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

 General Details

Title:
TBI-QOL Item Bank v1.0 - Resilience - Short Form 10a
Short Name:
TBIQOLResil
Description:
TBI-QOL Item Bank v1.0 – Resilience – Short Form 10a. 10 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
Publication Date:
2016-12-08
Version:
1.1
Date Created:
2016-06-02
Owner:
Number of Data Elements:
26
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 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

TBI-QOL Resilience (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 TBI Quality of Life (TBI-QOL) - Recognize overcome challenges scale  The scale representing how often the participant was able to recognize and overcome challenges lately, as part of Traumatic Brain Injury-Quality of Life (TBI-QOL). TBIQOLRecogOvrcmChallengesScl Recommended CDE
2 TBI Quality of Life (TBI-QOL) - Positive side scale  The scale representing how often the participant tried to see the positive side of things lately, as part of Traumatic Brain Injury-Quality of Life (TBI-QOL). TBIQOLPostvSideScl Recommended CDE
3 TBI Quality of Life (TBI-QOL) - Adapt to new situations scale  The scale which represents how easily the participant could adapt easily to new situations lately, as part of Traumatic Brain Injury-Quality of Life (TBI-QOL). TBIQOLAdtToNewSituScl Recommended CDE
4 TBI Quality of Life (TBI-QOL) - Confident overcome limitations scale  The scale which represents how much the participant was confident that he/she could overcome his/her limitations lately, as part of Traumatic Brain Injury-Quality of Life (TBI-QOL). TBIQOLCofidntOvrcomeLimtnScl Recommended CDE
5 TBI Quality of Life (TBI-QOL) - New Things To Enjoy scale  The scale which represents how often the participant found new things to enjoy lately, as part of Traumatic Brain Injury-Quality of Life (TBI-QOL). TBIQOLNewThingsToEnjoyScl Recommended CDE
6 TBI Quality of Life (TBI-QOL) - Get through difficult times scale  The scale which represents how often the participant felt he/she can get through difficult times lately, as part of Traumatic Brain Injury-Quality of Life (TBI-QOL). TBIQOLGtThrouDiffcltTimesScl Recommended CDE
7 TBI Quality of Life (TBI-QOL) - Positive ways cope with injury scale  The scale which represents how often the participant used positive ways to cope with my injury lately, as part of Traumatic Brain Injury-Quality of Life (TBI-QOL). TBIQOLPostvWaysCopeWInjScl Recommended CDE
8 TBI Quality of Life (TBI-QOL) - Strong person scale  The scale which represents how often the participant felt the things he/she went through made him/her a stronger person lately, as part of Traumatic Brain Injury-Quality of Life (TBI-QOL). TBIQOLStrongPersonScl Recommended CDE
9 TBI Quality of Life (TBI-QOL) - Achieve emotional balance scale  The scale which represents how often the participant felt the things he/she went through made him/her a stronger person lately, as part of Traumatic Brain Injury-Quality of Life (TBI-QOL). TBIQOLAchivEmotnBalnceScl Recommended CDE
10 TBI Quality of Life (TBI-QOL) - Good about coping with injury scale  The scale which represents how often the participant felt good about how I have coped with my injury lately, as part of Traumatic Brain Injury-Quality of Life (TBI-QOL). TBIQOLGodAbtCopWInjeScl Recommended CDE

TBI-QOL Resilience- scoring (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 TBIQOLResilRawScore  The raw score related to subjective experience of the process and outcome of successfully adapting to difficult or challenging life experiences, especially highly stressful or traumatic events, as part of the TBI Quality of Life (TBI-QOL). TBIQOLResilRawScore Recommended CDE
2 TBI Quality of Life (TBI-QOL) - Resilience T-score  The T-Score related to subjective experience of the process and outcome of successfully adapting to difficult or challenging life experiences, especially highly stressful or traumatic events. TBIQOLResilTScore 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