|
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 |
|
|
CATIEID, bid, record_id |
|
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.
|
AGE, age, dema1 |
|
interview_date |
Date |
|
Required |
Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY |
|
|
date, followup_date |
|
sex |
String |
20
|
Required |
Sex of subject at birth |
|
M = Male; F = Female; O=Other; NR = Not reported
|
GENDER, dema2, gender, sex |
Query
|
white |
Integer |
|
Recommended |
5. Race |
0;1
|
1=yes, 0=no
|
|
Query
|
black |
Integer |
|
Recommended |
Black or African-American |
0;1; 999
|
1=yes; 0=no;999= missing
|
|
Query
|
native |
Integer |
|
Recommended |
American Indian or Alaska Native |
0;1; 999
|
1=yes; 0=no; 999= missing
|
|
Query
|
asian |
String |
5
|
Recommended |
Ethnicity: Asian |
|
999= missing
|
|
Query
|
pacific |
String |
5
|
Recommended |
Ethnicity: Pacific |
|
999= missing
|
|
Query
|
race |
String |
30
|
Recommended |
Race of study subject |
|
|
dema3, race1 |
Query
|
race_c |
Integer |
|
Recommended |
Race in two category (white only vs. other) |
1;2
|
1=White alone; 2=other
|
|
Query
|
exacer |
Integer |
|
Recommended |
Has patient been hospitalized or required crisis stabilization services in the past three months for any mental health problem? |
0;1
|
0=No; 1=Yes; Baseline covariate adjusted for in many statsitical models based on analysis plan
|
|
Query
|
td |
Integer |
|
Recommended |
Does the patient now meet Schooler-Kane criteria for probable tardive dyskinesia? |
0;1
|
0=No; 1= Yes; This item is question 10 from the screening eCRF. It is NOT the variable used to stratify patients into Phase 1A nor adjust for TD in statistical models. That variable, which was collected at the time of randomization via IVR (interactive voice response) is in the KEYVARS file, and is called PHASE1A
|
|
Query
|
das1ms |
String |
200
|
Recommended |
Marital status |
|
|
dema5, marital, marital_status |
Query
|
marital2 |
Integer |
|
Recommended |
Marital Stat categorized (married vs not) |
0;1
|
1=Married; 0=Not married
|
|
Query
|
sigother |
Integer |
|
Recommended |
Are you currently living with a significant other? |
0;1
|
1=yes, 0=no
|
|
Query
|
psysoc_89 |
String |
5
|
Recommended |
Veteran? |
|
Y=Yes; N=No; -7=Refused
|
DEMO3, veteran |
Query
|
curreduccompleted |
String |
50
|
Recommended |
Current grade education level completed |
|
|
PAT_EDUC |
Query
|
demo4a |
Integer |
|
Recommended |
If patient did not finish high school, years of education |
|
|
|
Query
|
educ_yrs |
Float |
|
Recommended |
Number of Years of Patient's Education |
1::11;11.5;12::21
|
1-11 =(for patients who did not complete high school, these categories represent the number of years of education); 11.5 = Did not complete high school and number of years of education is 12; 12 = GED/high school diploma; 13 = Some college, did not graduate; 14 = Community college / tech school degree; 16 = College graduate; 17 = College graduate and some Master's level courses; 18 = Master's degree completed; 19 = Advanced degree courses, not graduated 21 = Advanced degree completed
|
dema8 |
Query
|
par_educ |
Integer |
|
Recommended |
How far did your parents go in school |
0::9
|
0=Did not complete high school; 1=GED/High school diploma; 2=Some college, did not graduate; 3=Community college or technical school degree; 4=College graduate; 5=College graduate and some Master's level; 6=Master's degree completed; 7=Advanced degree courses, not graduated; 8=Advanced degree completed (e.g. Ph.D., M); 9=Unknown
|
|
Query
|
demo5a |
Integer |
|
Recommended |
If parent did not finish highschool, years of education |
|
|
|
Query
|
cgi_sev |
Integer |
|
Recommended |
Clinician Global Impressions: Severity score |
1::7
|
1 = Normal, Not ill; 2 = Minimally ill; 3 = Mildly ill; 4 = Moderately ill; 5 = Markedly ill; 6 = Severely ill; 7 = Very Severely ill
|
|
Query
|
cgi_cat |
Integer |
|
Recommended |
Baseline CGI Severity (Normal vs not) |
0;1
|
1=Normal, not ill; 0=Ill
|
|
Query
|
b1_panss |
Integer |
|
Recommended |
Phase 1 Baseline PANSS Total |
|
Baseline score for the phase Also in PANSS file
|
|
Query
|
employ |
Integer |
|
Recommended |
Patient Employment Status at Baseline |
0::3
|
0=Unknown; 1=Full Time; 2=Part Time; 3=Did Not Work; Full time = worked at least 18 days in past month; Part time = worked less than 18 days in past month and earned income (SURFQA=1); Did not work = worked less than 18 days in past month and did not earn income (SURFQA = 2 or 3)
|
|
Query
|
employ2 |
Integer |
|
Recommended |
Employment Status (Full time vs not) |
0;1
|
1=Full time; 0=Not full time
|
|
Query
|
qol01a |
Integer |
|
Recommended |
Currently live with parent |
0;1
|
1=yes; 0=no
|
|
Query
|
qol01b |
Integer |
|
Recommended |
Currently live with a spouse/girlfriend/boyfriend |
0;1
|
1=yes; 0=no
|
|
Query
|
qol01c |
Integer |
|
Recommended |
Currently live with a sibling |
0;1
|
1=yes; 0=no
|
|
Query
|
qol01d |
Integer |
|
Recommended |
Currently live with a son or daughter |
0;1
|
1=yes; 0=no
|
|
Query
|
qol01e |
Integer |
|
Recommended |
Currently live with other relatives |
0;1
|
1=yes; 0=no
|
|
Query
|
qol01f |
Integer |
|
Recommended |
Currently live with other people not related and not friends |
0;1
|
1=yes; 0=no
|
|
Query
|
qol01g |
Integer |
|
Recommended |
Lives alone |
0;1
|
1=yes; 0=no
|
|
Query
|
scid17a |
Integer |
|
Recommended |
Age 1st treated for emo/behavioral |
|
|
|
Query
|
yrs_trt |
Integer |
|
Recommended |
Years Since First Treatment for Behavioral or Emotional Problem |
|
|
|
Query
|
scid18a |
Integer |
|
Recommended |
Age at 1st antipsychotic prescription |
|
|
yrs_ause |
Query
|
yrs_pres |
Integer |
|
Recommended |
Years Since First Prescribed an Antipsychotic Medication |
|
|
|
Query
|
scid19 |
Integer |
|
Recommended |
Number previous hospitalizations lifetime |
|
|
|
Query
|
scid20 |
Integer |
|
Recommended |
Number previous hospitalizations past year |
|
|
|
Query
|
anti_beh |
Integer |
|
Recommended |
Childhood Antisocial Behaviors |
|
Sum of (SCID23 - SCID28)
|
|
Query
|
beh_cat |
Integer |
|
Recommended |
Categorized Childhood Antisocial Behaviors |
1::4
|
1=0 Antisocial Behaviors; 2=1-2 Antisocial Behaviors; 3=3-4 Antisocial Behaviors; 4=5-6 Antisocial Behaviors
|
|
Query
|
sitetype |
String |
20
|
Recommended |
Site Care Setting |
|
Site care setting indicated by the site (all applicable types are listed per site); MC = Managed Care; PN = Private, Non-Profit Agency; PP = Private Practice; RO =Research Only;SH = State Mental Health;UC = University Clinic;VA = VA; MHIS = Mental health, isolation, or suicide watch; GP = General Population
|
interview_sublocation |
Query
|
rescreen |
Integer |
|
Recommended |
Rescreened |
0;1
|
1=Yes for patients screened multiple times for inclusion in the study; missing otherwise
|
|
Query
|
scrn_dy |
Integer |
|
Recommended |
Day Screened |
|
Number of days from study baseline to date of screening
|
|
Query
|
olz_0 |
Integer |
|
Recommended |
Baseline OLZ |
0;1
|
Patient was receiving this antipsychotic medication (olanzapine) at baseline 1=Yes, 0=No Note: includes medications reported taken on the day of baseline or in the 2 weeks prior to baseline
|
|
Query
|
quet_0 |
Integer |
|
Recommended |
Baseline QUET |
0;1
|
Patient was receiving this antipsychotic medication (quetiapine) at baseline 1=Yes, 0=No; Note: includes medications reported taken on the day of baseline or in the 2 weeks prior to baseline
|
|
Query
|
risp_0 |
Integer |
|
Recommended |
Baseline RISP |
0;1
|
Patient was receiving this antipsychotic medication (risperidone) at baseline 1=Yes, 0=No; Note: includes medications reported taken on the day of baseline or in the 2 weeks prior to baseline
|
|
Query
|
zip_0 |
Integer |
|
Recommended |
Baseline ZIP |
0;1
|
Patient was receiving this antipsychotic medication (ziprasidone) at baseline 1=Yes, 0=No; Note: includes medications reported taken on the day of baseline or in the 2 weeks prior to baseline
|
|
Query
|
hal_0 |
Integer |
|
Recommended |
Baseline HAL |
0;1
|
Patient was receiving this antipsychotic medication (Haldol) at baseline; 1=Yes, 0=No
|
|
Query
|
deca_0 |
Integer |
|
Recommended |
Baseline DECA |
0;1
|
Patient was receiving this antipsychotic medication (a decanoate) at baseline 1=Yes, 0=No; Note: includes medications reported taken on the day of baseline or in the 2 weeks prior to baseline
|
|
Query
|
per_0 |
Integer |
|
Recommended |
Baseline PER |
0;1
|
Patient was receiving this antipsychotic medication (perphenazine) at baseline 1=Yes, 0=No; Note: includes medications reported taken on the day of baseline or in the 2 weeks prior to baseline
|
|
Query
|
othr_0 |
Integer |
|
Recommended |
Baseline Other Antipsychotics |
0;1
|
Patient was receiving any other antipsychotic medication besides OLZ, QUET, RISP, ZIP, HAL, DECA, or PER at baseline; 1=Yes, 0=No; Note: includes medications reported taken on the day of baseline or in the 2 weeks prior to baseline
|
|
Query
|
allothr0 |
Integer |
|
Recommended |
Baseline All Other Antipsychotics |
0;1
|
Patient received any other antipsychotic medications (ZIP, HAL, DECA, PER, or anything falling within the OTHR_0 category) at baseline (meds not included here are OLZ, QUET, and RISP); 1=Yes, 0=No; Note: includes medications reported taken on the day of baseline or in the 2 weeks prior to baseline
|
|
Query
|
none_0 |
Integer |
|
Recommended |
No Baseline Antipsychotic Med |
0;1
|
Patient was receiving no antipsychotic medication at baseline; 1=Yes, 0=No; Note: includes medications reported taken on the day of baseline or in the 2 weeks prior to baseline
|
|
Query
|
olzi_0 |
Integer |
|
Recommended |
Baseline OLZ Monotherapy |
0;1
|
Patient received ONLY this antipsychotic medication at baseline; 1=Yes, 0=No
|
|
Query
|
queti_0 |
Integer |
|
Recommended |
Baseline QUET Monotherapy |
0;1
|
Patient received ONLY this antipsychotic medication at baseline; 1=Yes, 0=No; Note: includes medications reported taken on the day of baseline or in the 2 weeks prior to baseline
|
|
Query
|
rispi_0 |
Integer |
|
Recommended |
Baseline RISP Monotherapy |
0;1
|
Patient received ONLY this antipsychotic medication at baseline; 1=Yes, 0=No; Note: includes medications reported taken on the day of baseline or in the 2 weeks prior to baseline
|
|
Query
|
dualmed0 |
Integer |
|
Recommended |
Baseline Combination Meds |
0;1
|
Patient received multiple antipsychotic medications at baseline, one of which was olanzapine, quetiapine, or risperidone 1=Yes, 0=No; Note: includes medications reported taken on the day of baseline or in the 2 weeks prior to baseline
|
|
Query
|
allothi0 |
Integer |
|
Recommended |
Baseline All Other Monotherapy |
0;1
|
Patient received one or more antipsychotic medications at baseline which did not include olanzapine, quetiapine, or risperidone 1=Yes, 0=No; (Note: this can be monotherapy or more than one drug); Note: includes medications reported taken on the day of baseline or in the 2 weeks prior to baseline
|
|
Query
|
switch |
Integer |
|
Recommended |
Baseline Med Switch Status |
0::2
|
Compares Phase 1/1A randomized treatment with antipsychotic medications received at baseline 0=Newly treated (not taking an antipsychotic at baseline); 1=Same medication 2=Switched medication
|
|
Query
|
me0a |
Integer |
|
Recommended |
Significant historical medical diag? |
0;1
|
0=No; 1=Yes
|
|
Query
|
soc |
String |
100
|
Recommended |
SOC System Organ Class |
|
Coded variable: MedDRA dictionary, version 4.0: System Organ Class This file contains the MedDRA coded terms for any AEs/side effects that were reported spontaneously by the patient at a visit
|
|
|
prf_term |
String |
100
|
Recommended |
Preferred Term |
|
Coded variable: MedDRA dictionary, version 4.0: Preferred Term This file contains the MedDRA coded terms for any AEs/side effects that were reported spontaneously by the patient at a visit
|
|
Query
|
me2 |
Integer |
|
Recommended |
Status |
0;1
|
0 = Past [Inactive]; 1 = Active
|
|
Query
|
me3 |
Integer |
|
Recommended |
Did the patient have a hysterectomy? |
0;1
|
0=No; 1=Yes
|
|
Query
|
me3a |
Integer |
|
Recommended |
3a. Did the hysterectomy include an ooph |
0;1;99
|
0 = No; 1 = Yes; 99 = Unknown
|
|
Query
|
any_mhx |
Integer |
|
Recommended |
Any Active Significant Medical History |
|
1=Yes, missing otherwise
|
|
Query
|
ran002 |
Integer |
|
Recommended |
Was the subject randomized? |
0::3; -9
|
0=No; 1=Yes; -9=unknown; 2=No meds; 3=No community care
|
rand |
Query
|
dema6 |
Integer |
|
Recommended |
Which Best describes your current living situation? |
1::9
|
1=Independent Living. Live alone, with spouse, family or friend, in an apartment or house.; 2=Minimally Structured Residence. Live in a supervised apartment program, boarding home, adult foster care.; 3=Moderately Restrictive Residence. Live in a halfway house, treatment program, acute psychiatric diversion facility, treatment lodge; 4=Extremely Restrictive Residence. Psychiatric hospital, skilled nursing facility, jail or prison.; 5=Homeless. Has been homeless or in emergency shelter for the homeless; 6=Lives in someone elses apartment, room or house; 7=Dormitory/College residence; 8=Residential treatment; 9=Other, specify
|
|
Query
|
dema7 |
Integer |
|
Recommended |
In the past week, how many days did you get to choose what you had to eat for your meals. (Applies to MOST meals in a day) |
0::3
|
0=0 to 1 days; 1=2 to 3 days; 2= 4 to 5 days; 3= 6to 7 days
|
|
Query
|
dema9 |
Integer |
|
Recommended |
Did you earn a high school diploma or GED? |
0;1; 99
|
0=No; 1=Yes; 99= Unknown/Refused to answer
|
|
Query
|
living1 |
Integer |
|
Recommended |
Living situation |
0;1
|
0=Other type of living situation; 1=Independent Living
|
|
Query
|
strata |
String |
1
|
Recommended |
O/Q/R ? Incoming Study Medication |
O;Q;R
|
O=Olanzapine; Q=Quetiapine; R=Risperidone
|
|
Query
|
trt |
Integer |
|
Recommended |
Treatment code |
1;2
|
1: Switch; 2: Stay
|
|
Query
|
visit |
String |
60
|
Recommended |
Visit name |
|
|
week, wk |
Query
|
fseqno |
Integer |
|
Recommended |
Sequence Number |
0::999
|
The FSEQNO variable in the ADJ form has a special interpretation compared to other forms.
For example, ADJ FSEQNO of '1' can be thought of as being '001', FSEQNO of '2' can be thought of as
being '002', and FSEQNO of '3' can be thought of as being '003'.
The first digit of FSEQNO relates to the corresponding ENF sequence number at that visit and the third
digit relates to the specific adjudicator who completed the adjudication form.
|
|
Query
|
daysrz |
Integer |
|
Recommended |
days since randomization |
|
|
days, dema0b |
|
version_form |
String |
121
|
Recommended |
Form used/assessment name |
|
|
vers |
Query
|
site |
String |
101
|
Recommended |
Site |
|
Study Site
|
psite |
Query
|
treatment_name |
String |
200
|
Recommended |
treatment name |
|
|
trt1 |
Query
|
wtliab2 |
Integer |
|
Recommended |
Weight liability at baseline |
1::3
|
1=High only; 2=Low only; 3=Both
|
|
|
fspgod |
String |
70
|
Recommended |
Subject's gender OTHER describe |
|
|
gender_other |
|
incardat |
Date |
|
Recommended |
date of last incarceration |
|
|
jail_date |
Query
|
psysoc_78 |
Integer |
|
Recommended |
Lifetime: # Arrests |
0::200
|
|
arrests |
Query
|
psysoc_81 |
Integer |
|
Recommended |
Lifetime: Jail Time: # Years |
0::200
|
|
|
Query
|
psysoc_82 |
Integer |
|
Recommended |
Lifetime: Jail Time: # Months |
0::11
|
|
|
Query
|
psysoc_83 |
Integer |
|
Recommended |
Lifetime: Jail Time: # Days |
|
|
|
Query
|
vr_arrest |
Integer |
|
Recommended |
arrested since last visit |
0;1
|
0=No; 1=Yes
|
arrested |
Query
|
am16 |
Integer |
|
Recommended |
Total number of times arrested during this interval |
|
|
times_arrested |
|
dthdate |
String |
30
|
Recommended |
Date of death |
|
|
death_date |
Query
|
visnum |
Float |
|
Recommended |
Numeric Visit Number |
|
-1.5 = Pre-Screening; -1 = Screening; 0 = Baseline; ## = Visit ## (from 1 to 10); Whole numbers = standard monthly visits; #.001 - #.009 = Unscheduled; #.1 = End of Phase 1; #.2 = End of Phase 2; #.3 = End of Phase 3; #.4 = End of Open Choice Phase; #.5 = End of Study; #.6 = Genetic Analysis; 1000=all visits
|
|
|
ca15 |
Date |
|
Recommended |
Admission date |
|
|
admission_1 |
|
ca16 |
Date |
|
Recommended |
Discharge date |
|
|
discharge_1 |
Query
|
demosam_002 |
Integer |
|
Recommended |
How many years of education have you had |
|
0 = No Education ;1 = 1st grade ;2 = 2nd grade ;3 = 3rd grade ;4 = 4th grade ; 5=5 years Completed 5th grade (Grade School) ;6=6 years Completed 6th grade;7=7 years Completed 7th grade ;8=8 years Completed 8th grade (Middle School) ;9 = 9th grade ; 10 = 10th grade ; 11 = 11th grade ; 12 = 12th grade OR GED ; 13 = 1 year of college ; 14 = 2 years of college or associates degree ; 15 = 3 years of college ; 16 = bachelor's degree ; 17 = 1 year of graduate school ; 18 = 2 years of graduate school ; 19 = 3 years of graduate school ; 20 = 4+ years of graduate school
|
education |
Query
|
status_before |
String |
500
|
Recommended |
In the 12 months before your current incarceration, were you (select all that apply): |
|
Legally employed for wages; Legally self-employed; Making money illegally; Out of work and looking for work; Out of work but not currently looking for work; A full-time parent; A student; Military; Retired; Unable to work; Receiving disability benefits (such as SSDI, VA disability benefits, etc)
|
|
Query
|
children_under18 |
Integer |
|
Recommended |
Number of children you have under age 18 |
|
|
children |
Query
|
children_support |
Integer |
|
Recommended |
Number of children (of any age) who you were living with you or who you were supporting financially in the year before your current incarceration: |
|
|
|
Query
|
income_beforejail |
Integer |
|
Recommended |
Annual household income (legal or illegal) in the year prior to the current incarceration: |
|
|
income |
Query
|
household |
Integer |
|
Recommended |
Number of people in your household in the year prior to the current incarceration: |
|
|
|
Query
|
incarcerated |
Integer |
|
Recommended |
Number of times you have been incarcerated including house of correction, prison or jail, in your lifetime (include current jail time served; if transferred between facilities [like jail to prison] count as one time; best estimate): |
|
|
|
Query
|
suicide_watch |
Integer |
|
Recommended |
Since you were arrested most recently and brought to this jail, have you spent any time on suicide or mental health watch? |
0;1
|
0 = No; 1 = Yes
|
|
Query
|
interview_status |
Integer |
|
Recommended |
Interview status |
1::4
|
1 = Occurring; 2 = Missed; 3 = Deceased; 4 = Other
|
|
|
other_interview_status |
String |
300
|
Recommended |
If interview status is "Other," then please explain |
|
|
|
Query
|
currently_incarcerated |
Integer |
|
Recommended |
Currently incarcerated? |
0;1
|
0 = No; 1 = Yes
|
|
Query
|
type_incarceration |
Integer |
|
Recommended |
If incarcerated, please specify type |
1::3
|
1 = Jail detention (unsentenced); 2 = Serving a jail sentence; 3 = Serving a prison sentence
|
|
|
release_date |
Date |
|
Recommended |
What date were you released after the time we saw you in jail (initial assessment)? |
|
|
release_date_fu |
Query
|
incarcerated_again |
Integer |
|
Recommended |
Have you been incarcerated again since last assessment? |
|
0 = No; 1 = Yes
|
|
Query
|
incarcerated_num |
Integer |
|
Recommended |
How many times incarcerated since last assessment? |
|
|
|
|
admission_2 |
Date |
|
Recommended |
Admission date #2 |
|
|
|
|
discharge_2 |
Date |
|
Recommended |
Discharge date #2 |
|
|
|
|
admission_3 |
Date |
|
Recommended |
Admission date #3 |
|
|
|
|
discharge_3 |
Date |
|
Recommended |
Discharge date #3 |
|
|
|
|
admission_4 |
Date |
|
Recommended |
Admission date #4 |
|
|
|
|
discharge_4 |
Date |
|
Recommended |
Discharge date #4 |
|
|
|
|
admission_5 |
Date |
|
Recommended |
Admission date #5 |
|
|
|
|
discharge_5 |
Date |
|
Recommended |
Discharge date #5 |
|
|
|
|
admission_6 |
Date |
|
Recommended |
Admission date #6 |
|
|
|
|
discharge_6 |
Date |
|
Recommended |
Discharge date #6 |
|
|
|
|
admission_7 |
Date |
|
Recommended |
Admission date #7 |
|
|
|
|
discharge_7 |
Date |
|
Recommended |
Discharge date #7 |
|
|
|
|
actual_release_date |
Date |
|
Recommended |
Actual Release Date |
|
|
|
Query
|
outreach_type1 |
Integer |
|
Recommended |
Communication type |
1::5
|
1 = Phone call ; 2 = Email ; 3 = Postal letter ; 4 = Phone text ; 5 = In person
|
|
Query
|
locator_type1 |
Integer |
|
Recommended |
Communication type |
1::5
|
1 = Phone call ; 2 = Email ; 3 = Postal letter ; 4 = Phone text ; 5 = In person
|
|
|
otherrace |
String |
100
|
Recommended |
specify other race |
|
The following questions are about you or the child's family.
|
race_otr |
Query
|
ethnicity |
String |
30
|
Recommended |
Ethnicity of participant |
|
|
|
|
btaa3 |
Float |
|
Recommended |
Length of session (minutes) |
|
999=Legitmately skipped
|
session_length |
|
attempted_calls |
Integer |
|
Recommended |
Attempted Calls (including completed call) |
|
|
cvlt_notes |
|
contact_type |
Integer |
|
Recommended |
Contact type |
1::5
|
1 = Suicide Prevention Intervention Session - Completed ; 2 = Suicide Prevention Intervention Session - Partial ; 3 = Follow-up Session - Completed ; 4 = Follow-up Session - Partial ; 5 = Adverse Event/Severe Adverse Event only
|
|
|
locator_call_num |
Integer |
|
Recommended |
total number of locator calls |
|
|
call_count |
|
time_service |
String |
50
|
Recommended |
Approximate time spent on service linkage outside session |
|
|
|
|
sexual_or_descrip |
String |
100
|
Recommended |
What is your sexual orientation? |
|
|
orientation_other |
|
demoses04 |
Integer |
|
Recommended |
Which best describes how you identify your sexual orientation? |
|
1= Asexual; 2= Bisexual; 3= Heterosexual/Straight; 4= Gay; 5= Lesbian; 6= Pansexual; 7= Questioning; 8= Other (please indicate)
|
orientation |
|
years_incarcerated |
Integer |
|
Recommended |
Total time spent incarcerated in lifetime: # years |
0::99
|
Incerceration includes both jail and prison
|
|
|
months_incarcerated |
Integer |
|
Recommended |
Total time spent incarcerated in lifetime: # months |
0::12
|
Incerceration includes both jail and prison
|
|
|
days_incarcerated |
Integer |
|
Recommended |
Total time spent incarcerated in lifetime: # days |
0::31
|
Incerceration includes both jail and prison
|
|
|
cbtp5b7d |
String |
150
|
Recommended |
Describe other focus of out-of-session contact |
|
|
|
|
bgender |
Integer |
|
Recommended |
What is your current gender identity? |
0::7
|
0=Man; 1=Woman; 2=Transgender man; 3=Genderqueer/gender non-conforming; 4=A gender not listed here (please specify); 5=No answer; 6=Non-binary; 7=Transgender woman
|
|
|
bgender_text |
String |
500
|
Recommended |
Description of A gender not listed here |
|
|
|
|
bpronoun_hehimhis |
Integer |
|
Recommended |
Check one or more options for the set(s) of pronouns you want people to use to refer to you: (he, him, his) |
0;1
|
0=No; 1=Yes
|
|
|
bpronoun_sheherhers |
Integer |
|
Recommended |
Check one or more options for the set(s) of pronouns you want people to use to refer to you: (she, her, hers) |
0;1
|
0=No; 1=Yes
|
|
|
bpronoun_theythemtheirs |
Integer |
|
Recommended |
Check one or more options for the set(s) of pronouns you want people to use to refer to you: (they, them, theirs) |
0;1
|
0=No; 1=Yes
|
|
|
bpronoun_siehirhirs |
Integer |
|
Recommended |
Check one or more options for the set(s) of pronouns you want people to use to refer to you: (sie, hir, hirs) |
0;1
|
0=No; 1=Yes
|
|
|
bpronoun_other |
Integer |
|
Recommended |
Check one or more options for the set(s) of pronouns you want people to use to refer to you: (Other:) |
0;1
|
0=No; 1=Yes
|
|
|
bpronoun_other_text |
String |
500
|
Recommended |
Check one or more options for the set(s) of pronouns you want people to use to refer to you: (Other:) Description of Other |
|
|
|
|
bsexorientation |
Integer |
|
Recommended |
What is your sexual orientation? |
0::6
|
0=Lesbian; 1=Gay; 2=Bisexual; 3=Queer; 4=Straight/Heterosexual; 5=Questioning; 6=Not listed. Please specify:
|
|
|
bsexorientation_text |
String |
500
|
Recommended |
What is your sexual orientation? Description of Not listed. Please specify: |
|
|
|
|
brace |
Integer |
|
Recommended |
Racial Background |
1::7
|
1=Asian / Asian American; 2=Black / African American; 3=Caucasian / White; 4=American Indian / Alaskan Native; 5=Native Hawaiian / Pacific Islander; 6=Multiracial (please specify); 7=Other (please specify)
|
|
|
brace_text |
String |
500
|
Recommended |
Racial Background: Description of Multiracial |
|
|
|
|
brace_text2 |
String |
500
|
Recommended |
Racial Background: Description of Other |
|
|
|
|
bschool |
Integer |
|
Recommended |
What type of school are you currently attending? |
1::6
|
1=High School; 2=Community College; 3=Vocational or Tech School; 4=4-year College or University as an undergraduate; 5=4-year University as a graduate student; 6=Professional School (law, medicine, etc.)
|
|
|
bstatus |
Integer |
|
Recommended |
What is your student status? |
0;1
|
0=Full-time (12+ credits); 1=Part-time (1-11 credits)
|
|
|
bclass |
Integer |
|
Recommended |
What is your class standing? |
1::4
|
1=Freshman; 2=Sophomore; 3=Junior; 4=Senior
|
|
|
bgpa |
Integer |
|
Recommended |
What was your most recent GPA? |
0::7
|
0=0.0 - 0.5; 1=0.6 - 0.9; 2=1.0 - 1.5; 3=1.6 - 1.9; 4=2.0 - 2.5; 5=2.6 - 2.9; 6=3.0 - 3.5; 7=3.6 - 4.0
|
|
|
bhome |
Integer |
|
Recommended |
Where do you currently live? |
1::8
|
1=Apartment / Condo; 2=House / Townhome; 3=Resident Halls / Dorm Room; 4=Fraternity / Sorority House; 5=Shelter; 6=Group home; 7=Homeless; 8=Other: please specify
|
|
|
bhome_text |
String |
500
|
Recommended |
(BHOME.TEXT) Description of Other: Please specify |
|
|
|
|
bgreek |
Integer |
|
Recommended |
Are you a member of a Fraternity or Sorority? |
0::2
|
0=No; 1=Yes; 2=Non-Greek
|
|
|
randomization |
Integer |
|
Recommended |
Randomization Field |
2;3
|
2=Blue; 3=White
|
|
|
bhousehold_1 |
Integer |
|
Recommended |
Who else lives in your household? (Select all that apply). The parent(s) who raised me |
0;1
|
0=No; 1=Yes
|
|
|
bhousehold_2 |
Integer |
|
Recommended |
Who else lives in your household? (Select all that apply). One or more siblings |
0;1
|
0=No; 1=Yes
|
|
|
bhousehold_3 |
Integer |
|
Recommended |
Who else lives in your household? (Select all that apply). Other family members (e.g., grandparents) |
0;1
|
0=No; 1=Yes
|
|
|
bhousehold_4 |
Integer |
|
Recommended |
Who else lives in your household? (Select all that apply). Spouse / Partner |
0;1
|
0=No; 1=Yes
|
|
|
bhousehold_5 |
Integer |
|
Recommended |
Who else lives in your household? (Select all that apply). Children |
0;1
|
0=No; 1=Yes
|
|
|
bhousehold_6 |
Integer |
|
Recommended |
Who else lives in your household? (Select all that apply). Roommate(s) |
0;1
|
0=No; 1=Yes
|
|
|
bhousehold_7 |
Integer |
|
Recommended |
Who else lives in your household? (Select all that apply) (Other (please specify):) |
0;1
|
0=No; 1=Yes
|
|
|
bhousehold_7_text |
String |
500
|
Recommended |
Who else lives in your household? (Select all that apply) (Other (please specify):) Description of Other (please specify) |
|
|
|
|
bhousehold_8 |
Integer |
|
Recommended |
Who else lives in your household? (Select all that apply). None of the above, I live alone |
0;1
|
0=No; 1=Yes
|
|
|
bhousehold_9 |
Integer |
|
Recommended |
Who else lives in your household? (Select all that apply). None of the above, my housing is unstable |
0;1
|
0=No; 1=Yes
|
|
|
randomization_urn |
String |
50
|
Recommended |
Randomization urn |
|
|
|
|
bincome_1 |
Integer |
|
Recommended |
What is the source of your income? (Select all that apply). Full-time Employment (40+ hours/week) |
0;1
|
0=No; 1=Yes
|
|
|
bincome_2 |
Integer |
|
Recommended |
What is the source of your income? (Select all that apply). Part-time Employment (<40 hours/week) |
0;1
|
0=No; 1=Yes
|
|
|
bincome_3 |
Integer |
|
Recommended |
What is the source of your income? (Select all that apply). Odd jobs (non-steady employment) |
0;1
|
0=No; 1=Yes
|
|
|
bincome_4 |
Integer |
|
Recommended |
What is the source of your income? (Select all that apply). Financial Aid |
0;1
|
0=No; 1=Yes
|
|
|
bincome_5 |
Integer |
|
Recommended |
What is the source of your income? (Select all that apply). Parental Support |
0;1
|
0=No; 1=Yes
|
|
|
bincome_6 |
Integer |
|
Recommended |
What is the source of your income? (Select all that apply). Other means (Please specify): |
0;1
|
0=No; 1=Yes
|
|
|
bincome_6_text |
String |
500
|
Recommended |
What is the source of your income? (Select all that apply). Other means (Please specify): Description of Other means (Please specify) |
|
|
|
|
brelationship |
Integer |
|
Recommended |
What is your relationship status? |
0::5
|
0=Single, not dating; 1=Single, dating; 2=In a serious relationship; 3=Engaged; 4=Married; 5=Divorced
|
|
|
busage |
Integer |
|
Recommended |
Describe your alcohol usage |
0::5
|
0=I have never tried alcohol; 1=I am an abstainer ( I do not drink at all); 2=I am a light, social, non-problem drinker; 3=I am a moderate, social, non-problem drinker; 4=I am a heavy, non-problem drinker; 5=I am a heavy, problem drinker
|
|
|
bfuturerestudies |
Integer |
|
Recommended |
Would you like to be contacted regarding future research opportunities? |
0;1
|
0= No, I am not interested in being contacted regarding future research studies; 1= Yes, I am interested in being contacted regarding future research studies
|
|
|
num_rndcode |
Integer |
|
Recommended |
Numeric Randomization code |
1::3
|
1=Assessment Only Control; 2=BASICS; 3=BASICS+SLEEP
|
|
|
batt01 |
Integer |
|
Recommended |
Please choose the color ''blue'' from the list below: |
1::4
|
1=Red; 2=Blue; 3=Yellow; 4=Green
|
|
|
batt02 |
Integer |
|
Recommended |
What is 2+3? |
1::4
|
1=3; 2=4; 3=5; 4=6
|
|
|
batt03 |
Integer |
|
Recommended |
Please select ''apple'' from the list below: |
1::4
|
1=banana; 2=apple; 3=orange; 4=lemon
|
|
|
batt04 |
Integer |
|
Recommended |
What day comes after Saturday? |
1::4
|
1=Friday; 2=Sunday; 3=Monday; 4=Tuesday
|
|
|
age |
String |
20
|
Recommended |
Age (years: months: days) |
|
|
|
|
d_hispanic |
Integer |
|
Recommended |
Are you Hispanic or Latina/Latino/Latinx? |
0;1;-888
|
0 = No; 1 = Yes; -888 = Decline to Answer
|
|
|
bgmstu |
Integer |
|
Recommended |
Are you currently a student? |
0;1
|
0=No; 1=Yes
|
|
|
bheightf |
Integer |
|
Recommended |
Height (Feet) |
|
|
|
|
bheighti |
Integer |
|
Recommended |
Height (Inches) |
|
|
|
|
bweight |
Integer |
|
Recommended |
Weight (lbs) |
|
|
|
|
bsex |
Integer |
|
Recommended |
What is your biological sex at birth? |
0::2; 88
|
0=Male; 1=Female; 2=Other; 88 = Unknown/Prefer not to answer
|
|