl/SiteCollectionDocuments/research/institutes/SHARE/assessment%20tools/SSL%20english.pdf
    Type: Guideline/Assessment Tool
    Access Notes: Free/Publicly Available

    Citation(s):
    van der Velden PG, Bosmans MW, Bogaerts S, van Veldhoven MJ. Social organizational stressors and post-disaster mental health disturbances: a longitudinal study. Psychiatry Res. 2014 Sep 30;219(1):177-82. doi: 10.1016/j.psychres.2014.05.032. Epub 2014 Jun 12. PubMed PMID: 24915898. https://www.ncbi.nlm.nih.gov/pubmed/24915898. Subscription required.

    Contact information:

    Contact person: Eric van Sonderen
    Institution: Research Institute SHARE, University Medical Center Groningen
    Email: f.l.p.van.sonderen@umcg.nl
    Includes Research Tools: Yes
    ID: 12961. From Disaster Lit®, a database of the U.S. National Library of Medicine.
  14. Athens Insomnia Scale
    Source: University of Toronto
    Format: PDF
    Date Published: 9/2013
    Annotation: Insomnia is widely measured using the Athens Insomnia Scale (AIS). Insomnia is measured by assessing eight factors: five factors are related to nocturnal sleep, and three factors are related to daytime dysfunction. These measures are rated on a 0-3 scale, and the sleep is finally evaluated from the cumulative score of all factors and reported as an individual's sleep outcome. AIS is considered to be an effective tool in sleep analysis, and is validated in various countries based on local patients. This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments.

    Ease of Use in Disaster Setting: Information Easy
    Flesch-Kincaid Reading Level: 12.9
    Population: All/Anyone
    Length: 8 questions
    Administered by: Self Administered/Self Report
    Language(s): English, Afrikaans, Arabic, Bangla, Cantonese, Finnish, French, Greek, Hebrew, Hungarian, Italian, Latvian, Mandarin, Persian, Polish, Portuguese, Romanian, Russian, Serbo-Croat, SiSwati, Slovak, Spanish, Ukrainian, Xhosa, Yoruba, Zulu     [less]
    Data Collection on: Mental Health and Cognitive Function
    URL: http://www.sleepontario.com/docs/scales/Athens-Insomnia-Scale/Athens-Insomnia-Scale-English.pdf
    Type: Guideline/Assessment Tool
    Access Notes: Free/Publicly Available

    Citation(s):
    Tsuchiya M, Aida J, Hagiwara Y, Sugawara Y, Tomata Y, Sato M, Watanabe T, Tomita H, Nemoto E, Watanabe M, Osaka K, Tsuji I. Periodontal Disease Is Associated with Insomnia among Victims of the Great East Japan Earthquake: A Panel Study Initiated Three Months after the Disaster. Tohoku J Exp Med. 2015;237(2):83-90. doi: 10.1620/tjem.237.83. Epub 2015 Sep 18. PubMed PMID: 26377351. https://www.ncbi.nlm.nih.gov/pubmed/26377351. Subscription required.

    Contact information:

    Contact person: Dr. Colin Shapiro
    Institution: University of Toronto
    Address: 399 Bathurst Street, Suite-MP7 Room 421, Toronto, ON, M5T 2S8
    Phone: 416-603-5273
    Includes Research Tools: Yes
    ID: 12948. From Disaster Lit®, a database of the U.S. National Library of Medicine.
  15. Neuro-QoL: Quality of Life in Neurological Disorders
    Source: Northwestern University
    Format: Text
    Date Published: 6/24/2013
    Annotation: Neuro-QoL is a set of self-report measures that assesses the health-related quality of life (HRQOL) of adults and children with neurological disorders. Neuro-QoL is comprised of item banks and scales that evaluate symptoms, concerns, and issues that are relevant across disorders, along with measures that assess areas most relevant for specific patient populations. This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments. [less]
    URL: http://www.healthmeasures.net/explore-measurement-systems/neuro-qol
    Type: Guideline/Assessment Tool
    Includes Research Tools: Yes
    ID: 11236. From Disaster Lit®, a database of the U.S. National Library of Medicine.
  16. Work and Social Adjustment Scale (WSAS)
    Source: Disaster Research Response Program [National Institutes of Health] (DR2)
    Format: PDF
    Date Published: 2/2013
    Annotation: The Work and Social Adjustment Scale (WSAS) is a five-item patient self-report measure, which assesses the impact of a person's mental health in terms of work, home management, social leisure, private leisure, and personal or family relationships. The WSAS is used for all patients with depression or anxiety, as well as phobic disorders. This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments.

    Ease of Use in Disaster Setting: Information Easy
    Flesch-Kincaid Reading Level: 9.4
    Population: Adults Only
    Length: 5 questions
    Administered by: Self Administered/Self Report
    Language(s): English     [less]
    Data Collection on: Mental Health and Cognitive Function
    URL: http://serene.me.uk/tests/wsas.pdf
    Type: Guideline/Assessment Tool
    Access Notes: Free/Publicly Available

    Citation(s):
    Mataix-Cols D, Cowley AJ, Hankins M, Schneider A, Bachofen M, Kenwright M, Gega L, Cameron R, Marks IM. Reliability and validity of the Work and Social Adjustment Scale in phobic disorders. Compr Psychiatry. 2005 May-June;46(3):223-8. PubMed PMID: 16021593. https://www.ncbi.nlm.nih.gov/pubmed/16021593. Subscription required.

    Mundt JC, Marks IM, Greist JH, Shear K.(2002) The Work and Social Adjustment Scale: A simple accurate measure of impairment in functioning. Brit J Psychiatry. 2002 May;180:461-4. PMID: 11983645. https://www.ncbi.nlm.nih.gov/pubmed/11983645. Subscription not required.

    Silove D, Liddell B, Rees S, Chey T, Nickerson A, Tam N, Zwi AB, Brooks R, Sila LL, Steel Z. Effects of recurrent violence on post-traumatic stress disorder and severe distress in conflict-affected Timor-Leste: a 6-year longitudinal study. Lancet Glob Health. 2014 May;2(5):e293-300. doi: 10.1016/s2214-109x(14)70196-2. Epub 2014 Aug 12. PubMed PMID: 25103168. https://www.ncbi.nlm.nih.gov/pubmed/25103168. Subscription required.

    Contact information:

    Institution: Serenity Programme
    Web: http://serene.me.uk/info-contact.php
    Includes Research Tools: Yes
    ID: 12888. From Disaster Lit®, a database of the U.S. National Library of Medicine.
  17. Hurricane Sandy Assessment Survey
    Source: Icahn School of Medicine at Mount Sinai (ISMMS)
    Format: PDF
    Date Published: 2013
    Annotation: This assessment survey may help collect and organize standardized information on potential occupational and environmental health risks during cleanup operations. It has been used as part of safety training assessment processes to identify relevant job hazard analyses (JHAs) based on the current Hurricane Sandy HASP (Occupational Safety and Health Administration's Health and Safety Plan). This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments.

    Ease of Use in Disaster Setting: Information Moderate
    Flesch-Kincaid Reading Level: 5.7
    Population: Adults only
    Length: 47 questions
    Administered by: Lay Interviewer, Specialist/Doctor/Expert
    Language(s): English     [less]
    Data Collection on: Specific Disasters; Occupational Health
    URL: https://disasterlit.nlm.nih.gov/resources/content/public/files/Hurricane%20Sandy%20Assessment%20Survey_updates.pdf
    Type: Guideline/Assessment Tool
    Access Notes: Free/Publicly Available

    Contact information:
    Contact person: Alice Freund
    Institution: Mount Sinai School of Medicine
    Email: alice.freund@mssm.edu
    Includes Research Tools: Yes
    ID: 11421. From Disaster Lit®, a database of the U.S. National Library of Medicine.
  18. Child Health Assessment and Monitoring Program (CHAMP)
    Source: North Carolina Department of Health and Human Services
    Format: PDF
    Date Published: 2013
    Annotation: The Child Health Assessment and Monitoring Program (CHAMP) is the first survey of its kind in North Carolina to measure the health characteristics of children, ages 0 through 17. Conducted in both English and Spanish, the CHAMP surveys are revised each year to meet the child health surveillance needs of North Carolina. This resource was identified by the NIH Disaster Research Response program (DR2) for researchers looking for pre- and post-disaster data collection instruments.

    Ease of Use in Disaster Setting: Information Moderate
    Flesch-Kincaid Reading Level: 3.8
    Population: Children/teens only
    Length: 25 sections
    Time to Complete: 20 minutes
    Administered by: Trained Lay Examiner/Interviewer Administration
    Language(s): English, Spanish     [less]
    Data Collection on: Lifestyle and Quality of Life; Specific Body Systems
    URL: http://www.schs.state.nc.us/units/stat/champ/questions.htm
    Type: Guideline/Assessment Tool
    Access Notes: Free/Publicly Available

    Citation(s):
    Miles D, et al. Health and educational status of children raised by a caregiver with a disability. Disability and Health Journal. 2011:4(3):185-191. PubMed PMID: 21723525. https://www.ncbi.nlm.nih.gov/pubmed/21723525. Subscription required.

    Contact information:
    Institution: State Center for Health Statistics, Division of Public Health, North Carolina Department of Health and Human Services
    Address: 2422 Mail Service Center, Raleigh, NC 27699-2422
    Phone: 919-855-4494
    Fax: 919-715-7899
    Email: CHAMPStaff@dhhs.nc.gov
    Web: http://www.schs.state.nc.us/units/stat/champ/
    Includes Research Tools: Yes
    ID: 14806. From Disaster Lit®, a database of the U.S. National Library of Medicine.
  19. Community Health Assessment Following Mercaptan Spill: Appendices A, B, C, and D
    Source: Centers for Disease Control and Prevention, National Center for Environmental Health (NCEH)
    Format: PDF
    Date Published: 11/30/2012
    Annotation: This Community Assessment for Public Health Emergency Response (CASPER) questionnaire was used in a community following a Mercaptan spill in Alabama. Prior to each interview, the teams completed a tracking form (Appendix A) to record the outcome of every interview attempt. This information served as the basis for calculating the response rates. In the event that field teams encountered a household with urgent needs that presented an immediate threat to life or health, they were to encourage or assist the household to call emergency services (911). In the event that calling 911 was not appropriate, the teams would complete a confidential referral form (Appendix B). After gaining verbal consent (Appendix C), one eligible household member (18 years of age or older) from the family was selected to speak for all household members when responding to the questionnaire (Appendix D). Appendices A, B, C, and D can be found on pages 28 to 41 of the resource. This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments.

    Ease of Use in Disaster Setting: Information Easy
    Flesch-Kincaid Reading Level: 6.8
    Population: Residential/Workplace
    Length: 28 questions
    Administered by: Lay Interviewer
    Language(s): English     [less]
    Data Collection on: Specific Disasters; Environmental Exposure(s)
    URL: http://www.adph.org/tox/assets/Eight_Mile_Mercaptan.pdf
    Type: Guideline/Assessment Tool
    Access Notes:
    Download document as adapted for the NIH Disaster Research Response Program:

    Appendix D: Household Questionnaire
    WordPDF


    Epi InfoEpi Info Instructions

    Free/Publicly Available

    Citation(s):
    Behbod MB, Parker EM, Jones EA, Bayleyegn T, Guarisco J, Morrison M, McIntyre MG, Knight M. Eichold B and Yip F. Community health assessment following mercaptan spill: Eight Mile, Mobile County, Alabama, September 2012, J Public Health Management Practice, 2014, 20(6), 632-639. PubMed PMID: 24253404. https://www.ncbi.nlm.nih.gov/pubmed/24253404. Subscription not required.

    Contact information:

    Organization: Alabama Department of Public Health, Division of Infectious Diseases and Outbreaks, Bureau of Communicable Disease
    Address: RSA Tower, 201 Monroe Street, Suite 1450, Montgomery, AL 36104
    Phone: 334-206-5971; After hours (24/7): 1-800-338-8374
    Fax: 334-206-3734
    Includes Research Tools: Yes
    ID: 12942. From Disaster Lit®, a database of the U.S. National Library of Medicine.
  20. NIOSH (National Institute for Occupational Safety and Health) Alert: Preventing Occupational Respiratory Disease from Exposures Caused by Dampness in Office Buildings, Schools, and Other Nonindustrial Buildings: Appendix A: Building Inspection Checklist
    Source: National Institute for Occupational Safety and Health [Centers for Disease Control and Prevention] (NIOSH)
    Format: PDF
    Date Published: 11/2012
    Annotation: Research studies show that exposures to building dampness and mold are associated with respiratory symptoms such as asthma, hypersensitivity, and other health impacts. These subsequent illnesses occur in part from a lack of knowledge and understanding of the nature and severity resulting from dampness and mold in buildings. This checklist, located in Appendix A, pages 19-21, describes methods for identifying evidence of leaks or dampness that can be addressed before extensive damage occurs. This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments.


    Ease of Use in Disaster Setting: Information Moderate
    Flesch-Kincaid Reading Level: n/a
    Population: Adults only
    Length: 34 questions
    Administered by: Specialist/Doctor/Expert
    Language(s): English     [less]
    Data Collection on: Specific Disasters; Environmental Exposure(s)
    URL: https://www.cdc.gov/niosh/docs/2013-102/
    Type: Guideline/Assessment Tool
    Access Notes: Free/Publicly Available

    Citation:

    U.S. Environmental Protection Agency. Indoor Air Quality: Tools for Schools: Action Kit. Washington, DC; Reston, VA; Chicago, IL; New York, N.Y. 1995. No subscription required.

    Contact information:

    Institution: Centers for Disease Control and Prevention
    Phone: 800-CDC-INFO
    Includes Research Tools: Yes
    ID: 11428. From Disaster Lit®, a database of the U.S. National Library of Medicine.
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