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BARC Pediatric ACE and other Determinants of Health Questionnaire

0 Shared Subjects

Adverse Childhood Experiences ACEs are defined as traumatic events occurring before age 18. Screenings have potential value in identifying children experiencing toxic stress and the physical and mental health conditions associated with it such as asthma, ADHD and anxiety. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0208088
Clinical Assessments
Questionnaire; Trauma
10/28/2021
pace01
11/09/2021
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
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
barc_pace_1 Integer Recommended Has your child ever lived with a parent/caregiver who went to jail/prison? 0;1 0=No; 1=Yes
barc_pace_2 Integer Recommended Do you think your child ever felt unsupported, unloved and/or unprotected? 0;1 0=No; 1=Yes
barc_pace_3 Integer Recommended Has your child ever lived with a parent/caregiver who had mental health issues? (for example, depression, schizophrenia, bipolar disorder, PTSD, or an anxiety disorder) 0;1 0=No; 1=Yes
barc_pace_4 Integer Recommended Has a parent/caregiver ever insulted, humiliated, or put down your child? 0;1 0=No; 1=Yes
barc_pace_5 Integer Recommended Has the child''s biological parent or any caregiver ever had, or currently has a problem with too much alcohol, street drugs or prescription medications use? 0;1 0=No; 1=Yes
barc_pace_6 Integer Recommended Has your child ever lacked appropriate care by any caregiver (for example, not being protected from unsafe situations, or not cared for when sick or injured even when the resources were available)? 0;1 0=No; 1=Yes
barc_pace_7 Integer Recommended Has your child ever seen or heard a parent/caregiver being screamed at, sworn at, insulted or humiliated by another adult? 0;1 0=No; 1=Yes; Conditional question: OR (see barc_pace_8) Please note, some questions have more than one part separated by ''OR.'' If any part of the question is answered ''Yes,'' then the answer to the entire question is ''Yes''
barc_pace_8 Integer Recommended Has your child ever seen or heard a parent/caregiver being slapped, kicked, punched beaten up or hurt with a weapon? 0;1 0=No; 1=Yes; Conditional question: OR (see barc_pace_7) Please note, some questions have more than one part separated by ''OR.'' If any part of the question is answered ''Yes,'' then the answer to the entire question is ''Yes''
barc_pace_9 Integer Recommended Has any adult in the household often or very often pushed, grabbed, slapped or thrown something at your child? 0;1 0=No; 1=Yes; Conditional question: OR (see barc_pace_10, barc_pace_11) Please note, some questions have more than one part separated by ''OR.'' If any part of the question is answered ''Yes,'' then the answer to the entire question is ''Yes''
barc_pace_10 Integer Recommended Has any adult in the household ever hit your child so hard that your child had marks or was injured? 0;1 0=No; 1=Yes; Conditional question: OR (see barc_pace_9, barc_pace_11) Please note, some questions have more than one part separated by ''OR.'' If any part of the question is answered ''Yes,'' then the answer to the entire question is ''Yes''
barc_pace_11 Integer Recommended Has any adult in the household ever threatened your child or acted in a way that made your child afraid that they might be hurt? 0;1 0=No; 1=Yes; Conditional question: OR (see barc_pace_9, barc_pace_10) Please note, some questions have more than one part separated by ''OR.'' If any part of the question is answered ''Yes,'' then the answer to the entire question is ''Yes''
barc_pace_12 Integer Recommended Has your child ever experienced sexual abuse? For example, anyone touched your child or asked your child to touch that person in a way that was unwanted, or made your child feel uncomfortable, or anyone ever attempted or actually had oral, anal, or vaginal sex with your child? 0;1 0=No; 1=Yes
barc_pace_13 Integer Recommended Have there ever been significant changes in the relationship status of the child''s caregiver(s)? For example, a parent/caregiver got a divorce or separated, or a romantic partner moved in or out? 0;1 0=No; 1=Yes
barc_pace_y1 Integer Recommended Write the total number of Yeses in this first section here: score 3+ denote risk First section include all questions barc_pace_1 to barc_pace_13
barc_pace_14 Integer Recommended Has your child ever seen, heard, or been a victim of violence in your neighborhood, community or school? (for example, targeted bullying, assault or other violent actions, war or terrorism) 0;1 0=No; 1=Yes
barc_pace_15 Integer Recommended Has your child experienced discrimination (for example being hassled or made to feel inferior or excluded because of their race, ethnicity, gender identity, sexual orientation, religion, learning differences, or disabilities)? 0;1 0=No; 1=Yes
barc_pace_16 Integer Recommended Has your child ever had problems with housing (for example being homeless, not having a stable place to live, moved more than two times in a six-month period, faced eviction or foreclosure, or had to live with multiple families or family members)? 0;1 0=No; 1=Yes
barc_pace_17 Integer Recommended Have you ever worried that your child did not have enough food to eat or that the food for your child would run out before you could buy more? 0;1 0=No; 1=Yes
barc_pace_18 Integer Recommended Has your child ever been separated from their parent or caregiver due to foster care, or immigration? 0;1 0=No; 1=Yes
barc_pace_19 Integer Recommended Has your child ever lived with a parent/caregiver who had a serious physical illness or disability? 0;1 0=No; 1=Yes
barc_pace_20 Integer Recommended Has your child ever lived with a parent or caregiver who died? 0;1 0=No; 1=Yes
barc_pace_y2 Integer Recommended Write the total number of Yeses in this second section here: This section II is not scored. Second section include all questions from barc_pace_14 to barc_pace_20
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.
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  • 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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