CDE Detailed Report

Disease: Multiple Sclerosis
Sub-Domain: Activities of Daily Living/Performance
CRF: Activities Specific Balance Confidence Scale (ABC-Scale)

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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
C14848 Activities specific Balance Confidence Scale (ABC-Scale) - escalator parcel use scale ABCScaleCnfdnceEscltrPrcUseScl Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when stepping onto or off an escalator while holding onto parcels that deter hold onto the railing Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when stepping onto/off of an escalator while holding onto a package or parcel. How confident are you that you can maintain your balance and remain steady when you step onto or off an escalator while holding onto parcels such that you cannot hold onto the railing 0%;10%;20%;30%;40%;50%;60%;70%;80%;90%;100% no confidence;;;;;;;;;;completely confident Alphanumeric

Use the scale of 0% = no confidence and 100% = completely confident

Anita M. Myers. School of Public Health and Health Systems. University of Waterloo. Waterloo, Ontario, Canada N2L 3G1. Email: amyers@uwaterloo.ca Powell LE, Myers AM. The Activities-specific Balance Confidence (ABC) Scale. J Gerontol Med Sci 1995; 50(1): M28-34 Hill K. The Activities-specific Balance Confidence (ABC) Scale. Australian Journal of Physiotherapy. 2005; 51:197. Adult;Pediatric Supplemental 3.00 2013-06-11 00:00:00.0 Activities Specific Balance Confidence Scale (ABC-Scale) Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C14838 Activities specific Balance Confidence Scale (ABC-Scale) - reach above head scale ABCScaleTipToesScale Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when standing on tip toes and reach for something above the head Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when standing on tip toes and reach for something above the head How confident are you that you can maintain your balance and remain steady when you stand on your tip toes and reach for something above your head 0%;10%;20%;30%;40%;50%;60%;70%;80%;90%;100% no confidence;;;;;;;;;;completely confident Alphanumeric

Use the scale of 0% = no confidence and 100% = completely confident

Anita M. Myers. School of Public Health and Health Systems. University of Waterloo. Waterloo, Ontario, Canada N2L 3G1. Email: amyers@uwaterloo.ca Powell LE, Myers AM. The Activities-specific Balance Confidence (ABC) Scale. J Gerontol Med Sci 1995; 50(1): M28-34 Hill K. The Activities-specific Balance Confidence (ABC) Scale. Australian Journal of Physiotherapy. 2005; 51:197. Adult;Pediatric Supplemental 3.00 2013-06-11 00:00:00.0 Activities Specific Balance Confidence Scale (ABC-Scale) Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C14849 Activities specific Balance Confidence Scale (ABC-Scale) - icy sidewalk scale ABCScaleBlncCnfdnceIcySdwlkScl Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when walking outside on icy sidewalks Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when walking outside on icy sidewalks How confident are you that you can maintain your balance and remain steady when you walk outside on icy sidewalks 0%;10%;20%;30%;40%;50%;60%;70%;80%;90%;100% no confidence;;;;;;;;;;completely confident Alphanumeric

Use the scale of 0% = no confidence and 100% = completely confident

Anita M. Myers. School of Public Health and Health Systems. University of Waterloo. Waterloo, Ontario, Canada N2L 3G1. Email: amyers@uwaterloo.ca Powell LE, Myers AM. The Activities-specific Balance Confidence (ABC) Scale. J Gerontol Med Sci 1995; 50(1): M28-34 Hill K. The Activities-specific Balance Confidence (ABC) Scale. Australian Journal of Physiotherapy. 2005; 51:197. Adult;Pediatric Supplemental 3.00 2013-06-11 00:00:00.0 Activities Specific Balance Confidence Scale (ABC-Scale) Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C14839 Activities specific Balance Confidence Scale (ABC-Scale) - chair stand scale ABCScaleCnfdnceChairStndScale Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when standing on a chair to reach for something Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when standing on a chair to reach for something How confident are you that you can maintain your balance and remain steady when you stand on a chair and reach for something 0%;10%;20%;30%;40%;50%;60%;70%;80%;90%;100% no confidence;;;;;;;;;;completely confident Alphanumeric

Use the scale of 0% = no confidence and 100% = completely confident

Anita M. Myers. School of Public Health and Health Systems. University of Waterloo. Waterloo, Ontario, Canada N2L 3G1. Email: amyers@uwaterloo.ca Powell LE, Myers AM. The Activities-specific Balance Confidence (ABC) Scale. J Gerontol Med Sci 1995; 50(1): M28-34 Hill K. The Activities-specific Balance Confidence (ABC) Scale. Australian Journal of Physiotherapy. 2005; 51:197. Adult;Pediatric Supplemental 3.00 2013-06-11 00:00:00.0 Activities Specific Balance Confidence Scale (ABC-Scale) Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C14840 Activities specific Balance Confidence Scale (ABC-Scale) - sweep scale ABCScaleCnfdnceSweepScale Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when sweeping the floor Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when sweeping the floor How confident are you that you can maintain your balance and remain steady when you sweep the floor 0%;10%;20%;30%;40%;50%;60%;70%;80%;90%;100% no confidence;;;;;;;;;;completely confident Alphanumeric

Use the scale of 0% = no confidence and 100% = completely confident

Anita M. Myers. School of Public Health and Health Systems. University of Waterloo. Waterloo, Ontario, Canada N2L 3G1. Email: amyers@uwaterloo.ca Powell LE, Myers AM. The Activities-specific Balance Confidence (ABC) Scale. J Gerontol Med Sci 1995; 50(1): M28-34 Hill K. The Activities-specific Balance Confidence (ABC) Scale. Australian Journal of Physiotherapy. 2005; 51:197. Adult;Pediatric Supplemental 3.00 2013-06-11 00:00:00.0 Activities Specific Balance Confidence Scale (ABC-Scale) Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C14841 Activities specific Balance Confidence Scale (ABC-Scale) - walk to car scale ABCScaleCfdnceWlkCarScale Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when walking outside of the house to a car parked in the driveway Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when walking outside of the house to a car parked in the driveway How confident are you that you can maintain your balance and remain steady when you walk outside the house to a car parked in the driveway 0%;10%;20%;30%;40%;50%;60%;70%;80%;90%;100% no confidence;;;;;;;;;;completely confident Alphanumeric

Use the scale of 0% = no confidence and 100% = completely confident

Anita M. Myers. School of Public Health and Health Systems. University of Waterloo. Waterloo, Ontario, Canada N2L 3G1. Email: amyers@uwaterloo.ca Powell LE, Myers AM. The Activities-specific Balance Confidence (ABC) Scale. J Gerontol Med Sci 1995; 50(1): M28-34 Hill K. The Activities-specific Balance Confidence (ABC) Scale. Australian Journal of Physiotherapy. 2005; 51:197. Adult;Pediatric Supplemental 3.00 2013-06-11 00:00:00.0 Activities Specific Balance Confidence Scale (ABC-Scale) Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C14842 Activities specific Balance Confidence Scale (ABC-Scale) - enter exit car scale ABCScaleEntrExitCarScale Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when getting into or out of a car Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when getting into or out of a car How confident are you that you can maintain your balance and remain steady when you get into or out of a car 0%;10%;20%;30%;40%;50%;60%;70%;80%;90%;100% no confidence;;;;;;;;;;completely confident Alphanumeric

Use the scale of 0% = no confidence and 100% = completely confident

Anita M. Myers. School of Public Health and Health Systems. University of Waterloo. Waterloo, Ontario, Canada N2L 3G1. Email: amyers@uwaterloo.ca Powell LE, Myers AM. The Activities-specific Balance Confidence (ABC) Scale. J Gerontol Med Sci 1995; 50(1): M28-34 Hill K. The Activities-specific Balance Confidence (ABC) Scale. Australian Journal of Physiotherapy. 2005; 51:197. Adult;Pediatric Supplemental 3.00 2013-06-11 00:00:00.0 Activities Specific Balance Confidence Scale (ABC-Scale) Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C14843 Activities specific Balance Confidence Scale (ABC-Scale) - across parking lot scale ABCScaleCnfdnceParkingLotScale Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when walking across a parking lot to the mall Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when walking across a parking lot to the mall How confident are you that you can maintain your balance and remain steady when you walk across a parking lot to the mall 0%;10%;20%;30%;40%;50%;60%;70%;80%;90%;100% no confidence;;;;;;;;;;completely confident Alphanumeric

Use the scale of 0% = no confidence and 100% = completely confident

Anita M. Myers. School of Public Health and Health Systems. University of Waterloo. Waterloo, Ontario, Canada N2L 3G1. Email: amyers@uwaterloo.ca Powell LE, Myers AM. The Activities-specific Balance Confidence (ABC) Scale. J Gerontol Med Sci 1995; 50(1): M28-34 Hill K. The Activities-specific Balance Confidence (ABC) Scale. Australian Journal of Physiotherapy. 2005; 51:197. Adult;Pediatric Supplemental 3.00 2013-06-11 00:00:00.0 Activities Specific Balance Confidence Scale (ABC-Scale) Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C14844 Activities specific Balance Confidence Scale (ABC-Scale) - ramp scale ABCScaleCnfdnceRampScale Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when walking up or down a ramp Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when walking up or down a ramp How confident are you that you can maintain your balance and remain steady when you walk up or down a ramp 0%;10%;20%;30%;40%;50%;60%;70%;80%;90%;100% no confidence;;;;;;;;;;completely confident Alphanumeric

Use the scale of 0% = no confidence and 100% = completely confident

Anita M. Myers. School of Public Health and Health Systems. University of Waterloo. Waterloo, Ontario, Canada N2L 3G1. Email: amyers@uwaterloo.ca Powell LE, Myers AM. The Activities-specific Balance Confidence (ABC) Scale. J Gerontol Med Sci 1995; 50(1): M28-34 Hill K. The Activities-specific Balance Confidence (ABC) Scale. Australian Journal of Physiotherapy. 2005; 51:197. Adult;Pediatric Supplemental 3.00 2013-06-11 00:00:00.0 Activities Specific Balance Confidence Scale (ABC-Scale) Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C14834 Activities specific Balance Confidence Scale (ABC-Scale) - walk inside home scale ABCScaleWlkInsideHomeScale Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when walking inside the home Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when walking inside the home How confident are you that you can maintain your balance and remain steady when you walk around the house 0%;10%;20%;30%;40%;50%;60%;70%;80%;90%;100% no confidence;;;;;;;;;;completely confident Alphanumeric

Use the scale of 0% = no confidence and 100% = completely confident

Anita M. Myers. School of Public Health and Health Systems. University of Waterloo. Waterloo, Ontario, Canada N2L 3G1. Email: amyers@uwaterloo.ca Powell LE, Myers AM. The Activities-specific Balance Confidence (ABC) Scale. J Gerontol Med Sci 1995; 50(1): M28-34 Hill K. The Activities-specific Balance Confidence (ABC) Scale. Australian Journal of Physiotherapy. 2005; 51:197. Adult;Pediatric Supplemental 3.00 2013-06-11 00:00:00.0 Activities Specific Balance Confidence Scale (ABC-Scale) Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C14845 Activities specific Balance Confidence Scale (ABC-Scale) - crowd scale ABCScaleCnfdnceCrwdScale Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when walking in a crowded mall where people rapidly walk past them Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when walking in a crowded mall where people rapidly walk past them How confident are you that you can maintain your balance and remain steady when you walk in a crowded mall where people rapidly walk past you 0%;10%;20%;30%;40%;50%;60%;70%;80%;90%;100% no confidence;;;;;;;;;;completely confident Alphanumeric

Use the scale of 0% = no confidence and 100% = completely confident

Anita M. Myers. School of Public Health and Health Systems. University of Waterloo. Waterloo, Ontario, Canada N2L 3G1. Email: amyers@uwaterloo.ca Powell LE, Myers AM. The Activities-specific Balance Confidence (ABC) Scale. J Gerontol Med Sci 1995; 50(1): M28-34 Hill K. The Activities-specific Balance Confidence (ABC) Scale. Australian Journal of Physiotherapy. 2005; 51:197. Adult;Pediatric Supplemental 3.00 2013-06-11 00:00:00.0 Activities Specific Balance Confidence Scale (ABC-Scale) Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C14835 Activities specific Balance Confidence Scale (ABC-Scale) - walk stairs scale ABCScaleBlncCnfdnceWlkStairScl Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when walking up or down stairs Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when walking up or down stairs How confident are you that you can maintain your balance and remain steady when you walk up or down stairs 0%;10%;20%;30%;40%;50%;60%;70%;80%;90%;100% no confidence;;;;;;;;;;completely confident Alphanumeric

Use the scale of 0% = no confidence and 100% = completely confident

Anita M. Myers. School of Public Health and Health Systems. University of Waterloo. Waterloo, Ontario, Canada N2L 3G1. Email: amyers@uwaterloo.ca Powell LE, Myers AM. The Activities-specific Balance Confidence (ABC) Scale. J Gerontol Med Sci 1995; 50(1): M28-34 Hill K. The Activities-specific Balance Confidence (ABC) Scale. Australian Journal of Physiotherapy. 2005; 51:197. Adult;Pediatric Supplemental 3.00 2013-06-11 00:00:00.0 Activities Specific Balance Confidence Scale (ABC-Scale) Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C14846 Activities specific Balance Confidence Scale (ABC-Scale) - body collision scale ABCScaleBodyCollisonScale Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when walking through the mall where other people bumped into them Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when walking through the mall where other people bumped into them How confident are you that you can maintain your balance and remain steady when you are bumped into by people as you walk through the mall 0%;10%;20%;30%;40%;50%;60%;70%;80%;90%;100% no confidence;;;;;;;;;;completely confident Alphanumeric

Use the scale of 0% = no confidence and 100% = completely confident

Anita M. Myers. School of Public Health and Health Systems. University of Waterloo. Waterloo, Ontario, Canada N2L 3G1. Email: amyers@uwaterloo.ca Powell LE, Myers AM. The Activities-specific Balance Confidence (ABC) Scale. J Gerontol Med Sci 1995; 50(1): M28-34 Hill K. The Activities-specific Balance Confidence (ABC) Scale. Australian Journal of Physiotherapy. 2005; 51:197. Adult;Pediatric Supplemental 3.00 2013-06-11 00:00:00.0 Activities Specific Balance Confidence Scale (ABC-Scale) Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C14836 Activities specific Balance Confidence Scale (ABC-Scale) - bend to floor scale ABCScaleCnfidnceStairsScale Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when bending over and pick up an object from the floor Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when bending over and pick up an object from the floor How confident are you that you can maintain your balance and remain steady when you bend over and pick up a slipper from the front of a closet floor 0%;10%;20%;30%;40%;50%;60%;70%;80%;90%;100% no confidence;;;;;;;;;;completely confident Alphanumeric

Use the scale of 0% = no confidence and 100% = completely confident

Anita M. Myers. School of Public Health and Health Systems. University of Waterloo. Waterloo, Ontario, Canada N2L 3G1. Email: amyers@uwaterloo.ca Powell LE, Myers AM. The Activities-specific Balance Confidence (ABC) Scale. J Gerontol Med Sci 1995; 50(1): M28-34 Hill K. The Activities-specific Balance Confidence (ABC) Scale. Australian Journal of Physiotherapy. 2005; 51:197. Adult;Pediatric Supplemental 3.00 2013-06-11 00:00:00.0 Activities Specific Balance Confidence Scale (ABC-Scale) Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C14847 Activities specific Balance Confidence Scale (ABC-Scale) - escalator use scale ABCScaleCnfdnceEscalatorScale Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when stepping onto or off of an escalator while holding onto a railing Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when stepping onto or off of an escalator while holding onto a railing How confident are you that you can maintain your balance and remain steady when you step onto or off of an escalator while holding onto a railing 0%;10%;20%;30%;40%;50%;60%;70%;80%;90%;100% no confidence;;;;;;;;;;completely confident Alphanumeric

Use the scale of 0% = no confidence and 100% = completely confident

Anita M. Myers. School of Public Health and Health Systems. University of Waterloo. Waterloo, Ontario, Canada N2L 3G1. Email: amyers@uwaterloo.ca Powell LE, Myers AM. The Activities-specific Balance Confidence (ABC) Scale. J Gerontol Med Sci 1995; 50(1): M28-34 Hill K. The Activities-specific Balance Confidence (ABC) Scale. Australian Journal of Physiotherapy. 2005; 51:197. Adult;Pediatric Supplemental 3.00 2013-06-11 00:00:00.0 Activities Specific Balance Confidence Scale (ABC-Scale) Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C14837 Activities specific Balance Confidence Scale (ABC-Scale) - reach scale ABCScaleReachScale Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when reaching for a small object off a shelf at eye level Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when reaching for a small object off a shelf at eye level How confident are you that you can maintain your balance and remain steady when you reach for a small can off a shelf at eye level 0%;10%;20%;30%;40%;50%;60%;70%;80%;90%;100% no confidence;;;;;;;;;;completely confident Alphanumeric

Use the scale of 0% = no confidence and 100% = completely confident

Anita M. Myers. School of Public Health and Health Systems. University of Waterloo. Waterloo, Ontario, Canada N2L 3G1. Email: amyers@uwaterloo.ca Powell LE, Myers AM. The Activities-specific Balance Confidence (ABC) Scale. J Gerontol Med Sci 1995; 50(1): M28-34 Hill K. The Activities-specific Balance Confidence (ABC) Scale. Australian Journal of Physiotherapy. 2005; 51:197. Adult;Pediatric Supplemental 3.00 2013-06-11 00:00:00.0 Activities Specific Balance Confidence Scale (ABC-Scale) Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

CSV