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

 General Details

Title:
NIH ToolBox Emotion Domain Anger-Hostility Survey Short Form 18-85
Short Name:
NIHTBAngerHostltySF18to85
Description:
The NIH Toolbox Anger-Hostility Survey is a self-report measure that assesses attitudes of hostility and cynicism for ages 18-85, using a 5-item fixed-length form. No versions for other ages are available.Copyright 2012 Northwestern University and the National Institutes of Health. http://www.nihtoolbox.org/Pages/NIH-Toolbox-Terms-and-Conditions.aspx
Disease:
Traumatic Brain Injury , General (For all diseases)
Organization:
NIH/CIT/DCB
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Version:
1.0
Date Created:
2016-06-21
Owner:
Number of Data Elements:
37
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 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 Optional CDE
8 Case control indicator   Indicator of whether subject is in the case or control arm of the study CaseContrlInd Optional CDE
9 General notes text   General notes GeneralNotesTxt Optional 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

NIH Toolbox Administration (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 NIH Toolbox - Test domain battery type  Type of domain battery for the NIH Toolbox test being administered, as a part of the NIH Toolbox NIHTBTestDomainBatteryTyp Recommended CDE
2 NIH Toolbox - Test domain battery type other  The free-text related to NIHTBTestDomainBatteryTyp specifying other text, as part of the NIH Toolbox NIHTBTestDomainBatteryTypOTH Recommended CDE
3 NIH Toolbox - Test name type  Type of NIH Toolbox test being administered, as part of the NIH Toolbox NIHTBAdminTestNameTyp Recommended CDE
4 NIH Toolbox - Test name type other  The free-text related to NIHTBAdminTestNameTyp specifying other text, as part of the NIH Toolbox NIHTBAdminTestNameTypOTH Recommended CDE
5 NIH Toolbox - Test administration language type  Type of language for test being administrated, as part of the NIH Toolbox NIHTBTestAdminLanguageTyp Recommended CDE
6 NIH Toolbox - Test administration language type other  Free-text related to NIHTBTestAdminLanguageTyp specifying other text, as part of the NIH Toolbox NIHTBTestAdminLanguageTypOTH Recommended CDE
7 NIH Toolbox - Form administered type  Type of NIH Toolbox form being administered, as part of the NIH Toolbox NIHTBFormAdminTyp Recommended CDE
8 NIH Toolbox - Test administration flag type  Type of flag for the NIH Toolbox test being administered, as part of the NIH Toolbox NIHTBAdminTestFlagTyp Recommended CDE
9 NIH Toolbox - Test administration flag indicator  Indicator of a flag for the NIH Toolbox test being administered, as part of the NIH Toolbox NIHTBAdminTestFlagInd Recommended CDE

NIH Toolbox Anger Hostility Survey Short Form 18-85 (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 NIH Toolbox Emotion Anger Hostility Short Form ages 18+ - Jealousy scale  Scale of participant reported truth of the statement: I am sometimes eaten up with jealousy, for ages 18+ as part of the NIH Toolbox Emotion Anger Hostility Short Form ages 18+ NIHTBAHSF18JealousyScl Recommended CDE
2 NIH Toolbox Emotion Anger Hostility Short Form ages 18+ - Raw deal scale  Scale of participant reported truth of the statement: At times I feel I have gotten a raw deal out of life, for ages 18+ as part of the NIH Toolbox Emotion Anger Hostility Short Form ages 18+ NIHTBAHSF18RawDealScl Recommended CDE
3 NIH Toolbox Emotion Anger Hostility Short Form ages 18+ - Breaks scale  Scale of participant reported truth of the statement: Other people always seem to get the breaks, for ages 18+ as part of the NIH Toolbox Emotion Anger Hostility Short Form ages 18+ NIHTBAHSF18BreaksScl Recommended CDE
4 NIH Toolbox Emotion Anger Hostility Short Form ages 18+ - Bitter scale  Scale of participant reported truth of the statement: I wonder why sometimes I feel so bitter about things, for ages 18+ as part of the NIH Toolbox Emotion Anger Hostility Short Form ages 18+ NIHTBAHSF18BitterScl Recommended CDE
5 NIH Toolbox Emotion Anger Hostility Short Form ages 18+ - Laughing scale  Scale of participant reported truth of the statement: I sometimes feel that people are laughing at me behind my backs, for ages 18+ as part of the NIH Toolbox Emotion Anger Hostility Short Form ages 18+ NIHTBAHSF18LaughingScl Recommended CDE

NIH Toolbox Anger Hostility Survey SF 18-85 Scoring (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 NIH Toolbox Emotion Anger Hostility Short Form ages 18+ - Item count total number  Item count total number, as a part of the NIH Toolbox Emotion Anger Hostility Short Form ages 18+ NIHTBAHSF18ItemCountTotalNum Recommended CDE
2 NIH Toolbox Emotion Anger Hostility Short Form ages 18+ - Raw score  Raw score, as a part of the NIH Toolbox Emotion Anger Short Form ages 18+ NIHTBAHSF18RawScore Recommended CDE
3 NIH Toolbox Emotion Anger Hostility Short Form ages 18+ - Theta score  Theta score, as a part of the NIH Toolbox Emotion Anger Hostility Short Form ages 18+ NIHTBAHSF18ThetaScore Recommended CDE
4 NIH Toolbox - Standard error  Standard error (a statistical measure of variance that represents the margin of error for the Tscore), as part of the NIH Toolbox NIHTBStandardError Recommended CDE
5 NIH Toolbox Patient Reported Outcome (PRO) Measures - Age-adjusted scale score  Age-adjusted scale score, as part of the NIH Toolbox Patient Reported Outcome (PRO) Measures NIHTBPROAgeAdjSclScore Recommended CDE
6 NIH Toolbox Patient Reported Outcome (PRO) Measures - Age-adjusted national percentile value  Value of age-adjusted national percentile, as part of the NIH Toolbox Patient Reported Outcome (PRO) Measures NIHTBPROAgeAdjNationalPctVal Recommended CDE
7 NIH Toolbox Patient Reported Outcome (PRO) Measures - Fully-adjusted scale score  Fully-adjusted scale score, as part of the NIH Toolbox Patient Reported Outcome (PRO) Measures NIHTBPROFullyAdjSclScore Recommended CDE
8 NIH Toolbox Patient Reported Outcome (PRO) Measures - Unadjusted scale score  Unadjusted scale score, as part of the NIH Toolbox Patient Reported Outcome (PRO) Measures NIHTBPROUnadjSclScore Recommended CDE

 Change History

 Administrative Change History