CDE Detailed Report

Disease: Sport-Related Concussion
Subdomain Name: Quality of Life/Patient Reported Outcomes
CRF: Neuro-QOL Adult Bank - Sleep Disturbance

Displaying 1 - 8 of 8
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
C21289 Quality of Life - Bad dream sleep trouble past week scale QoLBadDreamSleepTroubleScl The scale representing how often the participant had trouble sleeping because of dreams in the past 7 days, as part of Neuro-QOL Sleep Disturbance The scale representing how often the participant had trouble sleeping because of dreams in the past 7 days, as part of Neuro-QOL Sleep Disturbanc In the past 7 days I had trouble sleeping because of bad dreams. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values

Part of Neuro-QOL Adult Bank - Sleep Disturbance

 Adult;Pediatric Supplemental 1.00 2015-07-17 09:23:23.0 Neuro-QOL Adult Bank - Sleep Disturbance Quality of Life/Patient Reported Outcomes Outcomes and End Points

Single Pre-Defined Value Selected
C21290 Quality of Life - Awake pain past week scale QoLAwakePainScl The scale representing how often pain woke the participant up in the last 7 days, as part of Neuro-QOL Sleep Disturbance The scale representing how often pain woke the participant up in the last 7 days, as part of Neuro-QOL Sleep Disturbanc In the past 7 days pain woke me up. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values

Part of Neuro-QOL Adult Bank - Sleep Disturbance

 Adult;Pediatric Supplemental 1.00 2015-07-17 09:23:23.0 Neuro-QOL Adult Bank - Sleep Disturbance Quality of Life/Patient Reported Outcomes Outcomes and End Points

Single Pre-Defined Value Selected
C21291 Quality of Life - Cancel friend activity bad sleep past week scale QoLCancelFriendActvtBadSlpScl The scale representing how often the participant avoided or cancelled activities with their friends because they were tired from having a bad night's sleep in the past 7 days, as part of Neuro-QOL Sleep Disturbance The scale representing how often the participant avoided or cancelled activities with their friends because they were tired from having a bad night's sleep in the past 7 days, as part of Neuro-QOL Sleep Disturbanc In the past 7 days I avoided or cancelled activities with my friends because I was tired from having a bad night's sleep. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values

Part of Neuro-QOL Adult Bank - Sleep Disturbance

 Adult;Pediatric Supplemental 1.00 2015-07-17 09:23:23.0 Neuro-QOL Adult Bank - Sleep Disturbance Quality of Life/Patient Reported Outcomes Outcomes and End Points

Single Pre-Defined Value Selected
C21292 Quality of Life - Middle night physical tension past week scale QoLMddleNightPhysiclTensionScl The scale representing how often the participant felt physically tense during the middle of the night or early morning hours in the past 7 days, as part of Neuro-QOL Sleep Disturbance The scale representing how often the participant felt physically tense during the middle of the night or early morning hours in the past 7 days, as part of Neuro-QOL Sleep Disturbanc In the past 7 days I felt physically tense during the middle of the night or early morning hours. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values

Part of Neuro-QOL Adult Bank - Sleep Disturbance

 Adult;Pediatric Supplemental 1.00 2015-07-17 09:23:23.0 Neuro-QOL Adult Bank - Sleep Disturbance Quality of Life/Patient Reported Outcomes Outcomes and End Points

Single Pre-Defined Value Selected
C20816 Patient-Reported Outcome Measurement Information System (PROMIS) - Sleep difficulty assessment past week scale PROMISDifficultFallAsleepScale The scale which represents how often the participant had difficulty falling asleep in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) The scale which represents how often the participant had difficulty falling asleep in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS In the past 7 days I had difficulty falling asleep. 1;2;3;4;5 Not at all;A little bit;Somewhat;Quite a bit;Very much Numeric Values

Part of Neuro-QOL Adult Bank - Sleep Disturbance

 "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Sleep Disturbance Sleep125 Adult;Pediatric Supplemental 1.00 2015-05-21 08:50:35.0 Neuro-QOL Adult Bank - Sleep Disturbance Quality of Life/Patient Reported Outcomes Outcomes and End Points

Single Pre-Defined Value Selected
C20822 Patient-Reported Outcome Measurement Information System (PROMIS) - Bedtime trouble thought assessment past week scale PROMISTrblStpThghtBedtimeScale The scale which represents how often the participant had trouble stopping his/her thoughts at bedtime in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) The scale which represents how often the participant had trouble stopping his/her thoughts at bedtime in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS In the past 7 days I had trouble stopping my thoughts at bedtime. 1;2;3;4;5 Not at all;A little bit;Somewhat;Quite a bit;Very much Numeric Values

Part of Neuro-QOL Adult Bank - Sleep Disturbance

 "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Sleep Disturbance Sleep139 Adult;Pediatric Supplemental 1.00 2015-05-21 08:50:35.0 Neuro-QOL Adult Bank - Sleep Disturbance Quality of Life/Patient Reported Outcomes Outcomes and End Points

Single Pre-Defined Value Selected
C20852 Patient-Reported Outcome Measurement Information System (PROMIS) - trouble stay awake during day past week scale PROMISTrblStayAwakeInDayScale The scale which represents how often the participant had trouble staying awake during the day in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) The scale which represents how often the participant had trouble staying awake during the day in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS In the past 7 days I was sleepy during the daytime. 1;2;3;4;5 Not at all;A little bit;Somewhat;Quite a bit;Very much Numeric Values

Part of Neuro-QOL Adult Bank - Sleep Disturbance

 "Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Sleep Related Impairment Sleep44 Adult;Pediatric Supplemental 1.00 2015-05-21 09:54:31.0 Neuro-QOL Adult Bank - Sleep Disturbance Quality of Life/Patient Reported Outcomes Outcomes and End Points

Single Pre-Defined Value Selected
C21288 Quality of Life - Force awake morning past week scale QoLForceAwakeMorningScl The scale representing how often the participant had to force himself/herself to get up in the morning in the past 7 days, as part of Neuro-QOL Sleep Disturbance The scale representing how often the participant had to force himself/herself to get up in the morning in the past 7 days, as part of Neuro-QOL Sleep Disturbanc In the past 7 days I had to force myself to get up in the morning. 5;4;3;2;1 always;Often;Sometimes;Rarely;Never Numeric Values

Part of Neuro-QOL Adult Bank - Sleep Disturbance

 Adult;Pediatric Supplemental 1.00 2015-07-17 09:23:23.0 Neuro-QOL Adult Bank - Sleep Disturbance Quality of Life/Patient Reported Outcomes Outcomes and End Points

Single Pre-Defined Value Selected
CSV