CDE Detailed Report

Disease: NeuroRehab
Subdomain Name: Behavioral Function
CRF: Alcohol Use Disorders Identification Test: Self-Report Version (AUDIT)

Displaying 1 - 11 of 11
CDE ID CDE Name Variable Name Definition Short Description Question Text Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guidance) Subdomain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C07087 Alcohol Use Disorders Identification Test (AUDIT) - Cannot remember night before frequency score AUDITCantRmbrNghtBefrFreqScore Score for the frequency within the last year with which the subject was unable to remember what happened the previous night due to drinking, as part of the Alcohol Use Disorders Identification Test (AUDIT) Score for the frequency within the last year with which the subject was unable to remember what happened the previous night due to drinking, as part of the Alcohol Use Disorders Identification Test (AUDIT) How often during the last year have you been unable to remember what happened the night before because of your drinking? 0;1;2;3;4 Never;Less than monthly;Monthly;Weekly;Daily or almost daily Numeric Values

Read questions as written. Record answers carefully. Begin the AUDIT by saying "Now I am going to ask you some questions about your use of alcoholic beverages during this past year." Explain what is meant by "alcoholic beverages" by using local examples of beer, wine, vodka, etc. Code answers in terms of "standard drinks". Place the correct answer number in the box at the right.

Saunders, J.B., Aasland, O.G., Babor, T.F., de la Fuente, J.R. and Grant, M. Development of the Alcohol Use Disorders Identification Test (AUDIT):WHO collaborative project on early detection of persons with harmful alcohol consumption. II. Addiction, 88,791-804, 1993. Adult NeuroRehab Supplemental-Highly Recommended 3.00 2013-07-20 10:21:25.65 Alcohol Use Disorders Identification Test: Self-Report Version (AUDIT) Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C07088 Alcohol Use Disorders Identification Test (AUDIT) - Drink injury indicator score AUDITDrnkInjIndScore Score for the indicator of whether someone that the subject knows was injured due to his or her drinking, as part of the Alcohol Use Disorders Identification Test (AUDIT) Score for the indicator of whether someone that the subject knows was injured due to his or her drinking, as part of the Alcohol Use Disorders Identification Test (AUDIT) Have you or someone else been injured because of your drinking? 2;4;0 Yes, but not in the last year;Yes, during the last year;No Numeric Values

Read questions as written. Record answers carefully. Begin the AUDIT by saying "Now I am going to ask you some questions about your use of alcoholic beverages during this past year." Explain what is meant by "alcoholic beverages" by using local examples of beer, wine, vodka, etc. Code answers in terms of "standard drinks". Place the correct answer number in the box at the right.

Saunders, J.B., Aasland, O.G., Babor, T.F., de la Fuente, J.R. and Grant, M. Development of the Alcohol Use Disorders Identification Test (AUDIT):WHO collaborative project on early detection of persons with harmful alcohol consumption. II. Addiction, 88,791-804, 1993. Adult NeuroRehab Supplemental-Highly Recommended 3.00 2013-07-20 10:21:25.65 Alcohol Use Disorders Identification Test: Self-Report Version (AUDIT) Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C07089 Alcohol Use Disorders Identification Test (AUDIT) - Relative friend doctor concern indicator score AUDITReltvFrndDrCncrnIndScore Score for the indicator of whether a relative, friend, doctor, or other health care workers has been concerned about the subject's drinking or suggested the subject cut down, as part of the Alcohol Use Disorders Identification Test (AUDIT) Score for the indicator of whether a relative, friend, doctor, or other health care workers has been concerned about the subject's drinking or suggested the subject cut down, as part of the Alcohol Use Disorders Identification Test (AUDIT) Has a relative, friend, doctor, or other health care worker been concerned about your drinking or suggested you cut down? 2;4;0 Yes, but not in the last year;Yes, during the last year;No Numeric Values

Read questions as written. Record answers carefully. Begin the AUDIT by saying "Now I am going to ask you some questions about your use of alcoholic beverages during this past year." Explain what is meant by "alcoholic beverages" by using local examples of beer, wine, vodka, etc. Code answers in terms of "standard drinks". Place the correct answer number in the box at the right.

Saunders, J.B., Aasland, O.G., Babor, T.F., de la Fuente, J.R. and Grant, M. Development of the Alcohol Use Disorders Identification Test (AUDIT):WHO collaborative project on early detection of persons with harmful alcohol consumption. II. Addiction, 88,791-804, 1993. Adult NeuroRehab Supplemental-Highly Recommended 3.00 2013-07-20 10:21:25.65 Alcohol Use Disorders Identification Test: Self-Report Version (AUDIT) Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C07090 Alcohol Use Disorders Identification Test (AUDIT) - Total score AUDITTotalScore The subject/participant's AUDIT total score (0-40), as part of the Alcohol Use Disorders Identification Test (AUDIT) The subject/participant's AUDIT total score (0-40), as part of the Alcohol Use Disorders Identification Test (AUDIT) The subject/participant's AUDIT total score (0-40) Numeric Values

Read questions as written. Record answers carefully. Begin the AUDIT by saying "Now I am going to ask you some questions about your use of alcoholic beverages during this past year." Explain what is meant by "alcoholic beverages" by using local examples of beer, wine, vodka, etc. Code answers in terms of "standard drinks". Place the correct answer number in the box at the right.

Saunders, J.B., Aasland, O.G., Babor, T.F., de la Fuente, J.R. and Grant, M. Development of the Alcohol Use Disorders Identification Test (AUDIT):WHO collaborative project on early detection of persons with harmful alcohol consumption. II. Addiction, 88,791-804, 1993. Adult NeuroRehab Supplemental-Highly Recommended 3.00 2013-07-20 10:21:25.65 Alcohol Use Disorders Identification Test: Self-Report Version (AUDIT) Behavioral Function Outcomes and End Points

Free-Form Entry

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C07080 Alcohol Use Disorders Identification Test (AUDIT) - Drink contain alcohol frequency score AUDITDrnkContainAlcFreqScore Score for the frequency with which the subject consumes alcoholic drinks, as part of the Alcohol Use Disorders Identification Test (AUDIT) Score for the frequency with which the subject consumes alcoholic drinks, as part of the Alcohol Use Disorders Identification Test (AUDIT) How often do you have a drink containing alcohol? 0;1;2;3;4 Never;Monthly or less;2-4 times a month;2-3 times a week;4 or more times a week Numeric Values

Read questions as written. Record answers carefully. Begin the AUDIT by saying "Now I am going to ask you some questions about your use of alcoholic beverages during this past year." Explain what is meant by "alcoholic beverages" by using local examples of beer, wine, vodka, etc. Code answers in terms of "standard drinks". Place the correct answer number in the box at the right.

This is same CDE as C00730.

Saunders, J.B., Aasland, O.G., Babor, T.F., de la Fuente, J.R. and Grant, M. Development of the Alcohol Use Disorders Identification Test (AUDIT):WHO collaborative project on early detection of persons with harmful alcohol consumption. II. Addiction, 88,791-804, 1993. Adult NeuroRehab Supplemental-Highly Recommended 3.00 2013-07-20 10:21:25.65 Alcohol Use Disorders Identification Test: Self-Report Version (AUDIT) Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C07081 Alcohol Use Disorders Identification Test (AUDIT) - Alcohol drink typical day number score AUDITAlcDrnkTypclDayNumScore Score for the number of drinks the subject consumes on a day he or she is drinking, as part of the Alcohol Use Disorders Identification Test (AUDIT) Score for the number of drinks the subject consumes on a day he or she is drinking, as part of the Alcohol Use Disorders Identification Test (AUDIT) How many drinks containing alcohol do you have on a typical day when you are drinking? 1;2;3;4;0 3 or 4;5 or 6;7 to 9;10 or more;1 or 2 Numeric Values

Read questions as written. Record answers carefully. Begin the AUDIT by saying "Now I am going to ask you some questions about your use of alcoholic beverages during this past year." Explain what is meant by "alcoholic beverages" by using local examples of beer, wine, vodka, etc. Code answers in terms of "standard drinks". Place the correct answer number in the box at the right.

Saunders, J.B., Aasland, O.G., Babor, T.F., de la Fuente, J.R. and Grant, M. Development of the Alcohol Use Disorders Identification Test (AUDIT):WHO collaborative project on early detection of persons with harmful alcohol consumption. II. Addiction, 88,791-804, 1993. Adult NeuroRehab Supplemental-Highly Recommended 3.00 2013-07-20 10:21:25.65 Alcohol Use Disorders Identification Test: Self-Report Version (AUDIT) Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C07082 Alcohol Use Disorders Identification Test (AUDIT) - More than 6 alcohol drink frequency score AUDITMoreThan6AlcDrnkFreqScore Score for the frequency with which the subject consumes six or more alcoholic drinks on a single occasion, as part of the Alcohol Use Disorders Identification Test (AUDIT) Score for the frequency with which the subject consumes six or more alcoholic drinks on a single occasion, as part of the Alcohol Use Disorders Identification Test (AUDIT) How often do you have six or more drinks on one occasion? 0;1;2;3;4 Never;Less than monthly;Monthly;Weekly;Daily or almost daily Numeric Values

Read questions as written. Record answers carefully. Begin the AUDIT by saying "Now I am going to ask you some questions about your use of alcoholic beverages during this past year." Explain what is meant by "alcoholic beverages" by using local examples of beer, wine, vodka, etc. Code answers in terms of "standard drinks". Place the correct answer number in the box at the right.

Saunders, J.B., Aasland, O.G., Babor, T.F., de la Fuente, J.R. and Grant, M. Development of the Alcohol Use Disorders Identification Test (AUDIT):WHO collaborative project on early detection of persons with harmful alcohol consumption. II. Addiction, 88,791-804, 1993. Adult NeuroRehab Supplemental-Highly Recommended 3.00 2013-07-20 10:21:25.65 Alcohol Use Disorders Identification Test: Self-Report Version (AUDIT) Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C07083 Alcohol Use Disorders Identification Test (AUDIT) - Cannot stop drink alcohol frequency score AUDITCantStopDrnkAlcFreqScore Score for the frequency within the last year with which the subject found himself or herself unable to stop drinking once he or she started, as part of the Alcohol Use Disorders Identification Test (AUDIT) Score for the frequency within the last year with which the subject found himself or herself unable to stop drinking once he or she started, as part of the Alcohol Use Disorders Identification Test (AUDIT) How often during the last year have you found that you were not able to stop drinking once you had started? 0;1;2;3;4 Never;Less than monthly;Monthly;Weekly;Daily or almost daily Numeric Values

Read questions as written. Record answers carefully. Begin the AUDIT by saying "Now I am going to ask you some questions about your use of alcoholic beverages during this past year." Explain what is meant by "alcoholic beverages" by using local examples of beer, wine, vodka, etc. Code answers in terms of "standard drinks". Place the correct answer number in the box at the right.

Saunders, J.B., Aasland, O.G., Babor, T.F., de la Fuente, J.R. and Grant, M. Development of the Alcohol Use Disorders Identification Test (AUDIT):WHO collaborative project on early detection of persons with harmful alcohol consumption. II. Addiction, 88,791-804, 1993. Adult NeuroRehab Supplemental-Highly Recommended 3.00 2013-07-20 10:21:25.65 Alcohol Use Disorders Identification Test: Self-Report Version (AUDIT) Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C07084 Alcohol Use Disorders Identification Test (AUDIT) - Fail normal activity drink frequency score AUDITFailNrmlActDrnkFreqScore The frequency with which the subject found himself or herself unable to perform normal tasks due to drinking, as part of the Alcohol Use Disorders Identification Test (AUDIT) The frequency with which the subject found himself or herself unable to perform normal tasks due to drinking, as part of the Alcohol Use Disorders Identification Test (AUDIT) How often during the last year have you failed to do what was normally expected of you because of drinking? 0;1;2;3;4 Never;Less than monthly;Monthly;Weekly;Daily or almost daily Numeric Values

Read questions as written. Record answers carefully. Begin the AUDIT by saying "Now I am going to ask you some questions about your use of alcoholic beverages during this past year." Explain what is meant by "alcoholic beverages" by using local examples of beer, wine, vodka, etc. Code answers in terms of "standard drinks". Place the correct answer number in the box at the right.

Saunders, J.B., Aasland, O.G., Babor, T.F., de la Fuente, J.R. and Grant, M. Development of the Alcohol Use Disorders Identification Test (AUDIT):WHO collaborative project on early detection of persons with harmful alcohol consumption. II. Addiction, 88,791-804, 1993. Adult NeuroRehab Supplemental-Highly Recommended 3.00 2013-07-20 10:21:25.65 Alcohol Use Disorders Identification Test: Self-Report Version (AUDIT) Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C07085 Alcohol Use Disorders Identification Test (AUDIT) - Morning drink after frequency score AUDITMornDrnkAftFreqScore The frequency with which the subject found himself or herself in need of an alcoholic drink in the morning due to a heavy drinking session the night before, as part of the Alcohol Use Disorders Identification Test (AUDIT) The frequency with which the subject found himself or herself in need of an alcoholic drink in the morning due to a heavy drinking session the night before, as part of the Alcohol Use Disorders Identification Test (AUDIT) How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session? 0;1;2;3;4 Never;Less than monthly;Monthly;Weekly;Daily or almost daily Numeric Values

Read questions as written. Record answers carefully. Begin the AUDIT by saying "Now I am going to ask you some questions about your use of alcoholic beverages during this past year." Explain what is meant by "alcoholic beverages" by using local examples of beer, wine, vodka, etc. Code answers in terms of "standard drinks". Place the correct answer number in the box at the right.

Saunders, J.B., Aasland, O.G., Babor, T.F., de la Fuente, J.R. and Grant, M. Development of the Alcohol Use Disorders Identification Test (AUDIT):WHO collaborative project on early detection of persons with harmful alcohol consumption. II. Addiction, 88,791-804, 1993. Adult NeuroRehab Supplemental-Highly Recommended 3.00 2013-07-20 10:21:25.65 Alcohol Use Disorders Identification Test: Self-Report Version (AUDIT) Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

C07086 Alcohol Use Disorders Identification Test (AUDIT) - Guilt remorse after drink frequency score AUDITGltRmrseAftrDrnkFreqScore Score for the frequency within the last year with which the subject found himself or herself with feelings or guilt or remorse after drinking, as part of the Alcohol Use Disorders Identification Test (AUDIT) Score for the frequency within the last year with which the subject found himself or herself with feelings or guilt or remorse after drinking, as part of the Alcohol Use Disorders Identification Test (AUDIT) How often during the last year have you had a feeling of guilt or remorse after drinking? 0;1;2;3;4 Never;Less than monthly;Monthly;Weekly;Daily or almost daily Numeric Values

Read questions as written. Record answers carefully. Begin the AUDIT by saying "Now I am going to ask you some questions about your use of alcoholic beverages during this past year." Explain what is meant by "alcoholic beverages" by using local examples of beer, wine, vodka, etc. Code answers in terms of "standard drinks". Place the correct answer number in the box at the right.

Saunders, J.B., Aasland, O.G., Babor, T.F., de la Fuente, J.R. and Grant, M. Development of the Alcohol Use Disorders Identification Test (AUDIT):WHO collaborative project on early detection of persons with harmful alcohol consumption. II. Addiction, 88,791-804, 1993. Adult NeuroRehab Supplemental-Highly Recommended 3.00 2013-07-20 10:21:25.65 Alcohol Use Disorders Identification Test: Self-Report Version (AUDIT) Behavioral Function Outcomes and End Points

Single Pre-Defined Value Selected

CSV