Form Structure: Conflict Behavior Questionnaire (CBQ) / Interaction Behavior Questionnaire (IBQ): Parent 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): Parent Version
Short Name:
IBQParentVersion
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.References: 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 Up To 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 Parent Version (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Interaction Behavior Questionnaire - Son daughter indicators | Indicates whether the child in question is the son or daughter of the individual filling out the form, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerSonDaughterInd | Recommended | CDE |
| 2 | Interaction Behavior Questionnaire - Joke often indicator | Indicator related to if the child and parent joke around often, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerJkOfInd | Recommended | CDE |
| 3 | Interaction Behavior Questionnaire - Activity together parent often indicator | Indicator related to if the child and parent do a lot of things together, parent version, as part of the Interaction Behavior Questionnaire. | InBhvQsPrtVerThTgthInd | Recommended | CDE |
| 4 | Interaction Behavior Questionnaire - Never agree indicator | Indicator related to if the child and parent never seem to agree, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerNvAgInd | Recommended | CDE |
| 5 | Interaction Behavior Questionnaire - Enjoy talks indicator | Indicator related to If the child and parent enjoy talks they have, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerEnTlkInd | Recommended | CDE |
| 6 | Interaction Behavior Questionnaire - Angry often indicator | Indicator related to the child and the parent being angry at each other at least three times a week, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerThTmAnInd | Recommended | CDE |
| 7 | Interaction Behavior Questionnaire - Argue bad apologize indicator | Indicator related to the child and the parent having an argument which turns out badly resulting in an apology, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerArBdApInd | Recommended | CDE |
| 8 | Interaction Behavior Questionnaire - Argue dinner table often indicator | Indicator related to the child and the parent having arguments at the dinner table half the time, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerArDnTbHlfTmInd | Recommended | CDE |
| 9 | Interaction Behavior Questionnaire - Compromise argue indicator | Indicator related to the child and parent compromising during an argument, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerCmprArInd | Recommended | CDE |
| 10 | Interaction Behavior Questionnaire - Angry once day indicator | Indicator related to the child and parent being angry at each other at least once a day, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerAngOnDyInd | Recommended | CDE |
| 11 | Interaction Behavior Questionnaire - Frustrate talk indicator | Indicator related to the child and parents feeling frustrated after talking, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerFrsTlkInd | Recommended | CDE |
| 12 | Interaction Behavior Questionnaire - Speak only necessary time indicator | Indicator related to the child and parent only speaking to each other when they have to, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerSpOnWhHvToInd | Recommended | CDE |
| 13 | Interaction Behavior Questionnaire - Get along general indicator | Indicator related to the child and parent not getting along in general, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerGtAlGnInd | Recommended | CDE |
| 14 | Interaction Behavior Questionnaire - Argue dinner every time indicator | Indicator related to the child and parent arguing at dinner every night, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerAgDnEvTmInd | Recommended | CDE |
| 15 | Interaction Behavior Questionnaire - Fun together indicator | Indicator related to the child and parent never having fun together, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerHvFnTgInd | Recommended | CDE |
| 16 | Interaction Behavior Questionnaire - Big argument little thing indicator | Indicator related to the child and the parent having big arguments over little things, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerBgArgLtThInd | Recommended | CDE |
| 17 | Interaction Behavior Questionnaire - Enjoyable talk daily indicator | Indicator related to the child and the parent having an enjoyable talk at least once a day, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerEnTlkOnDyInd | Recommended | CDE |
| 18 | Interaction Behavior Questionnaire - Easy get along indicator | Indicator related to the child being easy to get along with, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerEsyInd | Recommended | CDE |
| 19 | Interaction Behavior Questionnaire - Receptive criticism indicator | Indicator related to the child being receptive to criticism, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerRcptvInd | Recommended | CDE |
| 20 | Interaction Behavior Questionnaire - Curse use indicator | Indicator related to the child cursing at the parent, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerCrsInd | Recommended | CDE |
| 21 | Interaction Behavior Questionnaire - Enjoy parent indicator | Indicator related to the child enjoying being with the parent, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerEnjyInd | Recommended | CDE |
| 22 | Interaction Behavior Questionnaire - Well behave indicator | Indicator related to the child being well behaved in discussions, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerWllBhvInd | Recommended | CDE |
| 23 | Interaction Behavior Questionnaire - Listen parent indicator | Indicator related to the child usually listening to what the parent tells them, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerLstnPrntInd | Recommended | CDE |
| 24 | Interaction Behavior Questionnaire - Approach parent thought indicator | Indicator related to the child approaching the parent when something is on their mind, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerApprchMndInd | Recommended | CDE |
| 25 | Interaction Behavior Questionnaire - Child scream indicator | Indicator related to the child screaming, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerChldScrmInd | Recommended | CDE |
| 26 | Interaction Behavior Questionnaire - Several hour argument indicator | Indicator related to the child being mad several hours after an argument, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerSvHrArInd | Recommended | CDE |
| 27 | Interaction Behavior Questionnaire - Pay attention indicator | Indicator related to the child paying attention when having discussions with the parent, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerPyAttnInd | Recommended | CDE |
| 28 | Interaction Behavior Questionnaire - Parent lack child consideration indicator | Indicator related to the child feeling like the parent has no consideration for him/her, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerNoCnsChldInd | Recommended | CDE |
| 29 | Interaction Behavior Questionnaire - Seek out indicator | Indicator related to the child seeking out the parent, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerSkOutInd | Recommended | CDE |
| 30 | Interaction Behavior Questionnaire - Disobedient indicator | Indicator related to the child not doing with the parent asks, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerDsbInd | Recommended | CDE |
| 31 | Interaction Behavior Questionnaire - Seem angry indicator | Indicator related to the child seeming angry, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerSmAngInd | Recommended | CDE |
| 32 | Interaction Behavior Questionnaire - Cry when question indicator | Indicator related to the child crying when questioned, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerCrWhnQstnInd | Recommended | CDE |
| 33 | Interaction Behavior Questionnaire - Impatience parent talk indicator | Indicator related to the child acting impatient when the parent is talking, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerChldImptInd | Recommended | CDE |
| 34 | Interaction Behavior Questionnaire - Perception unloved indicator | Indicator related to the child perceiving a parent does not love them, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerUnlvChldInd | Recommended | CDE |
| 35 | Interaction Behavior Questionnaire - Contradict indicator | Indicator related to a child contradicting everything a parent says, parent version, as part of the Interaction Behavior Questionnaire | InBhvQSPrtVerContrInd | Recommended | CDE |
| 36 | Interaction Behavior Questionnaire - Never understand argument indicator | Indicator related to the child never understanding the parent's side of an argument, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerNvrUndArgInd | Recommended | CDE |
| 37 | Interaction Behavior Questionnaire - Lie often indicator | Indicator related to the child often lying to the parent, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerLieInd | Recommended | CDE |
| 38 | Interaction Behavior Questionnaire - Hit parent indicator | Indicator related to the child trying to hit a parent in a heated discussion, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerChldHtInd | Recommended | CDE |
| 39 | Interaction Behavior Questionnaire - Defensive behavior indicator | Indicator related to the child being defensive when talked to, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerDfnsivInd | Recommended | CDE |
| 40 | Interaction Behavior Questionnaire - Argument provoke parent often indicator | Indicator related to if the child provoking the parent into an argument at least twice a week, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerChldPrvkArgInd | Recommended | CDE |
| 41 | Interaction Behavior Questionnaire - No follow through agreement indicator | Indicator related to the child not following through on their end of the bargain made with the parent, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerEndBrgnInd | Recommended | CDE |
| 42 | Interaction Behavior Questionnaire - Unfair parent indicator | Indicator related to the child calling the parent unfair, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerUnfrInd | Recommended | CDE |
| 43 | Interaction Behavior Questionnaire - Blow up no reason indicator | Indicator related to the child blowing up without reason, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerBlowUpNoReasonInd | Recommended | CDE |
| 44 | Interaction Behavior Questionnaire - Angry discussion indicator | Indicator related to the parent being angry when having a discussion with the child, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerAngDisInd | Recommended | CDE |
| 45 | Interaction Behavior Questionnaire - Something else attention parent indicator | Indicator related to the parent doing something else when the child tries to talk with them, parent version, as part of the Interaction Behavior Questionnaire | InBhvQsPrtVerSmthElsInd | Recommended | CDE |
IBQ Parent Version Scoring (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 |
Interaction Behavior Questionnaire - Parent version appraisal of adolescent score
(Draft) |
Score for the appraisal of adolescent, parent version, as a part of the Interaction Behavior Questionnaire(IBC) | InBhvQsPrtVerApprAdolescScore | Recommended | UDE |
| 2 |
Interaction Behavior Questionnaire - Parent version appraisal of dyad score
(Draft) |
Score for the appraisal of dyad, parent version, as a part of the Interaction Behavior Questionnaire(IBC) | InBhvQsPrtVerApprDyadScore | Recommended | UDE |
Keywords
