CDE Detailed Report
Disease: Cerebral Palsy
Sub-Domain: Epidemiology/Environmental History
CRF: Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep
Displaying 1 - 11 of 11
Sub-Domain: Epidemiology/Environmental History
CRF: Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep
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 / 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 |
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C19247 | Subject ID | SubIDNam | Subject identification ID | Subject identification ID | Subject ID | Alphanumeric | Adult;Pediatric | Core | 1.00 | 2014-06-05 13:10:49.0 | Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep | Epidemiology/Environmental History | Participant History and Family History | 255 |
Free-Form Entry |
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C22781 | Risk Factor Questionnaire (RFQ) ? ages 2-5 vigorous physical activity indicator | RFQAge25VigrsPhysActInd | Hours spent doing vigorous physical activities by the subject in an average week between the ages of 2 and 5, as part of the Risk Factor Questionnaire (RFQ) – Physical Activity and Sleep. | Hours spent doing vigorous physical activities by the subject in an average week between the ages of 2 and 5, as part of the Risk Factor Questionnaire (RFQ) – Physical Activity and Sleep. | In a typical week, how many hours of vigorous physical activity did you engage in? | Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable | Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable | Alphanumeric |
Choose one. |
Pediatric | Supplemental | 1.00 | 2016-10-27 15:22:07.0 | Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C22782 | Risk Factor Questionnaire (RFQ) ? age 2-5 moderate physical activity indicator | RFQAge25ModrtPhysActInd | Hours spent doing moderate physical activities by the subject in an average week between the ages of 2 and 5, as part of the Risk Factor Questionnaire (RFQ)– Physical Activity and Sleep. | Hours spent doing moderate physical activities by the subject in an average week between the ages of 2 and 5, as part of the Risk Factor Questionnaire (RFQ)– Physical Activity and Sleep. | In a typical week, how many hours of moderate physical activity did you engage in? | Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable | Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable | Alphanumeric |
Choose one. |
Pediatric | Supplemental | 1.00 | 2016-10-27 15:34:22.0 | Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C22783 | Risk Factor Questionnaire (RFQ) ? age 2-5 sleep duration indicator | RFQAge25SlpDurInd | Hours of sleep the subject got in a week between the ages of 2 and 5, as part of the Risk Factor Questionnaire (RFQ)– Physical Activity and Sleep. | Hours of sleep the subject got in a week between the ages of 2 and 5, as part of the Risk Factor Questionnaire (RFQ)– Physical Activity and Sleep. | In a typical week, how many hours of sleep did you get on an average night? | Less than 5 hours;5-6 hours;6-7 hours;7-8 hours;More than 8 hours per week;Not applicable | Less than 5 hours;5-6 hours;6-7 hours;7-8 hours;More than 8 hours per week;Not applicable | Alphanumeric |
Choose one. |
Pediatric | Supplemental | 1.00 | 2016-10-27 15:40:12.0 | Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C22784 | Risk Factor Questionnaire (RFQ) ? age 6-11 vigorous physical activity indicator | RFQAge611VigrsPhysActInd | Hours spent doing vigorous physical activities by the subject in an average week between the ages of 6 and 11, as part of the Risk Factor Questionnaire (RFQ)– Physical Activity and Sleep. | Hours spent doing vigorous physical activities by the subject in an average week between the ages of 6 and 11, as part of the Risk Factor Questionnaire (RFQ)– Physical Activity and Sleep. | In a typical week, how many hours of vigorous physical activity did you engage in? | Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable | Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable | Alphanumeric |
Choose one. |
Pediatric | Supplemental | 1.00 | 2016-10-27 15:48:27.0 | Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C22785 | Risk Factor Questionnaire (RFQ) ? age 6-11 moderate physical activity indicator | RFQAge611ModrtPhysActInd | Hours spent doing moderate physical activities by the subject in an average week between the ages of 6 and 11, as part of the Risk Factor Questionnaire (RFQ)– Physical Activity and Sleep. | Hours spent doing moderate physical activities by the subject in an average week between the ages of 6 and 11, as part of the Risk Factor Questionnaire (RFQ)– Physical Activity and Sleep. | In a typical week, how many hours of moderate physical activity did you engage in? | Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable | Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable | Alphanumeric |
Choose one. |
Pediatric | Supplemental | 1.00 | 2016-10-28 10:39:49.0 | Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C22786 | Risk Factor Questionnaire (RFQ) ? age 6-11 sleep duration indicator | RFQAge611SlpDurInd | Hours of sleep the subject got in a week between the ages of 6 and 11, as part of the Risk Factor Questionnaire (RFQ)– Physical Activity and Sleep. | Hours of sleep the subject got in a week between the ages of 6 and 11, as part of the Risk Factor Questionnaire (RFQ)– Physical Activity and Sleep. | In a typical week, how many hours of sleep did you get on an average night? | Less than 5 hours;5-6 hours;6-7 hours;7-8 hours;More than 8 hours per week;Not applicable | Less than 5 hours;5-6 hours;6-7 hours;7-8 hours;More than 8 hours per week;Not applicable | Alphanumeric |
Choose one. |
Pediatric | Supplemental | 1.00 | 2016-10-28 10:46:35.0 | Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C22787 | Risk Factor Questionnaire (RFQ) ? age 12-17 vigorous physical activity indicator | RFQAge1217VigrsPhysActInd | Hours spent doing vigorous physical activities by the subject in an average week between the ages of 12 and 17, as part of the Risk Factor Questionnaire (RFQ)– Physical Activity and Sleep. | Hours spent doing vigorous physical activities by the subject in an average week between the ages of 12 and 17, as part of the Risk Factor Questionnaire (RFQ)– Physical Activity and Sleep. | In a typical week, how many hours of vigorous physical activity did you engage in? | Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable | Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable | Alphanumeric |
Choose one. |
Pediatric | Supplemental | 1.00 | 2016-10-28 10:51:25.0 | Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C22788 | Risk Factor Questionnaire (RFQ) ? age 12-17 moderate physical activity indicator | RFQAge1217ModrtPhysActInd | Hours spent doing moderate physical activities by the subject in an average week between the ages of 12 and 17, as part of the Risk Factor Questionnaire (RFQ)– Physical Activity and Sleep. | Hours spent doing moderate physical activities by the subject in an average week between the ages of 12 and 17, as part of the Risk Factor Questionnaire (RFQ)– Physical Activity and Sleep. | In a typical week, how many hours of moderate physical activity did you engage in? | Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable | Less than 1 hour;1-4 hours;5-10 hours;More than 10 hours per week;Not applicable | Alphanumeric |
Choose one. |
Pediatric | Supplemental | 1.00 | 2016-10-28 10:55:06.0 | Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C22789 | Risk Factor Questionnaire (RFQ) ? age 12-17 sleep duration indicator | RFQAge1217SlpDurInd | Hours of sleep the subject got in a week between the ages of 12 and 17, as part of the Risk Factor Questionnaire (RFQ)– Physical Activity and Sleep. | Hours of sleep the subject got in a week between the ages of 12 and 17, as part of the Risk Factor Questionnaire (RFQ)– Physical Activity and Sleep. | In a typical week, how many hours of sleep did you get on an average night? | Less than 5 hours;5-6 hours;6-7 hours;7-8 hours;More than 8 hours per week;Not applicable | Less than 5 hours;5-6 hours;6-7 hours;7-8 hours;More than 8 hours per week;Not applicable | Alphanumeric |
Choose one. |
Pediatric | Supplemental | 1.00 | 2016-10-28 10:59:14.0 | Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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C17402 | Site name | SiteName | The name of the site for the study | The name of the site for the study | Site Name | Alphanumeric | Adult;Pediatric | Core | 3.00 | 2013-06-21 00:00:00.0 | Risk Factor Questionnaire (RFQ) - Physical Activity and Sleep | Epidemiology/Environmental History | Participant History and Family History | 255 |
Free-Form Entry |