TABLE 1.
Description of CHIP-AE Domains and Subdomains
| Domain and Subdomains | Description | Examples of Questions |
|---|---|---|
| I. Satisfaction: | Overall evaluations of health and well-being | |
| 1. Satisfaction with health | Overall perceptions of and beliefs about one’s health | Full of energy |
| 2. Self-esteem | Self-worth | Like being the way I am |
| II. Comfort: | Specific physical and emotional sensations/ feelings that interfere with comfort | |
| 1. Physical comfort | Physical feelings and symptoms | Days free of pain |
| 2. Emotional comfort | Emotional feelings and symptoms | Days had trouble falling asleep |
| 3. Physical activity | Restrictions in age-appropriate activities and limitations in mobility | Days had trouble walking |
| III. Resilience: | States and behaviors known to protect individuals from subsequent illness or injury | |
| 1. Physical activity | Involvement in a variety of activities related to fitness | Days played hard enough to sweat |
| 2. Home safety and health | Aspects of the home that reduce/increase likelihood of harm | Such as smoke detectors |
| 3. Family involvement | The amount and type of activities done as a family and family support available | Days family spent time with you |
| 4. Social problem solving | Active approaches to solving a hypothetical problem | Try to see good side |
| IV. Achievement: | Evaluation of one’s own developmentally appropriate role performance | |
| 1. Academic performance | Perceived school accomplishments | Received a school award or prize |
| 2. Work performance | Perceived work accomplishments | Days not at work on time |
| V. Risk avoidance: | States and behaviors that are known to heighten the likelihood of subsequent illness or injury | |
| 1. Individual risks | Activities which threaten individual development | Last time smoked cigarettes |
| 2. Threats to achievement | Negative behaviors that threaten to disrupt social development | Last time carried a weapon |
| 3. Peer influences | Involvement with peers who engage in risky behaviors | Number of friends who smoke marijuana |
| VI. Disorders: | Diagnostic entities including conditions, injuries, and impairments | |
| 1. Acute minor disorders | eg, colds, tonsillitis, sprains, etc | In past 12 mo |
| 2. Acute major disorders | eg, pneumonia, broken bones, hepatitis, etc | Ever had problems? If so, in past 12 mo? |
| 3. Recurrent disorders | eg, ear infections, asthma, allergies, etc | |
| 4. Long-term medical disorders | eg, arthritis, diabetes, epilepsy, etc | |
| 5. Long-term surgical disorders | eg, scoliosis, vision problems, hearing problems, etc | |
| 6. Psychosocial disorders | eg, speech problems, eating problem, learning disability |