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NIMH Data Archive
NDA ABCD CCF OAI NIAAADA AMP SCZ HEAL

Substance Use Recency Questionnaire

461 Shared Subjects

N/A
Clinical Assessments
Addiction
01/22/2015
surq01
12/29/2022
View Change History
01
Definition
Submission Template
Query Element Name Data Type Size Required Description Value Range Notes Aliases
subjectkey GUID Required The NDAR Global Unique Identifier (GUID) for research subject NDAR*
src_subject_id String 20 Required Subject ID how it's defined in lab/project id
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY
interview_age Integer Required Age in months at the time of the interview/test/sampling/imaging. 0::1440 Age is rounded to chronological month. If the research participant is 15-days-old at time of interview, the appropriate value would be 0 months. If the participant is 16-days-old, the value would be 1 month. testagey
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported gender, sexmf
Query days_baseline Integer Recommended Days since baseline daysurq
Query assbdic String 5 Recommended Assessment Point D;14;E;24;LB;36;72;96;120; 9; B; 3; 7; 144; 168;192; C D=MTA baseline assessment; 14=MTA 14 month assessment; E=MTA early termination assessment; B = MTA Pre-Baseline Screening Assessment (579/579); 09 = MTA 9 Month Assessment (530/530); 24=MTA 24 month assessment; LB=LNCG baseline assessment; 36=MTA and LNCG 3 year assessment; 72=MTA and LNCG 6 year assessment; 96=MTA and LNCG 8 year assessment; 03 = MTA 3 Month Assessment (438/687);120=MTA and LNCG 10 year assessment; 7= 7th Grade Assessment (221/276); 144 = MTA & LNCG 12 Month Assessment (578/578); 168 = MTA & LNCG 14 Month Assessment (585/585); 192 = MTA & LNCG 16 Month Assessment (505/505); C = MTA Pre-Baseline Screening Assessment (78/78) assneuro
Query relationship Integer Recommended Relationship of respondent to individual
1::94;-999
1 = Biological mom; 2 = Biological dad; 3 = Grandparent; 4 = Special education (sped) teacher; 5 = General education teacher; 6 = Occupational therapist; 7 = Speech and language therapist; 8 = Behavioral therapist; 9 = Paraprofessional; 10 = Aide; 11 = Principal; 12 = Administrator; 14 = Content teacher; 15 = Parent center director; 16 = Self; 17=Adoptive mother; 18=Adoptive father; 19=Foster mother; 20 = Foster father; 21=Grandmother; 22=Grandfather; 23=Step-mother; 24 = Step-father; 25=Aunt; 26=Uncle; 28=Both parents;31= Grandmother from mother side; 32= Grandfather from mother side; 33= Grandmother from father side; 34= Grandfather from father side; 36= Brother; 37= Sister; 38= Cousin; 39= female caregiver; 40=male caregiver; 41=Female child; 42=Male child; 43=Spouse/Mate; 44=Friend; 45=Parent; 46=Significant other; 47=Sibling; 48=Son/Daughter; 49=Son-in-law/Daughter-in law; 50=Other Relative; 51=Paid caregiver; 52=Friends; 53=Roommate; 54=Supervisor; 55=mother's boyfriend; 56=other parental figure; 57=Summary; 58=counselor ; 59 = other female relative; 60 = other male relative; 61 = non-relative ; 62=Maternal Aunt; 63=Maternal Uncle; 64=Maternal Cousin; 65 = Paternal Aunt; 66=Paternal Uncle; 67=Paternal Cousin ; 68=Biological/Adoptive Mother and Grandmother; 69=Biological/Adoptive Mother and Stepmother and Grandmother; 70=Biological/Adoptive Mother and Grandmother and Foster Father; 71=Biological/Adoptive Mother and Stepmother and Foster Mother; 72=Biological/Adoptive Mother and Foster Mother; 73=Biological/Adoptive Mother and Biological/Adoptive Father; 74=Biological/Adoptive Mother and Stepmother and Biological/Adoptive Father; 75=Biological/Adoptive Mother and Other; 76=Biological/Adoptive Mother and Stepmother and Stepfather; 77=Biological/Adoptive Mother and Stepfather; 78=Biological/Adoptive Mother and Grandfather; 79=Biological/Adoptive Mother and Stepmother and Foster Father; 80=Biological/Adoptive Mother and Stepmother; 81=Guardian, female; 82=Other female; 83=Guardian, male; 84=Other male; 85=Other/Grandparent/Nanny; 86 = Mother, Father, Guardian; 87 = Daughter, son, grandchild; 88 = Professional (e.g., social worker, nurse, therapist, psychiatrist, or group home staff); -999=Missing; 89 = Biological parent; 90=Other; 91 = Stepparent; 92 = Adoptive parent; 93 = Foster parent; 94 = Co-worker relneuro
Query actbdic Integer Recommended Active status 0::5 0=Inactive-Data collected after the 14 month treatment phase/after early termination from treatment phase/prior to treatment phase; 1=Active-Data collected during the 14 month treatment phase while subject received originally assigned treatment regardless of degree of compliance; 2=Active-This is the last active assessment for subjects who were about to violate treatment arm by receiving alternate treatment; 3=Active-This is the last active assessment for subjects who were about to leave the study by moving away;4=Yes, Active; 5=No, Not Active actneuro
site String 101 Recommended Site Study Site sitenum
Query sjtyp Integer Recommended Subject type 1;2 1=MTA randomized trial subject; 2=Local normative comparison group (LNCG) subject
Query surq_1a Integer Recommended During the past 30 days, what is your best estimate of the number of days that you drank beer, wine, wine coolers, or liquor
Query surq_1b Integer Recommended How much did you usually drink each time 1::13 1=Less than one drink; 2=One drink; 3=Two drinks; 4=Three drinks; 5=Four drinks; 6=Five drinks; 7=Six drinks; 8=Seven or eight drinks; 9=Nine or ten drinks; 10=11-15 drinks; 11=16-20 drinks; 12=21-25 drinks; 13=More than 25 drinks
Query surq_1c Integer Recommended In the past 30 days what is your best estimate of the number of days you drank five or more drinks when you were drinking
Query surq_1d Integer Recommended Days from Baseline of last time you drank five or more drinks when you were drinking
Query surq_1e Integer Recommended In the past 30, what is your best estimate for the number of days you got drunk or "very, very high" on alcohol
Query surq_1f Integer Recommended Days from Baseline of last time you got drunk when you were drinking
Query surq_2a Integer Recommended In the past 30 days, what is your best estimate of how many days you smoked cigarettes
Query surq_2b Integer Recommended In the past 30 days, how many cigarettes did you smoke on an average day 1::7 1=Did not smoke in the past year; 2=Less than one cigarrette a day; 3=Between one and five cigarettes a day; 4=About half a pack a day; 5=About a pack a day; 6=About 1.5 packs a day; 7=About 2 packs or more a day
Query surq_2c Integer Recommended Days from Baseline when you had your last cigarette
surq_2d String 20 Recommended When did you have your last cigarette TIME 24 hour clock
Query surq_2e Integer Recommended In the past 30 days, what is your best estimate of how many days you used these other non-cigarette tobacco or nicotine products
Query surq_2f Integer Recommended When did you last use one of these other non-cigarette tobacco or nicotine products 1;2 1=Within the past 24 hours; 2=Not within the past 24 hours
surq_2g String 20 Recommended When did you last use one of these other non-cigarette tobacco or nicotine products TIME 24 hour clock
Query surq_2h Integer Recommended Days from Baseline when you last used one of these other non-cigarette tobacco or nicotine products
Query surq_3a Integer Recommended In the past 30 days, what is your best estimate as to how many days you used marijuana
Query surq_3b Integer Recommended When did you last use marijuana 1;2 1=Within the past 24 hours; 2=Not within the past 24 hours
Query surq_3c Integer Recommended Days from Baseline when you last used marijuana
Query surq_4a Integer Recommended In the past 30 days have you taken any of the medications listed below 1;2 1=Yes; 2=No
Query surq_4a1 Integer Recommended Have you taken benzedrine, bennies, black beauties? 0;1 0=No; 1=Yes
Query surq_4a2 Integer Recommended Have you taken ritalin, metadate, methylin, concerta, methylphenidate? 0;1 0=No; 1=Yes
Query surq_4a3 Integer Recommended Have you taken methedrine, desoxyn, methamphetamine, crank, speed, ice, glass, crystal? 1 1=Yes
Query surq_4a4 Integer Recommended Have you taken daytrona, methlyphenidate patch? 1 1=Yes
Query surq_4a5 Integer Recommended Have you taken dexedrine, white crosses, hearts? 1 1=Yes
Query surq_4b Integer Recommended In the past 30 days, what is your best estimate of how many days you used these substances
Query surq_4c Integer Recommended When was the last time you used one of these medications 1;2 1=Within the past 24 hours; 2=Not within the past 24 hours
Query surq_4d Integer Recommended Days from Baseline when you last used one of these medications
Query surq_4e Integer Recommended Was this medication prescribed to you by a doctor 1;2 1=Yes; 2=No
Query surq_4f Integer Recommended In the past 30 days did you use more of your prescription than you were supposed to 1;2 1=Yes; 2=No
Query surq_4g Integer Recommended In the past 30 days, what is your best estimate of the number of days you used more of your prescription than you were supposed to
Query surq_5a Integer Recommended In the past 30 days have you taken any of the medications listed below 1;2 1=Yes; 2=No
Query surq_5a1 Integer Recommended Have you taken minor tranquilizers, klonopin, xanax, ativan, serax, tranxene, librium, valium, tranks, downers, benzos? 1 1=Yes
Query surq_5a2 Integer Recommended Have you taken seconals, reds, red devils, red birds ? 1 1=Yes
Query surq_5a3 Integer Recommended Have you taken tuinal, christmas tress, rainbows, red and blues? 1 1=Yes
Query surq_5a4 Integer Recommended Have you taken sedatives, hypnotics, dalmane, halcion, ambien? 1 1=Yes
Query surq_5b Integer Recommended In the past 30 days, what is your best estimate of how many days you used these substances
Query surq_5c Integer Recommended When was the last time you used one of these medications 1;2 1=Within the past 24 hours; 2=Not within the past 24 hours
Query surq_5d Integer Recommended Days from Baseline when you last used one of these medications
Query surq_5e Integer Recommended Was this medication prescribed to you by a doctor 1;2 1=Yes; 2=No
Query surq_5f Integer Recommended In the past 30 days did you use more of your prescription than you were supposed to 1;2 1=Yes; 2=No
Query surq_6a Integer Recommended In the past 30 days have you taken any of the medications listed below 1;2 1=Yes; 2=No
Query surq_6a1 Integer Recommended Have you taken vicodin? 0;1 0=No; 1=Yes
Query surq_6a2 Integer Recommended Have you taken morphine, m, morph, miss emma? 0;1 0=No; 1=Yes
Query surq_6a3 Integer Recommended Have you taken codeine, schoolboy? 0;1 0=No; 1=Yes
Query surq_6a4 Integer Recommended Have you taken demerol, dolophine, dollies? 0;1 0=No; 1=Yes
Query surq_6a5 Integer Recommended Have you taken methadone? 1 1=Yes
Query surq_6a6 Integer Recommended Have you taken suboxone, subutext, buprenorphine? 1 1=Yes
Query surq_6a7 Integer Recommended Have you taken heroin, dust, h, horse, junk, smack scag? 1 1=Yes
Query surq_6a8 Integer Recommended Have you taken percodan? 0;1 0=No; 1=Yes
Query surq_6a9 Integer Recommended Have you taken percocet? 1 1=Yes
Query surq_6a10 Integer Recommended Have you taken oxycontin? 0;1 0=No; 1=Yes
Query surq_6b Integer Recommended In the past 30 days, what is your best estimate of how many days you used these substances
Query surq_6c Integer Recommended When was the last time you used one of these medications 1;2 1=Within the past 24 hours; 2=Not within the past 24 hours
Query surq_6d Integer Recommended Days from Baseline when you last used one of these medications
Query surq_6e Integer Recommended Was this medication prescribed to you by a doctor 1;2 1=Yes; 2=No
Query surq_6f Integer Recommended In the past 30 days did you use more of your prescription than you were supposed to 1;2 1=Yes; 2=No
Query surq_7a Integer Recommended In the past 30 days, have you used inhalants to get high 1;2 1=Yes; 2=No
Query surq_8a Integer Recommended In the past year have you used hallucinogens or psychedelics 1;2 1=Yes; 2=No
Query surq_8b Integer Recommended In the past 30 days, what is your best estimate regarding how many days you used any hallucinogen
Query surq_8c Integer Recommended When was the last time you used one of these hallucinogens or psychedelics 1;2 1=Within the past 24 hours; 2=Not within the past 24 hours
Query surq_8d Integer Recommended Days from Baseline when you last used one of these hallucinogens or psychedelics
Query surq_9a Integer Recommended In the past 30 days, have you used any of these cocaine or crack substances 1;2 1=Yes; 2=No
Query surq_9b Integer Recommended In the past 30 days, what is your best estimate as to how many days you used cocaine or crack
Query surq_9c Integer Recommended When was the last time you used cocaine or crack substances 1;2 1=Within the past 24 hours; 2=Not within the past 24 hours
Query surq_9d Integer Recommended Days from Baseline when you last used cocaine or crack substances
Query surq_10a Integer Recommended In the past 30 days, have you used any other substance to get high that has not been mentioned above 1;2 1=Yes; 2=No
Query surq_11a Integer Recommended In the past 30 days, what is your best estimate as to the number of days you consumed caffeinated substances
Query surq_11b Integer Recommended How many caffeinated drinks do you usually consume in one day? 1::13 1=Less than one drink; 2=One drink; 3=Two drinks; 4=Three drinks; 5=Four drinks; 6=Five drinks; 7=Six drinks; 8=Seven or eight drinks; 9=Nine or ten drinks; 10=11-15 drinks; 11=16-20 drinks; 12=21-25 drinks; 13=More than 25 drinks
Query surq_11c Integer Recommended When was the last time you consumed a caffeinated drink 1;2 1=Within the past 24 hours; 2=Not within the past 24 hours
surq_11d String 20 Recommended When was the last time you consumed a caffeinated drink TIME 24 hour clock
Query surq_11e Integer Recommended Days from Baseline when you last consumed a caffeinated drink
sur_8 String 50 Recommended Please specify other drug:
sur_1 Integer Recommended When was the most recent time you used: Alcohol 0 :: 7 0 = Never; 1 = Today; 2 = 1 to 3 days ago; 3 = 4 to 7 days ago; 4 = 1 to 3 weeks ago; 5 = 1 to 3 months ago; 6 = 3 to 6 months ago; 7 = 6 or more months ago
sur_2 Integer Recommended When was the most recent time you used: Marijuana 0 :: 7 0 = Never; 1 = Today; 2 = 1 to 3 days ago; 3 = 4 to 7 days ago; 4 = 1 to 3 weeks ago; 5 = 1 to 3 months ago; 6 = 3 to 6 months ago; 7 = 6 or more months ago
sur_3 Integer Recommended When was the most recent time you used: Heroin 0 :: 7 0 = Never; 1 = Today; 2 = 1 to 3 days ago; 3 = 4 to 7 days ago; 4 = 1 to 3 weeks ago; 5 = 1 to 3 months ago; 6 = 3 to 6 months ago; 7 = 6 or more months ago
sur_4 Integer Recommended When was the most recent time you used: Cocaine 0 :: 7 0 = Never; 1 = Today; 2 = 1 to 3 days ago; 3 = 4 to 7 days ago; 4 = 1 to 3 weeks ago; 5 = 1 to 3 months ago; 6 = 3 to 6 months ago; 7 = 6 or more months ago
sur_5 Integer Recommended When was the most recent time you used: Methamphetamines 0 :: 7 0 = Never; 1 = Today; 2 = 1 to 3 days ago; 3 = 4 to 7 days ago; 4 = 1 to 3 weeks ago; 5 = 1 to 3 months ago; 6 = 3 to 6 months ago; 7 = 6 or more months ago
sur_6 Integer Recommended When was the most recent time you used: Hallucinogens 0 :: 7 0 = Never; 1 = Today; 2 = 1 to 3 days ago; 3 = 4 to 7 days ago; 4 = 1 to 3 weeks ago; 5 = 1 to 3 months ago; 6 = 3 to 6 months ago; 7 = 6 or more months ago
sur_7 Integer Recommended When was the most recent time you used: Other 0 :: 7 0 = Never; 1 = Today; 2 = 1 to 3 days ago; 3 = 4 to 7 days ago; 4 = 1 to 3 weeks ago; 5 = 1 to 3 months ago; 6 = 3 to 6 months ago; 7 = 6 or more months ago
Data Structure

This page displays the data structure defined for the measure identified in the title and structure short name. The table below displays a list of data elements in this structure (also called variables) and the following information:

  • Element Name: This is the standard element name
  • Data Type: Which type of data this element is, e.g. String, Float, File location.
  • Size: If applicable, the character limit of this element
  • Required: This column displays whether the element is Required for valid submissions, Recommended for valid submissions, Conditional on other elements, or Optional
  • Description: A basic description
  • Value Range: Which values can appear validly in this element (case sensitive for strings)
  • Notes: Expanded description or notes on coding of values
  • Aliases: A list of currently supported Aliases (alternate element names)
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