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

 General Details

Title:
TBI-QOL Item Bank v1.0 - Positive Affect and Well-Being - Short Form 9a
Short Name:
TBIQOLPostvAffect
Description:
TBI-QOL Item Bank v1.0 - Positive Affect and Well-Being - Short Form 9a. 9 items are included. Tulsky, D. S., Kisala, P. A., Victorson, D., Carlozzi, N., Bushnik, T., Sherer, M., & Englander, J. (2016). TBI-QOL: development and calibration of item banks to measure patient reported outcomes following traumatic brain injury.The Journal of head trauma rehabilitation, 31(1), 40. TBI-QOL Items Copyright 2015 David Tulsky and Kessler Foundation. All rights reserved. http://www.assessmentcenter.net/ Recommended by CDISC for TBI
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:
2016-05-26
Owner:
Number of Data Elements:
27
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

TBI-QOL Positive effect and well-being (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 TBI Quality of Life (TBI-QOL) - Felt hopeful scale  The scale representing how often the participant felt hopeful lately, as part of Traumatic Brain Injury-Quality of Life (TBI-QOL). TBIQOLFeltHopflScl Recommended CDE
2 TBI Quality of Life (TBI-QOL) - Sense of well being scale  The scale representing how often the participant had a sense of well-being lately, as part of Traumatic Brain Injury-Quality of Life (TBI-QOL). TBIQOLSnsOfWellbeingScl Recommended CDE
3 TBI Quality of Life (TBI-QOL) - Satisfying life scale  The scale which represents how often the participant's life was satisfying lately, as part of Traumatic Brain Injury-Quality of Life (TBI-QOL). TBIQOLSastisLfScl Recommended CDE
4 TBI Quality of Life (TBI-QOL) - Sense of balance scale  The scale which represents how often the participant had a sense of balance in his/her life lately, as part of Traumatic Brain Injury-Quality of Life (TBI-QOL). TBIQOLSnsOfBalanceScl Recommended CDE
5 TBI Quality of Life (TBI-QOL) - Meaningful life scale  The scale which represents how often the participant felt his/her life was meaningful lately, as part of Traumatic Brain Injury-Quality of Life (TBI-QOL). TBIQOLMeaningflLfScl Recommended CDE
6 TBI Quality of Life (TBI-QOL) - Worth living scale  The scale which represents how often the participant felt that his/her life was worth living lately, as part of Traumatic Brain Injury-Quality of Life (TBI-QOL). TBIQOLWorthLivingScl Recommended CDE
7 TBI Quality of Life (TBI-QOL) - Purposeful life scale  The scale which represents how often the participant felt his/her life had purpose lately, as part of Traumatic Brain Injury-Quality of Life (TBI-QOL). TBIQOLPurposefulLfScl Recommended CDE
8 TBI Quality of Life (TBI-QOL) - Positive future scale  The scale which represents how often the participant thought positively about his/her future lately, as part of Traumatic Brain Injury-Quality of Life (TBI-QOL). TBIQOLPostvFutureScl Recommended CDE
9 TBI Quality of Life (TBI-QOL) - Proud of overcoming everything scale  The scale which represents how often the participant was proud of everything that he/she has overcome lately, as part of Traumatic Brain Injury-Quality of Life (TBI-QOL). TBIQOLPrdOfOvrcmEvrythingScl Recommended CDE

TBI-QOL Positive affect and well-being- scoring (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 TBI Quality of Life (TBI-QOL) - Positive affect raw score  The raw score related to aspects of one�s life that relate to a sense of well-being, life satisfaction or an overall sense of purpose and meaning, as part of the TBI Quality of Life (TBI-QOL). TBIQOLPostvAffectRawScore Recommended CDE
2 TBI Quality of Life (TBI-QOL) - Positive affect T-score  The T score related to aspects of one�s life that relate to a sense of well-being, life satisfaction or an overall sense of purpose and meaning, as part of the TBI Quality of Life (TBI-QOL). TBIQOLPostvAffectTScore Recommended CDE
3 TBI-Quality of Life (TBI-QOL) - Standard error  Standard error, as part of TBI-Quality of Life (TBI-QOL) measures TBIQOLStandardError Recommended CDE

 Change History

 Administrative Change History