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

 General Details

Title:
Tinnitus Handicap Inventory
Short Name:
THI
Description:
Tinnitus Handicap Inventory (THI) is a self-reported measure, containing 25 questions. The beta version is the alpha version with the items grouped into functional, emotional, and catastrophic subscales. Newman, C. W., Sandridge, S. A., & Jacobson, G. P. (1998). Psychometric adequacy of the Tinnitus Handicap Inventory (THI) for evaluating treatment outcome. JOURNAL-AMERICAN ACADEMY OF AUDIOLOGY, 9, 153-160. Copyright EAR Audiology, Inc. https://www.earaudiology.com
Disease:
Traumatic Brain Injury
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Version:
1.0
Date Created:
2016-03-02
Owner:
Number of Data Elements:
43
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 Recommended 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 (Repeat Infinitely)

# 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

Tinnitus Handicap Inventory (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Tinnitus post-TBI assessment indicator  Patient's response concerning ringing, roaring, buzzing, etc. post-TBI for more than 5 minutes. TinnitusPostTBIAssmtInd Recommended CDE
2 Tinnitus Handicap Inventory - concentrate scale  The indicator of having difficulty in concentration due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). THIConcentrateInd Recommended CDE
3 Tinnitus Handicap Inventory - loudness scale  Theindicator of having difficulty in hearing people due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). THILoudnessInd Recommended CDE
4 Tinnitus Handicap Inventory - angry scale  The indicator of being angry due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). THIAngryInd Recommended CDE
5 Tinnitus Handicap Inventory - confused scale  The indicator of being confused due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). THIConfusedInd Recommended CDE
6 Tinnitus Handicap Inventory -desparate scale  The indicator of being desparate due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). THIDesparateInd Recommended UDE
7 Tinnitus Handicap Inventory -complain a great deal scale  The indicator of complaining a great deal about tinnitus, as part of the Tinnitus Handicap Inventory (THI). THIComplainGreatDealInd Recommended UDE
8 Tinnitus Handicap Inventory - falling asleep scale  The indicator of having difficulty in falling asleep at night due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). THIAsleepInd Recommended CDE
9 Tinnitus Handicap Inventory - cannot escape scale  The indicator of having difficulty in escaping from tinnitus, as part of the Tinnitus Handicap Inventory (THI). THINotEscapeInd Recommended CDE
10 Tinnitus Handicap Inventory - social activities scale  The indicator of enjoyment of social activitiesthat has been interfered with tinnitus , as part of the Tinnitus Handicap Inventory (THI). THISocialActivitiesInd Recommended CDE
11 Tinnitus Handicap Inventory -frustrated scale  The indicator of being frustrated due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). THIFrustratedInd Recommended UDE
12 Tinnitus Handicap Inventory - terrible disease scale  The indicator of considering tinnitus as a terrible disease, as part of the Tinnitus Handicap Inventory (THI). THITerribleDiseaseInd Recommended CDE
13 Tinnitus Handicap Inventory - enjoy life scale  The indicator of having difficulty in enjoying life due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). THIEnjoyLifeInd Recommended CDE
14 Tinnitus Handicap Inventory - houseold responsibilities scale  The indicator of household responsibilities that have been interfered with tinnitus , as part of the Tinnitus Handicap Inventory (THI). THIHhResponsibilitiesInd Recommended CDE
15 Tinnitus Handicap Inventory - irritable often scale  The indicator of being irritable often due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). THIIrritableOftenInd Recommended CDE
16 Tinnitus Handicap Inventory - read scale  The indicator of having difficulty in reading due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). THIReadInd Recommended CDE
17 Tinnitus Handicap Inventory -upset scale  The indicator of being upset due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). THIUpsetInd Recommended UDE
18 Tinnitus Handicap Inventory -stress relationships scale  The indicator of feeling that tinnitus places stress on relationships with family and/or friends, as part of the Tinnitus Handicap Inventory (THI). THIStressRelationshipsInd Recommended UDE
19 Tinnitus Handicap Inventory - focus away from tinnitus scale  The indicator of having difficulty in focusing the attention away from tinnitus and onto other things, as part of the Tinnitus Handicap Inventory (THI). THIFocusAwayFromTinnitusInd Recommended CDE
20 Tinnitus Handicap Inventory - no control over tinnitus scale  The indicator of having difficulty in controlling over tinnitus, as part of the Tinnitus Handicap Inventory (THI). THINoCtrlOverTinnitusInd Recommended CDE
21 Tinnitus Handicap Inventory -tired often scale  The indicator of feeling tired often due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). THITiredOftenInd Recommended UDE
22 Tinnitus Handicap Inventory - depressed scale  The indicator of feeling depressed due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). THIDepressedInd Recommended CDE
23 Tinnitus Handicap Inventory - anxious scale  The indicator of feeling anxious due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). THIAnxiousInd Recommended CDE
24 Tinnitus Handicap Inventory - no longer cope with tinnitus scale  The indicator of feeling no longer coping with tinnitus, as part of the Tinnitus Handicap Inventory (THI). THINoLongerCopeTinnitusInd Recommended CDE
25 Tinnitus Handicap Inventory - worse tinnitus under stress scale  The indicator showing that tinnitus gets worse when the subject is under stress, as part of the Tinnitus Handicap Inventory (THI). THITinnitusWorseUnderStressInd Recommended CDE
26 Tinnitus Handicap Inventory - insecure scale  The indicator of feeling insecure due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). THIInsecureInd Recommended CDE

THI- Scoring (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Tinnitus Handicap Inventory - total score  TheTHI total score, as part of the Tinnitus Handicap Inventory (THI). THITotalScore Recommended CDE
2 Tinnitus Handicap Inventory - functional subscale  TheTHI functional subscale, as part of the Tinnitus Handicap Inventory (THI). THIFunctionalSubscale Recommended CDE
3 Tinnitus Handicap Inventory -emotional subscale  TheTHI emotional subscale, as part of the Tinnitus Handicap Inventory (THI). THIEmotionalSubscale Recommended UDE
4 Tinnitus Handicap Inventory - catastrophic subscale  TheTHI catastrophic subscale, as part of the Tinnitus Handicap Inventory (THI). THICatastrophicSubscale Recommended CDE

 Change History

 Administrative Change History