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Columbia Impairment Scale (CIS) Parent Reported

1,493 Shared Subjects

Columbia Impairment Scale (CIS) Parent Reported
Clinical Assessments
Questionnaire
06/20/2012
cisp_p01
06/20/2012
View Change History
01
Query Element Name Data Type Size Required Description Value Range Notes Aliases
subjectkey GUID Required The NDAR Global Unique Identifier (GUID) for research subject NDAR*
src_subject_id String 20 Required Subject ID how it's defined in lab/project id
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY
interview_age Integer Required Age in months at the time of the interview/test/sampling/imaging. 0 :: 1260 Age is rounded to chronological month. If the research participant is 15-days-old at time of interview, the appropriate value would be 0 months. If the participant is 16-days-old, the value would be 1 month.
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported gender
comments_misc String 4,000 Recommended Miscellaneous comments on study, interview, methodology relevant to this form data
Query cisp_1 Integer Recommended How much of a problem do you think your child has with Getting into trouble? 0;1;2;3;4;5 0 = No problem; 1 = Between no problem and some problem; 2 = Some problem; 3 = Between some problem and very bad problem; 4 = Very bad problem; 5 = Not applicable/Don't know CIS_PARENT1, cisp1, p_cis_1
Query cisp_2 Integer Recommended How much of a problem do you think your child has with Getting along with his/her mother? 0;1;2;3;4;5 0 = No problem; 1 = Between no problem and some problem; 2 = Some problem; 3 = Between some problem and very bad problem; 4 = Very bad problem; 5 = Not applicable/Don't know CIS_PARENT2, cisp2, p_cis_2
Query cisp_3 Integer Recommended How much of a problem do you think your child has with Getting along with his/her father? 0;1;2;3;4;5 0 = No problem; 1 = Between no problem and some problem; 2 = Some problem; 3 = Between some problem and very bad problem; 4 = Very bad problem; 5 = Not applicable/Don't know CIS_PARENT3, cisp3, p_cis_3
Query cisp_4 Integer Recommended How much of a problem do you think your child has with Feeling unhappy or sad? 0;1;2;3;4;5 0 = No problem; 1 = Between no problem and some problem; 2 = Some problem; 3 = Between some problem and very bad problem; 4 = Very bad problem; 5 = Not applicable/Don't know CIS_PARENT4, cisp4, p_cis_4
Query cisp_5 Integer Recommended How much of a problem do you think your child has with Behavior at school/on the job? 0;1;2;3;4;5 0 = No problem; 1 = Between no problem and some problem; 2 = Some problem; 3 = Between some problem and very bad problem; 4 = Very bad problem; 5 = Not applicable/Don't know CIS_PARENT5, cisp5, p_cis_5
Query cisp_6 Integer Recommended How much of a problem do you think your child has with Having fun? 0;1;2;3;4;5 0 = No problem; 1 = Between no problem and some problem; 2 = Some problem; 3 = Between some problem and very bad problem; 4 = Very bad problem; 5 = Not applicable/Don't know CIS_PARENT6, cisp6, p_cis_6
Query cisp_7 Integer Recommended How much of a problem do you think your child has with Getting along with adults other than his/her parents? 0;1;2;3;4;5 0 = No problem; 1 = Between no problem and some problem; 2 = Some problem; 3 = Between some problem and very bad problem; 4 = Very bad problem; 5 = Not applicable/Don't know CIS_PARENT7, cisp7, p_cis_7
Query cisp_8 Integer Recommended How much of a problem do you think your child has with Feeling nervous or worried? 0;1;2;3;4;5 0 = No problem; 1 = Between no problem and some problem; 2 = Some problem; 3 = Between some problem and very bad problem; 4 = Very bad problem; 5 = Not applicable/Don't know CIS_PARENT8, cisp8, p_cis_8
Query cisp_9 Integer Recommended How much of a problem do you think your child has with Getting along with his/her brothers/sisters? 0;1;2;3;4;5 0 = No problem; 1 = Between no problem and some problem; 2 = Some problem; 3 = Between some problem and very bad problem; 4 = Very bad problem; 5 = Not applicable/Don't know CIS_PARENT9, cisp9, p_cis_9
Query cisp_10 Integer Recommended How much of a problem do you think your child has with Getting along with kids his/her age? 0;1;2;3;4;5 0 = No problem; 1 = Between no problem and some problem; 2 = Some problem; 3 = Between some problem and very bad problem; 4 = Very bad problem; 5 = Not applicable/Don't know CIS_PARENT10, cisp10, p_cis_10
Query cisp_11 Integer Recommended How much of a problem do you think your child has with Getting involved in activities like sports or hobbies? 0;1;2;3;4;5 0 = No problem; 1 = Between no problem and some problem; 2 = Some problem; 3 = Between some problem and very bad problem; 4 = Very bad problem; 5 = Not applicable/Don't know CIS_PARENT11, cisp11, p_cis_11
Query cisp_12 Integer Recommended How much of a problem do you think your child has with Schoolwork/job? 0;1;2;3;4;5 0 = No problem; 1 = Between no problem and some problem; 2 = Some problem; 3 = Between some problem and very bad problem; 4 = Very bad problem; 5 = Not applicable/Don't know CIS_PARENT12, cisp12, p_cis_12
Query cisp_13 Integer Recommended How much of a problem do you think your child has with Behavior at home? 0;1;2;3;4;5 0 = No problem; 1 = Between no problem and some problem; 2 = Some problem; 3 = Between some problem and very bad problem; 4 = Very bad problem; 5 = Not applicable/Don't know CIS_PARENT13, cisp13, p_cis_13
Query days_baseline Integer Recommended Days since baseline daycisp
Query assbdic String 5 Recommended Assessment Point D;14;E;24;LB;36;72;96;120; 9; B; 3; 7; 144; 168;192; C D=MTA baseline assessment; 14=MTA 14 month assessment; E=MTA early termination assessment; B = MTA Pre-Baseline Screening Assessment (579/579); 09 = MTA 9 Month Assessment (530/530); 24=MTA 24 month assessment; LB=LNCG baseline assessment; 36=MTA and LNCG 3 year assessment; 72=MTA and LNCG 6 year assessment; 96=MTA and LNCG 8 year assessment; 03 = MTA 3 Month Assessment (438/687);120=MTA and LNCG 10 year assessment; 7= 7th Grade Assessment (221/276); 144 = MTA & LNCG 12 Month Assessment (578/578); 168 = MTA & LNCG 14 Month Assessment (585/585); 192 = MTA & LNCG 16 Month Assessment (505/505); C = MTA Pre-Baseline Screening Assessment (78/78) asscisp
Query relationship Integer Recommended Relationship of respondent to individual
1::94;-999
1 = Biological mom; 2 = Biological dad; 3 = Grandparent; 4 = Special education (sped) teacher; 5 = General education teacher; 6 = Occupational therapist; 7 = Speech and language therapist; 8 = Behavioral therapist; 9 = Paraprofessional; 10 = Aide; 11 = Principal; 12 = Administrator; 14 = Content teacher; 15 = Parent center director; 16 = Self; 17=Adoptive mother; 18=Adoptive father; 19=Foster mother; 20 = Foster father; 21=Grandmother; 22=Grandfather; 23=Step-mother; 24 = Step-father; 25=Aunt; 26=Uncle; 28=Both parents;31= Grandmother from mother side; 32= Grandfather from mother side; 33= Grandmother from father side; 34= Grandfather from father side; 36= Brother; 37= Sister; 38= Cousin; 39= female caregiver; 40=male caregiver; 41=Female child; 42=Male child; 43=Spouse/Mate; 44=Friend; 45=Parent; 46=Significant other; 47=Sibling; 48=Son/Daughter; 49=Son-in-law/Daughter-in law; 50=Other Relative; 51=Paid caregiver; 52=Friends; 53=Roommate; 54=Supervisor; 55=mother's boyfriend; 56=other parental figure; 57=Summary; 58=counselor ; 59 = other female relative; 60 = other male relative; 61 = non-relative ; 62=Maternal Aunt; 63=Maternal Uncle; 64=Maternal Cousin; 65 = Paternal Aunt; 66=Paternal Uncle; 67=Paternal Cousin ; 68=Biological/Adoptive Mother and Grandmother; 69=Biological/Adoptive Mother and Stepmother and Grandmother; 70=Biological/Adoptive Mother and Grandmother and Foster Father; 71=Biological/Adoptive Mother and Stepmother and Foster Mother; 72=Biological/Adoptive Mother and Foster Mother; 73=Biological/Adoptive Mother and Biological/Adoptive Father; 74=Biological/Adoptive Mother and Stepmother and Biological/Adoptive Father; 75=Biological/Adoptive Mother and Other; 76=Biological/Adoptive Mother and Stepmother and Stepfather; 77=Biological/Adoptive Mother and Stepfather; 78=Biological/Adoptive Mother and Grandfather; 79=Biological/Adoptive Mother and Stepmother and Foster Father; 80=Biological/Adoptive Mother and Stepmother; 81=Guardian, female; 82=Other female; 83=Guardian, male; 84=Other male; 85=Other/Grandparent/Nanny; 86 = Mother, Father, Guardian; 87 = Daughter, son, grandchild; 88 = Professional (e.g., social worker, nurse, therapist, psychiatrist, or group home staff); -999=Missing; 89 = Biological parent; 90=Other; 91 = Stepparent; 92 = Adoptive parent; 93 = Foster parent; 94 = Co-worker relcisp
Query actbdic Integer Recommended Active status 0::5 0=Inactive-Data collected after the 14 month treatment phase/after early termination from treatment phase/prior to treatment phase; 1=Active-Data collected during the 14 month treatment phase while subject received originally assigned treatment regardless of degree of compliance; 2=Active-This is the last active assessment for subjects who were about to violate treatment arm by receiving alternate treatment; 3=Active-This is the last active assessment for subjects who were about to leave the study by moving away;4=Yes, Active; 5=No, Not Active actcisp
Query site String 101 Recommended Site Study Site sitenum
Query sjtyp Integer Recommended Subject type 1;2 1=MTA randomized trial subject; 2=Local normative comparison group (LNCG) subject
Query cisp14 Integer Recommended In general how much do you worry about child 0;1;2;3;4;5 0 = No problem; 1 = Between no problem and some problem; 2 = Some problem; 3 = Between some problem and very bad problem; 4 = Very bad problem; 5 = Not applicable/Don't know
Query cisp15 Integer Recommended How much do you think child needs help from mental health professionals 0;1;2;3;4;5 0 = No problem; 1 = Between no problem and some problem; 2 = Some problem; 3 = Between some problem and very bad problem; 4 = Very bad problem; 5 = Not applicable/Don't know
Query cisp16 Integer Recommended Have teachers or others suggested child needs help from mental health professionals 0;2 0=Not at all; 2=somewhat
Query cisp17 Integer Recommended Has child ever said that he/she needs to see someone special for any problems 0;2 0=Not at all; 2=somewhat
Query cisp13n0 Integer Recommended Number of items 1-13 that are scored as 0
Query cisp14n0 Integer Recommended Number of items 14-17 that are scored as 0
Query cisp13x Float Recommended Total score of items 1-13 mean score p_cis_mean
Query cisp13t Float Recommended Total score of items 1-13 total score
Data Structure

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