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

 General Details

Title:
Modified Overt Aggression Scale (MOAS)
Short Name:
MOAS
Description:
The Modified Overt Aggression Scale (MOAS), was developed to assess four types of aggressive behavior: verbal aggression, aggression against property, auto aggression, physical aggression. The MOAS instructs the individual to rate the patientÂ’s aggressive behaviors over the past week.Kay, S. R., Wolkenfeld, F., & Murrill, L. M. (1988). Profiles of aggression among psychiatric patients: II. Covariates and predictors. The Journal of nervous and mental disease, 176(9), 547-557.
Disease:
Traumatic Brain Injury
Organization:
NIH/CIT/BRICS
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Version:
1.0
Date Created:
2016-09-09
Owner:
Number of Data Elements:
28
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 Recommended CDE
2 Subject identifier number   An identification number assigned to the participant/subject within a given protocol or a study. SubjectIDNum Recommended CDE
3 Age in years   Value for participant's subject age recorded in years. AgeYrs Recommended CDE
4 Vital status   Status of participant/subject as alive or dead VitStatus Optional CDE
5 Visit date   Actual interview or visit date VisitDate Recommended CDE
6 Site name   The name of the site for the study SiteName Recommended CDE
7 Days since baseline   The number of days since baseline DaysSinceBaseline Recommended CDE
8 Case control indicator   Indicator of whether subject is in the case or control arm of the study CaseContrlInd Recommended CDE
9 General notes text   General notes GeneralNotesTxt Recommended CDE

Additional Element Groups

Listed below are your additional element groups.

Form Administration (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Language form administration ISO code  Code (ISO 639-2) for the language that was used for CRF/instrument/scale/etc. administration LangCRFAdministratISOCode Recommended CDE
2 Language form administration ISO code other text  The free-text field related to 'Language used for CRF/instrument/scale/etc. administration ISO code' specifying other text. LangCRFAdministratISOCodeOTH Recommended CDE
3 Context type  The context to which the questions were answered ContextType Recommended CDE
4 Context type other text  The free-text related to ContextType specifying other text ContextTypeOTH Recommended CDE
5 Data source  Source of the data provided on the case report form DataSource Recommended CDE
6 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

Verbal Agression (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 The Modified Overt Aggression Scale (MOAS) - Verbal aggression scale  The scale relating to the amount of verbal aggression the subject demonstrates as part of the Modified Overt Aggression Scale (MOAS). MOASVerbAggScl Recommended CDE
2 The Modified Overt Aggression Scale (MOAS) - Verbal aggression sum score  The sum of the scores of the subject's verbal aggression scale as part of the Modified Overt Aggression Scale (MOAS). MOASVerbAggSumScore Recommended CDE

Aggression against Property (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 The Modified Overt Aggression Scale (MOAS) - Property aggression scale  The scale related to any aggression against property that the subject has demonstrated as part of the Modified Overt Aggression Scale (MOAS). MOASPropAggScl Recommended CDE
2 The Modified Overt Aggression Scale (MOAS) - Property aggression sum score  The score of the sum of the scores of the subject's Property Aggression scale as part of the Modified Overt Aggression Scale (MOAS). MOASPropAggSumScore Recommended CDE

Autoaggression (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 The Modified Overt Aggression Scale (MOAS) - Autoaggression scale  The scale related to the amount of autoaggression the subject has demonstrated as part of the Modified Overt Aggression Scale (MOAS). MOASAutoScl Recommended CDE
2 The Modified Overt Aggression Scale (MOAS) - Autoaggression sum score  The score of the sum of the scores of the subject's Autoaggression scale as part of the Modified Overt Aggression Scale (MOAS). MOASAutoSumScore Recommended CDE

Physical Aggression (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 The Modified Overt Aggression Scale (MOAS) - Physical aggression scale  The scale relating to the amount of physical aggression the subject has demonstrated as part of the Modified Overt Aggression Scale (MOAS). MOASPhysAggScl Recommended CDE
2 The Modified Overt Aggression Scale (MOAS) - Physical aggression sum score  The score of the sum of the scores of the subject's Physical Aggression scale as part of the Modified Overt Aggression Scale (MOAS). MOASPhysAggSumScore Recommended CDE

MOAS Summary Score (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 The Modified Overt Aggression Scale (MOAS) - Verbal aggression weighted sum score  The weighted score of the subject's Verbal aggression scale test, as part of the Modified Overt Aggression Scale (MOAS). MOASVerbAggWgtSumScore Recommended CDE
2 The Modified Overt Aggression Scale (MOAS) - Property aggression weighted sum score  The weighted score of the subject's Property aggression scale test, as part of the Modified Overt Aggression Scale (MOAS). MOASPropAggWgtSumScore Recommended CDE
3 The Modified Overt Aggression Scale (MOAS) - Autoaggression weighted sum score  The weighted score of the subject's Autoaggression scale test, as part of the Modified Overt Aggression Scale (MOAS). MOASAutoWgtSumScore Recommended CDE
4 The Modified Overt Aggression Scale (MOAS) - Physical aggression weighted sum score  The weighted score of the subject's Physical aggression scale test, as part of the Modified Overt Aggression Scale (MOAS). MOASPhysAggWgtSumScore Recommended CDE
5 The Modified Overt Aggression Scale (MOAS) - Total weighted sum score  The total weighted score of the subject's aggression scale test, as part of the Modified Overt Aggression Scale (MOAS). MOASTotalWgtSumScore Recommended CDE

 Change History

 Administrative Change History