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
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.
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 |
Keywords
