Form Structure: Conflict Behavior Questionnaire (CBQ) / Interaction Behavior Questionnaire (IBQ): Adolescent Version
This form structure is an organized set of data definitions for a form that has not been copyrighted
Resource:
FITBIR
Title:
Conflict Behavior Questionnaire (CBQ) / Interaction Behavior Questionnaire (IBQ): Adolescent Version
Short Name:
IBQAdolescentVersion
Description:
The Conflict Behavior Questionnaire (CBQ) also known as the Interaction Behavior Questionnaire (IBQ) was designed to obtain evaluations of parent and adolescent behavior directly from mother and adolescent. The questionnaire reliably measures whether or not a family is experiencing distress. Administration takes about 5 minutes. Separate versions are available for parents and adolescents.Reference: Prinz, R. J., Foster, S., Kent, R. N. and O'Leary, K. D. (1979), MULTIVARIATE ASSESSMENT OF CONFLICT IN DISTRESSED AND NONDISTRESSED MOTHER-ADOLESCENT DYADS. Journal of Applied Behavior Analysis, 12: 691?700. doi:10.1901/jaba.1979.12-691
Disease:
Traumatic Brain Injury
General (For all diseases)
Organization:
FITBIR
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Version:
1.0
Date Created:
2016-11-04
Owner:
Number of Data Elements:
62
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 | 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 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 |
IBQ Adolescent Version (Appears 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 |
Interaction Behavior Questionnaire - Adolescent version mother father indicator
(Draft) |
Indicator related to if the mother or father was being addressed, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerMotFatInd | Recommended | UDE |
| 2 | Interaction Behavior Questionnaire - Adolescent version joke often indicator | Indicator related to if the child and parent joke around often, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerJkOfInd | Recommended | CDE |
| 3 | Interaction Behavior Questionnaire - Adolescent version things together indicator | Indicator related to if the child and parent do a lot of things together, adolescent version, as part of the Interaction Behavior Questionnaire. | InBhvQsAdlstVerThTgthInd | Recommended | CDE |
| 4 | Interaction Behavior Questionnaire - Adolescent version never agree indicator | Indicator related to if the child and parent never seem to agree, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerNvAgInd | Recommended | CDE |
| 5 | Interaction Behavior Questionnaire - Adolescent version enjoy talks indicator | Indicator related to If the child and parent enjoy talks they have, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerEnTlkInd | Recommended | CDE |
| 6 | Interaction Behavior Questionnaire - Adolescent version three time angry indicator | Indicator related to the child and the parent being angry at each other at least three times a week, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerThTmAnInd | Recommended | CDE |
| 7 | Interaction Behavior Questionnaire - Adolescent version argue bad apologize indicator | Indicator related to the child and the parent having an argument which turns out badly resulting in an apology, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerArBdApInd | Recommended | CDE |
| 8 | Interaction Behavior Questionnaire - Adolescent version argue dinner table half time indicator | Indicator related to the child and the parent having arguments at the dinner table half the time, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerArDnTbHlfTmInd | Recommended | CDE |
| 9 | Interaction Behavior Questionnaire - Adolescent version compromise argue indicator | Indicator related to the child and parent compromising during an argument, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerCmprArInd | Recommended | CDE |
| 10 | Interaction Behavior Questionnaire - Adolescent version angry once day indicator | Indicator related to the child and parent being angry at each other at least once a day, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerAngOnDyInd | Recommended | CDE |
| 11 | Interaction Behavior Questionnaire - Adolescent version frustrate talk indicator | Indicator related to the child and parents feeling frustrated after talking, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerFrsTlkInd | Recommended | CDE |
| 12 | Interaction Behavior Questionnaire - Adolescent version speak only when have to indicator | Indicator related to the child and parent only speaking to each other when they have to, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerSpOnWhHvToInd | Recommended | CDE |
| 13 | Interaction Behavior Questionnaire - Adolescent version get along general indicator | Indicator related to the child and parent not getting along in general, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerGtAlGnInd | Recommended | CDE |
| 14 | Interaction Behavior Questionnaire - Adolescent version argue dinner every time indicator | Indicator related to the child and parent arguing at dinner every night, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerAgDnEvTmInd | Recommended | CDE |
| 15 | Interaction Behavior Questionnaire - Adolescent version have fun together indicator | Indicator related to the child and parent never having fun together, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerHvFnTgInd | Recommended | CDE |
| 16 | Interaction Behavior Questionnaire - Adolescent version big argument little thing indicator | Indicator related to the child and the parent having big arguments over little things, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerBgArgLtThInd | Recommended | CDE |
| 17 | Interaction Behavior Questionnaire - Adolescent version enjoyable talk once day indicator | Indicator related to the child and the parent having an enjoyable talk at least once a day, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerEnTlkOnDyInd | Recommended | CDE |
| 18 | Interaction Behavior Questionnaire - Adolescent version right unrecognize by parent indicator | Indicator related to the child being right but not acknowledged by the parent as being so, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerRghtUnrcByPrInd | Recommended | CDE |
| 19 | Interaction Behavior Questionnaire - Adolescent version picked on by parent indicator | Indicator related to the child being picked on by parent, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerPckOnPrInd | Recommended | CDE |
| 20 | Interaction Behavior Questionnaire - Adolescent version parent understanding indicator | Indicator related to the child being understood by the parent, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerPrUndInd | Recommended | CDE |
| 21 | Interaction Behavior Questionnaire - Adolescent version argument remaining hour later indicator | Indicator related to the child and parent remaining in an argument an hour later, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerArRmHrLtInd | Recommended | CDE |
| 22 | Interaction Behavior Questionnaire - Adolescent version faults brought up indicator | Indicator related to the parent bringing up faults of the child in an argument, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerFlBrUpInd | Recommended | CDE |
| 23 | Interaction Behavior Questionnaire - Adolescent version parent like friend indicator | Indicator related to the parent liking the child's friends, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerPrLkFrInd | Recommended | CDE |
| 24 | Interaction Behavior Questionnaire - Adolescent version parent slap when angry indicator | Indicator related to the parent slapping a child when angry, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerPrSlWhAnInd | Recommended | CDE |
| 25 | Interaction Behavior Questionnaire - Adolescent version no consideration for parent indicator | Indicator related to the parent feeling like the child has no consideration for him/her, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerNoCnsPrInd | Recommended | CDE |
| 26 | Interaction Behavior Questionnaire - Adolescent version bad things to others indicator | Indicator related to if the parent says bad things to other people about the child, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerBdThOthInd | Recommended | CDE |
| 27 | Interaction Behavior Questionnaire - Adolescent version bossy parent indicator | Indicator related to the parent being bossy to child when talking, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerBossPrInd | Recommended | CDE |
| 28 | Interaction Behavior Questionnaire - Adolescent version unfinished thought indicator | Indicator related to whether the parent allows the child to finish a thought, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerUnfThInd | Recommended | CDE |
| 29 | Interaction Behavior Questionnaire - Adolescent version argument my fault indicator | Indicator related to the parent making the child feel like the argument is their fault, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerArMyFltInd | Recommended | CDE |
| 30 | Interaction Behavior Questionnaire - Adolescent version parent understand point of view indicator | Indicator related to the parent understanding the child's point of view, even when they don't agree, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerPrUnPOVInd | Recommended | CDE |
| 31 | Interaction Behavior Questionnaire - Adolescent version on my mind perception indicator | Indicator related to the parent perceiving a child having something on their mind, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerOnMndPrcInd | Recommended | CDE |
| 32 | Interaction Behavior Questionnaire - Adolescent version interested thing indicator | Indicator related to the parent being interested in the things that the child does, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerInterstdThngInd | Recommended | CDE |
| 33 | Interaction Behavior Questionnaire - Adolescent version punish fair indicator | Indicator related to the parent being fair when punishing a child, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerPnshFrInd | Recommended | CDE |
| 34 | Interaction Behavior Questionnaire - Adolescent version parent scream indicator | Indicator related to the parent screaming, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerPrScInd | Recommended | CDE |
| 35 | Interaction Behavior Questionnaire - Adolescent version never apologize indicator | Indicator related to the parent never apologizes first, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerNvApInd | Recommended | CDE |
| 36 | Interaction Behavior Questionnaire - Adolescent version rare listen indicator | Indicator related to the parent rarely listening to the child during an argument, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerRrLstInd | Recommended | CDE |
| 37 | Interaction Behavior Questionnaire - Adolescent version put down indicator | Indicator related to the parent putting down the child, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerPtDwnInd | Recommended | CDE |
| 38 | Interaction Behavior Questionnaire - Adolescent version childish opinion indicator | Indicator related to if the parent believes the child's opinions are childish, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerChldOpInd | Recommended | CDE |
| 39 | Interaction Behavior Questionnaire - Adolescent version state view indicator | Indicator related to the parent not allowing a child to state their views, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerSttVwInd | Recommended | CDE |
| 40 | Interaction Behavior Questionnaire - Adolescent version nag little thing indicator | Indicator related to the parent nagging the child about little things in an argument, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerNgLtThgInd | Recommended | CDE |
| 41 | Interaction Behavior Questionnaire - Adolescent version stupid indicator | Indicator related to the parent calling the child stupid, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerStpInd | Recommended | CDE |
| 42 | Interaction Behavior Questionnaire - Adolescent version listen indicator | Indicator related to the parent listening to the child even if they are not letting them do something, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerLstnInd | Recommended | CDE |
| 43 | Interaction Behavior Questionnaire - Adolescent version problem help indicator | Indicator related to the parent offering help to the child if problems arise, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerPrbHlpInd | Recommended | CDE |
| 44 | Interaction Behavior Questionnaire - Adolescent version angry discussion indicator | Indicator related to the parent being angry when having a discussion with the child, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerAngDisInd | Recommended | CDE |
| 45 | Interaction Behavior Questionnaire - Adolescent version something else indicator | Indicator related to the parent doing something else when the child tries to talk with them, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerSmthElsInd | Recommended | CDE |
IBQ Adolescent Version Scoring (Appears 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 |
Interaction Behavior Questionnaire - Adolescent version appraisal of parent score
(Draft) |
Score for the appraisal of parent, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerApprPrntScore | Recommended | UDE |
| 2 |
Interaction Behavior Questionnaire - Adolescent version appraisal of dyad score
(Draft) |
Score for the appraisal of dyad, adolescent version, as part of the Interaction Behavior Questionnaire | InBhvQsAdlstVerApprDyadScore | Recommended | UDE |
Keywords
