This form structure is an organized set of data definitions for a form that has not been copyrighted

 General Details

Title:
Alcohol, Smoking, and Substance Use Involvement Screening Test (ASSIST)
Short Name:
ASSIST_FITBIR
Description:
The ASSIST uses eight questions to query about the use of tobacco, alcohol, cannabis, cocaine, amphetamine-type stimulants, inhalants, sedatives, hallucinogens, opioids and other drugs. For most participants, the measure can be completed within 10 minutes.
Disease:
Traumatic Brain Injury
Organization:
NINDS
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2015-07-22
Version:
1.0
Date Created:
2015-05-05
Owner:
Number of Data Elements:
92
eForms:
N

 Documentation


 Groups & Attached Data Elements

Logically grouped data elements with defined frequency at which they repeat.

# Title Short Description Variable Name Required? Type
1 GUID   Global Unique ID which uniquely identifies a subject GUID Required CDE
2 Subject identifier number   An identification number assigned to the participant/subject within a given protocol or a study. SubjectIDNum Optional CDE
3 Age in years   Value for participant's subject age recorded in years. AgeYrs Recommended CDE
4 Visit date   Actual interview or visit date VisitDate Recommended CDE
5 Site name   The name of the site for the study SiteName Recommended CDE
6 Days since baseline   The number of days since baseline DaysSinceBaseline Optional CDE
7 Case control indicator   Indicator of whether subject is in the case or control arm of the study CaseContrlInd Optional CDE
8 General notes text   General notes GeneralNotesTxt Optional CDE

Additional Element Groups

Listed below are your additional element groups.

Form Administration (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Context type  The context to which the questions were answered ContextType Recommended CDE
2 Context type other text  The free-text related to ContextType specifying other text ContextTypeOTH Recommended CDE
3 Data source  Source of the data provided on the case report form DataSource Recommended CDE
4 Data source other text  The free-text field related to Data source specifying other text. Source of the data provided on the case report form DataSourceOTH Recommended CDE

ASSIST (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Tobacco product use indicator  Indicator for whether the participant/subject has ever used any tobacco products (cigarettes, chewing tobacco, cigars, etc) for non-medical use, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTTobaccoProductUseInd Optional CDE
2 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Alcoholic beverage indicator  Indicator for whether the participant/subject has ever drank any sort of alcoholic beverages (beer, wine, spirits, etc.) for non-medical use, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTAlcoholicBeverageInd Optional CDE
3 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Cannabis use indicator  Indicator for whether the participant/subject has ever used any cannabis products (marijuana, pot, grass, hash, etc.) for non-medical use, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTCannabisUseInd Optional CDE
4 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Cocaine use indicator  Indicator for whether the participant/subject has ever used any cocaine products (coke, crack, etc.) for non-medical use, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTCocaineUseInd Optional CDE
5 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Amphetamine type stimulant use indicator  Indicator for whether the participant/subject has ever used any amphetamine type stimulants (speed, diet pills, ecstasy, etc.) for non-medical use, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTAmphtmnTypStmlntUseInd Optional CDE
6 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Inhalant use indicator  Indicator for whether the participant/subject has ever used any inhalants (nitrous, glue, petrol, paint thinner, etc.) for non-medical use, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTInhalantUseInd Optional CDE
7 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Sedative sleep pill indicator  Indicator for whether the participant/subject has ever used any sedatives or sleeping pills (Valium, Serepax, Rohypnol, etc.) for non-medical use, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTSedativeSleepPillInd Optional CDE
8 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Hallucinogen use indicator  Indicator for whether the participant/subject has ever used any hallucinogens (LSD, acid, mushrooms, PCP, Special K, etc.) for non-medical use, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTHallucinogenUseInd Optional CDE
9 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Opioid use indicator  Indicator for whether the participant/subject has ever used any opioids (heroin, morphine, methadone, codeine, etc.) for non-medical use, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTOpioidUseInd Optional CDE
10 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Other non-medical substance use indicator  Indicator for whether the participant/subject has ever used any other substance not listed for non-medical use, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTOthrNonmedclSubUseInd Optional CDE
11 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Tobacco product use frequency  Frequency for how often the participant/subject has used tobacco products (cigarettes, chewing tobacco, cigars, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTTobaccoProductUseFreq Optional CDE
12 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Alcoholic beverage frequency  Frequency for how often the participant/subject has consumed alcoholic beverages (beer, wine, spirits, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTAlcoholicBeverageFreq Optional CDE
13 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Cannabis used frequency  Frequency for how often the participant/subject has used cannabis (marijuana, pot, grass, hash, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTCannabisUseFreq Optional CDE
14 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Cocaine use frequency  Frequency for how often the participant/subject has used cocaine (coke, crack, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTCocaineUseFreq Optional CDE
15 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Amphetamine type stimulant use frequency  Frequency for how often the participant/subject has used amphetamine type stimulants (speed, diet pills, ecstasy, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTAmphtmnTypStmlntUseFreq Optional CDE
16 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Inhalant use frequency  Frequency for how often the participant/subject has used inhalants (nitrous, glue, petrol, paint thinner, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTInahalantUseFreq Optional CDE
17 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Sedative sleep pill frequency  Frequency for how often the participant/subject has used sedatives or sleeping pills (Valium, Serepax, Rohypnol, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTSedativeSleepPillFreq Optional CDE
18 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Hallucinogen use frequency  Frequency for how often the participant/subject has used hallucinogens (LSD< acid, mushrooms, PCP, Special K, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTHallucinogenUseFreq Optional CDE
19 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Opioid use frequency  Frequency for how often the participant/subject has used opioids (heroin, morphine, methadone, codeine, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTOpioidUseFreq Optional CDE
20 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Other non-medical substance use frequency  Frequency for how often the participant/subject has used any other substance not for medical use in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTOthrNonmedclSubUseFreq Optional CDE
21 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Desire tobacco product frequency  Frequency for how often the participant/subject had a strong desire to use tobacco products (cigarettes, chewing tobacco, cigars, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTDsrTobaccoProductFreq Optional CDE
22 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Desire alcoholic beverage frequency  Frequency for how often the participant/subject had a strong desire to consume alcoholic beverages (beer, wine, spirits, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTDsrAlcoholicBeverageFreq Optional CDE
23 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Desire cannabis frequency  Frequency for how often the participant/subject had a strong desire to use cannabis (marijuana, pot, grass, hash, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTDsrCannabisFreq Optional CDE
24 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Desire cocaine frequency  Frequency for how often the participant/subject had a strong desire to use cocaine (coke, crack, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTDsrCocaineFreq Optional CDE
25 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Desire amphetamine type stimulant frequency  Frequency for how often the participant/subject had a strong desire to use amphetamine type stimulants (speed, diet pills, ecstasy, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTDsrAmphtmnTypStmlntFreq Optional CDE
26 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Desire inhalant frequency  Frequency for how often the participant/subject had a strong desire to use inhalants (nitrous, glue, petrol, paint thinner, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTDsrInhalantFreq Optional CDE
27 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Desire sedative sleep pill frequency  Frequency for how often the participant/subject had a strong desire to use sedative or sleeping pills (Valium, Serepax, Rohypnol, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTDsrSedativeSleepPillFreq Optional CDE
28 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Desire hallucinogen frequency  Frequency for how often the participant/subject had a strong desire to use hallucinogens (LSD, acid, mushrooms, PCP, Special K, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTDsrHallucinogenFreq Optional CDE
29 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Desire opioid frequency  Frequency for how often the participant/subject had a strong desire to use opioids (heroin, morphine, methadone, codeine, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTDsrOpioidFreq Optional CDE
30 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Desire other substance frequency  Frequency for how often the participant/subject had a strong desire to use other substances not previously listed in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTDsrOtherSubFreq Optional CDE
31 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Tobacco product problem frequency  Frequency for how often the participant/subject has used tobacco products which led to health, social, legal, or financial problems in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTTobaccoProductPrblmFreq Optional CDE
32 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Alcoholic beverage problem frequency  Frequency for how often the participant/subject has consumed alcoholic beverages which led to health, social, legal, or financial problems in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTAlcohlcBeveragePrblmFreq Optional CDE
33 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Cannabis problem frequency  Frequency for how often the participant/subject has used cannabis which led to health, social, legal, or financial problems in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTCannabisPrblmFreq Optional CDE
34 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Cocaine problem frequency  Frequency for how often the participant/subject has used cocaine (coke, crack, etc.) which led to health, social, legal, or financial problems in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTCocainePrblmFreq Optional CDE
35 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Inhalant problem frequency  Frequency for how often the participant/subject has used amphetamine type stimulants which led to health, social, legal, or financial problems in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTInahalantPrblmFreq Optional CDE
36 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Amphetamine type stimulant problem frequency  Frequency for how often the participant/subject has used inhalants which led to health, social, legal, or financial problems in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTAmphtmnTypStmlntPrblmFrq Optional CDE
37 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Sedative sleep pill problem frequency  Frequency for how often the participant/subject has used sedatives or sleeping pills which led to health, social, legal, or financial problems in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTSedativSlepPIllPrblmFreq Optional CDE
38 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Hallucinogen problem frequency  Frequency for how often the participant/subject has used hallucinogens which led to health, social, legal, or financial problems in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTHallucinogenPrblmFreq Optional CDE
39 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Opioid problem frequency  Frequency for how often the participant/subject has used opioids which led to health, social, legal, or financial problems in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTOpioidPrblmFreq Optional CDE
40 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Other substance problem frequency  Frequency for how often the participant/subject has used any other substance which led to health, social, legal, or financial problems in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTOthrSubPrblmFreq Optional CDE
41 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Alcoholic beverage fail frequency  Frequency for how often the participant/subject has used failed to do what was normally expected because of the use of alcoholic beverages in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTAlcoholcBeverageFailFreq Optional CDE
42 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Cannabis fail frequency  Frequency for how often the participant/subject has used failed to do what was normally expected because of the use of cannabis in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTCannabisFailFreq Optional CDE
43 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Cocaine fail frequency  Frequency for how often the participant/subject has used failed to do what was normally expected because of the use of cocaine (coke, crack, etc.) in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTCocaineFailFreq Optional CDE
44 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Amphetamine type stimulant fail frequency  Frequency for how often the participant/subject has used failed to do what was normally expected because of the use of amphetamine type stimulants in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTAmphtmnTypStmlntFailFreq Optional CDE
45 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Inhalant fail frequency  Frequency for how often the participant/subject has used failed to do what was normally expected because of the use of inhalants in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTInhalantFailFreq Optional CDE
46 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Sedative sleep pill fail frequency  Frequency for how often the participant/subject has used failed to do what was normally expected because of the use of sedatives or sleeping pills in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTSedativSleepPillFailFreq Optional CDE
47 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Hallucinogen fail frequency  Frequency for how often the participant/subject has used failed to do what was normally expected because of the use of hallucinogens in the past 3 months., as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTHallucinogenFailFreq Optional CDE
48 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Opioid fail frequency  Frequency for how often the participant/subject has used failed to do what was normally expected because of the use of opioids in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTOpioidFailFreq Optional CDE
49 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Other substance fail frequency  Frequency for how often the participant/subject has used failed to do what was normally expected because of the use of other substances in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTOtherSubFailFreq Optional CDE
50 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Tobacco product concern indicator  Indicator for whether a friend or relative or anyone else has ever expressed concern for the participant/subject's use of tobacco products, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTTobaccoProductConcernInd Optional CDE
51 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Alcoholic beverage concern indicator  Indicator for whether a friend or relative or anyone else has ever expressed concern for the participant/subject's use of alcoholic beverages (beer, wine, spirits, etc), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTAlcoholcBeveragConcrnInd Optional CDE
52 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Cannabis concern indicator  Indicator for whether a friend or relative or anyone else has ever expressed concern for the participant/subject's use of cannabis (marijuana, pot, grass, hash, etc), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTCannabisConcernInd Optional CDE
53 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Cocaine concern indicator  Indicator for whether a friend or relative or anyone else has ever expressed concern for the participant/subject's use of cocaine (coke, crack, etc), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTCocaineConcernInd Optional CDE
54 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Amphetamine type stimulant concern indicator  Indicator for whether a friend or relative or anyone else has ever expressed concern for the participant/subject's use of amphetamine type stimulants, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTAmphtmnTypStmlntCncrnInd Optional CDE
55 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Inhalant concern indicator  Indicator for whether a friend or relative or anyone else has ever expressed concern for the participant/subject's use of inhalants, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTInhalantConcernInd Optional CDE
56 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Sedative sleep pill concern indicator  Indicator for whether a friend or relative or anyone else has ever expressed concern for the participant/subject's use of sedatives or sleeping pills, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTSedativSleepPillCncrnInd Optional CDE
57 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Hallucinogen concern indicator  Indicator for whether a friend or relative or anyone else has ever expressed concern for the participant/subject's use of hallucinogens, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTHallucinogenConcernInd Optional CDE
58 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Opioid concern indicator  Indicator for whether a friend or relative or anyone else has ever expressed concern for the participant/subject's use of opioids, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTOpioidConcernInd Optional CDE
59 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Other substance concern indicator  Indicator for whether a friend or relative or anyone else has ever expressed concern for the participant/subject's use of other substances not previously listed before, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTOtherSubConcernInd Optional CDE
60 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Tobacco product fail control indicator  Indicator for whether the participant/subject has ever tried, but failed to control, cut down or stop using tobacco products (cigarettes, chewing tobacco, cigars, etc), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTTobaccoPrdctFailCntrlInd Optional CDE
61 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Alcoholic beverage fail control indicator  Indicator for whether the participant/subject has ever tried, but failed to control, cut down or stop using alcoholic beverages (beer, wine, spirits, etc), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTAlcohlcBvragFailCntrlInd Optional CDE
62 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Cannabis fail control indicator  Indicator for whether the participant/subject has ever tried, but failed to control, cut down or stop using cannabis (marijuana, pot, grass, hash, etc), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTCannabisFailCntrlInd Optional CDE
63 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Cocaine fail control indicator  Indicator for whether the participant/subject has ever tried, but failed to control, cut down or stop using cocaine (coke, crack, etc), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTCocaineFailCntrlFreq Optional CDE
64 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Amphetamine type stimulant fail control indicator  Indicator for whether the participant/subject has ever tried, but failed to control, cut down or stop using amphetamine type stimulants (speed, diet pills, ecstasy, etc), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) ASSISTAmphtnTypStmltFlCntrlInd Optional CDE
65 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Inhalant fail control indicator  Indicator for whether the participant/subject has ever tried, but failed to control, cut down or stop using inhalants (nitrous, glue, petrol, paint thinner, etc), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTInhalantFailCntrlInd Optional CDE
66 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Sedative sleep pill fail control indicator  Indicator for whether the participant/subject has ever tried, but failed to control, cut down or stop using sedatives or sleeping pills (Valium, Serepax, Rohypnol, etc), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTSedativSlpPillFlCntrlInd Optional CDE
67 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Hallucinogen fail control indicator  Indicator for whether the participant/subject has ever tried, but failed to control, cut down or stop using hallucinogens (LSD, acid, mushrooms, PCP, Special K, etc), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTHallucinogenFailCntrlInd Optional CDE
68 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Opioid fail control indicator  Indicator for whether the participant/subject has ever tried, but failed to control, cut down or stop using opioids (heroin, morphine, methadone, codeine, etc), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTOpioidFailCntrlInd Optional CDE
69 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Other substance fail control indicator  Indicator for whether the participant/subject has ever tried, but failed to control, cut down or stop using other substances that was not previously listed before, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTOtherSubFailCntrlInd Optional CDE
70 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Drug by injection indicator  Indicator for whether the participant/subject has ever taken a drug via injection before, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTDrugByInjectionInd Optional CDE
71 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Total a score  Score for the total sum of all the question A scores (tobacco products), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTTotalAScore Optional CDE
72 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Total b score  Score for the total sum of all the question B scores (alcoholic beverages), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTTotalBScore Optional CDE
73 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Total c score  Score for the total sum of all the question C scores (cannabis), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTTotalCScore Optional CDE
74 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Total d score  Score for the total sum of all the question D scores (cocaine), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTTotalDScore Optional CDE
75 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Total e score  Score for the total sum of all the question E scores (amphetamine type stimulants), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTTotalEScore Optional CDE
76 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Total f score  Score for the total sum of all the question F scores (inhalants), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTTotalFScore Optional CDE
77 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Total g score  Score for the total sum of all the question G scores (sedatives and sleeping pills), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTTotalGScore Optional CDE
78 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Total h score  Score for the total sum of all the question H scores (hallucinogens), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTTotalHScore Optional CDE
79 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Total I score  Score for the total sum of all the question I scores (opioids), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTTotalIScore Optional CDE
80 Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Total j score  Score for the total sum of all the question J scores (other substances), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST). ASSISTTotalJScore Optional CDE

 Change History

 Administrative Change History