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Form Structure: TBI-QOL Item Bank v1.0 - Anger - Short Form 10a

This form structure is an organized set of data definitions for a copyrighted form
Resource:
FITBIR
Title:
TBI-QOL Item Bank v1.0 - Anger - Short Form 10a
Short Name:
TBIQOLAnger
Description:
The TBI-QOL item pools for Anger was made up primarily of PROMIS items for Anger. There are 10 items included. Tulsky, D. S., Kisala, P. A., Victorson, D., Carlozzi, N., Bushnik, T., Sherer, M., & Englander, J. (2016). TBI-QOL: development and calibration of item banks to measure patient reported outcomes following traumatic brain injury.The Journal of head trauma rehabilitation, 31(1), 40. TBI-QOL Items Copyright 2015 David Tulsky and Kessler Foundation. All rights reserved. http://www.assessmentcenter.net/ Recommended by CDISC for TBI
Disease:
Traumatic Brain Injury
Organization:
FITBIR
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2016-09-30
Version:
1.1
Date Created:
2016-05-26
Owner:
Number of Data Elements:
26
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 Context type  The context to which the questions were answered ContextType Recommended CDE
2 Context type other text  The free-text related to ContextType specifying other text ContextTypeOTH Recommended CDE
3 Data source  Source of the data provided on the case report form DataSource Recommended CDE
4 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

TBI-QOL Anger (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 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 Recommended CDE
2 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 Recommended CDE
3 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 Recommended CDE
4 Traumatic Brain Injury-Quality of Life (TBI-QOL) - Stay angry for hours scale  The scale which represents how often the participant stayed angry for hours in the past 7 days, as part of TBI-QOL. TBIQOLStayAngryForHrsScl Recommended CDE
5 Traumatic Brain Injury-Quality of Life (TBI-QOL) - Angrier scale  The scale which represents how often the participant felt angrier than I thought I should in the past 7 days, as part of TBI-QOL. TBIQOLStayAngrierScl Recommended CDE
6 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 Recommended CDE
7 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 Recommended CDE
8 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 Recommended CDE
9 Traumatic Brain Injury-Quality of Life (TBI-QOL) - Verbally abusive scale  The scale which represents how often the participant became verbally abusive towards other people in the past 7 days, as part of Traumatic Brain Injury-Quality of Life (TBI-QOL). TBIQOLVerballyAbusiveScl Recommended CDE
10 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 Recommended CDE

TBI-QOL Anger- scoring (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Traumatic Brain Injury-Quality of Life (TBI-QOL) - Anger raw score  Raw score of anger, as part of TBI-QOL. TBIQOLAngerRawScore Recommended CDE
2 TBI Quality of Life (TBI-QOL) - Anger T-score  The T-Score related to verbal and non-verbal components of self-reported angry mood, negative social cognitions. TBIQOLAngerTScore Recommended CDE
3 TBI Quality of Life (TBI - QOL) - Standard error  Standard error (a statistical measure of variance that represents the margin of error for the T-score), as part of TBI-Quality of Life (TBI-QOL) measures TBIQOLStandardError Recommended CDE
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