CDE Detailed Report

Disease: Parkinson's Disease
Sub-Domain: Other Non-Motor
CRF: Quality of Life in Swallowing Disorders (SWAL-QOL)

Displaying 51 - 66 of 66
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (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 / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C10296 Quality of Life in Swallowing Disorders (SWAL-QOL) - figuring out eating problem indicator SWALQOLFigrngOtEatngProbInd Scale assessing how true the following statement has been for the participant during the last month: Figuring out what I can and can't eat is a problem for me. As part of Quality of Life in Swallowing Disorders (SWAL-QOL). Indicates subject feels figuring out what to eat/not to eat, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) Figuring out what I can and can't eat is a problem for me 1;2;3;4;5 Strongly agree;Agree;Uncertain;Disagree;Strongly disagree Numeric Values

Circle one number on each line

Colleen A. McHorney, PhD, US Outcomes Research, Merck & Co., Inc., 351 North Sumneytown Pike, UG2MW-05, North Wales, PA 19454 Adult Supplemental 3.00 2013-07-22 16:57:17.79 Quality of Life in Swallowing Disorders (SWAL-QOL) Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C17840 Quality of Life in Swallowing Disorders (SWAL-QOL) - marital status SWALQOLMaritalStatus Status of whether the participant is married, divorced, separated, widowed, or never married. Status of whether the participant is married, divorced, separated, widowed, or never married. What is your current marital status 1;2;3;4;5 Never married;Married;Divorced;Separated;Widowed Numeric Values

circle one

No references available Adult Supplemental 3.00 2013-07-22 16:57:17.79 Quality of Life in Swallowing Disorders (SWAL-QOL) Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C10275 Quality of Life in Swallowing Disorders (SWAL-QOL) - swallowing problem indicator SWALQOLSwllwProbInd Scale assessing how true the following statement has been for the participant during the last month: Dealing with my swallowing problem is very difficult, as part of Quality of Life in Swallowing Disorders (SWAL-QOL). Indicates how difficult dealing with swallowing problem is, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) Dealing with my swallowing problem is very difficult. 1;2;3;4;5 Very much true;Quite a bit true;Somewhat true;A little true;Not at all true Numeric Values

Circle one number on each line

Colleen A. McHorney, PhD, US Outcomes Research, Merck & Co., Inc., 351 North Sumneytown Pike, UG2MW-05, North Wales, PA 19454 Adult Supplemental 3.00 2013-07-22 16:57:17.79 Quality of Life in Swallowing Disorders (SWAL-QOL) Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C10307 Quality of Life in Swallowing Disorders (SWAL-QOL) - swallowing problem frustrating indicator SWALQOLSwllwngProbFrstrngInd Scale assessing how true the following statement has been for the participant during the last month: My swallowing problem frustrates me. As part of Quality of Life in Swallowing Disorders (SWAL-QOL). Indicates how much swallowing problem frustrates the subject, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) My swallowing problem frustrates me. 1;2;3;4;5 Always true;Often true;Sometimes true;Hardly ever true;Never true Numeric Values

Circle one number on each line

Colleen A. McHorney, PhD, US Outcomes Research, Merck & Co., Inc., 351 North Sumneytown Pike, UG2MW-05, North Wales, PA 19454 Adult Supplemental 3.00 2013-07-22 16:57:17.79 Quality of Life in Swallowing Disorders (SWAL-QOL) Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C18107 Quality of Life in Swallowing Disorders (SWAL-QOL) - completion date SWALQOLCompltDate Date the subject completed this questionnaire, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) Date the subject completed this questionnaire, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) Please write today's date here Date or Date & Time No references available Adult Supplemental 3.00 2013-07-18 09:11:50.26 Quality of Life in Swallowing Disorders (SWAL-QOL) Other Non-Motor Outcomes and End Points

Free-Form Entry

C10286 Quality of Life in Swallowing Disorders (SWAL-QOL) - gagging problem indicator SWALQOLGagngProbInd Scale assessing how true the following statement has been for the participant during the last month: Gagging. As part of Quality of Life in Swallowing Disorders (SWAL-QOL). Indicates how often subject experiences gagging problem, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) Gagging 1;2;3;4;5 Almost always;Often;Sometimes;Hardly ever;Never Numeric Values

Circle one number on each line

Colleen A. McHorney, PhD, US Outcomes Research, Merck & Co., Inc., 351 North Sumneytown Pike, UG2MW-05, North Wales, PA 19454 Adult Supplemental 3.00 2013-07-22 16:57:17.79 Quality of Life in Swallowing Disorders (SWAL-QOL) Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C10318 Quality of Life in Swallowing Disorders (SWAL-QOL) - feeling exhausted indicator SWALQOLFlngExhstdInd Scale assessing how true the following statement has been for the participant during the last month: Feel exhausted? As part of Quality of Life in Swallowing Disorders (SWAL-QOL). Indicates how often subject feels exhausted, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) Feel exhausted? 1;2;3;4;5 All of the time;Most of the time;Some of the time;A little of the time;None of the time Numeric Values

Circle one number on each line

Colleen A. McHorney, PhD, US Outcomes Research, Merck & Co., Inc., 351 North Sumneytown Pike, UG2MW-05, North Wales, PA 19454 Adult Supplemental 3.00 2013-07-22 16:57:17.79 Quality of Life in Swallowing Disorders (SWAL-QOL) Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C10297 Quality of Life in Swallowing Disorders (SWAL-QOL) - difficult find food indicator SWALQOLDifcltFndFdInd Scale assessing how true the following statement has been for the participant during the last month: It is difficult to find foods that I both like and can eat. As part of Quality of Life in Swallowing Disorders (SWAL-QOL). Indicates subject feels finding food that subject both like and can eat is difficult, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) It is difficult to find foods that I both like and can eat. 1;2;3;4;5 Strongly agree;Agree;Uncertain;Disagree;Strongly disagree Numeric Values

Circle one number on each line

Colleen A. McHorney, PhD, US Outcomes Research, Merck & Co., Inc., 351 North Sumneytown Pike, UG2MW-05, North Wales, PA 19454 Adult Supplemental 3.00 2013-07-22 16:57:17.79 Quality of Life in Swallowing Disorders (SWAL-QOL) Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C17841 Quality of Life in Swallowing Disorders (SWAL-QOL) - questionnaire general comment text SWALQOLQuestGenComntTxt Text regarding the subject's/participant's comments about the Quality of Life in Swallowing Disorders (SWAL-QOL) questionnaire. Text regarding the subject's/participant's comments about the Quality of Life in Swallowing Disorders (SWAL-QOL) questionnaire. Comments Alphanumeric

Do you have any comments about this questionnaire? We welcome your comments about the questionnaire in general or about specific questions, especially any that were unclear or confusing to you

No references available Adult Supplemental 3.00 2013-07-22 16:57:17.79 Quality of Life in Swallowing Disorders (SWAL-QOL) Other Non-Motor Outcomes and End Points 255

Free-Form Entry

C18108 Quality of Life in Swallowing Disorders (SWAL-QOL) - comment text SWALQOLCmntTxt Comment from the subject regarding this questionnaire, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) Comment from the subject regarding this questionnaire, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) Do you have any comments about this questionnaire? We welcome your comments about the questionnaire in general or about specific questions, especially any that were unclear or confusing to you. Alphanumeric No references available Adult Supplemental 3.00 2013-07-18 09:11:50.26 Quality of Life in Swallowing Disorders (SWAL-QOL) Other Non-Motor Outcomes and End Points 255

Free-Form Entry

C10276 Quality of Life in Swallowing Disorders (SWAL-QOL) - swallowing problem distraction indicator SWALQOLSwllwProbDistrctnInd Scale assessing how true the following statement has been for the participant during the last month: My swallowing problem is a major distraction in my life, as part of Quality of Life in Swallowing Disorders (SWAL-QOL). Indicates how distracting swallowing problem is, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) My swallowing problem is a major distraction in my life. 1;2;3;4;5 Very much true;Quite a bit true;Somewhat true;A little true;Not at all true Numeric Values

Circle one number on each line

Colleen A. McHorney, PhD, US Outcomes Research, Merck & Co., Inc., 351 North Sumneytown Pike, UG2MW-05, North Wales, PA 19454 Adult Supplemental 3.00 2013-07-22 16:57:17.79 Quality of Life in Swallowing Disorders (SWAL-QOL) Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C10308 Quality of Life in Swallowing Disorders (SWAL-QOL) - swallowing problem impatient problem indicator SWALQOLSwllwngProbImpttProbInd Scale assessing how true the following statement has been for the participant during the last month: I get impatient dealing with my swallowing problem. As part of Quality of Life in Swallowing Disorders (SWAL-QOL). Indicates how impatient the subject gets with swallowing problem, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) I get impatient dealing with my swallowing problem. 1;2;3;4;5 Always true;Often true;Sometimes true;Hardly ever true;Never true Numeric Values

Circle one number on each line

Colleen A. McHorney, PhD, US Outcomes Research, Merck & Co., Inc., 351 North Sumneytown Pike, UG2MW-05, North Wales, PA 19454 Adult Supplemental 3.00 2013-07-22 16:57:17.79 Quality of Life in Swallowing Disorders (SWAL-QOL) Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C10287 Quality of Life in Swallowing Disorders (SWAL-QOL) - drooling problem indicator SWALQOLDrlngProbInd Scale assessing how true the following statement has been for the participant during the last month: Drooling. As part of Quality of Life in Swallowing Disorders (SWAL-QOL). Indicates how often subject experiences drooling problem, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) Drooling 1;2;3;4;5 Almost always;Often;Sometimes;Hardly ever;Never Numeric Values

Circle one number on each line

Colleen A. McHorney, PhD, US Outcomes Research, Merck & Co., Inc., 351 North Sumneytown Pike, UG2MW-05, North Wales, PA 19454 Adult Supplemental 3.00 2013-07-22 16:57:17.79 Quality of Life in Swallowing Disorders (SWAL-QOL) Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C10319 Quality of Life in Swallowing Disorders (SWAL-QOL) - intake feeding tube indicator SWALQOLIntkFdngTubInd Scale assessing how true the following statement has been for the participant during the last month: Do you now take any food or liquid through a feeding tube? As part of Quality of Life in Swallowing Disorders (SWAL-QOL). Scale assessing how true the following statement has been for the participant during the last month: Do you now take any food or liquid through a feeding tube? As part of Quality of Life in Swallowing Disorders (SWAL-QOL). Do you now take any food or liquid through a feeding tube? 1;2 No;Yes Numeric Values

Circle one

Colleen A. McHorney, PhD, US Outcomes Research, Merck & Co., Inc., 351 North Sumneytown Pike, UG2MW-05, North Wales, PA 19454 Adult Supplemental 3.00 2013-07-22 16:57:17.79 Quality of Life in Swallowing Disorders (SWAL-QOL) Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C10298 Quality of Life in Swallowing Disorders (SWAL-QOL) - people hard understanding problem indicator SWALQOLPplHrdUndstndProbInd Scale assessing how true the following statement has been for the participant during the last month: People have a hard time understanding me. As part of Quality of Life in Swallowing Disorders (SWAL-QOL). Indicates subject feels that people have a hard time understanding, as part of the Quality of Life in Swallowing Disorders (SWAL-QOL) People have a hard time understanding me. 1;2;3;4;5 All of the time;Most of the time;Some of the time;A little of the time;None of the time Numeric Values

Circle one number on each line

Colleen A. McHorney, PhD, US Outcomes Research, Merck & Co., Inc., 351 North Sumneytown Pike, UG2MW-05, North Wales, PA 19454 Adult Supplemental 3.00 2013-07-22 16:57:17.79 Quality of Life in Swallowing Disorders (SWAL-QOL) Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C17842 Quality of Life in Swallowing Disorders (SWAL-QOL) - racial ethnic type SWALQOLRacEthnicTyp Race or ethnicity of the subject/participant. Race or ethnicity of the subject/participant. What is your main racial or ethnic group? 1;2;3;4;5 White or Caucasian, but not Hispanic or Latino;Black or African-American, but not Hispanic or Latino;Hispanic or Latino;Asian;Other Numeric Values

circle one

No references available Adult Supplemental 3.00 2013-07-22 16:57:17.79 Quality of Life in Swallowing Disorders (SWAL-QOL) Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

CSV