Form Structure: NIH Toolbox Sensation Domain Vision-Related Quality of Life Survey (Supplementary Measure)
This form structure is an organized set of data definitions for a copyrighted form
Resource:
FITBIR
Title:
NIH Toolbox Sensation Domain Vision-Related Quality of Life Survey (Supplementary Measure)
Short Name:
NIHTBVisionRelatdQOLSurvey
Description:
The NIH Toolbox Vision-Related Quality of Life Survey assesses an individual?s self-reported quality of life related to visual function in six different areas: color vision, distance vision, near vision, ocular symptoms, psycho-social, and role performance. The participant responds to 53 questions, most of which start with, How much,To what extent, or How much of a problem, choosing from a list of answer options ranging from Not difficult at all,to Very difficult. This survey is recommended for ages 18-85 and takes approximately 10 minutes to complete. 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:
FITBIR
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Version:
1.0
Date Created:
2016-06-10
Owner:
Number of Data Elements:
88
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 Administration (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | NIH Toolbox - Test administration language type | Type of language for test being administrated, as part of the NIH Toolbox | NIHTBTestAdminLanguageTyp | Recommended | CDE |
| 2 | NIH Toolbox - Test administration language type other | Free-text related to NIHTBTestAdminLanguageTyp specifying other text, as part of the NIH Toolbox | NIHTBTestAdminLanguageTypOTH | 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 flag type | Type of flag for the NIH Toolbox test being administered, as part of the NIH Toolbox | NIHTBAdminTestFlagTyp | Recommended | CDE |
| 6 | 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 |
| 7 | NIH Toolbox - Form administered type | Type of NIH Toolbox form being administered, as part of the NIH Toolbox | NIHTBFormAdminTyp | Recommended | CDE |
NIH Toolbox Vision-Related Quality of Life (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty matching colors of clothes scale | Scale for difficulty matching the colors of their clothes because of their eyesight, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffMatchClrClothScl | Recommended | CDE |
| 2 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty recognizing colors scale | Scale for difficulty recognizing colors because of their eyesight, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffRecogColorScl | Recommended | CDE |
| 3 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty distinguishing between colors scale | Scale for difficulty distinguishing between colors because of their eyesight, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffDistngshColorScl | Recommended | CDE |
| 4 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty seeing in bright sunlight scale | Scale for difficulty seeing in bright sunlight, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffSeeBrightLghtScl | Recommended | CDE |
| 5 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty seeing in fluorescent lighting scale | Scale for difficulty seeing in fluorescent lighting such as in stores and offices, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffSeeFluorescntScl | Recommended | CDE |
| 6 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty seeing at night scale | Scale for difficulty seeing at night, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffSeeNightScl | Recommended | CDE |
| 7 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty seeing street signs at night in a car scale | Scale for difficulty seeing street signs at night when in a car, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffSeeSgnNghtCarScl | Recommended | CDE |
| 8 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty going from light to dark place scale | Scale for difficulty seeing when going from a lighted area into a dark place, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffSeeLghtDrkPlcScl | Recommended | CDE |
| 9 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty reading in the dark scale | Scale for difficulty reading in dim light because of their eyesight, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffReadDimLightScl | Recommended | CDE |
| 10 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty going up stairs scale | Scale for difficulty going up or down steps, stairs, or curbs because of their eyesight, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffGoUpStairsScl | Recommended | CDE |
| 11 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty moving outside scale | Scale for difficulty getting around outdoors because of their eyesight, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffMoveOutsideScl | Recommended | CDE |
| 12 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty seeing moving objects scale | Scale for difficulty seeing moving objects, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffSeeMovObjctScl | Recommended | CDE |
| 13 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty seeing street signs scale | Scale for difficulty seeing street signs, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffSeeSignScl | Recommended | CDE |
| 14 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty seeing television scale | Scale for difficulty seeing television because of their eyesight, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffSeeTVScl | Recommended | CDE |
| 15 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty driving at night scale | Scale for difficulty driving at night because of their eyesight, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffDriveAtNightScl | Recommended | CDE |
| 16 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty to drive because of headlight glare scale | Scale for difficulty driving due to glar from oncoming headlights because of their eyesight, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffDrivGlarHdlgtScl | Recommended | CDE |
| 17 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty to recognize people across the room scale | Scale for difficulty recognizing people from across a room because of their eyesight, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffRecgPplAcrsRmScl | Recommended | CDE |
| 18 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Eyesight for seeing thing at a distance rating scale | Scale for eyesight rating for seeing things at a distance, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLEyesghtDistanceRtScl | Recommended | CDE |
| 19 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty seeing at a distance during the day scale | Scale for difficulty seeing things at a distance during the day, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffSeeDistancDayScl | Recommended | CDE |
| 20 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty seeing at a distance during the night scale | Scale for difficulty seeing things at a distance during the nighttime, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffSeeDistncNghtScl | Recommended | CDE |
| 21 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Eyesight for seeing things up close rating scale | Scale for eyesight rating for seeing things up close, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLEyesghtThgsClosRtScl | Recommended | CDE |
| 22 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty seeing up close during the day scale | Scale for difficulty seeing things up close during the day, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffSeeThgClosDayScl | Recommended | CDE |
| 23 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty seeing up close during the night scale | Scale for difficulty seeing things up close during the nighttime, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffSeeThgClosNgtScl | Recommended | CDE |
| 24 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty reading a book scale | Scale for difficulty reading a newspaper or book because of their eyesight, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffReadBookScl | Recommended | CDE |
| 25 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty finding items on a crowded shelf scale | Scale for difficulty finding an item on a crowded shelf because of their eyesight, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffFndItmCrdShlfScl | Recommended | CDE |
| 26 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty seeing a sign among other signs scale | Scale for difficulty seeing a sign when there are other signs around it, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffSeeSgnOthrSgnScl | Recommended | CDE |
| 27 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty reading small print scale | Scale for difficulty reading small print on medicine bottles, telephone books, legal forms, or bills received in the mail because of their eyesight, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffReadSmalPrintScl | Recommended | CDE |
| 28 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty using a computer scale | Scale for difficulty using a computer because of their eyesight, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffUseComputerScl | Recommended | CDE |
| 29 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty operating household appliances scale | Scale for difficulty operating a household appliance like a microwave, washing machine, or toaster oven because of their eyesight, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffOpHousApliancScl | Recommended | CDE |
| 30 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty writing scale | Scale for difficulty writing because of their eyesight, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffWriteScl | Recommended | CDE |
| 31 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty doing work that requires seeing up close scale | Scale for because of their eyesight, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffWrkReqSeeClosScl | Recommended | CDE |
| 32 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty recognizing people when close scale | Scale for difficulty recognizing people when they are standing or sitting close because of their eyesight, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffRecogPplSitNrScl | Recommended | CDE |
| 33 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Problem with glare from bright lights scale | Scale for having a problem with glare from bright lights in the last 7 days, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLProbGlarBrightLgtScl | Recommended | CDE |
| 34 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Problem with burning or stinging eyes scale | Scale for having a problem with burning or stinging eyes in the last 7 days, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLProbBurnStingEyeScl | Recommended | CDE |
| 35 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Problem with redness in eyes scale | Scale for having a problem with redness in their eyes in the last 7 days, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLProbRedEyeScl | Recommended | CDE |
| 36 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Problem with headaches because of vision scale | Scale for having a problem with headaches because of their vision, or because of their glasses or contact lenses in the last 7 days, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLProbHeadachVisionScl | Recommended | CDE |
| 37 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Problem with eyes being sensitive to light scale | Scale for having a problem with their eyes being sensitive to light in the last 7 days, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLProbEyeSenstvLghtScl | Recommended | CDE |
| 38 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Problem with blurry vision scale | Scale for having a problem with blurry vsion in the last 7 days, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLProbBlurryVisionScl | Recommended | CDE |
| 39 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Problem with itching in or around eyes scale | Scale for having a problem with itching in or around their eyes in the last 7 days, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLProbItchEyeScl | Recommended | CDE |
| 40 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Felt frustrated or upset scale | Scale for feeling frustrated or upset because of their eyesight in the last 7 days, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLFrustratedUpsetScl | Recommended | CDE |
| 41 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Felt annoyed or angry scale | Scale for feeling annoyed or angry because of their eyesight in the last 7 days, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLAngryAnnoyedScl | Recommended | CDE |
| 42 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Felt like a burden on others scale | Scale for feeling like a burden on others because of their eyesight in the last 7 days, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLFeelLikeBurdnOthrScl | Recommended | CDE |
| 43 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Felt sad or depressed scale | Scale for feeling sad or depressed because of their eyesight in the last 7 days, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLFeelSadDepressedScl | Recommended | CDE |
| 44 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Felt socially isolated scale | Scale for feeling socially isolated because of their eyesight in the last 7 days, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLFeelSociaIyIsolatScl | Recommended | CDE |
| 45 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Felt worried about safety at home scale | Scale for feeling concerned or worried about safety at home because of their eyesight in the last 7 days, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLWorrySafetyAtHomScl | Recommended | CDE |
| 46 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Worried about eyesight scale | Scale for feeling worried about their eyesight in the last 7 days, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLWorriedAbtEyesghtScl | Recommended | CDE |
| 47 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Rely on other people to do things scale | Scale for how much they have to rely on other people to do things because of their eyesight, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLRelyOthrPplDoThngScl | Recommended | CDE |
| 48 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty visiting family scale | Scale for difficulty visiting with friends or family because of their eyesight, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffVisitFamilyScl | Recommended | CDE |
| 49 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty doing daily activities scale | Scale for being limited in doing daily activities because of their eyesight, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffDoDailyActScl | Recommended | CDE |
| 50 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty doing daily activities inside or outside scale | Scale for being limited in doing daily work whether inside or outside the house because of their eyesight, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffDailyActInOutScl | Recommended | CDE |
| 51 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Accomplish less than wanted scale | Scale for accomplishing less than they would like because of their eyesight, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLAcompLessThnWantScl | Recommended | CDE |
| 52 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Difficulty working for long scale | Scale for being limited in how long they can work or do other activities because of their eyesight, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDiffWorkLongScl | Recommended | CDE |
| 53 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Requiring help from others with work scale | Scale for amount of help required from others with work or other activities because of their eyesight, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLReqHlpFrmOthrWorkScl | Recommended | CDE |
NIH Toolbox Vision-Related QoL Scoring (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Color vision theta score | Color vision theta score, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLColorVisionThetaScore | Recommended | CDE |
| 2 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Color vision t-score | Color vision t-score, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLColorVisionTScore | Recommended | CDE |
| 3 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Distance vision theta score | Distance vision theta score, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDistnVisionThetaScore | Recommended | CDE |
| 4 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Distance vision t-score | Distance vision t-score, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLDistncVisionTScore | Recommended | CDE |
| 5 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Psycho-social theta score | Psycho-social theta score, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLPsychoSocilThetaScore | Recommended | CDE |
| 6 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Psycho-social t-score | Psycho-social t-score, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLPsychoSocilTScore | Recommended | CDE |
| 7 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Ocular symptoms theta score | Ocular symptoms theta score, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLOculrSymptmThetaScore | Recommended | CDE |
| 8 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Ocular symptoms t-score | Ocular symptoms t-score, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLOculrSymptmTScore | Recommended | CDE |
| 9 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Role performance theta score | Role performance theta score, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLRolePerfrmThetaScore | Recommended | CDE |
| 10 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Role performance t-score | Role performance t-score, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLRolePerfrmTScore | Recommended | CDE |
| 11 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Near vision theta score | Near vision theta score, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLNearVisonThetaScore | Recommended | CDE |
| 12 | NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey - Near vision t-score | Near vision t-score, as part of the NIH Toolbox Sensation Domain Vision Measure Vision-Related Quality of Life Survey | NIHTBVRQLNearVisonTScore | Recommended | CDE |
| 13 | 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
