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Form Structure: NIH Toolbox Emotion Domain General Life Satisfaction Survey Short Form Ages 8-12

This form structure is an organized set of data definitions for a copyrighted form
Title:
NIH Toolbox Emotion Domain General Life Satisfaction Survey Short Form Ages 8-12
Short Name:
NIHTBGenrlLifStsfSF8to12
Description:
This self-report measure assesses global feelings and attitudes about one's life. A CAT is used for adults, a CAT version is used for ages 13-17, and a 5-item fixed-length form is used for ages 8-12, as well as for the parent-report version with ages 3-12. In addition, fixed-length self-report forms are available for ages 13-17 and 18-85 as supplemental measures. Copyright 2012 Northwestern University and the National Institutes of Health. http://www.nihtoolbox.org/Pages/NIH-Toolbox-Terms-and-Conditions.aspx
Disease:
General (For all diseases) Traumatic Brain Injury
Organization:
NIH/CIT/DCB
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Version:
1.0
Date Created:
2016-07-18
Owner:
Number of Data Elements:
36
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.

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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 administration language type  Type of language for test being administrated, as part of the NIH Toolbox NIHTBTestAdminLanguageTyp Recommended CDE
5 NIH Toolbox - Test name type other  The free-text related to NIHTBAdminTestNameTyp specifying other text, as part of the NIH Toolbox NIHTBAdminTestNameTypOTH 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 indicator  Indicator of a flag for the NIH Toolbox test being administered, as part of the NIH Toolbox NIHTBAdminTestFlagInd Recommended CDE
9 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

NIH Toolbox General Life Satisfaction SF 8-12 (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 NIH Toolbox Emotion General Life Satisfaction CAT - Well scale  Scale of participant report of the statement: My life is going well, as part of the NIH Toolbox Emotion General Life Satisifaction Survey NIHTBGLSCATWellScl Recommended CDE
2 NIH Toolbox Emotion General Life Satisfaction CAT - Right scale  Scale of participant report of the statement: My life is just right, as part of the NIH Toolbox Emotion General Life Satsifaction CAT NIHTBGLSCATRightScl Recommended CDE
3 NIH Toolbox Emotion General Life Satisfaction - Different scale  Scale of participant report of agreement to the statement: I wish I had a different kind of life, as part of the NIH Toolbox Emotion General Life Satsifaction NIHTBGLSDifferentScl Recommended CDE
4 NIH Toolbox Emotion General Life Satisfaction CAT - Good scale  Scale of participant report of the statement: I have a good life, as part of the NIH Toolbox Emotion General Life Satsifaction CAT NIHTBGLSCATGoodScl Recommended CDE
5 NIH Toolbox Emotion General Life Satisfaction CAT - Want scale  Scale of participant report of the statement: I have what I want in life, as part of the NIH Toolbox Emotion General Life Satsifaction CAT NIHTBGLSCATWantScl Recommended CDE

NIH Toolbox General Life Satisfaction SF 8-12 Scoring (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 NIH Toolbox Emotion General Life Satisfaction Short Form 8 to 12 - Raw score  Raw score, for ages 8 to 12 as part of the NIH Toolbox Emotion General Life Satsifaction Short Form NIHTBGLSSF8to12RawScore Recommended CDE
2 NIH Toolbox Emotion General Life Satisfaction Short Form 8 to 12 - Theta score  Theta score, for ages 8 to 12 as part of the NIH Toolbox Emotion General Life Satsifaction Short Form NIHTBGLSSF8to12ThetaScore 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 - 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
5 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
6 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
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 Optional CDE
Keywords

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