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 Positive Affect Survey Short Form Ages 8-12
Short Name:
NIHTBPositiveAffectSF8to12
Description:
The NIH Toolbox Positive Affect Survey is a self-report measure that assesses both activated(i.e., happiness, joy) as well as unactivated (i.e., serenity, peace) aspects of Positive Affect. Computer-adaptive testing versions are used for ages 13-17 and 18-85; a 12-item fixed-length form is used for ages 8-12, and a computer-adaptive test is used for the Parent-Report version with ages 3-7. In addition, fixed-length forms are available for ages 18-85 Self-Report and ages 3-12 Parent-Report, 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:
2016-07-13
Owner:
Number of Data Elements:
40
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 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 Positive Affect Survey Short Form 8 to 12 (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 NIH Toolbox Emotion Positive Affect - Attentive scale  Scale of the particpant report of feeling attentive in the past 7 day,as part of the NIH Toolbox Emotion Positive Affect CAT NIHTBPACATAttentiveScl Recommended CDE
2 NIH Toolbox Emotion Positive Affect - Delighted scale  Scale of the particpant report of feeling delighted in the past 7 days, as part of the NIH Toolbox Emotion Positive Affect CAT NIHTBPACATDelightedScl Recommended CDE
3 NIH Toolbox Emotion Positive Affect CAT - Calm scale  Scale of participant report of calmness in the past 7 days, as part of the NIH Toolbox Emotion Battery Positive Affect CAT NIHTBPACATCalmScl Recommended CDE
4 NIH Toolbox Emotion Positive Affect - Ease scale  Scale of the particpant report of feeling at ease in the past 7 days , as part of the NIH Toolbox Emotion Positive Affect CAT NIHTBPACATEaseScl Recommended CDE
5 NIH Toolbox Emotion Positive Affect - Enthusiastic scale  Scale of the particpant report of feeling enthusiastic in the past 7 days, as part of the NIH Toolbox Emotion Positive Affect CAT NIHTBPACATEnthusiasticScl Recommended CDE
6 NIH Toolbox Emotion Positive Affect - Interested scale  Scale of the particpant report of feeling interested in the past 7 days, as part of the NIH Toolbox Emotion Positive Affect CAT NIHTBPACATInterestedScl Recommended CDE
7 NIH Toolbox Emotion Positive Affect - Confident scale  Scale of the particpant report of feeling confident in the past 7 days,as part of the NIH Toolbox Emotion Positive Affect CAT NIHTBPACATConfidentScl Recommended CDE
8 NIH Toolbox Emotion Positive Affect CAT - Energetic scale  Scale of participant report of energy in the past 7 days, as part of the NIH Toolbox Emotion Battery Positive Affect CAT NIHTBPACATEnergeticScl Recommended CDE
9 NIH Toolbox Emotion Positive Affect - Concentrate scale  Scale of the particpant report of feeling able to concentrate in the past 7 days,as part of the NIH Toolbox Emotion Positive Affect CAT NIHTBPACATConcentrateScl Recommended CDE

NIH Toolbox Positive Affect Short Form 8 to 12 Scoring (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 NIH Toolbox Emotion Positive Affect Short Form 8 to 12 - Raw score  Raw score, in the past 7 days, for ages 8-12, as part of the NIH Toolbox Emotion Positive Affect Short Form NIHTBPASF8to12RawScore Recommended CDE
2 NIH Toolbox Emotion Positive Affect Short Form 8 to 12 - Theta score  Theta score, in the past 7 days, for ages 8-12, as part of the NIH Toolbox Emotion Positive Affect Short Form NIHTBPASF8to12ThetaScore 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

Change History