Form Structure: Tinnitus Handicap Inventory
This form structure is an organized set of data definitions for a copyrighted form
Title:
Tinnitus Handicap Inventory
Short Name:
THI
Description:
Tinnitus Handicap Inventory (THI) is a self-reported measure, containing 25 questions. The beta version is the alpha version with the items grouped into functional, emotional, and catastrophic subscales. Newman, C. W., Sandridge, S. A., & Jacobson, G. P. (1998). Psychometric adequacy of the Tinnitus Handicap Inventory (THI) for evaluating treatment outcome. JOURNAL-AMERICAN ACADEMY OF AUDIOLOGY, 9, 153-160. Copyright EAR Audiology, Inc. https://www.earaudiology.com
Disease:
Traumatic Brain Injury
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Version:
1.0
Date Created:
2016-03-02
Owner:
Number of Data Elements:
43
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 | Recommended | 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 (Repeat Infinitely)
| # | 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 |
Tinnitus Handicap Inventory (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Tinnitus post-TBI assessment indicator | Patient's response concerning ringing, roaring, buzzing, etc. post-TBI for more than 5 minutes. | TinnitusPostTBIAssmtInd | Recommended | CDE |
| 2 | Tinnitus Handicap Inventory - concentrate scale | The indicator of having difficulty in concentration due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). | THIConcentrateInd | Recommended | CDE |
| 3 | Tinnitus Handicap Inventory - loudness scale | Theindicator of having difficulty in hearing people due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). | THILoudnessInd | Recommended | CDE |
| 4 | Tinnitus Handicap Inventory - angry scale | The indicator of being angry due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). | THIAngryInd | Recommended | CDE |
| 5 | Tinnitus Handicap Inventory - confused scale | The indicator of being confused due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). | THIConfusedInd | Recommended | CDE |
| 6 | Tinnitus Handicap Inventory -desparate scale | The indicator of being desparate due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). | THIDesparateInd | Recommended | UDE |
| 7 | Tinnitus Handicap Inventory -complain a great deal scale | The indicator of complaining a great deal about tinnitus, as part of the Tinnitus Handicap Inventory (THI). | THIComplainGreatDealInd | Recommended | UDE |
| 8 | Tinnitus Handicap Inventory - falling asleep scale | The indicator of having difficulty in falling asleep at night due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). | THIAsleepInd | Recommended | CDE |
| 9 | Tinnitus Handicap Inventory - cannot escape scale | The indicator of having difficulty in escaping from tinnitus, as part of the Tinnitus Handicap Inventory (THI). | THINotEscapeInd | Recommended | CDE |
| 10 | Tinnitus Handicap Inventory - social activities scale | The indicator of enjoyment of social activitiesthat has been interfered with tinnitus , as part of the Tinnitus Handicap Inventory (THI). | THISocialActivitiesInd | Recommended | CDE |
| 11 | Tinnitus Handicap Inventory -frustrated scale | The indicator of being frustrated due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). | THIFrustratedInd | Recommended | UDE |
| 12 | Tinnitus Handicap Inventory - terrible disease scale | The indicator of considering tinnitus as a terrible disease, as part of the Tinnitus Handicap Inventory (THI). | THITerribleDiseaseInd | Recommended | CDE |
| 13 | Tinnitus Handicap Inventory - enjoy life scale | The indicator of having difficulty in enjoying life due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). | THIEnjoyLifeInd | Recommended | CDE |
| 14 | Tinnitus Handicap Inventory - houseold responsibilities scale | The indicator of household responsibilities that have been interfered with tinnitus , as part of the Tinnitus Handicap Inventory (THI). | THIHhResponsibilitiesInd | Recommended | CDE |
| 15 | Tinnitus Handicap Inventory - irritable often scale | The indicator of being irritable often due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). | THIIrritableOftenInd | Recommended | CDE |
| 16 | Tinnitus Handicap Inventory - read scale | The indicator of having difficulty in reading due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). | THIReadInd | Recommended | CDE |
| 17 | Tinnitus Handicap Inventory -upset scale | The indicator of being upset due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). | THIUpsetInd | Recommended | UDE |
| 18 | Tinnitus Handicap Inventory -stress relationships scale | The indicator of feeling that tinnitus places stress on relationships with family and/or friends, as part of the Tinnitus Handicap Inventory (THI). | THIStressRelationshipsInd | Recommended | UDE |
| 19 | Tinnitus Handicap Inventory - focus away from tinnitus scale | The indicator of having difficulty in focusing the attention away from tinnitus and onto other things, as part of the Tinnitus Handicap Inventory (THI). | THIFocusAwayFromTinnitusInd | Recommended | CDE |
| 20 | Tinnitus Handicap Inventory - no control over tinnitus scale | The indicator of having difficulty in controlling over tinnitus, as part of the Tinnitus Handicap Inventory (THI). | THINoCtrlOverTinnitusInd | Recommended | CDE |
| 21 | Tinnitus Handicap Inventory -tired often scale | The indicator of feeling tired often due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). | THITiredOftenInd | Recommended | UDE |
| 22 | Tinnitus Handicap Inventory - depressed scale | The indicator of feeling depressed due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). | THIDepressedInd | Recommended | CDE |
| 23 | Tinnitus Handicap Inventory - anxious scale | The indicator of feeling anxious due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). | THIAnxiousInd | Recommended | CDE |
| 24 | Tinnitus Handicap Inventory - no longer cope with tinnitus scale | The indicator of feeling no longer coping with tinnitus, as part of the Tinnitus Handicap Inventory (THI). | THINoLongerCopeTinnitusInd | Recommended | CDE |
| 25 | Tinnitus Handicap Inventory - worse tinnitus under stress scale | The indicator showing that tinnitus gets worse when the subject is under stress, as part of the Tinnitus Handicap Inventory (THI). | THITinnitusWorseUnderStressInd | Recommended | CDE |
| 26 | Tinnitus Handicap Inventory - insecure scale | The indicator of feeling insecure due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). | THIInsecureInd | Recommended | CDE |
THI- Scoring (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Tinnitus Handicap Inventory - total score | TheTHI total score, as part of the Tinnitus Handicap Inventory (THI). | THITotalScore | Recommended | CDE |
| 2 | Tinnitus Handicap Inventory - functional subscale | TheTHI functional subscale, as part of the Tinnitus Handicap Inventory (THI). | THIFunctionalSubscale | Recommended | CDE |
| 3 | Tinnitus Handicap Inventory -emotional subscale | TheTHI emotional subscale, as part of the Tinnitus Handicap Inventory (THI). | THIEmotionalSubscale | Recommended | UDE |
| 4 | Tinnitus Handicap Inventory - catastrophic subscale | TheTHI catastrophic subscale, as part of the Tinnitus Handicap Inventory (THI). | THICatastrophicSubscale | Recommended | CDE |
Keywords
