A. Socio-demographic profile, Medical history and Anthropometric status A1. Date A2. Name of the respondent A3. Location of Slum NorthSouthEastWest A4. Name of the Slum WZ B-Block along Rewari Railway Line, Maya PuriUdyog Nagar Water Tank No.-2 JwalapuriSanjay Basti TimarpurPrem Bari Bridge along Railway Line Sukhdev NagarKusumpur Pahari Block-B Vasant ViharJai Hind Camp near Masoodpur Village Vasant KunjIndira Camp Surrounded By Block-28,29&19 Trilok Puri Site-IPandit Bismil Camp Shashi Garden PatparGanj A5. Gender MaleFemaleOthers A5a. Please Specify Date of birth of respondent A6. Age of the respondent(in years) A7. Religion HinduSikhChristianMuslimOtherNot willing to tell Please Specify A8. Marital status MarriedUnmarriedSeparatedDivorcedOthers A9. Educational qualification UneducatedPrimary school (I-V standard)Middle school (VI-X standard)High school (XI-XII standard)Intermediate or diplomaGraduateProfession or Honours A10. Occupation UnemployedElementary occupationPlant and machine operators and assemblersCraft and related trade workersSkilled agricultural and fishery workersSkilled workers and shops and market sales workersClerksTechnicians and associated professionalsProfessionalsLegislators, senior officials and managers A11. Monthly household income (Rupees) 3,9073,908-11,70711,708-19,51519,516-29,19929,200-39,03239,033-78,062>78,063 A12. Dietary Preferences VegetarianNon-VegetarianEggetarian B. Anthropometric measurements of the respondent B1. Weight (Kg) Reading 1 B1a. Weight (Kg) Reading 2 B2. Height (cm) Reading 1 B2a. Height (cm) Reading 2 B3. Waist Circumference (cm) Reading 1 B3a. Waist Circumference (cm) Reading 2 B4. BMI(kg/m2) Reading 1 B4a. BMI(kg/m2) Reading 2 C. Knowledge based discussion questions on metabolic syndromes (MetS) C1. Have you heard of the term “Metabolic Syndromes (Mets)”? YesNo C2. Do you know what Metabolic Syndrome (MetS) is? YesNo C2a. If yes, please explain what Metabolic syndrome means to you. C2b. If no, then the interviewer explainsPrompt (Diabetes/blood pressure/obesity/ cholesterol: presence of any 3 or more) C3. Have you been screened for Metabolic Syndrome? YesNo C4. Have you been diagnosed for metabolic syndrome? YesNo C4a. How long has it been since you have been diagnosed? Years Months C5. Do you have regular medical check-ups? YesNo C5a. How frequently do you get yourself tested for the following? C5aa. Blood pressure Monthly3 – 6 MonthsOnce in a yearTwice a yearNever C5ab. Blood sugar Monthly3 – 6 MonthsOnce in a yearTwice a yearNever C5ac. Type of testing for blood sugar Random blood sugarFasting blood sugarHbA1CDon’t test C5ad. Weight Monthly3 – 6 MonthsOnce in a yearTwice a yearNever C5ae. Cholesterol Monthly3 – 6 MonthsOnce in a yearTwice a yearNever C6. According to you, how did you acquire MetS? Genetic predispositionDecreased physical activityUnhealthy dietStressNot sure C7. Do you perceive MetS to be a risk for your health? YesNo C7a. Have you received any health education/awareness on your condition? YesNo C7b. If yes, who gave you this education? DoctorDieticianAnganwadi workerMedical campFriends or familyOthers C7ba. Please Specify C7c. If Yes, what type of education did you receive? Dietary ModificationWeight Management/ReductionPhysical ActivityOthers C7ca. Please Specify C7d. Have you been able to follow up with the suggestions given? YesNo C7e. If no, what are the challenges that you faced for follow up of the suggestions given? C10. Have you received any medical treatment from the start of your diagnosis? YesNoNot willing to tell C10a. If yes. Specify the treatment name, duration, frequency, dose etc. C11. Have you faced any side effects on any of the treatment? YesNoNot sure C11a. If yes, what are the side affects you faced during and after treatment please specify C12. Has the treatment changed over a period of time? YesNoNot sure C13. Apart from the medical treatment, do you self-manage MetS at home? YesNo C13a. If so, please describe the type of self-management you have modified for the Mets at home. Specify………………. (like increased walking, healthy eating, avoiding junk food, restricting salt and/or sugar in diet, medication, increased sleep alternative treatment) C13aa. Type of self-management C13ab. Frequency C14. Have you had any difficulties with self-management? YesNo C14a. If yes, Please specify what type of difficulties you have faced C15. How do you maintain your dietary habits in day-to-day life?(Prompt: What factors shape your Dietary habits daily, is it fixed work/school lunch hours, work timings, fasting etc) C16. Do you consume alcohol? YesNo C16a. How frequently do you consume alcohol? DailyOccasionallyWeeklyMonthly C17. Do you smoke? YesNo C17a. How frequently do you smoke? DailyOccasionally C17b. How many cigarettes/bidis do you smoke? C18. How frequently do you consume dairy products? once/day>Once a DayRarelyNever C18a. If yes, what dairy products do you consume? MilkCurdButter/gheePaneerButtermilkothers C18aa. Please Specify C18b. Do you find it necessary to add sugar into your beverages (juice/tea/coffee)? YesNo C18c. State the reason you add additional sugar C19. Do you find it necessary to add additional salt into your meals?(Prompt: Sprinkle table salt/pickle/papad) YesNo C19a. State the reason you add additional salt C20. Do you always end a meal with a sweet dish? AlwaysVery oftenSometimesRarelyNever C21. Do you consume food from outside? YesNo C21a. How frequently do you consume outside food? Once a weekTwice a weekThrice a weekMore Than 3 Time a weekDaily C21b. What motivates you to eat food obtained from outside?(Prompt: Time/Cost/get together) C22. Do you think these dietary choices and changes you are making influence your MetS Condition? YesNoNot sureDon't Know C23. Do you consume unhealthy food when you are bored or stressed or upset? How often you do it? C24. Have you made any changes in the way you shop at a supermarket or through online food grocery apps(Intentionally adding less pre-packaged foods, Avoiding processed food isles) YesNo C25. Do you engage in any physical activity? YesNo C25a. How frequently do you exercise? Everyday4-6times/week1-3times/weekOnce a month C25b. What type of exercise you do? WalkingJoggingSwimmingIf any other, Please specify Please Specify C26. Do you use apps to calculate your steps per day? YesNo C26a. How often you use it per week. C27. How often do you do aerobic exercise following if you diagnosed?(Aerobic exercises are: heavy yard work, Walking, swimming, running, cycling, dancing) Very likelyLikelyUnlikely C28. How does physical activity help with Metabolic syndrome (Mets)?(Improve overall fitness or maintain the clinical reading or improve well-being of individuals with metabolic syndrome) C29. Which of the following choices do you think has most influenced your MetS Condition Dietary changesPhysical changesMedicationSleepIncreased Stress C30. Do you use any mobile apps to manage your conditions? YesNo C31. Do you want to know more about self-management of MetS? YesNo C31a. If yes, on what topic what you like to obtain the information? DietPhysical activitySleepStress reductionWeight managementOthers C31aa. Please Specify C31b. How would you like to obtain information about managing your own Mets SMSPhone callVideo messageWhatsApp messageOthers C31ba. Please Specify C31c. How frequent would you like to receive the information? DailyWeeklyTwice a weekBi-weeklyOthers C31ca. Please Specify C33. Have you taken advice from any Media source? YesNo C33a. If yes, Please mention media source you got advice TVHealth ChannelsYou TubeOthers C33aa. Please Specify C33b. Topic of advice DietPhysical activitySleepStress ReductionWeight ManagementOthers C33ba. Please Specify C33c. Were you able to implement the advice you seek? YesNo C33d. If no, what are the challenges you face to implement? C34. How has your daily life affected since the diagnosis of having the condition?(Prompt: Increased stress, disrupted sleep burden of money, expenditure on treatment or medications) D. 24-hour Dietary RecallINSTRUCTIONS: Please recall what you have eaten in the last 24 hours giving information about the entire main and the in-between meals. Meal-Early Morning Time Menu Total amount consumed in household measures Ingredients Ingredient amounts in household measures Portion code Comments (Consistency, Brand, outside food) Meal-Breakfast Time Menu Total amount consumed in household measures Ingredients Ingredient amounts in household measures Portion code Comments (Consistency, Brand, outside food) Meal-Mid-Morning Time Menu Total amount consumed in household measures Ingredients Ingredient amounts in household measures Portion code Comments (Consistency, Brand, outside food) Meal-Lunch Time Menu Total amount consumed in household measures Ingredients Ingredient amounts in household measures Portion code Comments (Consistency, Brand, outside food) Meal-Evening-Tea Time Menu Total amount consumed in household measures Ingredients Ingredient amounts in household measures Portion code Comments (Consistency, Brand, outside food) Meal-Dinner Time Menu Total amount consumed in household measures Ingredients Ingredient amounts in household measures Portion code Comments (Consistency, Brand, outside food) Meal-Post-Dinner Time Menu Total amount consumed in household measures Ingredients Ingredient amounts in household measures Portion code Comments (Consistency, Brand, outside food) D. Clinical Assessment Measurement D1. Fasting/Random Blood Glucose Reading D2. Blood Pressure Reading E. Clinical history E1. Earlier Diagnosed with diabetes YesNoDon't Know E1a. Duration of diabetes E1b. Recent blood sugar report E2. Type of medication MedicineInsulinAny other E3. Earlier Diagnosed with hypertension YesNoDon't Know E4. Diagnosed with any other NCD (cancer, overweight, obesity, cardio vascular diseases) YesNoDon't Know E5. Do you smoke? YesNo E6. Do you drink? YesNo E7. Do you exercise? YesNoSometimes E7b. How many days per week? E7c. Duration of exercise E7d. Type of work E7e. Travel time for work per day E7f. Time spent on other recreational activities E8. Do you use any type of drugs? YesNoSometimes F. Perceived Stress Scale I1. In the last month, how often have you been upset because of something that happened unexpectedly? neveralmost neversometimesfairly oftenvery often I2. In the last month, how often have you felt that you were unable to control the important things in your life? neveralmost neversometimesfairly oftenvery often I.3. In the last month, how often have you felt nervous and stressed? neveralmost neversometimesfairly oftenvery often I4. In the last month, how often have you felt confident about your ability to handle your personal problems? neveralmost neversometimesfairly oftenvery often I5. In the last month, how often have you felt that things were going your way? neveralmost neversometimesfairly oftenvery often I6. In the last month, how often have you found that you could not cope with all the things that you had to do? neveralmost neversometimesfairly oftenvery often I7. In the last month, how often have you been able to control irritations in your life? neveralmost neversometimesfairly oftenvery often I8. In the last month, how often have you felt that you were on top of things? neveralmost neversometimesfairly oftenvery often I9. In the last month, how often have you been angered because of things that happened that were outside of your control? neveralmost neversometimesfairly oftenvery often I10. In the last month, how often have you felt difficulties were piling up so high that you could not overcome them? neveralmost neversometimesfairly oftenvery often G. The Pittsburgh Sleep Quality IndexInstructions: The following questions relate to your usual sleep habits during the past month only. Your answers should indicate the most accurate reply for the majority of days and nights in the past month. Please answer all the questions. L1 During the past month, when have you usually gone to bed at night?(Usual bed time) L2 During the past month, how long (in minutes) has it usually takes you to fall asleep each night?(number of minutes) L3. During the past month, when have you usually got up in the morning?(usual getting up time) L4. During the past month, how many hours of actual sleep did you get at night? (This may be different than the number of hours you spend in bed).(hours of sleep per night) L5. During the past month, how often have you had trouble sleeping because you L5a. Cannot get to sleep within 30 minutes Not during the past monthLess than once a weekOnce or twice a Weekthree or More Times a week L5b. Wake up in the middle of the night or early morning Not during the past monthLess than once a weekOnce or twice a Weekthree or More Times a week L5c. Have to get up to use the bathroom Not during the past monthLess than once a weekOnce or twice a Weekthree or More Times a week L5d. Cannot breathe comfortably Not during the past monthLess than once a weekOnce or twice a Weekthree or More Times a week L5e. Cough or snore loudly Not during the past monthLess than once a weekOnce or twice a Weekthree or More Times a week L5f. Feel too cold Not during the past monthLess than once a weekOnce or twice a Weekthree or More Times a week L5g. Feel too hot Not during the past monthLess than once a weekOnce or twice a Weekthree or More Times a week L5h. Had bad dreams Not during the past monthLess than once a weekOnce or twice a Weekthree or More Times a week L5i. Have pain Not during the past monthLess than once a weekOnce or twice a Weekthree or More Times a week L5j. Other reason(s), please describe L5k. How often during the past month have you had trouble sleeping because of this? Not during the past monthLess than once a weekOnce or twice a Weekthree or More Times a week L8. During the past month, how would you rate your sleep quality overall? Very goodFairly goodFairly badVery bad L81. During the past month, how often have you taken medicine (prescribed or “over the counter”) to help you sleep? Not during the past monthLess than once a weekOnce or twice a Weekthree or More Times a week L82. During the past month, how often have you had trouble staying awake while driving, eating meals, or engaging in social activity? Not during the past monthLess than once a weekOnce or twice a Weekthree or More Times a week L83. During the past month, how much of a problem has it been for you to keep up enough enthusiasm to get things done? No problem at allOnly a very slight problemSomewhat of a problemA very big problem L84. Do you have a bed partner or roommate? No bed partner or roommatePartner/roommate in other roomPartner in same room, but not same bedPartner in same bed L85. How often do you feel tired during the following times during the day? Morning most daysoftenoccasionallynever Afternoon most daysoftenoccasionallynever Evening most daysoftenoccasionallynever H. Morisky Scale for Medication adherence P1. Do you ever forget to take your medicine? YesNo P2. Are you careless at times about taking your medicine? YesNo P3. When you feel better, do you sometimes stop taking your medicine? YesNo P4. Sometimes if you feel worse when you take the medicine, do you stop taking it? YesNo I: Global Physical Activity Questionnaire A. Activity at work 1. Does your work involve vigorous- intensity activity that causes large increase in breathing or heart rate like [Carrying or lifting heavyDoes your work involve vigorous- intensity activity that causes large increase in breathing or heart rate like [Carrying or lifting heavy loads, digging or construction work] for at least 10 minutes continuously? loads, digging or construction work] for at least 10 minutes continuously? YesNo 2. In a typical week, on how many days do you do vigorous- intensity activities as part of your work? 3. How much time do you spend doing vigorous- intensity activities at work on a typical day? Hours Minutes 4. Does your work involve moderate- intensity activity that causes small increases in breathing or heart rate such as brisk walking [or carrying light loads] for at least 10 minutes continuously? YesNo 5. In a typical week, or how many days do you do moderate- intensity activities as part of your work? 6. How much time do you spend doing moderate- intensity activities at work on a typical day? Hours Minutes B. Travel to and from places 7. Do you walk or use a bicycle (pedal cycle) for at least 10 minutes continuously to get to and from places? YesNo 8. In a typical week, on how many days do you walk or bicycle for at least 10 minutes continuously to get to and from places? 9. How much time do you spend walking or bicycling for travel on a typical day? Hours Minutes C. Recreational Activities 10. Do you do any vigorous-intensity sports, fitness or recreational (leisure) activities that cause large increase in breathing or heart rate like [running or football,] for at least 10 minutes continuously? YesNo 11. In a typical week, on how many days do you do vigorous- intensity sports, fitness or recreational (leisure) activities? 12. How much time do you spend doing vigorous- intensity sports, fitness or recreational activities on a typical day? Hours Minutes 13. In a typical week, on how many days do you do moderate- intensity sports, fitness or recreational (leisure) activities? YesNo 14. In a typical week, on how many days do you do moderate-intensity sports, fitness or recreational (leisure) activities? 15. How much time do you spend doing moderate- intensity sports, fitness or recreational (leisure) activities on a typical day? Hours Minutes D. Sedentary Behavior The following question is about sitting or reclining at work, at home, getting to and from places, or with friends including time spent [sitting at a desk, sitting with friends, travelling in car, bus, train, reading, playing cards or watching television], but do not include time spent sleeping. 16. How much time do you usually spend sitting or reclining on a typical day? Hours Minutes Validate Email
