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

 General Details

Title:
Frontal Systems Behavior Scale (FrSBe)
Short Name:
FrSBe
Description:
The FrSBe assesses frontal systems behavioral syndromes by providing a means to identify and quantify disordered natural behavior so that problems may be targeted for treatment.
Disease:
Traumatic Brain Injury
Organization:
NINDS
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2015-08-11
Version:
1.0
Date Created:
2015-05-20
Owner:
Number of Data Elements:
75
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

FrSBe Administration (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Frontal Systems Behavior Scale (FrSBE) - Form type  Type of the Frontal Systems Behavior Scale (FrSBE) form FrSBeFormTyp Recommended CDE

Apathy (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Frontal Systems Behavior Scale (FrSBE) - Speech only with verbal prompt frequency  Frequency of speaking only when spoken to as part of Frontal Systems Behavior Scale (FrSBE) - Apathy subscale FrSBeSpeakOnlyWhenSpokenToFreq Recommended CDE
2 Frontal Systems Behavior Scale (FrSBE) - Lack initiative motivation frequency  Frequency of having difficulty starting an activity, lacking initiative, motivation as part of Frontal Systems Behavior Scale (FrSBE) - Apathy subscale FrSBeLacksInitiativeFreq Recommended CDE
3 Frontal Systems Behavior Scale (FrSBE) - Personal hygience neglect frequency  Frequency of neglecting personal hygiene as part of Frontal Systems Behavior Scale (FrSBE) - Apathy subscale FrSBeNeglectPersonlHygieneFreq Recommended CDE
4 Frontal Systems Behavior Scale (FrSBE) - Sits around doing nothing frequency  Frequency of sitting around doing nothing as part of Frontal Systems Behavior Scale (FrSBE) - Apathy subscale FrSBeSitDoNothingFreq Recommended CDE
5 Frontal Systems Behavior Scale (FrSBE) - No concern urine bowel control loss frequency  Frequency of losing control of urine or bowels and seems unconcerned as part of Frontal Systems Behavior Scale (FrSBE) - Apathy subscale FrSBeNoConcrnLosCntrlBowelFreq Recommended CDE
6 Frontal Systems Behavior Scale (FrSBE) - Lack interest in fun or important frequency  Frequency of losing interest in things that used to be fun or important to him/her as part of Frontal Systems Behavior Scale (FrSBE) - Apathy subscale FrSBeDisinterestedInThingsFreq Recommended CDE
7 Frontal Systems Behavior Scale (FrSBE) - Unable finish task frequency  Frequency of starting things but failing to finish them as part of Frontal Systems Behavior Scale (FrSBE) - Apathy subscale FrSBeStartNotFinishThingsFreq Recommended CDE
8 Frontal Systems Behavior Scale (FrSBE) - Lack emotion concern frequency  Frequency of showing little emotion, is unconcerned and unresponsive as part of Frontal Systems Behavior Scale (FrSBE) - Apathy subscale FrSBeShowLittleEmotionFreq Recommended CDE
9 Frontal Systems Behavior Scale (FrSBE) - Inactive lack energy frequency  Frequency of being slow moving, lacking energy, inactive as part of Frontal Systems Behavior Scale (FrSBE) - Apathy subscale FrSBeSlowMoveLackEnergyFreq Recommended CDE
10 Frontal Systems Behavior Scale (FrSBE) - Sexual intimacy interest frequency  Frequency of being interested in sex as part of Frontal Systems Behavior Scale (FrSBE) - Apathy subscale FrSBeInterestedInSexFreq Recommended CDE
11 Frontal Systems Behavior Scale (FrSBE) - Appearance grooming interest frequency  Frequency of caring about his/her appearance as part of Frontal Systems Behavior Scale (FrSBE) - Apathy subscale FrSBeCaresAboutAppearanceFreq Recommended CDE
12 Frontal Systems Behavior Scale (FrSBE) - Activity spontaneous involvement frequency  Frequency of getting involved with activities spontaneously as part of Frontal Systems Behavior Scale (FrSBE) - Apathy subscale FrSBeSpontaneousActivitiesFreq Recommended CDE
13 Frontal Systems Behavior Scale (FrSBE) - Action without other people request frequency  Frequency of doing things without being requested to do so as part of Frontal Systems Behavior Scale (FrSBE) - Apathy subscale FrSBeDoesWithoutRequestFreq Recommended CDE
14 Frontal Systems Behavior Scale (FrSBE) - Begin spontaneous conversation frequency  Frequency of starting conversations spontaneously as part of Frontal Systems Behavior Scale (FrSBE) - Apathy subscale FrSBeSpontaneousConversatnFreq Recommended CDE
15 Frontal Systems Behavior Scale (FrSBE) - Missing answer subscale A count  Count of missing answer for Apathy subscale as part of Frontal Systems Behavior Scale (FrSBE) form FrSBeMissingItemsScaleACount Recommended CDE
16 Frontal Systems Behavior Scale (FrSBE) - Apathy subscale invalid score indicator  Indicator if Apathy subscale is invalid (has more than 3 questions missing) as part of Frontal Systems Behavior Scale (FrSBE) FrSBeScaleAInvalidInd Recommended CDE
17 Frontal Systems Behavior Scale (FrSBE) - Apathy subscale raw score  Raw score for Apathy subscale as part of Frontal Systems Behavior Scale (FrSBE) FrSBeApathyRawScore Recommended CDE
18 Frontal Systems Behavior Scale (FrSBE) - Apathy subscale T score  T score for Apathy subscale as part of Frontal Systems Behavior Scale (FrSBE) FrSBeApathyTScore Recommended CDE

Disinhibition (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Frontal Systems Behavior Scale (FrSBE) - Anger easily frequency  Frequency of being easily angered or irritated, having emotional outbursts without good reason as part of Frontal Systems Behavior Scale (FrSBE) - Disinhibition subscale FrSBeAngeredEasilyFreq Recommended CDE
2 Frontal Systems Behavior Scale (FrSBE) - Impulsiveness frequency  Frequency of doing things impulsively as part of Frontal Systems Behavior Scale (FrSBE) - Disinhibition subscale FrSBeImpulsitiveFreq Recommended CDE
3 Frontal Systems Behavior Scale (FrSBE) - Laugh cry easily frequency  Frequency of laughing or crying too easily as part of Frontal Systems Behavior Scale (FrSBE) - Disinhibition subscale FrSBeCriesLaughsTooEasilyFreq Recommended CDE
4 Frontal Systems Behavior Scale (FrSBE) - Inappropriate sexual comment frequency scale  Frequency of making inappropriate sexual comments and advances, is too flirtatious as part of Frontal Systems Behavior Scale (FrSBE) - Disinhibition subscale FrSBeInnapropriateSexJokesFreq Recommended CDE
5 Frontal Systems Behavior Scale (FrSBE) - Action speech embarassment frequency  Frequency of doing or saying embarrassing things as part of Frontal Systems Behavior Scale (FrSBE) - Disinhibition subscale FrSBeSayEmbarrassingThingsFreq Recommended CDE
6 Frontal Systems Behavior Scale (FrSBE) - Hyperactivity frequency  Frequency of being unable to sit still, is hyperactive as part of Frontal Systems Behavior Scale (FrSBE) - Disinhibition subscale FrSBeHyperactiveFreq Recommended CDE
7 Frontal Systems Behavior Scale (FrSBE) - Interrupt conversation frequency  Frequency of talking out of turn, interrupts others in conversations as part of Frontal Systems Behavior Scale (FrSBE) - Disinhibition subscale FrSBeTalkOutOfTurnFreq Recommended CDE
8 Frontal Systems Behavior Scale (FrSBE) - Law authority difficulty frequency  Frequency of getting in trouble with the law or authorities as part of Frontal Systems Behavior Scale (FrSBE) - Disinhibition subscale FrSBeTroubleWithAuthorityFreq Recommended CDE
9 Frontal Systems Behavior Scale (FrSBE) - Risk taker frequency  Frequency of doing risky things just for the heck of it as part of Frontal Systems Behavior Scale (FrSBE) - Disinhibition subscale FrSBeDoesRecklessThingsFreq Recommended CDE
10 Frontal Systems Behavior Scale (FrSBE) - Childish humor frequency  Frequency of being overly silly, has childish sense of humour as part of Frontal Systems Behavior Scale (FrSBE) - Disinhibition subscale FrSBeChildishHumorFreq Recommended CDE
11 Frontal Systems Behavior Scale (FrSBE) - Food lack smell taste complaint frequency  Frequency of complaining that food has no taste or smell as part of Frontal Systems Behavior Scale (FrSBE) - Disinhibition subscale FrSBeFoodHasNoSmellTasteFreq Recommended CDE
12 Frontal Systems Behavior Scale (FrSBE) - Expletives use frequency  Frequency of swearing as part of Frontal Systems Behavior Scale (FrSBE) - Disinhibition subscale FrSBeSwearingFreq Recommended CDE
13 Frontal Systems Behavior Scale (FrSBE) - Sensitive other people need frequency  Frequency of being sensitive to the needs of other people as part of Frontal Systems Behavior Scale (FrSBE) - Disinhibition subscale FrSBeSensitiveToOthrsNeedsFreq Recommended CDE
14 Frontal Systems Behavior Scale (FrSBE) - Get along well with others frequency  Frequency of getting along well with others as part of Frontal Systems Behavior Scale (FrSBE) - Disinhibition subscale FrSBeGetsAlongWithOthersFreq Recommended CDE
15 Frontal Systems Behavior Scale (FrSBE) - Age appropriate behavior frequency  Frequency of acting appropriately for his/her age as part of Frontal Systems Behavior Scale (FrSBE) - Disinhibition subscale FrSBeActsAppropriatAgeFreq Recommended CDE
16 Frontal Systems Behavior Scale (FrSBE) - Missing answer subscale D count  Count of missing answer for Disinhibition subscale as part of Frontal Systems Behavior Scale (FrSBE) form FrSBeMissingItemsScaleDCount Recommended CDE
17 Frontal Systems Behavior Scale (FrSBE) - Disinhibition subscale invalid score indicator  Indicator if Disinhibition subscale is invalid (has more than 3 questions missing) as part of Frontal Systems Behavior Scale (FrSBE) FrSBeScaleDInvalidInd Recommended CDE
18 Frontal Systems Behavior Scale (FrSBE) - Disinhibition subscale raw score  Raw score for Disinhibition subscale as part of Frontal Systems Behavior Scale (FrSBE) FrSBeDisinhibitionRawScore Recommended CDE
19 Frontal Systems Behavior Scale (FrSBE) - Disinhibition subscale T score  T score for Disinhibition subscale as part of Frontal Systems Behavior Scale (FrSBE) FrSBeDisinhibitionTScore Recommended CDE

Executive Dysfunction (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Frontal Systems Behavior Scale (FrSBE) - Action idea repetition frequency  Frequency of repeating certain actions or getting stuck on certain ideas as part of Frontal Systems Behavior Scale (FrSBE) - Executive Dysfunction subscale FrSBeRepeatsActionsFreq Recommended CDE
2 Frontal Systems Behavior Scale (FrSBE) - Action sequence error frequency  Frequency of mixing up a sequence, getting confused when doing several things in a row as part of Frontal Systems Behavior Scale (FrSBE) - Executive Dysfunction subscale FrSBeMixesUpSequencesFreq Recommended CDE
3 Frontal Systems Behavior Scale (FrSBE) - Repeat mistakes frequency scale  Frequency of making the same mistakes over and over, not learning from past experience as part of Frontal Systems Behavior Scale (FrSBE) - Executive Dysfunction subscale FrSBeRepeatsMistakesFreq Recommended CDE
4 Frontal Systems Behavior Scale (FrSBE) - Problem deny unaware frequency  Frequency of denying having problems or is unaware of problems or mistakes as part of Frontal Systems Behavior Scale (FrSBE) - Executive Dysfunction subscale FrSBeDeniesHavingProbsFreq Recommended CDE
5 Frontal Systems Behavior Scale (FrSBE) - Disorganized frequency scale  Frequency of being disorganized as part of Frontal Systems Behavior Scale (FrSBE) - Executive Dysfunction subscale FrSBeDisorganizedFreq Recommended CDE
6 Frontal Systems Behavior Scale (FrSBE) - Not able multi-task frequency  Frequency of being unable to do two things at once as part of Frontal Systems Behavior Scale (FrSBE) - Executive Dysfunction subscale FrSBeCantMultitaskFreq Recommended CDE
7 Frontal Systems Behavior Scale (FrSBE) -Poor judgment problem solver frequency  Frequency of showing poor judgment, is a poor problem solver as part of Frontal Systems Behavior Scale (FrSBE) - Executive Dysfunction subscale FrSBePoorJudgementFreq Recommended CDE
8 Frontal Systems Behavior Scale (FrSBE) - Fabrication incredible story when unable remember frequency  Frequency of making up fantastic stories when unable to remember something as part of Frontal Systems Behavior Scale (FrSBE) - Executive Dysfunction subscale FrSBeMakeUpStoriesFreq Recommended CDE
9 Frontal Systems Behavior Scale (FrSBE) - Action not agree with description frequency  Frequency of saying one thing, then doing another thing as part of Frontal Systems Behavior Scale (FrSBE) - Executive Dysfunction subscale FrSBeSayOneThingDoAnotherFreq Recommended CDE
10 Frontal Systems Behavior Scale (FrSBE) - Forgetful until prompted frequency  Frequency of forgetting to do things but then remembering when prompted or when it is too late as part of Frontal Systems Behavior Scale (FrSBE) - Executive Dysfunction subscale FrSBeForgetUnlessPromptedFreq Recommended CDE
11 Frontal Systems Behavior Scale (FrSBE) - Inflexible frequency  Frequency of being inflexible, unable to change routines as part of Frontal Systems Behavior Scale (FrSBE) - Executive Dysfunction subscale FrSBeInflexibleFreq Recommended CDE
12 Frontal Systems Behavior Scale (FrSBE) - Misbehavior apology frequency  Frequency of apologizing for misbehaviour as part of Frontal Systems Behavior Scale (FrSBE) - Executive Dysfunction subscale FrSBeApologizeWhenMisbehavFreq Recommended CDE
13 Frontal Systems Behavior Scale (FrSBE) - Concentration continue with distraction frequency  Frequency of paying attention, concentrates even when there are distractions as part of Frontal Systems Behavior Scale (FrSBE) - Executive Dysfunction subscale FrSBePayingAttentionFreq Recommended CDE
14 Frontal Systems Behavior Scale (FrSBE) - Action thoughtful frequency  Frequency of thinking things through before acting as part of Frontal Systems Behavior Scale (FrSBE) - Executive Dysfunction subscale FrSBeThinkBeforeActingFreq Recommended CDE
15 Frontal Systems Behavior Scale (FrSBE) - Memory strategy use frequency  Frequency of using strategies to remember important things as part of Frontal Systems Behavior Scale (FrSBE) - Executive Dysfunction subscale FrSBeUseMemoryStrategiesFreq Recommended CDE
16 Frontal Systems Behavior Scale (FrSBE) - Planning ability frequency  Frequency of being able to plan ahead as part of Frontal Systems Behavior Scale (FrSBE) - Executive Dysfunction subscale FrSBeAblePlanAheadFreq Recommended CDE
17 Frontal Systems Behavior Scale (FrSBE) - Benefit accept criticism frequency  Frequency of benefitting from feedback, accepting constructive criticism from others as part of Frontal Systems Behavior Scale (FrSBE) - Executive Dysfunction subscale FrSBeAcceptFeedbackFreq Recommended CDE
18 Frontal Systems Behavior Scale (FrSBE) - Missing answer subscale E count  Count of missing answer for Executive Dysfunction subscale as part of Frontal Systems Behavior Scale (FrSBE) form FrSBeMissingItemsScaleECount Recommended CDE
19 Frontal Systems Behavior Scale (FrSBE) - Executive Dysfunction subscale invalid score indicator  Indicator if Executive Dysfunction subscale is invalid (has more than 3 questions missing) as part of Frontal Systems Behavior Scale (FrSBE) FrSBeScaleEInvalidInd Recommended CDE
20 Frontal Systems Behavior Scale (FrSBE) - Executive Dysfunction subscale raw score  Raw score for Executive Dysfunction subscale as part of Frontal Systems Behavior Scale (FrSBE) FrSBeExecutiveDysfunctRawScore Recommended CDE
21 Frontal Systems Behavior Scale (FrSBE) - Executive Dysfunction subscale T score  T score for Executive Dysfunction subscale as part of Frontal Systems Behavior Scale (FrSBE) FrSBeExecutiveDysfunctTScore Recommended CDE

Total Scoring (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Frontal Systems Behavior Scale (FrSBE) - Missing answer total count  Total count of answered or missing questions as part of Frontal Systems Behavior Scale (FrSBE) form FrSBeMissingItemsTtlCount Recommended CDE
2 Frontal Systems Behavior Scale (FrSBE) - Invalid score indicator  Indicator if Frontal Systems Behavior Scale (FrSBE) is invalid (has more than 5 questions missing) FrSBeInvalidInd Recommended CDE
3 Frontal Systems Behavior Scale (FrSBE) - Total raw score  Total raw score as part of Frontal Systems Behavior Scale (FrSBE) FrSBeTotalRawScore Recommended CDE
4 Frontal Systems Behavior Scale (FrSBE) - Total T score  T score for all scales as part of Frontal Systems Behavior Scale (FrSBE) FrSBeTotalTScore Recommended CDE

 Change History

 Administrative Change History