Our website detected that you are using a browser (Internet Explorer) that we no longer support. Please use the following browsers instead: Chrome, Firefox, Edge, or Safari.

This form structure is an organized set of data definitions for a copyrighted form
Resource:
FITBIR
Title:
NIH ToolBox Emotion Domain Anger-Hostility Survey Short Form 18-85
Short Name:
NIHTBAngerHostltySF18to85
Description:
The NIH Toolbox Anger-Hostility Survey is a self-report measure that assesses attitudes of hostility and cynicism for ages 18-85, using a 5-item fixed-length form. Available as ashortform (SF) and as iPad app.Copyright 2012 Northwestern University and the National Institutes of Health. http://www.nihtoolbox.org/Pages/NIH-Toolbox-Terms-and-Conditions.aspx
Disease:
Traumatic Brain Injury General (For all diseases)
Organization:
NIH/CIT/DCB
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Version:
1.0
Date Created:
2016-06-21
Owner:
Number of Data Elements:
44
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

NIH Toolbox Administration (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 NIH Toolbox - Test domain battery type  Type of domain battery for the NIH Toolbox test being administered, as a part of the NIH Toolbox NIHTBTestDomainBattryTyp Recommended CDE
2 NIH Toolbox - Test domain battery type other  The free-text related to NIHTBTestDomainBatteryTyp specifying other text, as part of the NIH Toolbox NIHTBTestDomainBatteryTypOTH Recommended CDE
3 NIH Toolbox - Test name type  Type of NIH Toolbox test being administered, as part of the NIH Toolbox NIHTBAdminTestNameTyp Recommended CDE
4 NIH Toolbox - Test name type other  The free-text related to NIHTBAdminTestNameTyp specifying other text, as part of the NIH Toolbox NIHTBAdminTestNameTypOTH Recommended CDE
5 NIH Toolbox - Test administration language type  Type of language for test being administrated, as part of the NIH Toolbox NIHTBTestAdminLanguageTyp Recommended CDE
6 NIH Toolbox - Test administration language type other  Free-text related to NIHTBTestAdminLanguageTyp specifying other text, as part of the NIH Toolbox NIHTBTestAdminLanguageTypOTH Recommended CDE
7 NIH Toolbox - Form administered type  Type of NIH Toolbox form being administered, as part of the NIH Toolbox NIHTBFormAdminTyp Recommended CDE
8 NIH Toolbox - Test administration flag type  Type of flag for the NIH Toolbox test being administered, as part of the NIH Toolbox NIHTBAdminTestFlagTyp Recommended CDE
9 NIH Toolbox - Test administration flag indicator  Indicator of a flag for the NIH Toolbox test being administered, as part of the NIH Toolbox NIHTBAdminTestFlagInd Recommended CDE

NIH Toolbox Anger Hostility Survey Short Form 18-85 (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 NIH Toolbox Emotion Anger Hostility Short Form ages 18+ - Jealousy scale  Scale of participant reported truth of the statement: I am sometimes eaten up with jealousy, for ages 18+ as part of the NIH Toolbox Emotion Anger Hostility Short Form ages 18+ NIHTBAHSF18JealousyScl Recommended CDE
2 NIH Toolbox Emotion Anger Hostility Short Form ages 18+ - Raw deal scale  Scale of participant reported truth of the statement: At times I feel I have gotten a raw deal out of life, for ages 18+ as part of the NIH Toolbox Emotion Anger Hostility Short Form ages 18+ NIHTBAHSF18RawDealScl Recommended CDE
3 NIH Toolbox Emotion Anger Hostility Short Form ages 18+ - Breaks scale  Scale of participant reported truth of the statement: Other people always seem to get the breaks, for ages 18+ as part of the NIH Toolbox Emotion Anger Hostility Short Form ages 18+ NIHTBAHSF18BreaksScl Recommended CDE
4 NIH Toolbox Emotion Anger Hostility Short Form ages 18+ - Bitter scale  Scale of participant reported truth of the statement: I wonder why sometimes I feel so bitter about things, for ages 18+ as part of the NIH Toolbox Emotion Anger Hostility Short Form ages 18+ NIHTBAHSF18BitterScl Recommended CDE
5 NIH Toolbox Emotion Anger Hostility Short Form ages 18+ - Laughing scale  Scale of participant reported truth of the statement: I sometimes feel that people are laughing at me behind my backs, for ages 18+ as part of the NIH Toolbox Emotion Anger Hostility Short Form ages 18+ NIHTBAHSF18LaughingScl Recommended CDE

NIH Toolbox Anger Hostility Survey SF 18-85 Scoring (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 NIH Toolbox Emotion Anger Hostility Short Form ages 18+ - Item count total number  Item count total number, as a part of the NIH Toolbox Emotion Anger Hostility Short Form ages 18+ NIHTBAHSF18ItemCountTotalNum Recommended CDE
2 NIH Toolbox Emotion Anger Hostility Short Form ages 18+ - Raw score  Raw score, as a part of the NIH Toolbox Emotion Anger Short Form ages 18+ NIHTBAHSF18RawScore Recommended CDE
3 NIH Toolbox Emotion Anger Hostility Short Form ages 18+ - Theta score  Theta score, as a part of the NIH Toolbox Emotion Anger Hostility Short Form ages 18+ NIHTBAHSF18ThetaScore Recommended CDE
4 NIH Toolbox - Standard error  Standard error (a statistical measure of variance that represents the margin of error for the Tscore), as part of the NIH Toolbox Web, Cat and iPad Cognition measures such as: Picture Vocabulary Test and Oral Reading Recognition Test. NIHTBStandardError Recommended CDE
5 NIH Toolbox Patient Reported Outcome (PRO) Measures - Age-adjusted scale score  Age-adjusted scale score, as part of the NIH Toolbox Patient Reported Outcome (PRO) Measures, including iPad app NIHTBPROAgeAdjSclScore Recommended CDE
6 NIH Toolbox Patient Reported Outcome (PRO) Measures - Age-adjusted national percentile value  Value of age-adjusted national percentile, as part of the NIH Toolbox Patient Reported Outcome (PRO) Measures, including iPad app NIHTBPROAgeAdjNationalPctVal Recommended CDE
7 NIH Toolbox Patient Reported Outcome (PRO) Measures - Fully-adjusted scale score  Fully-adjusted scale score, as part of the NIH Toolbox Patient Reported Outcome (PRO) Measures, including iPad app NIHTBPROFullyAdjSclScore Recommended CDE
8 NIH Toolbox Patient Reported Outcome (PRO) Measures - Unadjusted scale score  Unadjusted scale score, as part of the NIH Toolbox Patient Reported Outcome (PRO) Measures, including iPad app NIHTBPROUnadjSclScore Recommended CDE

iPad Scoring (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 NIH Toolbox Emotion Anger Hostility Short Form ages 18+ - Raw score  Raw score, as a part of the NIH Toolbox Emotion Anger Short Form ages 18+ NIHTBAHSF18RawScore Recommended CDE
2 NIH Toolbox Patient Reported Outcome (PRO) Measures - Unadjusted scale score  Unadjusted scale score, as part of the NIH Toolbox Patient Reported Outcome (PRO) Measures, including iPad app NIHTBPROUnadjSclScore Recommended CDE
3 NIH Toolbox Patient Reported Outcome (PRO) Measures - Age-adjusted scale score  Age-adjusted scale score, as part of the NIH Toolbox Patient Reported Outcome (PRO) Measures, including iPad app NIHTBPROAgeAdjSclScore Recommended CDE
4 NIH Toolbox Patient Reported Outcome (PRO) Measures - Fully-adjusted scale score  Fully-adjusted scale score, as part of the NIH Toolbox Patient Reported Outcome (PRO) Measures, including iPad app NIHTBPROFullyAdjSclScore Recommended CDE
5 NIH Toolbox Emotion Anger Hostility Short Form ages 18+ - Uncorrected T-Score (iPad) 

(Draft)

Uncorrected T-Score weighted and normally distributed against the U.S. Census for English speaking population, as part of NIH Toolbox Emotion Anger Hostility Short Form ages 18+, for iPad NIHTBAngerHost1885UncorTscore Recommended CDE
6 NIH Toolbox Patient Reported Outcome (PRO) Measures - Age-adjusted national percentile value  Value of age-adjusted national percentile, as part of the NIH Toolbox Patient Reported Outcome (PRO) Measures, including iPad app NIHTBPROAgeAdjNationalPctVal Recommended CDE
7 NIH Toolbox - Standard error  Standard error (a statistical measure of variance that represents the margin of error for the Tscore), as part of the NIH Toolbox Web, Cat and iPad Cognition measures such as: Picture Vocabulary Test and Oral Reading Recognition Test. NIHTBStandardError Recommended CDE
Keywords

Change History