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Consumer Satisfaction Questionnaire

1,754 Shared Subjects

N/A
Clinical Assessments
Satisfaction
01/08/2015
consq01
11/20/2019
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 aid
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
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 relcs
Query consq_1 Integer Recommended The degree of interest and concern shown for me and my child by the professional(s) administering the treatment has been 1::7 1=Poor; 2=Fair; 3= slightly below average; 4=Average; 5= Slightly above average; 6=high; 7=Superior cs1
Query consq_2 Integer Recommended The skill level of professional(s) administrating the treatment has been 1::7 1=Poor; 2=Fair; 3= slightly below average; 4=Average; 5= Slightly above average; 6=high; 7=Superior cs2
Query consq_3 Integer Recommended The demands placed upon me and my family by the assessment and testing components (e.g., completing forms, questionnaires, interviews) of the study were 1::7 1=Very unacceptable; 2=Unacceptable; 3= Slightly unacceptable; 4=Neutral; 5= Slightly acceptable; 6=Acceptable; 7=Very acceptable cs3
Query consq_4 Integer Recommended Disregarding the assessment and testing components of the study, the demands placed upon me and my family by the treatment we received were 1::7 1=Very unacceptable; 2=Unacceptable; 3= Slightly unacceptable; 4=Neutral; 5= Slightly acceptable; 6=Acceptable; 7=Very acceptable cs4
Query consq_5 Integer Recommended The length of duration of the treatment program that I/my child received was 1::7 1=Much too short; 2=Too short; 3= slightly too short; 4=Appropriate; 5= Slightly too long; 6=too long; 7=Much too long cs5
Query consq_6 Integer Recommended Would you recommend the treatment(s) that you received to a friend or relative who had a child with an anxiety disorder 1::7 1=I would strongly not recommend; 2=I would not recommend; 3= I might not recommend; 4=Neutral; 5= I might recommend; 6=I would recommend; 7=I would strongly recommend cs6, csq_8
Query consq_7 Integer Recommended Overall, my level of satisfaction with quality of the treatment services that I have received is 1::7 1=Very dissatisfied; 2=Dissatisfied; 3= Slightly dissatisfied; 4=Neutral; 5= Slightly satisfied; 6=Satisfied; 7=Very satisfied cs7, csq_11
Query consq_8 Integer Recommended The major problems that originally prompted me to begin treatment for my child are at this point 1::7 1=Much worse; 2=Worse; 3= slightly worse; 4=Unchanged; 5= Slightly improved; 6=Improved; 7=Much improved cs8, csq_1
Query consq_9 Integer Recommended My feelings at this point about my childs progress are that I am 1::7 1=Very dissatisfied; 2=Dissatisfied; 3= Slightly dissatisfied; 4=Neutral; 5= Slightly satisfied; 6=Satisfied; 7=Very satisfied cs9, csq_4
Query consq_10 Integer Recommended Prior to beginning treatment, my outlook for my childs future was 1::7 1=Very pessimistic; 2=Pessimistic; 3= slightly pessimistic; 4=Neutral; 5= Slightly optimistic; 6=Optimistic; 7=Very optimistic cs10
Query consq_11 Integer Recommended At this point in time, my outlook for my childs future is 1::7 1=Poor; 2=Fair; 3= slightly below average; 4=Average; 5= Slightly above average; 6=high; 7=Superior cs11
consq_12 String 250 Recommended The thing that I liked most about the treatment I received was csq_13
consq_13 String 250 Recommended The thing that I liked least about the treatment I received was csq_14
comments_misc String 4,000 Recommended Miscellaneous comments on study, interview, methodology relevant to this form data
Query days_baseline Integer Recommended Days since baseline daycs, lof
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) asscs
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 actcs
Query site String 101 Recommended Site Study Site asite, sitenum
Query sjtyp Integer Recommended Subject type 1;2 1=MTA randomized trial subject; 2=Local normative comparison group (LNCG) subject
Query csattotx Float Recommended Consumer satisfaction total mean score
Query csattott Float Recommended Consumer satisfaction total total score
Query nrawsat1 Integer Recommended How dissatisfied or satisfied were you with the overall health care available to you during the past 6 months? 1::5 1 = very dissatisfied; 2 = dissatisfied; 3 = neither satisfied nor dissatisfied; 4 = satisfied; 5 = very satisfied sat1
Query nrawsat2 Integer Recommended How dissatisfied or satisfied were you with the health care available to you for personal or emotional problems in the past 6 months? 1::5 1 = very dissatisfied; 2 = dissatisfied; 3 = neither satisfied nor dissatisfied; 4 = satisfied; 5 = very satisfied sat2
Query clinicid Integer Recommended Clinic ID aclinic
Query interv Integer Recommended Intervention Status 0;1 1=ITV, intervention; 0=TAU, treatment as usual
Query visit String 60 Recommended Visit name wave
study String 100 Recommended Study; The code for each individual study
version_form String 121 Recommended Form used/assessment name
consq12 String 50 Recommended What part of the program was most helpful to you? csq_12
consq15 String 50 Recommended What part of the program was least helpful to you? csq_15
consq16 String 50 Recommended How could the program have been improved to help you more? csq_16
consq2 Integer Recommended My child's problems that have been treated at the clinic are at this point 1::7 1= considerably worse; 2= worse; 3= slightly worse; 4= the same; 5= slightly improved; 6= improved; 7= greatly improved csq_2
consq3 Integer Recommended My child's problems that have not been treated at the clinic are 1::7 1= considerably worse; 2= worse; 3= slightly worse; 4= the same; 5= slightly improved; 6= improved; 7= greatly improved csq_3
consq5 Integer Recommended To what degree has the treatment program helped with other general or personal or family problems not directly related to your child? 1::7 1= hindered much more than helped; 2= hindered; 3= hindered slightly; 4= neither helped nor hindered; 5= helped slightly; 6= helped; 7= helped very much csq_5
consq6 Integer Recommended At this point, my expectation for a satisfactory outcome of the treatment is 1::7 1= very pessimistic; 2= pessimistic; 3= slightly pessimistic; 4= neutral; 5= slightly optimistic; 6= optimistic; 7= very optimistic csq_6
consq7 Integer Recommended I feel the approach to treating my child's behavior problems in the home by using this type of program is 1::7 1= very inappropriate; 2= inappropriate; 3=, slightly inappropriate; 4= neutral; 5= slightly appropriate; 6= appropriate; 7= very appropriate csq_7
consq9 Integer Recommended How confident are you in managing current behavior problems in the home on your own? 1::7 1= very unconfident; 2= unconfident; 3= somewhat unconfident; 4= neutral; 5= somewhat confident; 6= confident; 7= very confident csq_9
consq10 Integer Recommended How confident are you in your ability to manage future behavior problems in the home using what you have learned from this program? 1::7 1= very unconfident; 2= unconfident; 3= somewhat unconfident; 4= neutral; 5= somewhat confident; 6= confident; 7= very confident csq_10
Data Structure

This page displays the data structure defined for the measure identified in the title and structure short name. The table below displays a list of data elements in this structure (also called variables) and the following information:

  • Element Name: This is the standard element name
  • Data Type: Which type of data this element is, e.g. String, Float, File location.
  • Size: If applicable, the character limit of this element
  • Required: This column displays whether the element is Required for valid submissions, Recommended for valid submissions, Conditional on other elements, or Optional
  • Description: A basic description
  • Value Range: Which values can appear validly in this element (case sensitive for strings)
  • Notes: Expanded description or notes on coding of values
  • Aliases: A list of currently supported Aliases (alternate element names)
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