CDE Detailed Report

Disease: Sport Related Concussion
Sub-Domain: Mood/Anxiety
CRF: NIH Toolbox - Emotional Battery Instrumental Support (Ages 18 and over) Fixed Form

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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
C54482 NIH Toolbox - Instrumental support shopping taker scale NIHToolboxInsSuppShppTkrScl Scale related to an individual having someone to take him/her shopping if they need it, as part of the NIH Toolbox Instrumental Support Scale related to an individual having someone to take him/her shopping if they need it, as part of the NIH Toolbox Instrumental Support I have someone to take me shopping if I need it 1;2;3;4;5 Never;Rarely;Sometimes;Usually;always Alphanumeric Adult Exploratory 1.00 2017-03-15 11:48:16.0 NIH Toolbox - Emotional Battery Instrumental Support (Ages 18 and over) Fixed Form Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

C54483 NIH Toolbox - Instrumental support sick in bed help scale NIHToolboxInsSuppSckInBdHlpScl Scale related to an individual having someone to help him/her if they are sick in bed, as part of the NIH Toolbox Instrumental Support Scale related to an individual having someone to help him/her if they are sick in bed, as part of the NIH Toolbox Instrumental Support I have someone to help me if I'm sick in bed 1;2;3;4;5 Never;Rarely;Sometimes;Usually;always Alphanumeric Adult Exploratory 1.00 2017-03-15 11:48:16.0 NIH Toolbox - Emotional Battery Instrumental Support (Ages 18 and over) Fixed Form Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

C54485 NIH Toolbox - Instrumental support medicine pick up help scale NIHToolboxInsSuppMedPckUpHpScl Scale related to an individual having someone to pick up medicine for them if they need it, as part of the NIH Toolbox Instrumental Support Scale related to an individual having someone to pick up medicine for them if they need it, as part of the NIH Toolbox Instrumental Support I have someone pick up medicine for me if I need it 1;2;3;4;5 Never;Rarely;Sometimes;Usually;always Alphanumeric Adult Exploratory 1.00 2017-03-15 11:48:16.0 NIH Toolbox - Emotional Battery Instrumental Support (Ages 18 and over) Fixed Form Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

C54498 NIH Toolbox - Instrumental support doctor visit help scale NIHToolboxInsSuppDocVstHlpScl Scale related to an individual having someone to take him/her to the doctor, as part of the NIH Toolbox Instrumental Support Scale related to an individual having someone to take him/her to the doctor, as part of the NIH Toolbox Instrumental Support I have someone to take me to the doctor if I need it 1;2;3;4;5 Never;Rarely;Sometimes;Usually;always Alphanumeric Adult Exploratory 1.00 2017-03-15 11:48:16.0 NIH Toolbox - Emotional Battery Instrumental Support (Ages 18 and over) Fixed Form Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

C54499 NIH Toolbox - Instrumental support help if needed scale NIHToolboxInsSuppHlpIfNdScl Scale related to an individual having someone to help him/her if needed, as part of the NIH Toolbox Instrumental Support Scale related to an individual having someone to help him/her if needed, as part of the NIH Toolbox Instrumental Support There is someone around to help me if I need it 1;2;3;4;5 Never;Rarely;Sometimes;Usually;always Alphanumeric Adult Exploratory 1.00 2017-03-15 11:48:16.0 NIH Toolbox - Emotional Battery Instrumental Support (Ages 18 and over) Fixed Form Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

C54500 NIH Toolbox - Instrumental support drive help scale NIHToolboxInsSuppDrvHlpScl Scale related to an individual having someone to drive him/her places, as part of the NIH Toolbox Instrumental Support Scale related to an individual having someone to drive him/her places, as part of the NIH Toolbox Instrumental Support I can find someone to drive me places if I need it 1;2;3;4;5 Never;Rarely;Sometimes;Usually;always Alphanumeric Adult Exploratory 1.00 2017-03-15 11:48:16.0 NIH Toolbox - Emotional Battery Instrumental Support (Ages 18 and over) Fixed Form Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

C54501 NIH Toolbox - Instrumental support clean home help scale NIHToolboxInsSuppClnHmHlpScl Scale related to an individual having help cleaning up around my home if he/she needs it as part of the NIH Toolbox Instrumental Support Scale related to an individual having help cleaning up around my home if he/she needs it as part of the NIH Toolbox Instrumental Support I can get help cleaning up around my home if I need it 1;2;3;4;5 Never;Rarely;Sometimes;Usually;always Alphanumeric Adult Exploratory 1.00 2017-03-15 11:48:16.0 NIH Toolbox - Emotional Battery Instrumental Support (Ages 18 and over) Fixed Form Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

C54481 NIH Toolbox - Instrumental support meal maker scale NIHToolboxInsSuppMlMkrScl Scale related to an individual having someone around to make his/her meals if he/she is unable to it themselves, as part of the NIH Toolbox Instrumental Support Scale related to an individual having someone around to make his/her meals if he/she is unable to it themselves, as part of the NIH Toolbox Instrumental Support Someone is around to make my meals if I am unable to do it myself 1;2;3;4;5 Never;Rarely;Sometimes;Usually;always Alphanumeric Adult Exploratory 1.00 2017-03-15 11:48:16.0 NIH Toolbox - Emotional Battery Instrumental Support (Ages 18 and over) Fixed Form Mood/Anxiety Outcomes and End Points

Single Pre-Defined Value Selected

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