Participant assessment | Baseline | 6 months | 12 months |
---|---|---|---|
Initials | ✓ | ||
Full name | ✓ | ||
Date of birth | ✓ | ||
Contact information | ✓ | ||
Next of kin | ✓ | ||
Demographic characteristics | |||
Sex | ✓ | ||
Age | ✓ | ||
Education | ✓ | ||
Marital status | ✓ | ||
Type of insurance | ✓ | ✓ | ✓ |
Household head relationship | ✓ | ||
Household composition | ✓ | ||
Employment | |||
Main lifetime occupation | ✓ | ||
Time spent doing paid work | ✓ | ✓ | ✓ |
Time spent doing unpaid work | ✓ | ✓ | ✓ |
Impact of eyesight on ability to work | ✓ | ✓ | ✓ |
Return to work (paid/unpaid) | ✓ | ✓ | |
Income support | ✓ | ✓ | ✓ |
Household economic situation | |||
Annual income | ✓ | ✓ | ✓ |
Main source of income | ✓ | ✓ | ✓ |
Estimated value of assets (non-livestock and live-stock) | ✓ | ✓ | ✓ |
Asset ownership | ✓ | ✓ | ✓ |
Financial assistance | ✓ | ✓ | ✓ |
Medical information | |||
Visual acuity (in both eyes) | ✓ | ✓ | ✓ |
Cataract location | ✓ | ✓ | ✓ |
Year of onset of visual impairment | ✓ | ||
Co-morbidity | ✓ | ✓ | ✓ |
Impact on family carer | ✓ | ✓ | ✓ |
Complications from cataract surgery | ✓ | ✓ | |
Visual acuity (in both eyes) | ✓ | ✓ | ✓ |
Health service use | |||
Date assessed for cataract surgery | ✓ | ||
Date of cataract surgery | ✓ | ||
Type of cataract surgery referral | ✓ | ||
Type of health service use and number of visits | ✓ | ✓ | ✓ |
Out-of-pocket spending | ✓ | ✓ | ✓ |
Intention to have cataract surgery | ✓ | ✓ | ✓ |
Post-surgery complications | ✓ | ✓ | |
Quality of life | |||
Health related quality of life - SF 12v2 [10] | ✓ | ✓ | ✓ |
Household economic hardship | |||
Financial stress | ✓ | ✓ | ✓ |
Use of financial coping strategies | ✓ | ✓ | ✓ |
Impact of illness on household income | ✓ | ✓ | ✓ |
Subjective perception of household economic situation | ✓ | ✓ | ✓ |
Mood (psychological impact) | |||
Self-reporting questionnaire (Vietnamese version) [11] | ✓ | ✓ | ✓ |
Screening and interview information | |||
Location where consent was obtained | ✓ | ||
Interview location | ✓ | ✓ | ✓ |
Date of interview | ✓ | ✓ | ✓ |