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Common Data Element: Pediatric Quality of Life Inventory (PedsQL) - With problems forgetting things scale

Listed below are the details for the data element.

FITBIR
1.1
Element Type
Common Data Element
Pediatric Quality of Life Inventory (PedsQL) - With problems forgetting things scale
PedsQLForgetScl
Short Description
Scale of problems forgetting things, as part of the Pediatric Quality of Life Inventory (PedsQL).
Definition
Scale of problems forgetting things, as part of the Pediatric Quality of Life Inventory (PedsQL).
 
Notes
SCHOOL FUNCTIONING: Parent/Self: Q2
Creation Date
2016-02-12
Historical Notes
References
Copyright ý 1998 JWVarni, Ph.D.Varni J.W., Seid M., and Rode C.A. (1998). Pediatric Quality of Life Inventory. Lyon: Mapi Research Trust. Survey copyright by James W. Varni. Retrieved from the PROQOLID website: http://www.proqolid.org/content/download/11861/176794/version/1/file/RC_PedsQL-4.0-Core-All_AU4.0_eng-USori.pdf, Generic Score Scales pg.20-23; http://www.proqolid.org/content/download/11824/176685/version/1/file/RC_PedsQL-3.0-Cog+Functioning-All_AU3.0_eng-USori.pdf, Cognitive Functioning Scale pg.20-23.

Data Type
Numeric Values
Input Restrictions
Single Pre-Defined Value Selected
External Schema Permissible Value Mapping
Population
Adult and Pediatric
Guidelines/Instructions
On the following page is a list of things that might be a problem for you/your child/your teen . Please tell us how much of a problem each one has been for your during the past ONE month by circling: 0 if it is never a problem, 1 if it is almost never a problem, 2 if it is sometimes a problem, 3 if it is often a problem, 4 if it is always a problem. There are no right or wrong answers. If you do not understand a question, please ask for help.
Preferred Question Text
SCHOOL FUNCTIONING: FORGETTING THINGS: Standard Version: Parent: TEEN: In the past one month, how much of a problem has your teen had with: Forgetting things; For all other Age Ranges: In the past month,how much of a problem has your child had with: Forgetting things. Standard Version: Self: In the past one month, how much of a problem has this been for you: I forget things; Acute Version: Parent: TEEN: In the past 7 days, how much of a problem has your teen had with: Forgetting things. For all other Age Ranges: In the past 7 days,how much of a problem has your child had with: Forgetting things.? Acute Version: Self: In the past 7 days, how much of a problem has this been for you: I forget things.
Category Groups and Classifications
DiseaseDomainSub-Domain
General (For all diseases) Assessments and Examinations Physical/Neurological Examination
Traumatic Brain Injury Outcomes and End Points Academics

Classification

Traumatic Brain Injury:
Supplemental
Concussion/Mild TBI
Epidemiology
Acute Hospitalized
Moderate/Severe TBI: Rehabilitation
General (For all diseases):
Supplemental
Keywords
PedsQL   Quality_of_Life  
Labels