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Form Structure: NIH Toolbox Emotion Domain Positive Affect Survey CAT Ages 13-17

This form structure is an organized set of data definitions for a copyrighted form
Title:
NIH Toolbox Emotion Domain Positive Affect Survey CAT Ages 13-17
Short Name:
NIHTBPositvAffectCAT13to17
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. 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:
2016-07-12
Owner:
Number of Data Elements:
70
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 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 CAT Ages 13 to 17 (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 NIH Toolbox Emotion Positive Affect - Cheerful scale  Scale of the particpant report of feeling cheerful in the past 7 days, as part of the NIH Toolbox Emotion Positive Affect CAT NIHTBPACATCheerfulScl Recommended CDE
2 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
3 NIH Toolbox Emotion Positive Affect - Relaxed scale  Scale of the particpant report of feeling relaxed in the past 7 days, as part of the NIH Toolbox Emotion Positive Affect CAT NIHTBPACATRelaxedScl Recommended CDE
4 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
5 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
6 NIH Toolbox Emotion Positive Affect - Happy scale  Scale of the particpant report of feeling happy in the past 7 days, as part of the NIH Toolbox Emotion Positive Affect CAT NIHTBPACATHappyScl Recommended CDE
7 NIH Toolbox Emotion Positive Affect CAT 13 to 17 - Active scale  Scale of participant report of activeness in the past 7 days, for ages 13 to 17 as part of the NIH Toolbox Emotion Battery Positive Affect CAT NIHTBPACAT13to17ActiveScl Recommended CDE
8 NIH Toolbox Emotion Positive Affect - Joyful scale  Scale of the particpant report of feeling joyful in the past 7 days, as part of the NIH Toolbox Emotion Positive Affect CAT NIHTBPACATJoyfulScl Recommended CDE
9 NIH Toolbox Emotion Positive Affect - Lively scale  Scale of the particpant report of feeling lively in the past 7 days, as part of the NIH Toolbox Emotion Positive Affect CAT NIHTBPACATLivelyScl Recommended CDE
10 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
11 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
12 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
13 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
14 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
15 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
16 NIH Toolbox Emotion Positive Affect - Laughed scale  Scale of the particpant report of smiling and laughing a lot in the past 7 days, as part of the NIH Toolbox Emotion Positive Affect CAT NIHTBPACATLaughedScl Recommended CDE
17 NIH Toolbox Emotion Positive Affect - Peaceful scale  Scale of the particpant report of feeling peaceful in the past 7 days, as part of the NIH Toolbox Emotion Positive Affect CAT NIHTBPACATPeacefulScl Recommended CDE
18 NIH Toolbox Emotion Positive Affect - Comfort scale  Scale of the particpant report of ability to reach down deep into themselves for comfort in the past 7 days, as part of the NIH Toolbox Emotion Positive Affect CAT NIHTBPACATComfortScl Recommended CDE
19 NIH Toolbox Emotion Positive Affect - Enjoy things scale  Scale of the particpant report of generally enjoying the things they did in the past 7 days, as part of the NIH Toolbox Emotion Positive Affect CAT NIHTBPACATEnjyThngsScl Recommended CDE
20 NIH Toolbox Emotion Positive Affect - Satisfied scale  Scale of the particpant report of feeling satisfied in the past 7 days, as part of the NIH Toolbox Emotion Positive Affect CAT NIHTBPACATSatisfiedScl Recommended CDE
21 NIH Toolbox Emotion Positive Affect - Good natured scale  Scale of the particpant report of feeling good-natured in the past 7 days, as part of the NIH Toolbox Emotion Positive Affect CAT NIHTBPACATGoodNtrdScl Recommended CDE
22 NIH Toolbox Emotion Positive Affect - Content scale  Scale of the particpant report of feeling content in the past 7 days, as part of the NIH Toolbox Emotion Positive Affect CAT NIHTBPACATContentScl Recommended CDE
23 NIH Toolbox Emotion Positive Affect CAT 13 to 17 - Alert scale  Scale of participant report of feeling alert in the past 7 days, for ages 13 to 17 as part of the NIH Toolbox Emotion Battery Positive Affect CAT NIHTBPACAT13to17AlertScl Recommended CDE
24 NIH Toolbox Emotion Positive Affect CAT 13 to 17 - Energy scale  Scale of participant report of feeling they had energy to spare in the past 7 days, for ages 13 to 17 as part of the NIH Toolbox Emotion Battery Positive Affect CAT NIHTBPACAT13to17EnergyScl Recommended CDE
25 NIH Toolbox Emotion Positive Affect CAT 13 to 17 - Clear-headed scale  Scale of participant report of feeling clear-headed in the past 7 days, for ages 13 to 17 as part of the NIH Toolbox Emotion Battery Positive Affect CAT NIHTBPACAT13to17ClearHeadedScl Recommended CDE
26 NIH Toolbox Emotion Positive Affect CAT 13 to 17 - Proud scale  Scale of participant report of feeling proud in the past 7 days, for ages 13 to 17 as part of the NIH Toolbox Emotion Battery Positive Affect CAT NIHTBPACAT13to17ProudScl Recommended CDE
27 NIH Toolbox Emotion Positive Affect CAT 13 to 17 Determined scale  Scale of participant report of feeling determined in the past 7 days, for ages 13 to 17 as part of the NIH Toolbox Emotion Battery Positive Affect CAT NIHTBPACAT13to17DeterminedScl Recommended CDE
28 NIH Toolbox Emotion Positive Affect CAT 13 to 17 - Creative scale  Scale of participant report of thinking creatively in the past 7 days, for ages 13 to 17 as part of the NIH Toolbox Emotion Battery Positive Affect CAT NIHTBPACAT13to17CreativeScl Recommended CDE
29 NIH Toolbox Emotion Positive Affect CAT 13 to 17 - Liked myself scale  Scale of participant report of liking myself in the past 7 days, for ages 13 to 17 as part of the NIH Toolbox Emotion Battery Positive Affect CAT NIHTBPACAT13to17LikedMyselfScl Recommended CDE
30 NIH Toolbox Emotion Positive Affect CAT 13 to 17 Future scale  Scale of participant report of the future looking good in the past 7 days, for ages 13 to 17 as part of the NIH Toolbox Emotion Battery Positive Affect CAT NIHTBPACAT13to17FutureScl Recommended CDE
31 NIH Toolbox Emotion Positive Affect CAT 13 to 17 - Harmony scale  Scale of participant report of having a sense of harmony within themselves in the past 7 days, for ages 13 to 17 as part of the NIH Toolbox Emotion Battery Positive Affect CAT NIHTBPACAT13to17HarmonyScl Recommended CDE
32 NIH Toolbox Emotion Positive Affect CAT 13 to 17 - Lighthearted scale  Scale of participant report of feeling lighthearted in the past 7 days, for ages 13 to 17 as part of the NIH Toolbox Emotion Battery Positive Affect CAT NIHTBPACAT13to17LighthrtedScl Recommended CDE
33 NIH Toolbox Emotion Positive Affect CAT 13 to 17 Useful scale  Scale of participant report of feeling useful in the past 7 days, for ages 13 to 17 as part of the NIH Toolbox Emotion Battery Positive Affect CAT NIHTBPACAT13to17UsefulScl Recommended CDE
34 NIH Toolbox Emotion Positive Affect CAT 13 to 17 - Optimistic scale  Scale of participant report of feeling optimistic in the past 7 days, for ages 13 to 17 as part of the NIH Toolbox Emotion Battery Positive Affect CAT NIHTBPACAT13to17OptimisticScl Recommended CDE
35 NIH Toolbox Emotion Positive Affect CAT 13 to 17 - Interested in others scale  Scale of participant report of feeling interested in others in the past 7 days, for ages 13 to 17 as part of the NIH Toolbox Emotion Battery Positive Affect CAT NIHTBPACAT13to17IntrstdOthrScl Recommended CDE
36 NIH Toolbox Emotion Positive Affect CAT 13 to 17 Understood scale  Scale of participant report of feeling understood in the past 7 days, for ages 13 to 17 as part of the NIH Toolbox Emotion Battery Positive Affect CAT NIHTBPACAT13to17UnderstoodScl Recommended CDE
37 NIH Toolbox Emotion Positive Affect CAT 13 to 17 - Grateful scale  Scale of participant report of feeling grateful in the past 7 days, for ages 13 to 17 as part of the NIH Toolbox Emotion Battery Positive Affect CAT NIHTBPACAT13to17GratefulScl Recommended CDE
38 NIH Toolbox Emotion Positive Affect - Inspired scale  Scale of the particpant report of feeling inspired in the past 7 days, as part of the NIH Toolbox Emotion Positive Affect CAT NIHTBPACATInspiredScl Recommended CDE
39 NIH Toolbox Emotion Positive Affect - Excited scale  Scale of the particpant report of feeling excited in the past 7 days, as part of the NIH Toolbox Emotion Positive Affect CAT NIHTBPACATExcitedScl Recommended CDE

NIH Toolbox Positive Affect CAT 13-17 Scoring (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 NIH Toolbox Emotion Positive Affect CAT 13 to 17 - Raw score  Raw score, in the past 7 days, for ages 13 to 17 as part of the NIH Toolbox Emotion Battery Positive Affect CAT NIHTBPACAT13to17RawScore Recommended CDE
2 NIH Toolbox Emotion Positive Affect CAT 13 to 17 - Theta score  Theta score, in the past 7 days, for ages 13 to 17 as part of the NIH Toolbox Emotion Battery Positive Affect CAT NIHTBPACAT13to17ThetaScore 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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