|
subjectkey |
GUID |
|
Required |
The NDAR Global Unique Identifier (GUID) for research subject |
NDAR*
|
|
guid, probandguid |
|
interview_age |
Integer |
|
Required |
Age in months at the time of the interview/test/sampling/imaging. |
0 :: 1260
|
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.
|
|
|
src_subject_id |
String |
20
|
Required |
Subject ID how it's defined in lab/project |
|
|
|
|
interview_date |
Date |
|
Required |
Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY |
|
|
|
|
sex |
String |
20
|
Required |
Sex of subject at birth |
M;F; O; NR
|
M = Male; F = Female; O=Other; NR = Not reported
|
gender |
|
comments_misc |
String |
4,000
|
Recommended |
Miscellaneous comments on study, interview, methodology relevant to this form data |
|
|
|
Query
|
visit |
String |
60
|
Recommended |
Visit name |
|
|
|
|
concern_1 |
String |
250
|
Recommended |
Concern Number 1. The sign or symptom causing concern is: |
|
|
|
Query
|
line_total_1_cm |
Integer |
|
Recommended |
Total length of line. |
|
|
vas |
Query
|
severity_1_cm |
Integer |
|
Recommended |
How severe is the sign or symptom today? Please place a vertical mark on the line below to indicate how bad you think the sign or symptom is today. Length from end of line to mark. |
|
Severity measured from Completely Absent (0cm) to Very Severe.
|
|
Query
|
ratio_1 |
Integer |
|
Recommended |
Severity length/Total line length. |
|
|
|
|
concern_2 |
String |
250
|
Recommended |
Concern Number 2. The sign or symptom causing concern is: |
|
|
|
Query
|
line_total_2_cm |
Integer |
|
Recommended |
Total length of line. |
|
|
|
Query
|
severity_2_cm |
Integer |
|
Recommended |
How severe is the sign or symptom today? Please place a vertical mark on the line below to indicate how bad you think the sign or symptom is today. Length from end of line to mark. |
|
Severity measured from Completely Absent (0cm) to Very Severe.
|
|
Query
|
ratio_2 |
Integer |
|
Recommended |
Severity length/Total line length. |
|
|
|
|
concern_3 |
String |
250
|
Recommended |
Concern Number 2. The sign or symptom causing concern is: |
|
|
|
Query
|
line_total_3_cm |
Integer |
|
Recommended |
Total length of line. |
|
|
|
Query
|
severirty_3_cm |
Integer |
|
Recommended |
How severe is the sign or symptom today? Please place a vertical mark on the line below to indicate how bad you think the sign or symptom is today. Length from end of line to mark. |
|
Severity measured from Completely Absent (0cm) to Very Severe.
|
|
Query
|
ratio_3 |
Integer |
|
Recommended |
Severity length/Total line length. |
|
|
|
|
vas_self08 |
Integer |
|
Recommended |
VAS Observation 20 |
0;1
|
0= Unchecked; 1= Checked
|
|
|
vas_self09 |
Integer |
|
Recommended |
VAS Observation 30 |
0;1
|
0= Unchecked; 1= Checked
|
|
|
vas_self10 |
Integer |
|
Recommended |
VAS Observation 40 |
0;1
|
0= Unchecked; 1= Checked
|
|
|
vas_self11 |
Integer |
|
Recommended |
VAS Block 1: 30 |
0;1
|
0= Unchecked; 1= Checked
|
|
|
vas_self12 |
Integer |
|
Recommended |
VAS Block 1: 60 |
0;1
|
0= Unchecked; 1= Checked
|
|
|
vas_self13 |
Integer |
|
Recommended |
VAS Block 2: 30 |
0;1
|
0= Unchecked; 1= Checked
|
|
|
vas_self14 |
Integer |
|
Recommended |
VAS Block 2: 60 |
0;1
|
0= Unchecked; 1= Checked
|
|
|
timepoint_label |
String |
50
|
Recommended |
Timepoint/visit label |
|
|
|
|
vas_self15 |
Integer |
|
Recommended |
How strong is your urge to drink alcohol? |
0 :: 100
|
0= No Craving; 100= Most I have ever felt
|
|
|
vas_self01 |
Integer |
|
Recommended |
VAS: Randomization |
0;1
|
0= Unchecked; 1= Checked
|
|
|
vas_self02 |
Integer |
|
Recommended |
VAS: Pre-Alcohol Challenge 1 |
0;1
|
0= Unchecked; 1= Checked
|
|
|
vas_self03 |
Integer |
|
Recommended |
VAS: Dispense 2 |
0;1
|
0= Unchecked; 1= Checked
|
|
|
vas_self04 |
Integer |
|
Recommended |
VAS: Pre-Alcohol Challenge 2 |
0;1
|
0= Unchecked; 1= Checked
|
|
|
vas_self05 |
Integer |
|
Recommended |
Alcohol Challenge 1 |
0;1
|
0= Unchecked; 1= Checked
|
|
|
vas_self06 |
Integer |
|
Recommended |
Alcohol Challenge 2 |
0;1
|
0= Unchecked; 1= Checked
|
|
|
vas_self07 |
Integer |
|
Recommended |
VAS Observation 10 |
0;1
|
0= Unchecked; 1= Checked
|
|
|
behave1 |
String |
500
|
Recommended |
Target behavior 1 |
|
|
|
|
mmbehave1 |
Integer |
|
Recommended |
Put a vertical line across the line corresponding to the severity of the subject?s target behavior. |
0::100
|
length of line in mm; 0=Worst Behavior, 100 = Behavior not a problem
|
|
|
behave2 |
String |
500
|
Recommended |
Target behavior 2 |
|
|
|
|
mmbehave2 |
Integer |
|
Recommended |
Put a vertical line across the line corresponding to the severity of the subject?s target behavior. |
0::100
|
length of line in mm; 0=Worst Behavior, 100 = Behavior not a problem
|
|
|
behave3 |
String |
500
|
Recommended |
Target behavior 3 |
|
|
|
|
mmbehave3 |
Integer |
|
Recommended |
Put a vertical line across the line corresponding to the severity of the subject?s target behavior. |
0::100
|
length of line in mm; 0=Worst Behavior, 100 = Behavior not a problem
|
|
|
mmlanguage |
Integer |
|
Recommended |
Put a vertical line across the line corresponding to the severity of the subject?s language ability. |
0::100
|
length of line in mm; 0=Worst language 100 = Best language for age
|
|
|
vas_alc_craving |
Integer |
|
Recommended |
Rate your level of alcohol craving |
0::10
|
0= No craving; 10= Intense craving
|
|
|
vas1 |
Integer |
|
Recommended |
Visual Analog Mood Scales - Friendly (P). VAMS Friendly - Hostile |
0::100
|
|
|
|
vas2 |
Integer |
|
Recommended |
In the past week, I would rate my desire to drink alcohol happened: |
0 :: 100
|
0= Not at all; 50= Some of the time; 100= All of the time
|
|
|
vas3 |
String |
20
|
Recommended |
In the past week, when I had a desire to drink alcohol, it typically lasted: (time in minutes) |
|
Time in Minutes
|
|
|
vas4 |
Integer |
|
Recommended |
In the past week, how hard was it for you to resist drinking alcohol? |
0 :: 100
|
0= Not at all; 50= Moderately; 100= Extremely
|
|