CDE Detailed Report

Disease: Sport Related Concussion
Sub-Domain: Vestibular and Oculo-Motor Function
CRF: Tinnitus Handicap Inventory (THI)

Displaying 1 - 30 of 30
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 / 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
C53991 Tinnitus Handicap Inventory (THI) - anxious scale THIAnxiousInd The indicator of feeling anxious due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). The indicator of feeling anxious due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). Does your tinnitus make you feel anxious? 0;2;4 No;Sometimes;Yes Alphanumeric

The purpose of this scale is to identify the problems your tinnitus may be causing you. Check Yes, Sometimes, or No for each question. Do not skip any questions.

1. Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 122, 143-148. 2. McCombe, A., Bagueley, D., Coles, R., McKenna, L., McKinney, C. & Windle-Taylor, P. (2001). Guide Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Tinnitus Handicap Inventory (THI) Vestibular and Oculo-Motor Function Outcomes and End Points

Single Pre-Defined Value Selected

C53970 Tinnitus Handicap Inventory (THI) - concentrate scale THIConcentrateInd The indicator of having difficulty in concentration due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). The indicator of having difficulty in concentration due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). Because of your tinnitus is it difficult for you to concentrate? 0;2;4 No;Sometimes;Yes Alphanumeric

The purpose of this scale is to identify the problems your tinnitus may be causing you. Check Yes, Sometimes, or No for each question. Do not skip any questions.

1. Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 122, 143-148. 2. McCombe, A., Bagueley, D., Coles, R., McKenna, L., McKinney, C. & Windle-Taylor, P. (2001). Guide Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Tinnitus Handicap Inventory (THI) Vestibular and Oculo-Motor Function Outcomes and End Points

Single Pre-Defined Value Selected

C53981 Tinnitus Handicap Inventory (THI) - enjoy life scale THIEnjoyLifeInd The indicator of having difficulty in enjoying life due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). The indicator of having difficulty in enjoying life due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). Does your tinnitus make it difficult to enjoy life? 0;2;4 No;Sometimes;Yes Alphanumeric

The purpose of this scale is to identify the problems your tinnitus may be causing you. Check Yes, Sometimes, or No for each question. Do not skip any questions.

1. Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 122, 143-148. 2. McCombe, A., Bagueley, D., Coles, R., McKenna, L., McKinney, C. & Windle-Taylor, P. (2001). Guide Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Tinnitus Handicap Inventory (THI) Vestibular and Oculo-Motor Function Outcomes and End Points

Single Pre-Defined Value Selected

C53992 Tinnitus Handicap Inventory (THI) - no longer cope with tinnitus scale THINoLongerCopeTinnitusInd The indicator of feeling no longer coping with tinnitus, as part of the Tinnitus Handicap Inventory (THI). The indicator of feeling no longer coping with tinnitus, as part of the Tinnitus Handicap Inventory (THI). Do you feel you can no longer cope with your tinnitus? 0;2;4 No;Sometimes;Yes Alphanumeric

The purpose of this scale is to identify the problems your tinnitus may be causing you. Check Yes, Sometimes, or No for each question. Do not skip any questions.

1. Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 122, 143-148. 2. McCombe, A., Bagueley, D., Coles, R., McKenna, L., McKinney, C. & Windle-Taylor, P. (2001). Guide Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Tinnitus Handicap Inventory (THI) Vestibular and Oculo-Motor Function Outcomes and End Points

Single Pre-Defined Value Selected

C53971 Tinnitus Handicap Inventory (THI) - loudness scale THILoudnessInd The indicator of having difficulty in hearing people due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). Theindicator of having difficulty in hearing people due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). Does the loudness of your tinnitus make it difficult for you to hear people? 0;2;4 No;Sometimes;Yes Alphanumeric

The purpose of this scale is to identify the problems your tinnitus may be causing you. Check Yes, Sometimes, or No for each question. Do not skip any questions.

1. Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 122, 143-148. 2. McCombe, A., Bagueley, D., Coles, R., McKenna, L., McKinney, C. & Windle-Taylor, P. (2001). Guide Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Tinnitus Handicap Inventory (THI) Vestibular and Oculo-Motor Function Outcomes and End Points

Single Pre-Defined Value Selected

C53982 Tinnitus Handicap Inventory (THI) - houseold responsibilities scale THIHhResponsibilitiesInd The indicator of household responsibilities that have been interfered with tinnitus , as part of the Tinnitus Handicap Inventory (THI). The indicator of household responsibilities that have been interfered with tinnitus , as part of the Tinnitus Handicap Inventory (THI). Does your tinnitus interfere with your job or household responsibilities? 0;2;4 No;Sometimes;Yes Alphanumeric

The purpose of this scale is to identify the problems your tinnitus may be causing you. Check Yes, Sometimes, or No for each question. Do not skip any questions.

1. Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 122, 143-148. 2. McCombe, A., Bagueley, D., Coles, R., McKenna, L., McKinney, C. & Windle-Taylor, P. (2001). Guide Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Tinnitus Handicap Inventory (THI) Vestibular and Oculo-Motor Function Outcomes and End Points

Single Pre-Defined Value Selected

C53993 Tinnitus Handicap Inventory (THI) - worse tinnitus under stress scale THITinnitusWorseUnderStressInd The indicator showing that tinnitus gets worse when the subject is under stress, as part of the Tinnitus Handicap Inventory (THI). The indicator showing that tinnitus gets worse when the subject is under stress, as part of the Tinnitus Handicap Inventory (THI). Does your tinnitus get worse when you are under stress? 0;2;4 No;Sometimes;Yes Alphanumeric

The purpose of this scale is to identify the problems your tinnitus may be causing you. Check Yes, Sometimes, or No for each question. Do not skip any questions.

1. Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 122, 143-148. 2. McCombe, A., Bagueley, D., Coles, R., McKenna, L., McKinney, C. & Windle-Taylor, P. (2001). Guide Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Tinnitus Handicap Inventory (THI) Vestibular and Oculo-Motor Function Outcomes and End Points

Single Pre-Defined Value Selected

C53972 Tinnitus Handicap Inventory (THI) - angry scale THIAngryInd The indicator of being angry due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). The indicator of being angry due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). Does your tinnitus make you angry? 0;2;4 No;Sometimes;Yes Alphanumeric

The purpose of this scale is to identify the problems your tinnitus may be causing you. Check Yes, Sometimes, or No for each question. Do not skip any questions.

1. Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 122, 143-148. 2. McCombe, A., Bagueley, D., Coles, R., McKenna, L., McKinney, C. & Windle-Taylor, P. (2001). Guide Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Tinnitus Handicap Inventory (THI) Vestibular and Oculo-Motor Function Outcomes and End Points

Single Pre-Defined Value Selected

C53983 Tinnitus Handicap Inventory (THI) - irritable often scale THIIrritableOftenInd The indicator of being irritable often due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). The indicator of being irritable often due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). Because of your tinnitus do you find that you are often irritable? 0;2;4 No;Sometimes;Yes Alphanumeric

The purpose of this scale is to identify the problems your tinnitus may be causing you. Check Yes, Sometimes, or No for each question. Do not skip any questions.

1. Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 122, 143-148. 2. McCombe, A., Bagueley, D., Coles, R., McKenna, L., McKinney, C. & Windle-Taylor, P. (2001). Guide Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Tinnitus Handicap Inventory (THI) Vestibular and Oculo-Motor Function Outcomes and End Points

Single Pre-Defined Value Selected

C53994 Tinnitus Handicap Inventory (THI) - insecure scale THIInsecureInd The indicator of feeling insecure due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). The indicator of feeling insecure due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). Does your tinnitus make you feel insecure? 0;2;4 No;Sometimes;Yes Alphanumeric

The purpose of this scale is to identify the problems your tinnitus may be causing you. Check Yes, Sometimes, or No for each question. Do not skip any questions.

1. Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 122, 143-148. 2. McCombe, A., Bagueley, D., Coles, R., McKenna, L., McKinney, C. & Windle-Taylor, P. (2001). Guide Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Tinnitus Handicap Inventory (THI) Vestibular and Oculo-Motor Function Outcomes and End Points

Single Pre-Defined Value Selected

C53973 Tinnitus Handicap Inventory (THI) - confused scale THIConfusedInd The indicator of being confused due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). The indicator of being confused due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). Does your tinnitus make you confused? 0;2;4 No;Sometimes;Yes Alphanumeric

The purpose of this scale is to identify the problems your tinnitus may be causing you. Check Yes, Sometimes, or No for each question. Do not skip any questions.

1. Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 122, 143-148. 2. McCombe, A., Bagueley, D., Coles, R., McKenna, L., McKinney, C. & Windle-Taylor, P. (2001). Guide Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Tinnitus Handicap Inventory (THI) Vestibular and Oculo-Motor Function Outcomes and End Points

Single Pre-Defined Value Selected

C53984 Tinnitus Handicap Inventory (THI) - read scale THIReadInd The indicator of having difficulty in reading due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). The indicator of having difficulty in reading due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). Because of your tinnitus is it difficult for you to read? 0;2;4 No;Sometimes;Yes Alphanumeric

The purpose of this scale is to identify the problems your tinnitus may be causing you. Check Yes, Sometimes, or No for each question. Do not skip any questions.

1. Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 122, 143-148. 2. McCombe, A., Bagueley, D., Coles, R., McKenna, L., McKinney, C. & Windle-Taylor, P. (2001). Guide Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Tinnitus Handicap Inventory (THI) Vestibular and Oculo-Motor Function Outcomes and End Points

Single Pre-Defined Value Selected

C53995 Tinnitus Handicap Inventory (THI) - total score THITotalScore TheTHI total score, as part of the Tinnitus Handicap Inventory (THI). TheTHI total score, as part of the Tinnitus Handicap Inventory (THI). Numeric Values

For clinician use only. Calculation: number of "yes" multiplied by 4+number of "sometimes" multiplied by 2. Determine presence of perceived tinnitus handicap based on total THI score. 0-16: Slight or No Handicap (Grade 1) 18-36: Mild Handicap (Grade 2) 38-56: Moderate Handicap (Grade 3) 58-76: Severe Handicap (Grade 4) 78-100: Catastrophic Handicap (Grade 5)

1. Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 122, 143-148. 2. McCombe, A., Bagueley, D., Coles, R., McKenna, L., McKinney, C. & Windle-Taylor, P. (2001). Guide Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Tinnitus Handicap Inventory (THI) Vestibular and Oculo-Motor Function Outcomes and End Points

Free-Form Entry

0 100
C53974 Tinnitus Handicap Inventory (THI) -desparate scale THIDesparateInd The indicator of being desparate due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). The indicator of being desparate due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). Because of your tinnitus are you desperate? 0;2;4 No;Sometimes;Yes Alphanumeric

The purpose of this scale is to identify the problems your tinnitus may be causing you. Check Yes, Sometimes, or No for each question. Do not skip any questions.

1. Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 122, 143-148. 2. McCombe, A., Bagueley, D., Coles, R., McKenna, L., McKinney, C. & Windle-Taylor, P. (2001). Guide Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Tinnitus Handicap Inventory (THI) Vestibular and Oculo-Motor Function Outcomes and End Points

Single Pre-Defined Value Selected

C53985 Tinnitus Handicap Inventory (THI) -upset scale THIUpsetInd The indicator of being upset due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). The indicator of being upset due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). Does your tinnitus make you upset? 0;2;4 No;Sometimes;Yes Alphanumeric

The purpose of this scale is to identify the problems your tinnitus may be causing you. Check Yes, Sometimes, or No for each question. Do not skip any questions.

1. Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 122, 143-148. 2. McCombe, A., Bagueley, D., Coles, R., McKenna, L., McKinney, C. & Windle-Taylor, P. (2001). Guide Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Tinnitus Handicap Inventory (THI) Vestibular and Oculo-Motor Function Outcomes and End Points

Single Pre-Defined Value Selected

C53996 Tinnitus Handicap Inventory (THI) - functional subscale THIFunctionalSubscale TheTHI functional subscale, as part of the Tinnitus Handicap Inventory (THI). TheTHI functional subscale, as part of the Tinnitus Handicap Inventory (THI). Numeric Values

11 items are in the functional group: #1,#2,#4,#7,#9,#12,#13,#15,#18,#20,#24 Calculation: number of "yes" multiplied by 4+number of "sometimes"multiplied by 2.

1. Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 122, 143-148. 2. McCombe, A., Bagueley, D., Coles, R., McKenna, L., McKinney, C. & Windle-Taylor, P. (2001). Guide Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Tinnitus Handicap Inventory (THI) Vestibular and Oculo-Motor Function Outcomes and End Points

Free-Form Entry

0 44
C53975 Tinnitus Handicap Inventory (THI) -complain a great deal scale THIComplainGreatDealInd The indicator of complaining a great deal about tinnitus, as part of the Tinnitus Handicap Inventory (THI). The indicator of complaining a great deal about tinnitus, as part of the Tinnitus Handicap Inventory (THI). Do you complain a great deal about your tinnitus? 0;2;4 No;Sometimes;Yes Alphanumeric

The purpose of this scale is to identify the problems your tinnitus may be causing you. Check Yes, Sometimes, or No for each question. Do not skip any questions.

1. Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 122, 143-148. 2. McCombe, A., Bagueley, D., Coles, R., McKenna, L., McKinney, C. & Windle-Taylor, P. (2001). Guide Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Tinnitus Handicap Inventory (THI) Vestibular and Oculo-Motor Function Outcomes and End Points

Single Pre-Defined Value Selected

C53986 Tinnitus Handicap Inventory (THI) -stress relationships scale THIStressRelationshipsInd The indicator of feeling that tinnitus places stress on relationships with family and/or friends, as part of the Tinnitus Handicap Inventory (THI). The indicator of feeling that tinnitus places stress on relationships with family and/or friends, as part of the Tinnitus Handicap Inventory (THI). Do you feel that your tinnitus has placed stress on your relationships with members of your family and/or friends? 0;2;4 No;Sometimes;Yes Alphanumeric

The purpose of this scale is to identify the problems your tinnitus may be causing you. Check Yes, Sometimes, or No for each question. Do not skip any questions.

1. Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 122, 143-148. 2. McCombe, A., Bagueley, D., Coles, R., McKenna, L., McKinney, C. & Windle-Taylor, P. (2001). Guide Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Tinnitus Handicap Inventory (THI) Vestibular and Oculo-Motor Function Outcomes and End Points

Single Pre-Defined Value Selected

C53997 Tinnitus Handicap Inventory (THI) -emotional subscale THIEmotionalSubscale TheTHI emotional subscale, as part of the Tinnitus Handicap Inventory (THI). TheTHI emotional subscale, as part of the Tinnitus Handicap Inventory (THI). Numeric Values

9 items are in the emotional group: #3,#6,#10,#14,#16,#17,#21,#22,#25 Calculation: number of "yes" multiplied by 4+number of "sometimes" multiplied by 2.

1. Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 122, 143-148. 2. McCombe, A., Bagueley, D., Coles, R., McKenna, L., McKinney, C. & Windle-Taylor, P. (2001). Guide Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Tinnitus Handicap Inventory (THI) Vestibular and Oculo-Motor Function Outcomes and End Points

Free-Form Entry

0 36
C53976 Tinnitus Handicap Inventory (THI) - falling asleep scale THIAsleepInd The indicator of having difficulty in falling asleep at night due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). The indicator of having difficulty in falling asleep at night due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). Because of your tinnitus do you have trouble falling asleep at night? 0;2;4 No;Sometimes;Yes Alphanumeric

The purpose of this scale is to identify the problems your tinnitus may be causing you. Check Yes, Sometimes, or No for each question. Do not skip any questions.

1. Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 122, 143-148. 2. McCombe, A., Bagueley, D., Coles, R., McKenna, L., McKinney, C. & Windle-Taylor, P. (2001). Guide Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Tinnitus Handicap Inventory (THI) Vestibular and Oculo-Motor Function Outcomes and End Points

Single Pre-Defined Value Selected

C53987 Tinnitus Handicap Inventory (THI) - focus away from tinnitus scale THIFocusAwayFromTinnitusInd The indicator of having difficulty in focusing the attention away from tinnitus and onto other things, as part of the Tinnitus Handicap Inventory (THI). The indicator of having difficulty in focusing the attention away from tinnitus and onto other things, as part of the Tinnitus Handicap Inventory (THI). Do you find it difficult to focus your attention away from your tinnitus and on to other things? 0;2;4 No;Sometimes;Yes Alphanumeric

The purpose of this scale is to identify the problems your tinnitus may be causing you. Check Yes, Sometimes, or No for each question. Do not skip any questions.

1. Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 122, 143-148. 2. McCombe, A., Bagueley, D., Coles, R., McKenna, L., McKinney, C. & Windle-Taylor, P. (2001). Guide Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Tinnitus Handicap Inventory (THI) Vestibular and Oculo-Motor Function Outcomes and End Points

Single Pre-Defined Value Selected

C53998 Tinnitus Handicap Inventory (THI) - catastrophic subscale THICatastrophicSubscale TheTHI catastrophic subscale, as part of the Tinnitus Handicap Inventory (THI). TheTHI catastrophic subscale, as part of the Tinnitus Handicap Inventory (THI). Numeric Values

5 items are in thecatastrophic group: #5,#8,#11,#19,#23 Calculation: number of "yes" multiplied by 4+number of "sometimes" multiplied by 2.

1. Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 122, 143-148. 2. McCombe, A., Bagueley, D., Coles, R., McKenna, L., McKinney, C. & Windle-Taylor, P. (2001). Guide Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Tinnitus Handicap Inventory (THI) Vestibular and Oculo-Motor Function Outcomes and End Points

Free-Form Entry

0 20
C53977 Tinnitus Handicap Inventory (THI) - cannot escape scale THINotEscapeInd The indicator of having difficulty in escaping from tinnitus, as part of the Tinnitus Handicap Inventory (THI). The indicator of having difficulty in escaping from tinnitus, as part of the Tinnitus Handicap Inventory (THI). Do you feel as though you cannot escape from your tinnitus? 0;2;4 No;Sometimes;Yes Alphanumeric

The purpose of this scale is to identify the problems your tinnitus may be causing you. Check Yes, Sometimes, or No for each question. Do not skip any questions.

1. Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 122, 143-148. 2. McCombe, A., Bagueley, D., Coles, R., McKenna, L., McKinney, C. & Windle-Taylor, P. (2001). Guide Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Tinnitus Handicap Inventory (THI) Vestibular and Oculo-Motor Function Outcomes and End Points

Single Pre-Defined Value Selected

C53988 Tinnitus Handicap Inventory (THI) - no control over tinnitus scale THINoCtrlOverTinnitusInd The indicator of having difficulty in controlling over tinnitus, as part of the Tinnitus Handicap Inventory (THI). The indicator of having difficulty in controlling over tinnitus, as part of the Tinnitus Handicap Inventory (THI). Do you feel that you have no control over your tinnitus? 0;2;4 No;Sometimes;Yes Alphanumeric

The purpose of this scale is to identify the problems your tinnitus may be causing you. Check Yes, Sometimes, or No for each question. Do not skip any questions.

1. Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 122, 143-148. 2. McCombe, A., Bagueley, D., Coles, R., McKenna, L., McKinney, C. & Windle-Taylor, P. (2001). Guide Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Tinnitus Handicap Inventory (THI) Vestibular and Oculo-Motor Function Outcomes and End Points

Single Pre-Defined Value Selected

C53978 Tinnitus Handicap Inventory (THI) - social activities scale THISocialActivitiesInd The indicator of enjoyment of social activitiesthat has been interfered with tinnitus , as part of the Tinnitus Handicap Inventory (THI). The indicator of enjoyment of social activitiesthat has been interfered with tinnitus , as part of the Tinnitus Handicap Inventory (THI). Does your tinnitus interfere with your ability to enjoy social activities (such as going out to dinner or to the cinema)? 0;2;4 No;Sometimes;Yes Alphanumeric

The purpose of this scale is to identify the problems your tinnitus may be causing you. Check Yes, Sometimes, or No for each question. Do not skip any questions.

1. Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 122, 143-148. 2. McCombe, A., Bagueley, D., Coles, R., McKenna, L., McKinney, C. & Windle-Taylor, P. (2001). Guide Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Tinnitus Handicap Inventory (THI) Vestibular and Oculo-Motor Function Outcomes and End Points

Single Pre-Defined Value Selected

C53989 Tinnitus Handicap Inventory (THI) -tired often scale THITiredOftenInd The indicator of feeling tired often due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). The indicator of feeling tired often due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). Because of your tinnitus do you often feel tired? 0;2;4 No;Sometimes;Yes Alphanumeric

The purpose of this scale is to identify the problems your tinnitus may be causing you. Check Yes, Sometimes, or No for each question. Do not skip any questions.

1. Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 122, 143-148. 2. McCombe, A., Bagueley, D., Coles, R., McKenna, L., McKinney, C. & Windle-Taylor, P. (2001). Guide Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Tinnitus Handicap Inventory (THI) Vestibular and Oculo-Motor Function Outcomes and End Points

Single Pre-Defined Value Selected

C53979 Tinnitus Handicap Inventory (THI) -frustrated scale THIFrustratedInd The indicator of being frustrated due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). The indicator of being frustrated due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). Because of your tinnitus do you feel frustrated? 0;2;4 No;Sometimes;Yes Alphanumeric

The purpose of this scale is to identify the problems your tinnitus may be causing you. Check Yes, Sometimes, or No for each question. Do not skip any questions.

1. Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 122, 143-148. 2. McCombe, A., Bagueley, D., Coles, R., McKenna, L., McKinney, C. & Windle-Taylor, P. (2001). Guide Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Tinnitus Handicap Inventory (THI) Vestibular and Oculo-Motor Function Outcomes and End Points

Single Pre-Defined Value Selected

C53990 Tinnitus Handicap Inventory (THI) - depressed scale THIDepressedInd The indicator of feeling depressed due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). The indicator of feeling depressed due to tinnitus, as part of the Tinnitus Handicap Inventory (THI). Because of your tinnitus do you feel depressed? 0;2;4 No;Sometimes;Yes Alphanumeric

The purpose of this scale is to identify the problems your tinnitus may be causing you. Check Yes, Sometimes, or No for each question. Do not skip any questions.

1. Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 122, 143-148. 2. McCombe, A., Bagueley, D., Coles, R., McKenna, L., McKinney, C. & Windle-Taylor, P. (2001). Guide Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Tinnitus Handicap Inventory (THI) Vestibular and Oculo-Motor Function Outcomes and End Points

Single Pre-Defined Value Selected

C18649 Tinnitus post-TBI assessment indicator TinnitusPostTBIAssmtInd Subject's response concerning ringing, roaring, buzzing, etc. post-TBI for more than 5 minutes. Subject's response concerning ringing, roaring, buzzing, etc. post-TBI for more than 5 minutes. Since your brain injury, have you been bothered by ringing, roaring, buzzing or other sounds in your ears or head that lasts for 5 minutes or more? No;Yes No;Yes Alphanumeric 1. Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 122, 143-148. 2. McCombe, A., Bagueley, D., Coles, R., McKenna, L., McKinney, C. & Windle-Taylor, P. (2001). Guide Adult;Pediatric Supplemental 1.00 2014-01-06 00:00:00.0 Tinnitus Handicap Inventory (THI) Vestibular and Oculo-Motor Function Outcomes and End Points

Single Pre-Defined Value Selected

C53980 Tinnitus Handicap Inventory (THI) - terrible disease scale THITerribleDiseaseInd The indicator of considering tinnitus as a terrible disease, as part of the Tinnitus Handicap Inventory (THI). The indicator of considering tinnitus as a terrible disease, as part of the Tinnitus Handicap Inventory (THI). Because of your tinnitus do you feel that you have a terrible disease? 0;2;4 No;Sometimes;Yes Alphanumeric

The purpose of this scale is to identify the problems your tinnitus may be causing you. Check Yes, Sometimes, or No for each question. Do not skip any questions.

1. Newman, C. W., Jacobson, G. P., & Spitzer, J. B. (1996). Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 122, 143-148. 2. McCombe, A., Bagueley, D., Coles, R., McKenna, L., McKinney, C. & Windle-Taylor, P. (2001). Guide Adult;Pediatric Supplemental 1.00 2017-02-10 00:00:00.0 Tinnitus Handicap Inventory (THI) Vestibular and Oculo-Motor Function Outcomes and End Points

Single Pre-Defined Value Selected

CSV