Loading...

National Institute of Mental Health Data Archive (NDA) Sign In
NDA

Enter the email address associated with your existing NDA Account and click Continue Linking Process.

If you do not have an existing NDA account, click Go Back.

Warning Notice This is a U.S. Government computer system, which may be accessed and used only for authorized Government business by authorized personnel. Unauthorized access or use of this computer system may subject violators to criminal, civil, and/or administrative action. All information on this computer system may be intercepted, recorded, read, copied, and disclosed by and to authorized personnel for official purposes, including criminal investigations. Such information includes sensitive data encrypted to comply with confidentiality and privacy requirements. Access or use of this computer system by any person, whether authorized or unauthorized, constitutes consent to these terms. There is no right of privacy in this system.
National Institute of Mental Health Data Archive (NDA) Sign In
NDA

Success! An email is on its way!

Please check your email to complete the linking process. The link you receive is only valid for 30 minutes.

Check your spam or junk folder if you do not receive the email in the next few minutes.

Warning Notice This is a U.S. Government computer system, which may be accessed and used only for authorized Government business by authorized personnel. Unauthorized access or use of this computer system may subject violators to criminal, civil, and/or administrative action. All information on this computer system may be intercepted, recorded, read, copied, and disclosed by and to authorized personnel for official purposes, including criminal investigations. Such information includes sensitive data encrypted to comply with confidentiality and privacy requirements. Access or use of this computer system by any person, whether authorized or unauthorized, constitutes consent to these terms. There is no right of privacy in this system.
Create or Link an Existing NDA Account

Warning Notice

This is a U.S. Government computer system, which may be accessed and used only for authorized Government business by authorized personnel. Unauthorized access or use of this computer system may subject violators to criminal, civil, and/or administrative action. All information on this computer system may be intercepted, recorded, read, copied, and disclosed by and to authorized personnel for official purposes, including criminal investigations. Such information includes sensitive data encrypted to comply with confidentiality and privacy requirements. Access or use of this computer system by any person, whether authorized or unauthorized, constitutes consent to these terms. There is no right of privacy in this system.

NIMH Data Archive (NDA) Sign In or Create An Account
Update Password

You have logged in with a temporary password. Please update your password. Passwords must contain 8 or more characters and must contain at least 3 of the following types of characters:

  • Uppercase
  • Lowercase
  • Numbers
  • Special Characters limited to: %,_,!,@,#,$,-,%,&,+,=,),(,*,^,:,;
Update Password

Subscribe to our mailing list

Mailing List(s)
Email Format

You are now leaving the NIMH Data Archive (NDA) web site to go to:

Click on the address above if the page does not change within 10 seconds.

Disclaimer

NDA is not responsible for the content of this external site and does not monitor other web sites for accuracy.

Accept Terms
Data Access Terms - Decline Terms

Are you sure you want to cancel? This will decline terms and you will not be authorized for access.

NIMH Data Archive
NDA ABCD CCF OAI NIAAADA AMP SCZ HEAL

CSBS DP Caregiver Questionnaire

0 Shared Subjects

CSBS DP Caregiver Questionnaire. Provided by Dr. A.Thurm
Clinical Assessments
Questionnaire
12/22/2011
csbs_dp01
12/22/2011
View Change History
01
Definition
Submission Template
Query Element Name Data Type Size Required Condition 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 birth_premature String 20 Recommended Was birth premature?
Yes; No
Query premature_weeks Integer Conditional birth_premature == 'Yes' Weeks premature 0 = Full term
Query respond_detail Integer Recommended Respondent detail 1::8;999 1 = Mother; 2 = Father; 3 = Other relative or custodial adult; 4 = Teacher or caregiver; 5 = Other specialist; 6 = Other; 7 = Child; 8= Spouse; 999 = Not available
Query emotion_eyegaze_q2 String 50 Recommended When your child is playing with a toy, does he/she look at you and then back at the toy? Not yet; Sometimes; Often
Query emotion_eyegaze_q3 String 50 Recommended If you look at and point to a toy out of your child's reach, does your child look at the toy? Not yet; Sometimes; Often
Query emotion_eyegaze_q1 String 50 Recommended When your child is happy, does he/she smile or laugh and look at you at the same time? Not yet; Sometimes; Often
Query emotion_eyegaze_q4 String 50 Recommended When your child is upset or frustrated, does he/she express this clearly with facial expression, sounds, or words? Not yet; Sometimes; Often
Query emotion_eyegaze_q5 String 50 Recommended How often does your child get upset or frustrated each day? Not yet; Sometimes; Often
Query emotion_eyegaze_q6 String 50 Recommended When your child is upset, does he/she calm down easily (within a few minutes)? Not yet; Sometimes; Often
Query emotion_eyegaze_q7 String 50 Recommended When you are with your child, is your child comfortable interacting with unfamiliar people or new situations? Not yet; Sometimes; Often
Query emotion_eyegaze_q8 String 50 Recommended When your child is afraid, does he/she seek comfort from you? Not yet; Sometimes; Often
Query communicat_q9 String 50 Recommended Does your child clearly let you know when he/she needs help (for example, wants you to open a container)? Not yet; Sometimes; Often
Query communicat_q10 String 50 Recommended Does your child clearly let you know when he/she wants an object that is out of reach? Not yet; Sometimes; Often
Query communicat_q11 String 50 Recommended Does your child let you know that he/she does not want something that you are offering him/her? Not yet; Sometimes; Often
Query communicat_q12 String 50 Recommended Does your child greet you when you come in the room or leave? Not yet; Sometimes; Often
Query communicat_q13 String 50 Recommended Does your child reach out to give you a hug or kiss? Not yet; Sometimes; Often
Query communicat_q14 String 50 Recommended Does your child try to get your attention when you are busy doing something, such as when you are talking with an adult or preparing a meal? Not yet; Sometimes; Often
Query communicat_q15 String 50 Recommended If your child does something that is funny and you laugh, does your child do it again for the attention? Not yet; Sometimes; Often
Query communicat_q16 String 50 Recommended Does your child try to get you to notice interesting objects, not to get you to do anything with them, but just to get you to look at them (for example, show you an object or point to a picture in a book)? Not yet; Sometimes; Often
Query communicat_q17 String 50 Recommended Does your child try to draw your attention to exciting or unexpected things, such as a pop-up toy or something falling down? Not yet; Sometimes; Often
Query communicat_q18 String 50 Recommended If you can't figure out what your child is trying to communicate, does your child try again or use a different way to get his/her meaning across? Not yet; Sometimes; Often
Query gestures_q19 String 50 Recommended Does your child use gestures that are easily understood by others, such as giving objects, showing objects, pointing, and waving? Not yet; Sometimes; Often
Query gestures_q20a String 50 Recommended Which of the following gestures have you seen your child use? give an object to you
Yes; No
Query gestures_q20b String 50 Recommended Which of the following gestures have you seen your child use? show an object to you {i.e., by extending arm but not releasing object) Yes; No
Query gestures_q20c String 50 Recommended Which of the following gestures have you seen your child use? push an object away
Yes; No
Query gestures_q20d String 50 Recommended Which of the following gestures have you seen your child use? raise arms to be picked up
Yes; No
Query gestures_q20e String 50 Recommended Which of the following gestures have you seen your child use? reach with an open hand toward an object Yes; No
Query gestures_q20f String 50 Recommended Which of the following gestures have you seen your child use? wave "hi" or "bye bye
Yes; No
Query gestures_q20g String 50 Recommended Which of the following gestures have you seen your child use? point to an object or a picture that is within reach
Yes; No
Query gestures_q20h String 50 Recommended Which of the following gestures have you seen your child use? point to an object or a picture out of reach Yes; No
Query gestures_q20i String 50 Recommended Which of the following gestures have you seen your child use? shake head to indicate "no
Yes; No
Query gestures_q20k String 50 Recommended Which of the following gestures have you seen your child use? nod head to indicate "yes
Yes; No
Query sounds_q21 String 50 Recommended Does your child use sounds to communicate both pleasure and discomfort? Not yet; Sometimes; Often
Query sounds_q22 String 50 Recommended Children use sounds to communicate in vocal play before they use sounds in words. Does your child use a variety of different consonant sounds, such as ba, ga ta and da either in vocal play or in words? Not yet; Sometimes; Often
sounds_q23 String 425 Conditional sounds_q22 != 'Not yet' If so, which of the following sounds have you heard your child use, either in vocal play or in words? /m/ as in "mamamama" or "mama" or "moo"; /n/ as in "nununu" or "no no"; /b/ as in "babababa" or "bibo" or "boo" or "bye bye"; /d/ as in "dodododo" or "daddy"; /g/ as in "googoo" or "gone gone"; /w/ as in "woowoo" or "weewee" or "wagon"; /I/ as in "lalala" or "balloon" or "little"; /y/ as in "yayaya" or "yum yum" or "you"; /s/as in "sasasa" or "sock" or "kiss"; /sh/ as in "shashasha" or "hush" or "shoe
Query sounds_q24 String 50 Recommended Does your child put sounds together, either in vocal play or words (for example, "baba", "mamama", "dada","bye bye")? Not yet; Sometimes; Often
Query words_q25 String 50 Recommended Does your child use words to communicate that are understandable to you? Not yet; Sometimes; Often
words_q26 String 350 Conditional words_q25 != 'Not yet' If so, which of the following words have you heard your child use (include approximations that you recognize, such as "nana" for banana or "baba" for bottle)? mommy; daddy; baby; dog; kitty; bird; duck; eye; nose; moo; woof; grr (animal noise); peekaboo; bye bye; no; hi; all gone; uhoh; night night; outside; yum yum; vroom; ouch; up; bottle; banana; ball; bath; book; car; cookie; juice; sock; keys; balloon; truck
Query words_q27 String 50 Recommended Does your child use words that are understandable to unfamiliar adults? Not yet; Sometimes; Often
Query words_q28 String 50 Recommended Does your child put two or more words together (for example, more cookie, daddy car, bye bye kitty)? Not yet; Sometimes; Often
Query understanding_q29 String 50 Recommended Does your child respond when you call his/her name (for example, by looking/turning head)? Not yet; Sometimes; Often
Query understanding_q30 String 50 Recommended Does your child respond appropriately to gestures (for example, giving you an object when you say "give it to me" while holding out your hand or while pointing to the object)? Not yet; Sometimes; Often
Query understanding_q31 String 50 Recommended Does your child understand words or short phrases when you use only words and do not use gestures? Not yet; Sometimes; Often
understanding_q32 String 350 Conditional understanding_q31 != 'Not yet' If so, which of the following words does your child understand without gestures (i.e., if you say the word, your child will find the object or carry out the action)? mommy; daddy; child's name; baby; kitty; dog; bird; nose; eyes; tummy; foot; hair; peekaboo; bye bye; no; hi; all gone; uh oh; night night; outside; eat; drink; hug; bite; bottle; bath; ball; book; diaper; car; juice; shoe; cup; keys; ballon; trucks
Query object_use_q33 String 50 Recommended Does your child show interest in playing with a variety of objects? Not yet; Sometimes; Often
Query object_use_q34 String 50 Recommended Does your child use a variety of common objects appropriately (for example, comb, spoon, toothbrush)? Not yet; Sometimes; Often
Query object_use_q35a String 50 Conditional object_use_q34 != 'Not yet' If so, which of the following actions have you seen your child do with objects? drink with a cup or bottle
Yes; No; 999
999 = Missing
Query object_use_q35b String 50 Conditional object_use_q34 != 'Not yet' If so, which of the following actions have you seen your child do with objects? comb or brush hair
Yes; No; 999
999 = Missing
Query object_use_q35c String 50 Conditional object_use_q34 != 'Not yet' If so, which of the following actions have you seen your child do with objects? feed self with a spoon
Yes; No; 999
999 = Missing
Query object_use_q35d String 50 Conditional object_use_q34 != 'Not yet' If so, which of the following actions have you seen your child do with objects? stir with a spoon
Yes; No; 999
999 = Missing
Query object_use_q35e String 50 Conditional object_use_q34 != 'Not yet' If so, which of the following actions have you seen your child do with objects? pour with cup or bowl
Yes; No; 999
999 = Missing
Query object_use_q35f String 50 Conditional object_use_q34 != 'Not yet' If so, which of the following actions have you seen your child do with objects? brush teeth
Yes; No; 999
999 = Missing
Query object_use_q35g String 50 Conditional object_use_q34 != 'Not yet' If so, which of the following actions have you seen your child do with objects? wash or wipe face with cloth
Yes; No; 999
999 = Missing
Query object_use_q35h String 50 Conditional object_use_q34 != 'Not yet' If so, which of the following actions have you seen your child do with objects? roll or throw a ball
Yes; No; 999
999 = Missing
Query object_use_q35i String 50 Conditional object_use_q34 != 'Not yet' If so, which of the following actions have you seen your child do with objects? push a toy vehicle
Yes; No; 999
999 = Missing
Query object_use_q35k String 50 Conditional object_use_q34 != 'Not yet' If so, which of the following actions have you seen your child do with objects? put toy telephone to ear
Yes; No; 999
999 = Missing
Query object_use_q36 String 50 Recommended Does your child pretend to play with toys (for example, feed a stuffed animal, put a baby doll to sleep, put an animal figure in a vehicle)? Not yet; Sometimes; Often
Query object_use_q37a String 50 Conditional object_use_q36 != 'Not yet' If so, which of the following actions have you seen your child do when playing with another person, a stuffed animal, or a doll? feed with a spoon
Yes; No
Query object_use_q37b String 50 Conditional object_use_q36 != 'Not yet' If so, which of the following actions have you seen your child do when playing with another person, a stuffed animal, or a doll? drink with a cup or bottle
Yes; No
Query object_use_q37c String 50 Conditional object_use_q36 != 'Not yet' If so, which of the following actions have you seen your child do when playing with another person, a stuffed animal, or a doll? comb or brush hair
Yes; No
Query object_use_q37d String 50 Conditional object_use_q36 != 'Not yet' If so, which of the following actions have you seen your child do when playing with another person, a stuffed animal, or a doll? cover with blanket
Yes; No
Query object_use_q37e String 50 Conditional object_use_q36 != 'Not yet' If so, which of the following actions have you seen your child do when playing with another person, a stuffed animal, or a doll? wash or wipe face with cloth
Yes; No
Query object_use_q37f String 50 Conditional object_use_q36 != 'Not yet' If so, which of the following actions have you seen your child do when playing with another person, a stuffed animal, or a doll? brush teeth with toothbrush
Yes; No
Query object_use_q37g String 50 Conditional object_use_q36 != 'Not yet' If so, which of the following actions have you seen your child do when playing with another person, a stuffed animal, or a doll? put on diaper
Yes; No
Query object_use_q37h String 50 Conditional object_use_q36 != 'Not yet' If so, which of the following actions have you seen your child do when playing with another person, a stuffed animal, or a doll? hug or kiss
Yes; No
Query object_use_q38 String 50 Recommended Does your child pretend by putting two or more actions together in a sequence, such as stirring food and feeding doll or washing doll's face and covering doll with a blanket? Not yet; Sometimes; Often
Query object_use_q39 String 50 Recommended Does your child build or arrange toy objects (for example, build a tower of blocks, stack rings, put puzzle pieces together)? Not yet; Sometimes; Often
Query object_use_q40a String 50 Recommended Which of these actions have you seen your child do? take blocks out of container
Yes; No
Query object_use_q40b String 50 Recommended Which of these actions have you seen your child do? put blocks in container
Yes; No
Query object_use_q40c String 50 Recommended Which of these actions have you seen your child do? build a tower of blocks
Yes; No
Query object_use_q40d String 50 Recommended Which of these actions have you seen your child do? put puzzle pieces together
Yes; No
Query object_use_q40e String 50 Recommended Which of these actions have you seen your child do? stack rings on ring stacker without regard for order
Yes; No
Query object_use_q40f String 50 Recommended Which of these actions have you seen your child do? put rings on ring stacker in order
Yes; No
Query object_use_q40g String 50 Recommended Which of these actions have you seen your child do? hold crayon or marker and scribble on paper
Yes; No
Query object_use_q40h String 50 Recommended Which of these actions have you seen your child do? draw shapes or patterns on paper
Yes; No
Query object_use_q40i String 50 Recommended Which of these actions have you seen your child do? squeeze and bang playdough
Yes; No
Query object_use_q40k String 50 Recommended Which of these actions have you seen your child do? make shapes with playdough, such as hot dogs or pancakes
Yes; No
Query object_use_q41a String 50 Recommended Which of these actions have you seen your child do with books? turn pages
Yes; No
Query object_use_q41b String 50 Recommended Which of these actions have you seen your child do with books? look at pictures
Yes; No
Query object_use_q41c String 50 Recommended Which of these actions have you seen your child do with books? look at pictures and then look at you
Yes; No
Query object_use_q41d String 50 Recommended Which of these actions have you seen your child do with books? point to pictures without being asked
Yes; No
Query object_use_q41e String 50 Recommended Which of these actions have you seen your child do with books? point to pictures when asked
Yes; No
Query object_use_q41g String 50 Recommended Which of these actions have you seen your child do with books? label pictures
Yes; No
additional_q42 String 255 Recommended How has your child's communication changed over the past few months?
additional_q43 String 255 Recommended List a few strengths or assets you observe in your child.
additional_q44 String 255 Recommended List any concerns you have about your child's development.
additional_q45 String 255 Recommended Is there anything else about your child that you think is important to share with us?
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)
  • For valid elements with shared data, on the far left is a Filter button you can use to view a summary of shared data for that element and apply a query filter to your Cart based on selected value ranges

At the top of this page you can also:

  • Use the search bar to filter the elements displayed. This will not filter on the Size of Required columns
  • Download a copy of this definition in CSV format
  • Download a blank CSV submission template prepopulated with the correct structure header rows ready to fill with subject records and upload

Please email the The NDA Help Desk with any questions.

Additional Information
Training Privacy Policy Disclaimer Contact Us
External Resources
Accessibility FOIA OIG HHS Vulnerability Disclosure
NIH Logo HHS Logo USA Gov Logo
c725efb98f608e6bc0136950f08b0c3af2bde994