This form structure is an organized set of data definitions for a copyrighted form

 General Details

Title:
Child and Adolescent Scale of Participation (CASP)
Short Name:
CASP
Description:
The Child and Adolescent Scale of Participation (CASP) measures the extent to which children participate in home, school, and community activities compared to children of the same age as reported by family caregivers. It was designed as part of the Child and Family Follow-up Survey (CFFS) to monitor outcomes and needs of children with traumatic and other acquired brain injuries (ABI). The content and methods used in the CASP and CFFS were informed by the International Classification of Functioning, research addressing participation of children/youth with a range of disabilities and factors related to the child, family and physical and social environment that support and or hinder participation. As well, feedback was obtained by parents of children/youth with ABI and clinical and measurement experts to develop and refine the CASP and CFFS.
Disease:
Traumatic Brain Injury
Organization:
University of Washington
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2014-12-17
Version:
1.0
Date Created:
2014-06-19
Owner:
Number of Data Elements:
34
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.

Home Participation (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Child and Adolescent Scale of Participation (CASP) - social play with family scale  Scale to rate level of participation in social, play or leisure activities with family members at home, compared to other children their age (Child and Adolescent Scale of Participation - Home Participation) CASPSocialFamilyScl Recommended UDE
2 Child and Adolescent Scale of Participation (CASP) - social play with friends scale  Scale to rate level of participation in social, play or leisure activities with friends at home (can include conversations on the phone or internet), compared to other children their age (Child and Adolescent Scale of Participation - Home Participation) CASPSocialFriendsScl Recommended UDE
3 Child and Adolescent Scale of Participation (CASP) - household responsibility scale  Scale to rate level of participation in family chores, responsibilities and decisions at home compared to other children their age (Child and Adolescent Scale of Participation - Home Participation) CASPHouseResponsibilityScl Recommended UDE
4 Child and Adolescent Scale of Participation (CASP) - self-care activities scale  Scale to rate level of participation in self-care activities, compared to other children their age (Child and Adolescent Scale of Participation - Home Participation) CASPSelfCareScl Recommended UDE
5 Child and Adolescent Scale of Participation (CASP) - house movement scale  Scale to rate level of participation in moving about in and around the home, compared to other children their age (Child and Adolescent Scale of Participation - Home Participation) CASPHouseMovmntScl Recommended UDE
6 Child and Adolescent Scale of Participation (CASP) - communication with children and adults at home scale  Scale to rate level of participation in communicating with other children and adults at home, compared to other children their age (Child and Adolescent Scale of Participation - Home Participation) CASPCommHomeScl Recommended UDE

Neighborhood and Community Participation (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Child and Adolescent Scale of Participation (CASP) - neighborhood social play scale  Scale to rate level of participation in social, play, or leisure activities with friends in the neighborhood and community, compared to other children their age (Child and Adolescent Scale of Participation - Community Participation) CASPSocialNeighborScl Recommended UDE
2 Child and Adolescent Scale of Participation (CASP) - neighborhood activities scale  Scale to rate level of participation in structured events and activities in the neighborhood and community, compared to other children their age (Child and Adolescent Scale of Participation - Community Participation) CASPNeighborActScl Recommended UDE
3 Child and Adolescent Scale of Participation (CASP) - neighborhood movement scale  Scale to rate level of participation in moving around the neighborhood and community, compared to other children their age (Child and Adolescent Scale of Participation - Community Participation) CASPNeighborMovmntScl Recommended UDE
4 Child and Adolescent Scale of Participation (CASP) - communication with children and adults in the neighborhood scale  Scale to rate level of participation in communicating with other children and adults in the neighborhood and community, compared to other children their age (Child and Adolescent Scale of Participation - Community Participation) CASPCommNeighborScl Recommended UDE

School Participation (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Child and Adolescent Scale of Participation (CASP) - academic activities scale  Scale to rate level of participation in educational (academic) activities with other children in his or her classroom at school, compared to other children their age (Child and Adolescent Scale of Participation - School Participation) CASPAcademicActScl Recommended UDE
2 Child and Adolescent Scale of Participation (CASP) - school social play scale  Scale to rate level of participation in social, play and recreational activities with other children at school, compared to other children their age (Child and Adolescent Scale of Participation - School Participation) CASPSocialSchoolScl Recommended UDE
3 Child and Adolescent Scale of Participation (CASP) - school movement scale  Scale to rate level of participation in moving around at school, compared to other children their age (Child and Adolescent Scale of Participation - School Participation) CASPSchoolMovmntScl Recommended UDE
4 Child and Adolescent Scale of Participation (CASP) - educational material use scale  Scale to rate level of participation in using educational materials and equipment that are available to other children or that have been modified, compared to other children their age (Child and Adolescent Scale of Participation - School Participation) CASPEduMaterialUseScl Recommended UDE
5 Child and Adolescent Scale of Participation (CASP) - communication with children and adults at school scale  Scale to rate level of participation in communicating with other children and adults at school, compared to other children their age (Child and Adolescent Scale of Participation - School Participation) CASPCommSchoolScl Recommended UDE

Home and Community Living Activities (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Child and Adolescent Scale of Participation (CASP) - household activities scale  Scale to rate level of participation in household activities, compared to other children their age (Child and Adolescent Scale of Participation - Home and Community Living Activities) CASPHouseActScl Recommended UDE
2 Child and Adolescent Scale of Participation (CASP) - shopping and managing money scale  Scale to rate level of participation in shopping and managing money, compared to other children their age (Child and Adolescent Scale of Participation - Home and Community Living Activities) CASPShopMoneyManagScl Recommended UDE
3 Child and Adolescent Scale of Participation (CASP) - managing daily schedule scale  Scale to rate level of participation in managing daily schedule, compared to other children their age (Child and Adolescent Scale of Participation - Home and Community Living Activities) CASPScheduleManagScl Recommended UDE
4 Child and Adolescent Scale of Participation (CASP) - transportation use scale  Scale to rate level of participation in using transportation to get around in the community, compared to other children their age (Child and Adolescent Scale of Participation - Home and Community Living Activities) CASPTrsptUseScl Recommended UDE
5 Child and Adolescent Scale of Participation (CASP) - work responsibility scale  Scale to rate level of participation in work activities and responsibilities, compared to other children their age (Child and Adolescent Scale of Participation - Home and Community Living Activities) CASPWorkRespScl Recommended UDE

Open-Ended Questions (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Child and Adolescent Scale of Participation (CASP) - things that interfere child participate text  Description of types of things that interfere child participate in the above-mentioned activities (Child and Adolescent Scale of Participation - Open-Ended Questions) CASPThingsInterfereKidPrtpTxt Recommended UDE
2 Child and Adolescent Scale of Participation (CASP) - things that help child participate text  Description of types of things that help child participate in the above-mentioned activities (Child and Adolescent Scale of Participation - Open-Ended Questions) CASPThingHelpKidPrtpTxt Recommended UDE
3 Child and Adolescent Scale of Participation (CASP) - assistive device or equipment used indicator  Use of assistive device or equipment to help child participate in above-mentioned activities (Child and Adolescent Scale of Participation - Open-Ended Questions) CASPUseAssistDevEquipInd Recommended UDE
4 Child and Adolescent Scale of Participation (CASP) - assistive device or equipment used text  Description of assistive devices or equipment used to help child participate in the above-mentioned activities (Child and Adolescent Scale of Participation - Open-Ended Questions) CASPUseAssistDevEquipTxt Recommended UDE
5 Child and Adolescent Scale of Participation (CASP) - changes made to home, community, or school for child indicator  Changes made to home, community or school (or work) setting to help child participate (Child and Adolescent Scale of Participation - Open-Ended Questions) CASPChngHouseCommSchoolInd Recommended UDE
6 Child and Adolescent Scale of Participation (CASP) - changes made to home, community, or school for child text  Description of changes made to home, community or school (or work) setting to help child participate (Child and Adolescent Scale of Participation - Open-Ended Questions) CASPChngHouseCommSchoolTxt Recommended UDE

 Change History

 Administrative Change History