F2653-C56448
C56448
PROMIS - Pain Behavior when pain stay still scale
Scale related to the individual feeling as if when he/she was in pain, he/she tried to stay very still in the past 7 days, as part of the PROMIS Pain Behavior
Supplemental
PROMIS Item Bank v1.1 - Pain Behavior
False
General (For all diseases)
General (For all diseases)
F2054-C21263
C21263
Quality of Life - Satisfaction hope during bad episode recent assessment scale
The scale representing how often the participant still had hope even when things were going badly lately, as part of Neuro-QOL Positive Affect and Well-Being
Supplemental
Neuro-QOL Adult Bank - Positive Affect and Well-Being
True
General (For all diseases)
General (For all diseases)
F1807-C58781
C58781
Gender identity type other text
The free-text field related to 'Gender identity type', specifying other text
Supplemental
General Core
False
General (For all diseases)
General (For all diseases)
F2053-C21240
C21240
Quality of Life - Movement dark room no fall walk difficulty scale
The scale which represents the amount of difficulty the participant currently has in walking in a dark room without falling, as part of Neuro-QOL Lower Extremity Function
Supplemental
Neuro-QOL Adult Bank - Lower Extremity Function
True
General (For all diseases)
General (For all diseases)
F2058-C21136
C21136
Quality of Life - Movement dress pullover shirt on difficulty scale
The scale which represents the amount of difficulty the participant currently has in putting on a pullover shirt, as part of Neuro-QOL Upper Extremity
Supplemental
Neuro-QOL Adult Bank - Upper Extremity
True
General (For all diseases)
General (For all diseases)
F2050-C21218
C21218
Quality of Life - Reaction slow past week scale
The scale representing how often the participant reacted slowly to things that were said and done in the past 7 days, as part of Neuro-QOL Cognitive Function
Supplemental
Neuro-QOL Adult Bank - Cognitive Function
True
General (For all diseases)
General (For all diseases)
F2067-C20753
C20753
Patient-Reported Outcome Measurement Information System (PROMIS) - Family relationship ability satisfaction past week scale
The scale which represents the extent of the participant's satisfaction with his/her ability to do things for his family in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS)
Supplemental
PROMIS Item Bank v1.0 - Social Activity
True
General (For all diseases)
General (For all diseases)
F2053-C21324
C21324
Quality of Life - Movement walk fifteen minute duration ability scale
The scale which represents the extent to which the participant was able to go for a walk of at least 15 minutes, as part of Neuro-QOL Lower Extremity Function and Patient-Reported Outcome Measurement Information System (PROMIS) Mobility
Supplemental
Neuro-QOL Adult Bank - Lower Extremity Function
True
General (For all diseases)
General (For all diseases)
F2058-C21144
C21144
Quality of Life - Movement fingernail trim ability scale
The scale which represents the extent to which the participant was able to trim their fingernails, as part of Neuro-QOL Upper Extremity and Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity
Supplemental
Neuro-QOL Adult Bank - Upper Extremity
True
General (For all diseases)
General (For all diseases)
F2051-C21226
C21226
Quality of Life - Write task list difficulty scale
The scale which represents the amount of difficulty the participant currently has in writing notes to himself/herself or 'to do' lists, as part of Neuro-QOL Communication
Supplemental
Neuro-QOL Adult Bank - Communication
True
General (For all diseases)
General (For all diseases)
F2067-C20761
C20761
Patient-Reported Outcome Measurement Information System (PROMIS) - Daily routine performance time spent satisfaction past week scale
The scale which represents the extent of the participant's satisfaction with the amount of time he/she spent performing daily routines in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS)
Supplemental
PROMIS Item Bank v1.0 - Social Activity
True
General (For all diseases)
General (For all diseases)
F2054-C21241
C21241
Quality of Life - Satisfaction well being recent asssement scale
The scale representing how often the participant had a sense of well-being lately, as part of Neuro-QOL Positive Affect and Well-Being
Supplemental
Neuro-QOL Adult Bank - Positive Affect and Well-Being
True
General (For all diseases)
General (For all diseases)
F2059-C20550
C20550
Quality of Life in Neurological Disorders (Neuro-Qol) - Frustration tired for action fatigue assessment past week scale
The scale representing how often the participant felt frustrated by being too tired to do the things they wanted to do in the past 7 days, as part of the Quality of Life in Neurological Disorders (Neuro-Qol)
Supplemental
Neuro-QOL Adult Bank - Fatigue
False
General (For all diseases)
General (For all diseases)
F2052-C20693
C20693
Quality of Life - Other people withdrawal assessment past week scale
The scale which represents how often the participant withdrew from other people in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Depression
Supplemental
Neuro-QOL Adult Bank - Depression
True
General (For all diseases)
General (For all diseases)
F2654-C56511
C56511
Patient-Reported Outcome Measurement Information System (PROMIS) - Pain Interference pain prevent from walk more 1 mile scale
Scale related to how often pain prevented an individual from walking more than 1 mile in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS)
Supplemental
PROMIS Item Bank v1.1 - Pain Interference
False
General (For all diseases)
General (For all diseases)
F0005-C21121
C21121
Subject zip postal code number
The number of the subject/participant's zip/postal code
Supplemental
Participant/Subject Contact Information
False
General (For all diseases)
General (For all diseases)
F2059-C20571
C20571
Quality of Life in Neurological Disorders (Neuro-Qol) - Poor appetite fatigue assessment past week scale
The scale representing how often the participant was too tired to eat in the past 7 days, as part of the Quality of Life in Neurological Disorders (Neuro-Qol)
Supplemental
Neuro-QOL Adult Bank - Fatigue
False
General (For all diseases)
General (For all diseases)
F2052-C20730
C20730
Quality of Life - Unhappiness assessment past week scale
The scale which represents how often the participant felt unhappy in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Depression
Supplemental
Neuro-QOL Adult Bank - Depression
True
General (For all diseases)
General (For all diseases)
F2654-C56519
C56519
Patient-Reported Outcome Measurement Information System (PROMIS) - Pain Interference pain prevent sit 1 hour more scale
Scale related to how often an individual's pain prevented him/her from sitting for more than one hour in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS)
Supplemental
PROMIS Item Bank v1.1 - Pain Interference
False
General (For all diseases)
General (For all diseases)
F2057-C21310
C21310
Quality of Life - Stigma illness burden worry recent assessment scale
The scale representing how often the participant worried that he/she was a burden to others because of their illness lately, as part of Neuro-QOL Stigma
Supplemental
Neuro-QOL Adult Bank - Stigma
True
General (For all diseases)
General (For all diseases)
F2050-C21202
C21202
Quality of Life - Manage time daily activity difficulty scale
The scale which represents the amount of difficulty the participant currently has in managing their time to do most of their daily activities, as part of Neuro-QOL Cognitive Function
Supplemental
Neuro-QOL Adult Bank - Cognitive Function
True
General (For all diseases)
General (For all diseases)
F0006-C21111
C21111
Form not completed indicator
Indicator for the incompletion of the form
Supplemental
Visit Checklist
False
General (For all diseases)
General (For all diseases)
F0004-C20415
C20415
Serious adverse event report completed date
Date when the report on the adverse event was completed
Supplemental
Serious Adverse Events
False
General (For all diseases)
General (For all diseases)
F2061-C20686
C20686
Patient-Reported Outcome Measure Information System (PROMIS) - standard error value
The value of the Standard Error (a statistical measure of variance that represents the "margin of error" for the T-score) representing the possible range of the actual final score based upon the scaled T-score on the PROMIS form as part of the Patient-Reported Outcome Measurement Information System (PROMIS)
Supplemental
PROMIS - Scoring
False
General (For all diseases)
General (For all diseases)
F2052-C21232
C21232
Quality of Life - Mistake self critical past week scale
The scale representing how often the participant was critical of himself/herself for their mistakes in the past 7 days, as part of Neuro-QOL Depression
Supplemental
Neuro-QOL Adult Bank - Depression
True
General (For all diseases)
General (For all diseases)