Form Structure: TBI-QOL Item Bank v1.0 - Positive Affect and Well-Being - Short Form 9a
This form structure is an organized set of data definitions for a copyrighted form
Title:
TBI-QOL Item Bank v1.0 - Positive Affect and Well-Being - Short Form 9a
Short Name:
TBIQOLPostvAffect
Description:
TBI-QOL Item Bank v1.0 - Positive Affect and Well-Being - Short Form 9a. 9 items are 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:
NIH/CIT/BRICS
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Version:
1.0
Date Created:
2016-05-26
Owner:
Number of Data Elements:
27
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 |
TBI-QOL Positive effect and well-being (Appears Up To 1 Time)
# | Title | Short Description | Variable Name | Required? | Type |
---|---|---|---|---|---|
1 | TBI Quality of Life (TBI-QOL) - Felt hopeful scale | The scale representing how often the participant felt hopeful lately, as part of Traumatic Brain Injury-Quality of Life (TBI-QOL). | TBIQOLFeltHopflScl | Recommended | CDE |
2 | TBI Quality of Life (TBI-QOL) - Sense of well being scale | The scale representing how often the participant had a sense of well-being lately, as part of Traumatic Brain Injury-Quality of Life (TBI-QOL). | TBIQOLSnsOfWellbeingScl | Recommended | CDE |
3 | TBI Quality of Life (TBI-QOL) - Satisfying life scale | The scale which represents how often the participant's life was satisfying lately, as part of Traumatic Brain Injury-Quality of Life (TBI-QOL). | TBIQOLSastisLfScl | Recommended | CDE |
4 | TBI Quality of Life (TBI-QOL) - Sense of balance scale | The scale which represents how often the participant had a sense of balance in his/her life lately, as part of Traumatic Brain Injury-Quality of Life (TBI-QOL). | TBIQOLSnsOfBalanceScl | Recommended | CDE |
5 | TBI Quality of Life (TBI-QOL) - Meaningful life scale | The scale which represents how often the participant felt his/her life was meaningful lately, as part of Traumatic Brain Injury-Quality of Life (TBI-QOL). | TBIQOLMeaningflLfScl | Recommended | CDE |
6 | TBI Quality of Life (TBI-QOL) - Worth living scale | The scale which represents how often the participant felt that his/her life was worth living lately, as part of Traumatic Brain Injury-Quality of Life (TBI-QOL). | TBIQOLWorthLivingScl | Recommended | CDE |
7 | TBI Quality of Life (TBI-QOL) - Purposeful life scale | The scale which represents how often the participant felt his/her life had purpose lately, as part of Traumatic Brain Injury-Quality of Life (TBI-QOL). | TBIQOLPurposefulLfScl | Recommended | CDE |
8 | TBI Quality of Life (TBI-QOL) - Positive future scale | The scale which represents how often the participant thought positively about his/her future lately, as part of Traumatic Brain Injury-Quality of Life (TBI-QOL). | TBIQOLPostvFutureScl | Recommended | CDE |
9 | TBI Quality of Life (TBI-QOL) - Proud of overcoming everything scale | The scale which represents how often the participant was proud of everything that he/she has overcome lately, as part of Traumatic Brain Injury-Quality of Life (TBI-QOL). | TBIQOLPrdOfOvrcmEvrythingScl | Recommended | CDE |
TBI-QOL Positive affect and well-being- scoring (Appears Up To 1 Time)
# | Title | Short Description | Variable Name | Required? | Type |
---|---|---|---|---|---|
1 | TBI Quality of Life (TBI-QOL) - Positive affect raw score | The raw score related to aspects of one�s life that relate to a sense of well-being, life satisfaction or an overall sense of purpose and meaning, as part of the TBI Quality of Life (TBI-QOL). | TBIQOLPostvAffectRawScore | Recommended | CDE |
2 | TBI Quality of Life (TBI-QOL) - Positive affect T-score | The T score related to aspects of one�s life that relate to a sense of well-being, life satisfaction or an overall sense of purpose and meaning, as part of the TBI Quality of Life (TBI-QOL). | TBIQOLPostvAffectTScore | 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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