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

 General Details

Title:
PROMIS Bank v1.1 - Anger
Short Name:
PROMISAnger
Description:
PROMIS - Anger Bank. This form should be used for any version of the PROMIS forms that are derived from this bank of questions including (but not limited to) the Anger v1.1 Item Bank Computer Adaptive Test (CAT) and Short Form (SF) 5a.
Disease:
Traumatic Brain Injury , General (For all diseases)
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2015-02-11
Version:
1.1
Date Created:
2015-01-12
Owner:
Number of Data Elements:
36
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.

In the past 7 days (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Patient-Reported Outcome Measurement Information System (PROMIS) - let frustration show past week scale  The scale which represents how often the participant let frustration show in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). PROMISLetFrustrationShowScale Optional CDE
2 Patient-Reported Outcome Measurement Information System (PROMIS) - irritate more than people know past week scale  The scale which represents how often the participant was irritated more than people knew in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). PROMISIrrtatdMorThnPplKnwScale Optional CDE
3 Patient-Reported Outcome Measurement Information System (PROMIS) - feel envy of others past week scale  The scale which represents how often the participant felt envious of others in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). PROMISFeltEnviousOfOthsScale Optional CDE
4 Patient-Reported Outcome Measurement Information System (PROMIS) - disagree with people past week scale  The scale which represents how often the participant disagreed with people in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). PROMISDisagreedWithPeopleScale Optional CDE
5 Patient-Reported Outcome Measurement Information System (PROMIS) - feel angry past week scale  The scale which represents how often the participant felt angry in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). PROMISFeltAngryScale Optional CDE
6 Patient-Reported Outcome Measurement Information System (PROMIS) - silent treatment when mad at someone past week scale  The scale which represents how often the participant gave someone the silent treatment when mad at them in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). PROMISSilentTrtmtnWhnMadScale Optional CDE
7 Patient-Reported Outcome Measurement Information System (PROMIS) - feel like break things past week scale  The scale which represents how often the participant felt like breaking things in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). PROMISFltLikeBrkingThngsScale Optional CDE
8 Patient-Reported Outcome Measurement Information System (PROMIS) - feel ready explode past week scale  The scale which represents how often the participant felt ready to explode in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). PROMISFeltReadyToExplodeScale Optional CDE
9 Patient-Reported Outcome Measurement Information System (PROMIS) - sulk when angry past week scale  The scale which represents how often the participant sulked when angry in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). PROMISSulkedWhenAngryScale Optional CDE
10 Patient-Reported Outcome Measurement Information System (PROMIS) - resentful when not get way past week scale  The scale which represents how often the participant felt resentful when he/she didn't get his/her way in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). PROMISFltResentfulNtGtWayScale Optional CDE
11 Patient-Reported Outcome Measurement Information System (PROMIS) - feel guilt about anger past week scale  The scale which represents how often the participant felt guilty about his/her anger in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). PROMISFltGuiltyAboutAngerScale Optional CDE
12 Patient-Reported Outcome Measurement Information System (PROMIS) - feel bitter about thing past week scale  The scale which represents how often the participant felt bitter about things in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). PROMISFeltBitterScale Optional CDE
13 Patient-Reported Outcome Measurement Information System (PROMIS) - feel people try anger self past week scale  The scale which represents how often the participant felt that people were trying to anger him in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). PROMISFltPplTryngToAngerScale Optional CDE
14 Patient-Reported Outcome Measurement Information System (PROMIS) - hold grudge towards others past week scale  The scale which represents how often the participant held grudges towards others in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). PROMISHeldGrudgesToOthersScale Optional CDE
15 Patient-Reported Outcome Measurement Information System (PROMIS) - grouchy past week scale  The scale which represents how often the participant was grouchy in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). PROMISWasGrouchyScale Optional CDE
16 Patient-Reported Outcome Measurement Information System (PROMIS) - stubborn with others past week scale  The scale which represents how often the participant was stubborn with others in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). PROMISWasStubbornWthOthrsScale Optional CDE
17 Patient-Reported Outcome Measurement Information System (PROMIS) - feel annoyed past week scale  The scale which represents how often the participant felt annoyed in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). PROMISFeltAnnoyedScale Optional CDE
18 Patient-Reported Outcome Measurement Information System (PROMIS) - bad temper past week scale  The scale which represents how often the participant had a bad temper in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). PROMISHadABadTemperScale Optional CDE
19 Patient-Reported Outcome Measurement Information System (PROMIS) - trouble control temper past week scale  The scale which represents how often the participant had trouble controlling his/her temper in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). PROMISTroubleContrlTemperScale Optional CDE
20 Patient-Reported Outcome Measurement Information System (PROMIS) - feel need help anger past week scale  The scale which represents how often the participant felt like help was needed for his/her anger in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). PROMISFltHlpNeededFrAngerScale Optional CDE
21 Patient-Reported Outcome Measurement Information System (PROMIS) - feel yell someone at past week scale  The scale which represents how often the participant felt like yelling at someone in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). PROMISFltLkYllngAtSomeoneScale Optional CDE
22 Patient-Reported Outcome Measurement Information System (PROMIS) - irritating to be around people past week scale  The scale which represents how often just being around people was irritating for the participant in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). PROMISIrrtatdAroundPeopleScale Optional CDE

Scoring (Appears Exactly 1 Time)

# Title Short Description Variable Name Required? Type
1 Patient-Reported Outcome Measure Information System (PROMIS) - form administered type  The specific PROMIS form type administered, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). PROMISFormType Required CDE
2 Patient-Reported Outcome Measure Information System (PROMIS) - raw score  The participant's raw score on the PROMIS form, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). PROMISRawScore Optional CDE
3 Patient-Reported Outcome Measure Information System (PROMIS) - items completed count  The count of items on the PROMIS form completed by the participant, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). PROMISItemCompletedCount Optional CDE
4 Patient-Reported Outcome Measure Information System (PROMIS) - T-score value  The T-score value, a standardized score with a mean of 50 and standard deviation of 10 representing the rescaled raw score, as part of the Patient-Reported Outcome Measurement Information System. PROMISTScore Recommended CDE
5 Patient-Reported Outcome Measure Information System (PROMIS) - Standard error  Standard error, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) PROMISStandardError Recommended CDE
6 Patient-Reported Outcome Measure Information System (PROMIS) - theta value  The value of theta reported from the CAT PROMIS results, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). PROMISTheta Optional CDE

 Change History

 Administrative Change History