Form Structure: Child and Adolescent Scale of Participation (CASP)
This form structure is an organized set of data definitions for a copyrighted form
Title:
Child and Adolescent Scale of Participation (CASP)
Short Name:
CASP
Description:
The Child and Adolescent Scale of Participation (CASP) measures the extent to which children participate in home, school, and community activities compared to children of the same age as reported by family caregivers. It was designed as part of the Child and Family Follow-up Survey (CFFS) to monitor outcomes and needs of children with traumatic and other acquired brain injuries (ABI). The content and methods used in the CASP and CFFS were informed by the International Classification of Functioning, research addressing participation of children/youth with a range of disabilities and factors related to the child, family and physical and social environment that support and or hinder participation. As well, feedback was obtained by parents of children/youth with ABI and clinical and measurement experts to develop and refine the CASP and CFFS.
Disease:
Traumatic Brain Injury
Organization:
University of Washington
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2014-12-17
Version:
1.0
Date Created:
2014-06-19
Owner:
Number of Data Elements:
34
eForms:
N
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.
Home Participation (Repeat Infinitely)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Child and Adolescent Scale of Participation (CASP) - social play with family scale | Scale to rate level of participation in social, play or leisure activities with family members at home, compared to other children their age (Child and Adolescent Scale of Participation - Home Participation) | CASPSocialFamilyScl | Recommended | UDE |
| 2 | Child and Adolescent Scale of Participation (CASP) - social play with friends scale | Scale to rate level of participation in social, play or leisure activities with friends at home (can include conversations on the phone or internet), compared to other children their age (Child and Adolescent Scale of Participation - Home Participation) | CASPSocialFriendsScl | Recommended | UDE |
| 3 | Child and Adolescent Scale of Participation (CASP) - household responsibility scale | Scale to rate level of participation in family chores, responsibilities and decisions at home compared to other children their age (Child and Adolescent Scale of Participation - Home Participation) | CASPHouseResponsibilityScl | Recommended | UDE |
| 4 | Child and Adolescent Scale of Participation (CASP) - self-care activities scale | Scale to rate level of participation in self-care activities, compared to other children their age (Child and Adolescent Scale of Participation - Home Participation) | CASPSelfCareScl | Recommended | UDE |
| 5 | Child and Adolescent Scale of Participation (CASP) - house movement scale | Scale to rate level of participation in moving about in and around the home, compared to other children their age (Child and Adolescent Scale of Participation - Home Participation) | CASPHouseMovmntScl | Recommended | UDE |
| 6 | Child and Adolescent Scale of Participation (CASP) - communication with children and adults at home scale | Scale to rate level of participation in communicating with other children and adults at home, compared to other children their age (Child and Adolescent Scale of Participation - Home Participation) | CASPCommHomeScl | Recommended | UDE |
Neighborhood and Community Participation (Repeat Infinitely)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Child and Adolescent Scale of Participation (CASP) - neighborhood social play scale | Scale to rate level of participation in social, play, or leisure activities with friends in the neighborhood and community, compared to other children their age (Child and Adolescent Scale of Participation - Community Participation) | CASPSocialNeighborScl | Recommended | UDE |
| 2 | Child and Adolescent Scale of Participation (CASP) - neighborhood activities scale | Scale to rate level of participation in structured events and activities in the neighborhood and community, compared to other children their age (Child and Adolescent Scale of Participation - Community Participation) | CASPNeighborActScl | Recommended | UDE |
| 3 | Child and Adolescent Scale of Participation (CASP) - neighborhood movement scale | Scale to rate level of participation in moving around the neighborhood and community, compared to other children their age (Child and Adolescent Scale of Participation - Community Participation) | CASPNeighborMovmntScl | Recommended | UDE |
| 4 | Child and Adolescent Scale of Participation (CASP) - communication with children and adults in the neighborhood scale | Scale to rate level of participation in communicating with other children and adults in the neighborhood and community, compared to other children their age (Child and Adolescent Scale of Participation - Community Participation) | CASPCommNeighborScl | Recommended | UDE |
School Participation (Repeat Infinitely)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Child and Adolescent Scale of Participation (CASP) - academic activities scale | Scale to rate level of participation in educational (academic) activities with other children in his or her classroom at school, compared to other children their age (Child and Adolescent Scale of Participation - School Participation) | CASPAcademicActScl | Recommended | UDE |
| 2 | Child and Adolescent Scale of Participation (CASP) - school social play scale | Scale to rate level of participation in social, play and recreational activities with other children at school, compared to other children their age (Child and Adolescent Scale of Participation - School Participation) | CASPSocialSchoolScl | Recommended | UDE |
| 3 | Child and Adolescent Scale of Participation (CASP) - school movement scale | Scale to rate level of participation in moving around at school, compared to other children their age (Child and Adolescent Scale of Participation - School Participation) | CASPSchoolMovmntScl | Recommended | UDE |
| 4 | Child and Adolescent Scale of Participation (CASP) - educational material use scale | Scale to rate level of participation in using educational materials and equipment that are available to other children or that have been modified, compared to other children their age (Child and Adolescent Scale of Participation - School Participation) | CASPEduMaterialUseScl | Recommended | UDE |
| 5 | Child and Adolescent Scale of Participation (CASP) - communication with children and adults at school scale | Scale to rate level of participation in communicating with other children and adults at school, compared to other children their age (Child and Adolescent Scale of Participation - School Participation) | CASPCommSchoolScl | Recommended | UDE |
Home and Community Living Activities (Repeat Infinitely)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Child and Adolescent Scale of Participation (CASP) - household activities scale | Scale to rate level of participation in household activities, compared to other children their age (Child and Adolescent Scale of Participation - Home and Community Living Activities) | CASPHouseActScl | Recommended | UDE |
| 2 | Child and Adolescent Scale of Participation (CASP) - shopping and managing money scale | Scale to rate level of participation in shopping and managing money, compared to other children their age (Child and Adolescent Scale of Participation - Home and Community Living Activities) | CASPShopMoneyManagScl | Recommended | UDE |
| 3 | Child and Adolescent Scale of Participation (CASP) - managing daily schedule scale | Scale to rate level of participation in managing daily schedule, compared to other children their age (Child and Adolescent Scale of Participation - Home and Community Living Activities) | CASPScheduleManagScl | Recommended | UDE |
| 4 | Child and Adolescent Scale of Participation (CASP) - transportation use scale | Scale to rate level of participation in using transportation to get around in the community, compared to other children their age (Child and Adolescent Scale of Participation - Home and Community Living Activities) | CASPTrsptUseScl | Recommended | UDE |
| 5 | Child and Adolescent Scale of Participation (CASP) - work responsibility scale | Scale to rate level of participation in work activities and responsibilities, compared to other children their age (Child and Adolescent Scale of Participation - Home and Community Living Activities) | CASPWorkRespScl | Recommended | UDE |
Open-Ended Questions (Repeat Infinitely)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Child and Adolescent Scale of Participation (CASP) - things that interfere child participate text | Description of types of things that interfere child participate in the above-mentioned activities (Child and Adolescent Scale of Participation - Open-Ended Questions) | CASPThingsInterfereKidPrtpTxt | Recommended | UDE |
| 2 | Child and Adolescent Scale of Participation (CASP) - things that help child participate text | Description of types of things that help child participate in the above-mentioned activities (Child and Adolescent Scale of Participation - Open-Ended Questions) | CASPThingHelpKidPrtpTxt | Recommended | UDE |
| 3 | Child and Adolescent Scale of Participation (CASP) - assistive device or equipment used indicator | Use of assistive device or equipment to help child participate in above-mentioned activities (Child and Adolescent Scale of Participation - Open-Ended Questions) | CASPUseAssistDevEquipInd | Recommended | UDE |
| 4 | Child and Adolescent Scale of Participation (CASP) - assistive device or equipment used text | Description of assistive devices or equipment used to help child participate in the above-mentioned activities (Child and Adolescent Scale of Participation - Open-Ended Questions) | CASPUseAssistDevEquipTxt | Recommended | UDE |
| 5 | Child and Adolescent Scale of Participation (CASP) - changes made to home, community, or school for child indicator | Changes made to home, community or school (or work) setting to help child participate (Child and Adolescent Scale of Participation - Open-Ended Questions) | CASPChngHouseCommSchoolInd | Recommended | UDE |
| 6 | Child and Adolescent Scale of Participation (CASP) - changes made to home, community, or school for child text | Description of changes made to home, community or school (or work) setting to help child participate (Child and Adolescent Scale of Participation - Open-Ended Questions) | CASPChngHouseCommSchoolTxt | Recommended | UDE |
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