Form Structure: PROMIS Bank v1.1 - Anger
This form structure is an organized set of data definitions for a copyrighted form
Title:
PROMIS Bank v1.1 - Anger
Short Name:
PROMISAnger
Description:
PROMIS - Anger Bank. This form should be used for any version of the PROMIS forms that are derived from this bank of questions including (but not limited to) the Anger v1.1 Item Bank Computer Adaptive Test (CAT) and Short Form (SF) 5a.
Disease:
General (For all diseases)
Traumatic Brain Injury
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2015-02-11
Version:
1.1
Date Created:
2015-01-12
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 | Visit date | Actual interview or visit date | VisitDate | Recommended | CDE |
| 5 | Site name | The name of the site for the study | SiteName | Recommended | CDE |
| 6 | Days since baseline | The number of days since baseline | DaysSinceBaseline | Optional | CDE |
| 7 | Case control indicator | Indicator of whether subject is in the case or control arm of the study. | CaseContrlInd | Optional | CDE |
| 8 | General notes text | General notes | GeneralNotesTxt | Optional | CDE |
Additional Element Groups
Listed below are your additional element groups.
In the past 7 days (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Patient-Reported Outcome Measurement Information System (PROMIS) - let frustration show past week scale | The scale which represents how often the participant let frustration show in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). | PROMISLetFrustrationShowScale | Optional | CDE |
| 2 | Patient-Reported Outcome Measurement Information System (PROMIS) - irritate more than people know past week scale | The scale which represents how often the participant was irritated more than people knew in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). | PROMISIrrtatdMorThnPplKnwScale | Optional | CDE |
| 3 | Patient-Reported Outcome Measurement Information System (PROMIS) - feel envy of others past week scale | The scale which represents how often the participant felt envious of others in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). | PROMISFeltEnviousOfOthsScale | Optional | CDE |
| 4 | Patient-Reported Outcome Measurement Information System (PROMIS) - disagree with people past week scale | The scale which represents how often the participant disagreed with people in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). | PROMISDisagreedWithPeopleScale | Optional | CDE |
| 5 | Patient-Reported Outcome Measurement Information System (PROMIS) - feel angry past week scale | The scale which represents how often the participant felt angry in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). | PROMISFeltAngryScale | Optional | CDE |
| 6 | Patient-Reported Outcome Measurement Information System (PROMIS) - silent treatment when mad at someone past week scale | The scale which represents how often the participant gave someone the silent treatment when mad at them in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). | PROMISSilentTrtmtnWhnMadScale | Optional | CDE |
| 7 | Patient-Reported Outcome Measurement Information System (PROMIS) - feel like break things past week scale | The scale which represents how often the participant felt like breaking things in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). | PROMISFltLikeBrkingThngsScale | Optional | CDE |
| 8 | Patient-Reported Outcome Measurement Information System (PROMIS) - feel ready explode past week scale | The scale which represents how often the participant felt ready to explode in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). | PROMISFeltReadyToExplodeScale | Optional | CDE |
| 9 | Patient-Reported Outcome Measurement Information System (PROMIS) - sulk when angry past week scale | The scale which represents how often the participant sulked when angry in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). | PROMISSulkedWhenAngryScale | Optional | CDE |
| 10 | Patient-Reported Outcome Measurement Information System (PROMIS) - resentful when not get way past week scale | The scale which represents how often the participant felt resentful when he/she didn't get his/her way in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). | PROMISFltResentfulNtGtWayScale | Optional | CDE |
| 11 | Patient-Reported Outcome Measurement Information System (PROMIS) - feel guilt about anger past week scale | The scale which represents how often the participant felt guilty about his/her anger in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). | PROMISFltGuiltyAboutAngerScale | Optional | CDE |
| 12 | Patient-Reported Outcome Measurement Information System (PROMIS) - feel bitter about thing past week scale | The scale which represents how often the participant felt bitter about things in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). | PROMISFeltBitterScale | Optional | CDE |
| 13 | Patient-Reported Outcome Measurement Information System (PROMIS) - feel people try anger self past week scale | The scale which represents how often the participant felt that people were trying to anger him in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). | PROMISFltPplTryngToAngerScale | Optional | CDE |
| 14 | Patient-Reported Outcome Measurement Information System (PROMIS) - hold grudge towards others past week scale | The scale which represents how often the participant held grudges towards others in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). | PROMISHeldGrudgesToOthersScale | Optional | CDE |
| 15 | Patient-Reported Outcome Measurement Information System (PROMIS) - grouchy past week scale | The scale which represents how often the participant was grouchy in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). | PROMISWasGrouchyScale | Optional | CDE |
| 16 | Patient-Reported Outcome Measurement Information System (PROMIS) - stubborn with others past week scale | The scale which represents how often the participant was stubborn with others in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). | PROMISWasStubbornWthOthrsScale | Optional | CDE |
| 17 | Patient-Reported Outcome Measurement Information System (PROMIS) - feel annoyed past week scale | The scale which represents how often the participant felt annoyed in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). | PROMISFeltAnnoyedScale | Optional | CDE |
| 18 | Patient-Reported Outcome Measurement Information System (PROMIS) - bad temper past week scale | The scale which represents how often the participant had a bad temper in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). | PROMISHadABadTemperScale | Optional | CDE |
| 19 | Patient-Reported Outcome Measurement Information System (PROMIS) - trouble control temper past week scale | The scale which represents how often the participant had trouble controlling his/her temper in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). | PROMISTroubleContrlTemperScale | Optional | CDE |
| 20 | Patient-Reported Outcome Measurement Information System (PROMIS) - feel need help anger past week scale | The scale which represents how often the participant felt like help was needed for his/her anger in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). | PROMISFltHlpNeededFrAngerScale | Optional | CDE |
| 21 | Patient-Reported Outcome Measurement Information System (PROMIS) - feel yell someone at past week scale | The scale which represents how often the participant felt like yelling at someone in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). | PROMISFltLkYllngAtSomeoneScale | Optional | CDE |
| 22 | Patient-Reported Outcome Measurement Information System (PROMIS) - irritating to be around people past week scale | The scale which represents how often just being around people was irritating for the participant in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). | PROMISIrrtatdAroundPeopleScale | Optional | CDE |
Scoring (Appears Exactly 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Patient-Reported Outcome Measure Information System (PROMIS) - form administered type | The specific PROMIS form type administered, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). | PROMISFormType | Required | CDE |
| 2 | Patient-Reported Outcome Measure Information System (PROMIS) - raw score | The participant's raw score on the PROMIS form, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). | PROMISRawScore | Optional | CDE |
| 3 | Patient-Reported Outcome Measure Information System (PROMIS) - items completed count | The count of items on the PROMIS form completed by the participant, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). | PROMISItemCompletedCount | Optional | CDE |
| 4 | Patient-Reported Outcome Measure Information System (PROMIS) - T-score value | The T-score value, a standardized score with a mean of 50 and standard deviation of 10 representing the rescaled raw score, as part of the Patient-Reported Outcome Measurement Information System. | PROMISTScore | Recommended | CDE |
| 5 | Patient-Reported Outcome Measure Information System (PROMIS) - Standard error | Standard error, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) | PROMISStandardError | Recommended | CDE |
| 6 | Patient-Reported Outcome Measure Information System (PROMIS) - theta value | The value of theta reported from the CAT PROMIS results, as part of the Patient-Reported Outcome Measurement Information System (PROMIS). | PROMISTheta | Optional | CDE |
Keywords
