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Infant Sleep Questionnaire

535 Shared Subjects

Infant Sleep Questionnaire
Clinical Assessments
Sleep
01/23/2013
isq01
01/15/2021
View Change History
01
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
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.
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported gender
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
medhx_sleep_prob String 50 Recommended Does subject have sleep problems?
Yes; No
medhx_sleep_prob_note String 255 Recommended Note regarding sleep problems
isq_sleep_prob_length String 50 Recommended How long has this been a problem?
Query isq_sleep_prob_worse Integer Recommended Has the problem become worse? 0; 1 0 = No; 1 = Yes
isq_sleep_prob_cause String 100 Recommended What do you think is causing the sleep problem?
isq_sleep_prob_help String 100 Recommended What have you previously tried to help the problem?
Query isq_sleep_where Integer Recommended Where does your infant sleep? 0; 1; 2; 3; 4 0 = Infant crib in a separate room; 1 = Infant crib (bassinet) in parents' room; 2 = In parents' bed; 3 = Infant crib in room with sibling; 4 = Other
Query isq_sleep_side Integer Recommended Does you infant sleep better on his/her: 0; 1; 2; 3 0 = Left side; 1 = Right side; 2 = Back; 3 = Stomach
Query isq_sleep_with Integer Recommended Does your infant sleep better with: 0; 1; 2; 3 0 = Pacifier; 1 = Blanket; 2 = Stuffed toy; 3 = Other
Query isp_sleep_trouble Integer Required Does your infant have trouble falling asleep? 0; 1;999 0 = No; 1 = Yes
Query isq_sleep_routine Integer Recommended Is there a regular bedtime routine? 0; 1 0 = No; 1 = Yes
Query isq_fall_asleep Integer Recommended Does your infant fall asleep: 0; 1; 2; 3; 4; 5; 6 0 = While feeding; 1 = Being rocked; 2 = Being held; 3 = In crib alone; 4 = In bed near parent; 5 = Other
Query isq_awaken_night Integer Required Does your infant awaken during the night? 0; 1;999 0 = No; 1 = Yes
Query isq_return_sleep Integer Recommended If so, does your child have difficulty returning to sleep? 0; 1 0 = No; 1 = Yes
Query isq_snore Integer Recommended Does your infant tend to snore? 0; 1 0 = No; 1 = Yes
isq_wake String 25 Recommended Does your infant wake on his/her own or do you wake them?
Query isq_breakfast_where Integer Recommended Your infant eats breakfast at: 0; 1 0 = Home; 1 = Center
isq_breakfast_time String 25 Recommended Time your infant eats breakfast
Query isq_diet Integer Recommended Your infant's diet 0; 1; 2; 3; 4 0 = Breast milk; 1 = Formula; 2 = Whole Milk; 3 = Juice; 4 = Solid foods
isq_sched_6am String 25 Recommended Schedule of sleeping - 6 am Sleep; Awake; Feeding
isq_sched_630am String 25 Recommended Schedule of sleeping - 6:30 am Sleep; Awake; Feeding
isq_sched_7am String 25 Recommended Schedule of sleeping - 7 am Sleep; Awake; Feeding
isq_sched_730am String 25 Recommended Schedule of sleeping - 7:30 am Sleep; Awake; Feeding
isq_sched_8am String 25 Recommended Schedule of sleeping - 8 am Sleep; Awake; Feeding
isq_sched_830am String 25 Recommended Schedule of sleeping - 8:30 am Sleep; Awake; Feeding
isq_sched_9am String 25 Recommended Schedule of sleeping - 9 am Sleep; Awake; Feeding
isq_sched_930am String 25 Recommended Schedule of sleeping - 9:30 am Sleep; Awake; Feeding
isq_sched_10am String 25 Recommended Schedule of sleeping - 10 am Sleep; Awake; Feeding
isq_sched_1030am String 25 Recommended Schedule of sleeping - 10:30 am Sleep; Awake; Feeding
isq_sched_11am String 25 Recommended Schedule of sleeping - 11 am Sleep; Awake; Feeding
isq_sched_1130am String 25 Recommended Schedule of sleeping - 11:30 am Sleep; Awake; Feeding
isq_sched_noon String 25 Recommended Schedule of sleeping - 12 pm Sleep; Awake; Feeding
isq_sched_1230pm String 25 Recommended Schedule of sleeping - 12:30 pm Sleep; Awake; Feeding
isq_sched_1pm String 25 Recommended Schedule of sleeping - 1 pm Sleep; Awake; Feeding
isq_sched_130pm String 25 Recommended Schedule of sleeping - 1:30 pm Sleep; Awake; Feeding
isq_sched_2pm String 25 Recommended Schedule of sleeping - 2 pm Sleep; Awake; Feeding
isq_sched_230pm String 25 Recommended Schedule of sleeping - 2:30 pm Sleep; Awake; Feeding
isq_sched_3pm String 25 Recommended Schedule of sleeping - 3 pm Sleep; Awake; Feeding
isq_sched_330pm String 25 Recommended Schedule of sleeping - 3:30 pm Sleep; Awake; Feeding
isq_sched_4pm String 25 Recommended Schedule of sleeping - 4 pm Sleep; Awake; Feeding
isq_sched_430pm String 25 Recommended Schedule of sleeping - 4:30 pm Sleep; Awake; Feeding
isq_sched_5pm String 25 Recommended Schedule of sleeping - 5 pm Sleep; Awake; Feeding
isq_sched_530pm String 25 Recommended Schedule of sleeping - 5:30 pm Sleep; Awake; Feeding
isq_sched_6pm String 25 Recommended Schedule of sleeping - 6 pm Sleep; Awake; Feeding
isq_sched_630pm String 25 Recommended Schedule of sleeping - 6:30 pm Sleep; Awake; Feeding
isq_sched_7pm String 25 Recommended Schedule of sleeping - 7 pm Sleep; Awake; Feeding
isq_sched_730pm String 25 Recommended Schedule of sleeping - 7:30 pm Sleep; Awake; Feeding
isq_sched_8pm String 25 Recommended Schedule of sleeping - 8 pm Sleep; Awake; Feeding
isq_sched_830pm String 25 Recommended Schedule of sleeping - 8:30 pm Sleep; Awake; Feeding
isq_sched_9pm String 25 Recommended Schedule of sleeping - 9 pm Sleep; Awake; Feeding
isq_sched_930pm String 25 Recommended Schedule of sleeping - 9:30 pm Sleep; Awake; Feeding
isq_sched_10pm String 25 Recommended Schedule of sleeping - 10 pm Sleep; Awake; Feeding
isq_sched_1030pm String 25 Recommended Schedule of sleeping - 10:30 pm Sleep; Awake; Feeding
isq_sched_11pm String 25 Recommended Schedule of sleeping - 11 pm Sleep; Awake; Feeding
isq_sched_1130pm String 25 Recommended Schedule of sleeping - midnight Sleep; Awake; Feeding
isq_sched_midnight String 25 Recommended Schedule of sleeping - 12:30 am Sleep; Awake; Feeding
isq_sched_1230am String 25 Recommended Schedule of sleeping - 1 am Sleep; Awake; Feeding
isq_sched_1am String 25 Recommended Schedule of sleeping - 1:30 am Sleep; Awake; Feeding
isq_sched_130am String 25 Recommended Schedule of sleeping - 2 am Sleep; Awake; Feeding
isq_sched_2am String 25 Recommended Schedule of sleeping - 2:30 am Sleep; Awake; Feeding
isq_sched_230am String 25 Recommended Schedule of sleeping - 3 am Sleep; Awake; Feeding
isq_sched_3am String 25 Recommended Schedule of sleeping - 3:30 am Sleep; Awake; Feeding
isq_sched_330am String 25 Recommended Schedule of sleeping - 4 am Sleep; Awake; Feeding
isq_sched_4am String 25 Recommended Schedule of sleeping - 4:30 am Sleep; Awake; Feeding
isq_sched_430am String 25 Recommended Schedule of sleeping - 5 am Sleep; Awake; Feeding
isq_sched_5am String 25 Recommended Schedule of sleeping - 5:30 am Sleep; Awake; Feeding
isq_sched_530am String 25 Recommended Schedule of sleeping - 6 am Sleep; Awake; Feeding
Query isq_current_breath_diff Integer Recommended Current sleep symptoms - Difficulty breathing when asleep? 0; 1; 2 0 = Never; 1 = Occasionally; 2 = Frequently
Query isq_current_breath_stop Integer Recommended Current sleep symptoms - Stops breathing during sleep? 0; 1; 2 0 = Never; 1 = Occasionally; 2 = Frequently
Query isq_current_snore Integer Recommended Current sleep symptoms - Snores? 0; 1; 2 0 = Never; 1 = Occasionally; 2 = Frequently
Query isq_current_sweat Integer Recommended Current sleep symptoms - Sweating during sleep? 0; 1; 2 0 = Never; 1 = Occasionally; 2 = Frequently
Query isq_current_scream Integer Recommended Current sleep symptoms - Screaming during sleep? 0; 1; 2 0 = Never; 1 = Occasionally; 2 = Frequently
Query isq_current_move Integer Recommended Current sleep symptoms - Legs or arms moving during sleep? 0; 1; 2 0 = Never; 1 = Occasionally; 2 = Frequently
Query isq_current_wake Integer Recommended Current sleep symptoms - Walking up during the night? 0; 1; 2 0 = Never; 1 = Occasionally; 2 = Frequently
Query isq_current_out Integer Recommended Current sleep symptoms - Getting out of bed during the night? 0; 1; 2 0 = Never; 1 = Occasionally; 2 = Frequently
Query isq_current_resist Integer Recommended Current sleep symptoms - Resistance going to bed? 0; 1; 2 0 = Never; 1 = Occasionally; 2 = Frequently
Query isq_current_grind Integer Recommended Current sleep symptoms - Teeth grinding? 0; 1; 2 0 = Never; 1 = Occasionally; 2 = Frequently
Query isq_current_pain Integer Recommended Current sleep symptoms - Uncomfortable feelings or pains in legs? 0; 1; 2 0 = Never; 1 = Occasionally; 2 = Frequently
Query isq_current_rock Integer Recommended Current sleep symptoms - Rock their head or body from side to side? 0; 1; 2 0 = Never; 1 = Occasionally; 2 = Frequently
birth_premature String 20 Recommended Was birth premature?
Yes; No
Query premature_weeks Integer Recommended Weeks premature 0 = Full term
strnicu String 3 Recommended Did the child spend any time in the NICU? Yes; No; NA NA=Not Applicable
ldnb_ventilator String 50 Recommended Was the baby on a respirator (ventilator)
No;Yes;Don't Know
child_medallergy String 50 Required Does the Child have a medication allergy?
Yes;No;999
999=NA/missing
child_medallergy_cmt String 255 Recommended Specific medication items the Child is allergic to
child_foodallergy String 50 Required Does the Child have a food allergy?
Yes;No;999
999=NA/missing
child_foodallergy_cmt String 255 Recommended Specific food items the Child is allergic to
currentmed_prescription String 255 Recommended Prescription (Medication, Dose, Frequency, Reason)
medical_problems String 1,020 Recommended Medical problem/medical diagnosis (include diagnosis professional dates details)
hospitalizations String 200 Recommended has the subject had any hospitalisations
surg_surgever String 50 Recommended Has the child ever had surgery
No;Yes;Don't Know
surg_surgtype1 String 255 Recommended TYPE OF SURGERY 1
surg_surgtype2 String 255 Recommended TYPE OF SURGERY 2
Query isq_develop_hold_head Integer Recommended Is your infant - Holding his/her head up? 0; 1 0 = No; 1 = Yes
Query isq_develop_turn Integer Recommended Is your infant - Turning over? 0; 1 0 = No; 1 = Yes
Query isq_develop_sit Integer Recommended Is your infant - Sitting up? 0; 1 0 = No; 1 = Yes
Query isq_develop_pull Integer Recommended Is your infant - Pulling up to standing? 0; 1 0 = No; 1 = Yes
Query isq_develop_cruise Integer Recommended Is your infant - Cruising (walking while holding on to something)? 0; 1 0 = No; 1 = Yes
Query isq_develop_crawl Integer Recommended Is your infant - Crawling? 0; 1 0 = No; 1 = Yes
Query isq_develop_stand Integer Recommended Is your infant - Standing by self? 0; 1 0 = No; 1 = Yes
Query isq_develop_walk Integer Recommended Is your infant - Walking? 0; 1 0 = No; 1 = Yes
Query isq_develop_bottle Integer Recommended Is your infant - Holding his/her own bottle? 0; 1 0 = No; 1 = Yes
Query isq_develop_drink Integer Recommended Is your infant - Drinking from a cup? 0; 1 0 = No; 1 = Yes
Query isq_family_osa Integer Recommended Does anyone in the family have Obstructive Sleep Apnea? 0; 1 0 = No; 1 = Yes
Query isq_family_rsl Integer Recommended Does anyone in the family have Restless Leg Syndrome? 0; 1 0 = No; 1 = Yes
Query isq_family_narco Integer Recommended Does anyone in the family have narcolepsy? 0; 1 0 = No; 1 = Yes
Query isq_family_smoke Integer Recommended Does anyone in the family smoke? 0; 1 0 = No; 1 = Yes
Query mother_age Integer Recommended Mother's age 0 :: 1200
Query father_age Integer Recommended Father's age 0 :: 1200
Query ques_age1 Integer Recommended Age -Sibling 1(in months) 0 :: 1200
Query ques_age2 Integer Recommended Age -Sibling 2(in months) 0 :: 1200
Query ques_age3 Integer Recommended Age -Sibling 3(in months) 0 :: 1200
Query ques_age4 Integer Recommended Age -Sibling 4(in months) 0 :: 1200
Query ques_age5 Integer Recommended Age -Sibling 5(in months) 0 :: 1200
instr String 500 Recommended Instructions Should be completed if additional instructions were given to participant (e.g., Take two tablespoons in morning)
version_form String 121 Recommended Form used/assessment name
Query bisq_1 Integer Recommended Does your child snore during their sleep? 0::3 0 = Never; 1 = Only when he/she has a cold or allergies; 2 = Sometimes; 3 = Almost always/Always
Query bisq1 Integer Recommended Over the past two weeks: Where does your child sleep most of the time? (CHECK ONE) - Selected Choice 0::8 0= In his/her own room; 1= In parents' room; 2= In sibling or other's room; 3= In another room of the house; 4= Other, please specify
bisq1_5_text String 500 Recommended Over the past two weeks: Where does your child sleep most of the time? (CHECK ONE) - Other, please specify: - Text
Query bisq_2 Integer Recommended Over the past two weeks: Which of the following does your child sleep in most of the time? 0::6 0 = Crib; 1 = Own bed (any size); 2 = Parents' bed (any size); 3 = Bassinet; 4 = Infant seat; 5 = Swing; 6 = Other, please specify
bisq_3 String 500 Recommended Over the past two weeks: Which of the following does your child sleep in most of the time? Other - specify
Query bisq_4 Integer Recommended Over the past two weeks: In what position does your child sleep most of the time? (CHECK ONE) 0::2 0 = On his/her belly; 1 = On his/her side; 2 = On his/her back
bisq_5 String 45 Recommended Over the past two weeks: Which of the following usually occurs on most nights for your child in the hour before bedtime? (CHECK ALL THAT APPLY): 0 = Bath; 1 = Massage; 2 = Read books/being read to; 3 = Rocked; 4 = Watch television; 5 = Have dinner or a snack; 6 = Have a bottle, drink, or nurse; 7 = Run around; 8 = Brush teeth; 9 = Play; 10 = Cuddle; 11 = Say prayers; 12 = Sing songs; 13 = Listen to music; 14 = Other, please specify
bisq_6 String 500 Recommended Over the past two weeks: Which of the following usually occurs on most nights for your child in the hour before bedtime? Other - specify
bisq_7 String 35 Recommended Over the past two weeks: How does your child fall asleep most of the time? (CHECK ALL THAT APPLY): 0 = While being bottle-fed; 1 = While being breast-fed/nursing; 2 = While being rocked; 3 = While being held; 4 = While watching television; 5 = In swing or stroller; 6 = In his/her own crib/bed alone in the room; 7 = In parent's bed alone in the room; 8 = In his/her own crib/bed and with a parent in the room; 9 = In parent's bed and with a parent in the room; 10 = In another room of the house (e.g., living room); 11 = Other, please specify
bisq_8 String 500 Recommended Over the past two weeks: How does your child fall asleep most of the time? Other - specify
Query bisq2 Integer Recommended In a typical 7-day week, how often does your child have the exact same bedtime routine? 0::4 0= Never; 1= 1-2 nights per week;2= 3-4 nights per week; 3= 5-6 nights per week; 4= Every night
bisq3 String 20 Recommended What time do you usually start your child's bedtime?
bisq4 String 20 Recommended What time do you usually put your child to bed at night? (time of turning out the light.)
Query bisq5 Integer Recommended Typically, how difficult is bedtime for your child, for example, fussing, crying, protesting? 0::4 0= Very easy;1= Somewhat easy; 2= Neither easy nor difficult; 3= Somewhat difficult; 4= Very difficult
Query bisq6 Integer Recommended How long does it typically take your child to fall asleep at night? 0::4 0= Less than 5 min; 1= 5-15 min; 2= 16-30 min; 3= 31-60 min; 4= More than 1 hour (4)
Query bisq7 Integer Recommended How often, if ever, does your child have a difficult time falling asleep at night? 0::6 0= Every night; 1= 5-6 nights per week; 2= 3-4 nights per week;3= 1-2 nights per week; 4= 1-3 nights per month; 5= Less than once a month; 6= Never
bisq8 String 5 Recommended How many times does your child typically wake during the night? Use hyphens for ranges (e.g., 3 - 5), use tildes for approximations (e.g, ~3)
Query bisq9 Integer Recommended How often does your child wake during the night, if ever? 0::6 0= Every night; 1= 5-6 nights per week; 2= 3-4 nights per week; 3= 1-2 nights per week; 4= 1-3 nights per month; 5= Less than once a month; 6= Never
bisq10 String 500 Recommended How much total time does your child spend sleeping during the NIGHT (between 7 in the evening and 8 in the morning)?
bisq11 String 500 Recommended How many naps does your child take during a typical DAY (between 8 in the morning and 7 in the evening)?
bisq12 String 500 Recommended How much total time does your child spend sleeping during the DAY (between 8 in the morning and 7 in
Query bisq13 Integer Recommended Please rate how well your child usually sleeps at night: (CHECK ONE) 0::5 0= Very well; 1= Well; 2= Fairly well; 3= Fairly poorly; 4= Poorly; 5= Very poorly
Query bisq14 Integer Recommended Do you consider your child's sleep as a problem? (CHECK ONE) 0::2 0= A very serious problem; 1= A small problem; 2= Not a problem at all
bisq_9 String 45 Recommended When your child wakes up during the night, what do you do? (CHECK ALL THAT APPLY) 0 = Pick up my child and hold/rock him/her until child falls asleep; 1 = Pick up my child and put him/her back down while child is still awake; 2 = Rub or pat my child but do not pick up or take out of crib/bed; 3 = Bottle feed child back to sleep; 4 = Breastfeed/nurse child back to sleep; 5 = Give my child a pacifier; 6 = Change diaper; 7 = Comfort my child verbally but don't pick child up or take child our of crib/bed; 8 = Bring my child into my bed; 9 = Let my child cry and fall back to sleep by himself/herself; 10 = Give my child a few minutes to see if he/she falls back to sleep; 11 = Play with my child until child is ready to go back to sleep; 12 = Watch television/a video with my child until he/she falls asleep; 13 = Sing to child; 14 = Other, please specify
bisq_10 String 500 Recommended When your child wakes up during the night, what do you do? Other, please specify
Query bisq_11 Float Recommended On a typical night, how much total time during the NIGHT is your child awake? Hours
Query bisq_12 Integer Recommended On a typical night, how much total time during the NIGHT is your child awake? Minutes
Query bisq_13 Float Recommended On a typical night, what is the longest stretch of time that your child is asleep during the night without waking up? Hours
Query bisq_14 Integer Recommended On a typical night, what is the longest stretch of time that your child is asleep during the night without waking up? Minutes
Query bisq_15 Float Recommended How much total time does your child spend sleeping during the NIGHT (between 7 in the evening and 8 in the morning)? Hours
Query bisq_16 Integer Recommended How much total time does your child spend sleeping during the NIGHT (between 7 in the evening and 8 in the morning)? Minutes
Query bisq_17 Integer Recommended How many naps does your child take during a typical DAY (between 8 in the morning and 7 in the evening)
Query bisq_18 Float Recommended How much total time does your child spend sleeping during the DAY (between 8 in the morning and 7 in the evening) Hours
Query bisq_19 Integer Recommended How much total time does your child spend sleeping during the DAY (between 8 in the morning and 7 in the evening) Minutes
bisq_20 Float Recommended How long does it take to put your baby to sleep in the evening? Hours and Minutes combined into a decimal
visit String 60 Recommended Visit name
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:

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  • Description: A basic description
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