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Screening Form

7,003 Shared Subjects

Clinical Trials: Screening Form
Clinical Assessments
Summary
05/08/2014
screen01
02/12/2024
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 CATIEID, record_id, subjectid, subjid
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY datacollecteddate, screen1
interview_age Integer Required Age in months at the time of the interview/test/sampling/imaging. 0::1440 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 dbiq19, gender
Query visitid Integer Recommended MetaTrial Visit ID System variable: unique code for each type of visit -use to merge files
Query visit String 60 Recommended Visit name visitlabel
Query truncvis Integer Recommended Truncated Visit Number Created variable: provides a numeric visit number for all visits, including unscheduled and end of phase
Query phase_ct String 20 Recommended Current Phase. Phase patient was in at the time of the assessment Phase 4 refers to the follow-up phase. Pre-Rand; Phase 1/1A; Phase 2; Phase 3; Phase 4; Phase 1B; Open-Choice Phase; Screening; Phase 1 phase
Query visday Integer Recommended Number of days from study baseline to date of visit date
protocol String 50 Recommended Protocol [Study] name
Query scrn00 Integer Recommended Has the patient been previously screened 0;1 0=No; 1=Yes
Query white Integer Recommended 5. Race 0;1 1=yes, 0=no SCRN05A
Query black Integer Recommended Black or African-American 0;1; 999 1=yes; 0=no;999= missing SCRN05B
Query native Integer Recommended American Indian or Alaska Native 0;1; 999 1=yes; 0=no; 999= missing SCRN05C
Query asian String 5 Recommended Ethnicity: Asian
Yes;No; 999
999= missing SCRN05D
Query pacific String 5 Recommended Ethnicity: Pacific
Yes;No; 999
999= missing SCRN05E
Query hispanic Integer Recommended Is subject of Hispanic, Latino, or Spanish origin? 0; 1; 999 0 = No; 1 = Yes; 999= missing SCRN06
Query scrn07 Integer Recommended 7. Has patient been hospitalized 0;1 0=No; 1=Yes
Query scrn08 Integer Recommended Indicate primary clinical diagnosis 1::7 1 = Schizophrenia; 2 = Schizophreniform disorder; 3 = Schizoaffective disorder; 4 = Bipolar disorder; 5 = Major depression; 6 = Psychosis NOS; 7 = Other
Query scrn09a Integer Recommended 9a. Alcohol Dependence 0;1 0=No; 1=Yes
Query scrn09b Integer Recommended Alcohol abuse 0;1 0=No; 1=Yes
Query scrn09c Integer Recommended Drug dependence 0;1 0=No; 1=Yes
Query scrn09d Integer Recommended Drug abuse 0;1 0=No; 1=Yes
Query scrn09e Integer Recommended Obsessive compulsive disorder 0;1 0=No; 1=Yes
Query scrn09f Integer Recommended Other anxiety disorder 0;1 0=No; 1=Yes
Query scrn09g Integer Recommended Major depression 0;1 0=No; 1=Yes
Query scrn09h Integer Recommended Antisocial personality disorder 0;1 0=No; 1=Yes
Query scrn09i Integer Recommended Other personality disorder 0;1 0=No; 1=Yes
Query scrn09j Integer Recommended Other 0;1 0=No; 1=Yes
Query scrn09k Integer Recommended No Comorbid Conditions 0;1 0=No; 1=Yes
Query scrn10 Integer Recommended 10. Does the patient have tardive dyskinesia 0::4 0=No; 1=Yes;2=Current; 3=In partial remission; 4=Past
Query scrn11 Integer Recommended 11. Is this a monolinngval Spanish speaking patient? 0;1 0=No; 1=Yes
Query scrn03 Integer Recommended 3. Day Screened Number of days between Phase 1/1A baseline day and day patient was screened
Query missed Integer Recommended Missed Visit 0;1 0=No; 1=Yes
Query attended Integer Recommended Attended Visit 0;1 0=No; 1=Yes
Query discon Integer Recommended Discontinued Study at Visit 0;1 0=No; 1=Yes
level String 10 Recommended Treatment level
Query week Float Recommended Week in level/study 99=week 10-week 14 intid
crcid String 40 Recommended CRC ID/ROA ID
Query clinid Integer Recommended Clinician ID
Query clinicid Integer Recommended Clinic ID
Query update Integer Recommended Updated form 0;1 1= yes; 0= no
Query hrsd_r Float Recommended HRS-D current score (transcribed) 999=missing
Query qccur_r Float Recommended QIDS-C current score (transcribed)
Query qscur_r Float Recommended QIDS-SR current score (transcribed)
Query menop Integer Recommended Menopausal/post-hysterectomy/male 0;1 0=No; 1=Yes
medication1_name String 500 Recommended Name first medication that the participant has taken 0 = No medication; 999= Legitimately skipped stmd1
Query medication1_dosage String 150 Recommended First medication dosage 0 = No medication; 999 = Missing stds1
Query medication2_name String 500 Recommended Name second medication that the participant has taken 0 = No medication; 999= Legitimately skipped stmd2
Query medication2_dosage String 100 Recommended Second medication dosage 0 = No medication; 999 = Missing stds2
Query medication3_name String 500 Recommended Name third medication that the participant has taken 0 = No medication; 999= Legitimately skipped stmd3
Query medication3_dosage String 100 Recommended Third medication dosage 0 = No medication; 999 = Missing stds3
medication4_name String 500 Recommended Name fourth medication that the participant has taken 0 = No medication; 999= Legitimately skipped stmd4
Query medication4_dosage String 100 Recommended Fourth medication dosage 0 = No medication; 999 = Missing stds4
Query atmtsuic Integer Recommended Attempted suicide 0;1 0=No; 1=Yes
Query risksuic Integer Recommended Presently suicide risk 0;1 0=No; 1=Yes
Query fnaid Integer Recommended Billed to third party 0;1 0=No; 1=Yes
Query stsd1 Float Recommended Prescribed med start date 1
Query stpdate1 Float Recommended Study med stop date1 sted1
Query stsd2 Float Recommended Prescribed med start date 2
Query stpdate2 Float Recommended Study med stop date2 sted2
Query stsd3 Float Recommended Prescribed med start date 3
Query stpdate3 Float Recommended Study med stop date3 sted3
Query stsd4 Float Recommended Prescribed med start date 4
Query stpdate4 Float Recommended Study med stop date4 sted4
Query mpdat Float Recommended days from enrollment
Query visnum Float Recommended Numeric Visit Number -1.5 = Pre-Screening; -1 = Screening; 0 = Baseline; ## = Visit ## (from 1 to 10); Whole numbers = standard monthly visits; #.001 - #.009 = Unscheduled; #.1 = End of Phase 1; #.2 = End of Phase 2; #.3 = End of Phase 3; #.4 = End of Open Choice Phase; #.5 = End of Study; #.6 = Genetic Analysis; 1000=all visits
Query created Integer Recommended Created Visit 0;1 0=No, otherwise; 1= the visit record was created for analysis purposes (patient did not attend)
Query headinjr Integer Recommended head injury 0;1 0= no; 1= yes cbi_head_injury
Query headinjr_first Integer Recommended Age at first head injury in years cbi_age_first_injury
Query headinjr_recent Integer Recommended Age at most recent head injury in years cbi_age_last_injury
Query headinjr_num Integer Recommended Number of head injuries reported cbi_num_injuries
Query headinjr_sev Integer Recommended Rating of most severe head injury 1::6 cbi_severe_rating
Query headinjr_source Integer Recommended Source of information 1::3;-900;-300 1=Subject only; 2=Parent only; 3=Both subject and parent; -900 = Missing; -300 = N/A cbi_source_info
site String 101 Recommended Site Study Site sitenumber
visit_name String 20 Recommended session ID/screening ID visitnumber
Query subjecttype String 20 Recommended Subject Type Control;Prodromal; Enhanced; Non-Enhanced
Query cfmh_chd_hearingimp Integer Recommended Does the patient have a hearing impairment? 1;0 0 = No; 1 = Yes neurocog_sensory_01
Query sensory_aid Integer Recommended Does the patient need a hearing aid? 0;1;9 0 = No; 1 = Yes; 9=NA neurocog_sensory_02
Query hearing_aid Integer Recommended Presence of: Hearing Aid 0;1;9 0 = No; 1 = Yes; 9=NA neurocog_sensory_03
Query sensory_noaid Integer Recommended Is there a hearing impairment, without a hearing aid? 0;1;9 0 = No; 1 = Yes; 9=NA neurocog_sensory_04
Query cfmh_othr_visionimp Integer Recommended Vision impairment 1;0 0 = No; 1 = Yes neurocog_sensory_05
Query sum2_glass String 50 Recommended Does the examinee have glasses or corrective lenses?
Yes;No; NA
neurocog_sensory_08
Query sensory_glass Integer Recommended Do you need glasses/contacts for reading? 0;1;9 0 = No; 1 = Yes; 9=NA neurocog_sensory_06
Query sensory_glass2 Integer Recommended Do you need glasses/contacts for distance? 0;1;9 0 = No; 1 = Yes; 9=NA neurocog_sensory_07
Query medhx_colorblind Integer Recommended Color blind? 0;1 0 = No, 1 = Yes neurocog_sensory_09
w1_m_cu_clrblnd_det String 150 Recommended health at interview - color blindness details NA = not applicable neurocog_sensory_10
Query injury_1 Integer Recommended Have you ever had significant injuries to your hands or arms? 0;1 0 = No, 1 = Yes neurocog_sensory_11
Query injury_2 Integer Recommended Injury: Hand 0;1;9 0 = No; 1 = Yes; 9=NA
Query injury_3 Integer Recommended Injury: Finger 0;1;9 0 = No; 1 = Yes; 9=NA
Query injury_4 Integer Recommended Injury: Nerve damage 0;1;9 0 = No; 1 = Yes; 9=NA
Query injury_oth Integer Recommended Injury: other 0;1;9 0 = No; 1 = Yes; 9=NA
Query dataquality Integer Recommended Data quality 0::5 0=No data (cancelled); 1=Data entered but only once, has missing data; 2=Data entered but only once, no missing data; 3=Double entered; 4=Data frozen for cleaning; 5=Data clean/locked
Query elig_inclusion_check Integer Recommended Checks for a pass/fail on Elig for Inclusion 0::3 0=Failed (Ineligible); 1=Passed (Eligible); 2=In screening; 3=NA
Query cr1 Integer Recommended Hypertension 0::3 0 = No prior diagnosis of hypertension;1 = Prior diagnosis of hypertension WITHOUT medication treatment EVER;2 = Diagnosis of hypertension with prior, but not current, antihypertensive therapy;3 = Diagnosis of hypertension and antihypertensive therapy currently
Query cr2 Integer Recommended Diabetes Mellitus 0;1 0 = No current diabetes or random BS < 220;1 = Diagnosis of diabetes or random BS >220
Query cr2a Integer Recommended Select only the most severe choice for lifetime course of diabetes: 0::3 0 = No Treatment;1 = Treated with Diet only;2 = Treated with Oral Hypoglycemic Agent;3 = Treated with Insulin
Query estrogen Integer Recommended hormone replacement therapy 0;1;-7 0=No; 1=Yes; -7=Refused cr10
Query cr3 Integer Recommended Tobacco Use: Did person ever smoke? 0;1; 9 0 = no;1 = yes; 9=NK/missing
Query cr3a Integer Recommended Tobacco Use: If yes, smoked: Current smoker or Ex-smoker? 1;2 1 = Current smoker ;2 = Ex-smoker
Query cr3b Float Recommended Tobacco Use: If yes, smoked: Years since quitting smoking
Query cr3c Float Recommended Tobacco Use: If yes, smoked: Number of pack-years
Query cr4 Integer Recommended Vascular Disease (select all that apply) 0;1;9 0 = no; 1 = yes to any of the following: History of MI (either by report or by EKG), Angina Pectoris Coronary Insufficiency (e.g. s/p CABG, positive angiogram report), Congestive Heart, Failure Intermittent Claudication (e.g. PVD), Arterial Bypass (e.g. fem-pop), Carotid Bruits, Stenosis, Carotid Endarterectomy Valvular Disease, Other- specify; 9 = No vascular disease
Query cr5a Integer Recommended Atrial Fibrillation: Current (by EKG)? 0;1 0 = no;1 = yes
Query cr5b Integer Recommended Atrial Fibrillation: History of A.Fib? 0;1 0 = no;1 = yes persmedhx53
Query cr5c Integer Recommended Atrial Fibrillation: Currently anti-coagulated? 0;1 0 = no;1 = yes
Query cr6 Integer Recommended Left Ventricular Hypertrophy (by EKG criteria)? 0;1 0 = no;1 = yes
Query cr7 Integer Recommended Alcohol Use (current use) 0::2 0 = Non-drinker (< 1 drink a day);1 = 1-2 drinks/day;2 = 2 or more drinks/day (or > 14 drinks/week)
Query cr8a Integer Recommended Cerebrovascular Disease: History of TIA? 0;1 0 = no;1 = yes
Query cr8b Integer Recommended Cerebrovascular Disease: History or physical exam evidence of CVA? 0;1 0 = no;1 = yes
Query cr8c Integer Recommended Cerebrovascular Disease: Infarction on CNS imaging? 0;1 0 = no;1 = yes
Query cr9 Integer Recommended Cholesterol and Nutrition (select all that apply) 0;1;9 0 = no;1 = yes to any of the following: Diagnosis of hypercholesterolemia Treatment with a STATIN agent, Elevated Homocysteine level (by report or by lab evaluation), Vitamin B12 supplementation, Vitamin B6 supplementation, Folate supplementation, Multivitamin supplementation; 9= None
cr11 String 200 Recommended Type of Exercise
Query study_id Integer Recommended Study ID number 46=Acute Phase; 47=Stabilization Phase
Query screen2 Integer Recommended Interested in the study? 0;1 0=No; 1=Yes
Query screen3 Integer Recommended Keep information for other studies? 0;1 0=No; 1=Yes
Query screen4 Integer Recommended Proceed with questions? 0;1 0=No; 1=Yes
Query iec2 Integer Recommended Is the patient older than 18 years of age? 0;1 0=No; 1= Yes screen5
Query bip_life Integer Recommended Lifetime diagnosis of Bipolar Disorders 1;0 1 = present;0 = absent screen6
Query screen7 Integer Recommended Are you currently in treatment for bipolar disorder? 0;1 0=No; 1=Yes
Query screen8 Integer Recommended Are you currently in a hospital for bipolar disorder? 0;1 0=No; 1=Yes
Query screen9 Integer Recommended In the past month, have you had withdrawal symptoms from alcohol or drugs? 0;1 0=No; 1=Yes
Query screen10 Integer Recommended In the past month, have you had to drink/drug more to get the same effect? 0;1 0=No; 1=Yes
Query screen11 Integer Recommended Have you been treated in the past month for alcohol or drug use? 0;1 0=No; 1=Yes
Query screen12 Integer Recommended Have you been diagnosed with or treated for an eating disorder? 0;1 0=No; 1=Yes
Query screen13 Integer Recommended Have you severely restricted food intake in the past month? 0;1 0=No; 1=Yes
Query screen14 Integer Recommended Have you binged or purged in the past month? 0;1 0=No; 1=Yes
Query pregnant Integer Recommended Patient is currently pregnant 0::2;-7; 999 0=No; 1=Yes;2=DK;-7= Refused; 999=Legimately skipped screen15
Query screen16 Integer Recommended Are you being treated for major medical illness? 0;1 0=No; 1=Yes
Query screen16b Integer Recommended Please detail what illness 0;1 0=No; 1=Yes
Query screen17 Integer Recommended Do you have food allergies to fish, gluten, dairy products? 0;1 0=No; 1=Yes
Query screen18 Integer Recommended Do you have other food allergies? 0;1 0=No; 1=Yes
midihist_002a String 250 Recommended Allergies- Other Specified screen18b
Query screen19 Integer Recommended Do you have a strong aversion to fish? 0;1 0=No; 1=Yes
Query screen20 Integer Recommended MADRS score >=6 ? 0;1 0=No; 1=Yes
Query screen21 Integer Recommended CARS-M score >=7 ? 0;1 0=No; 1=Yes
Query screen22 Integer Recommended Are answers 6-21 in BOLD and one of 21 or 22 in BOLD? 0;1 0=No; 1=Yes
Query iec003a Integer Recommended Is the subject eligible to participate in the study?
0;1;-9
0=No; 1=Yes; -9=Unknown screen23
Query screen24 Integer Recommended Keep contact information for future contact? 0;1 0=No; 1=Yes
Query neurocog_sensory_12 Integer Recommended Injury: Hand, if yes 0::2 0=right; 1=left; 2=both
Query neurocog_sensory_13 Integer Recommended Injury: Finger, if yes 0::2 0=right; 1=left; 2=both
Query neurocog_sensory_14 Integer Recommended Injury: Nerve Damage, if yes 0::2 0=right; 1=left; 2=both
Query neurocog_sensory_15 Integer Recommended Injury: other, if yes 0::2 0=right; 1=left; 2=both
reasabs Integer Recommended Reason for Absence 1::8 1= Illness (Physical); 2= Illness (Mental/Emotional); 3= Work/School; 4= Transportation issue/difficulties; 5= Travel; 6= Family obligation; 7= Unknown; 8= Other
reasabs_oth String 500 Recommended Reason for Absence. Other Reason
name_study String 50 Recommended Name of initial study
demooo_5 Integer Recommended Are you Hispanic or Latino/a? 0;1 0= No, 1= Yes dthq_scr10
digs_race Integer Recommended Race of subject study 1 :: 7 1= American Indian/Alaska Native; 2= Asian; 3= Native Hawaiian or Other Pacific Islander; 4= Black or African American; 5= White; 6= More than one race; 7= Unknown or not reported; Other Non White dthq_scr11
subriderace_01a Integer Recommended What is your race (select all that apply)? American Indian or Alaska Native 0;1;77;88;-2;-3;-99 0= No/Unchecked; 1= Yes/Checked; 77= Refused; 88= Missing; -2= Not collected at this time point; -3= Historical missing; -99= NA dthq_scr11b_nativeamerican
subriderace_01e Integer Recommended What is your race (select all that apply)? White/Caucasian 0;1;77;88;-2;-3;-99 0= No/Unchecked; 1= Yes/Checked; 77= Refused; 88= Missing; -2= Not collected at this time point; -3= Historical missing; -99= NA dthq_scr11b_white
subriderace_01c Integer Recommended What is your race (select all that apply)? Black or African American 0;1;77;88;-2;-3;-99 0= No/Unchecked; 1= Yes/Checked; 77= Refused; 88= Missing; -2= Not collected at this time point; -3= Historical missing; -99= NA dthq_scr11b_black
subriderace_01b Integer Recommended What is your race (select all that apply)? Asian 0;1;77;88;-2;-3;-99 0= No/Unchecked; 1= Yes/Checked; 77= Refused; 88= Missing; -2= Not collected at this time point; -3= Historical missing; -99= NA dthq_scr11b_asian
subriderace_01d Integer Recommended What is your race (select all that apply)? Native Hawaiian or Other Pacific Islander 0;1;77;88;-2;-3;-99 0= No/Unchecked; 1= Yes/Checked; 77= Refused; 88= Missing; -2= Not collected at this time point; -3= Historical missing; -99= NA dthq_scr11b_hawaiian
timepoint_label String 50 Recommended Timepoint/visit label
english_yn Integer Recommended Is this person able to speak, read and understand English? 0;1; -888 0 = No; 1 = Yes; -888 = Not Applicable dthq_scr12
dthq_scr1 Integer Recommended Do I have your permission to administer this dthq_screening survey? 0;1 0= No (exclude and end); 1= Yes
dthq_scr3b Integer Recommended Which state do you live in? 1::3 1= Oklahoma; 2= Texas; 3= None of the above (exclude)
nimh_rv_dem_07 String 3 Recommended First three digits of ZIP code dthq_scr3c
dthq_scr7 Integer Recommended What is the best way to reach you? 1::3 1= Primary phone; 2= Secondary phone; 3= Email
dthq_scr8 Integer Recommended Is it okay to text you and leave voice messages? 0;1 0= No; 1= Yes
ageyears Integer Recommended Age in years dthq_scr9
dthq_scr18 Integer Recommended Does your phone service include a data plan? 0::2 0= No (ask dthq_scr19); 1= Yes, but my plan data is limited; 2= Yes, my plan includes unlimited data
dthq_scr19 Integer Recommended (If phone is NOT Android version 6.0 or higher and RAM 2.0 or higher with data plan) Are you interested in receiving an app that will address anxiety and depression on a study provided smartphone? The app will also ask you to complete two 1-2 minute daily surveys for the next 6 months. 0;1 0= No/exclude from study (skip to dthq_scr21); 1= Yes (skip to dthq_scr21); Skip if dthq_scr16=5-9/version 6.0 or higher and dthq_scr17=3-5/2.0 or higher RAM and dthq_scr18=1-2/plan includes data
dthq_scr20 Integer Recommended (If phone IS Android version 6.0 or higher, has RAM of 2.0 or higher, and has data plan) For this study, participants download an app that will address anxiety and depression onto their personal smartphone. The app will also ask you to complete two 1-2 minute daily surveys for the next 6 months. You will receive compensation for completing the surveys. Are you interested in participating in this study? 0;1 0= No/exclude from study; 1= I would like to download the app to my personal smartphone (the app will use a small amount of data each month); Ask if dthq_scr15=1/Yes, Android and dthq_scr16=5-9/version 6.0 or higher and dthq_scr17=3-5/2.0 or higher RAM and dthq_scr18=1-2/plan includes data
dthq_scr21 Integer Recommended How many people including yourself and your spouse/partner live with you currently? 1::15 Number of people; 15= 15 or more
dthq_scr22 Integer Recommended Is your household income higher than [insert 200% poverty level from 2019 Federal Poverty Guidelines based on number of people in the household]? 0;1 0= No; 1= Yes
dthq_scr23 Integer Recommended Would you like us to contact you about other studies for which you might be eligible? 0;1 0= No; 1= Yes
dthq_scr13 Integer Recommended (Continue if subject gives permission to administer the survey, resides in Oklahoma or Texas, is at least 18 years old, reads/understands/speaks English, AND is Hispanic/Latino or identifies at least partially as American Indian/Alaska Native, white, or black) Do you have an active cell phone? 0;1 0= No (skip to dthq_scr19); 1= Yes
dthq_scr14 Integer Recommended Please select your cell phone service carrier 1::10 1= AT&T; 2= T-Mobile; 3= Verizon; 4= Sprint; 5= Cricket; 6= MetroPCS; 7= Boost Mobile; 8= U.S. Cellular; 9= Straight Talk; 10= Other
dthq_scr14b Integer Recommended How many times has your phone number changed in the past year? 0::5;999 Number of times; 5= 5 or more; 999= I have not had a phone in the past year
dthq_scr15 Integer Recommended Is your cell phone a smart phone? 0::3 0= No (skip dthq_scr16-18, ask dthq_scr19); 1= Yes, I have an Android smartphone (ask dthq_scr16-18); 2= Yes, I have an Apple smartphone (iPhone) (skip dthq_scr16, ask dthq_scr17-19); 3= Yes, I have a smartphone that is not Apple or Android based (skip dthq_scr16, ask dthq_scr17-19)
phone_device_type String 50 Recommended Manufacturer and model of the phone device e.g., iPhone 13, Samsung Galaxy S22, Pixel 7 dthq_scr15a
dthq_scr16 Integer Recommended (If dthq_scr15 = 1/Yes, Android) What Android version do you have on your smartphone? 1::9 1= 1.0-3.9.9 (ask dthq_scr17-19); 2= 4.0-4.9.9 (ask dthq_scr17-19); 3= 5.0-5.1.1 (ask dthq_scr17-19); 4= 5.2-5.9.9 (ask dthq_scr17-19); 5= 6.0-7.9.9; 6= 8.0-9.9.9; 7= 10.0-10.9.9; 8= 11.0-11.9.9; 9= 12.0 or higher
dthq_scr17 Integer Recommended How much RAM does your phone have? (Click Settings, Device care or device management, Memory. What is the number following the ''/''?) 1::6 1= 0.0-1.0 (ask dthq_scr18-19); 2= 1.1-1.9 (ask dthq_scr18-19); 3= 2.0-2.9; 4= 3.0-3.9; 5= 4.0 or higher; 6= I was not able to locate this information (ask dthq_scr18-19)
current_panic_thresh Integer Recommended Current panic disorder flagged? 0;1 0= No/Unchecked; 1= Yes/Checked
life_panic_thresh Integer Recommended Lifetime panic disorder flagged? 0;1 0= No/Unchecked; 1= Yes/Checked
agora_thresh Integer Recommended Agoraphobia flagged? 0;1 0= No/Unchecked; 1= Yes/Checked
audit_thresh Integer Recommended AUDIT flagged? 0;1 0= No/Unchecked; 1= Yes/Checked
audit_yr_thresh Integer Recommended AUDIT past year flagged? 0;1 0= No/Unchecked; 1= Yes/Checked
audi_resp Integer Recommended Corresponding AUDIT response 0::6 0= Never; 1= Monthly or less (alc_frq 0-3 days); 2= 2-4 times a month (al4c_frq 4-7 days); 3= 2-3 times a week (alc_frq 1-2 weeks); 4= 4 or more times a week (alc_frq 2-3 weeks); 5= 3-4 weeks; 6= Every day
excessive_drink_period Integer Recommended During which period did you drink the MOST heavily or experience the MOST problems with your drinking? 1::6 1= Within the past month; 2= 2-6 months ago; 3= 7-12 months ago; 4= 1-2 years ago; 5= 3-5 years ago; 6= More than 5 years ago
criteria_device Integer Recommended Participant meets criteria for all of the following: Passed data checks, currently elevated anxiety, generalized anxiety, social anxiety, current panic disorder, Agoraphobia, PTSD, current problematic alcohol use (past year AUDIT between 8 and 21), Owns fitness tracking device 0;1 0= No/Unchecked; 1= Yes/Checked
criteria_no_device Integer Recommended Participant meets criteria for all of the following: Passed data checks, currently elevated anxiety, generalized anxiety, social anxiety, current panic disorder, Agoraphobia, PTSD, current problematic alcohol use (past year AUDIT between 8 and 21), Does not own fitness tracking device but lives in Seattle area 0;1 0= No/Unchecked; 1= Yes/Checked
time_zone String 20 Recommended Time zone (e.g. eastern time)
gad7_sumscore Integer Recommended GAD-7 Score (Greater than 10)
pc_ptsd_sumscore Integer Recommended Primary-case PTSD Scale Score (Greater than 3)
minispi_sumscore Integer Recommended MINI Social Phobia Inventory Score (Greater than 6)
audit_sumscore Integer Recommended AUDIT score
gad7_thresh Integer Recommended GAD-7 flagged? 0;1 0= No/Unchecked; 1= Yes/Checked
pc_ptsd_thresh Integer Recommended Primary-care PTSD Scale flagged? 0;1 0= No/Unchecked; 1= Yes/Checked
minispi_thresh Integer Recommended MINI Social Phobia Inventory flagged? 0;1 0= No/Unchecked; 1= Yes/Checked
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)
  • For valid elements with shared data, on the far left is a Filter button you can use to view a summary of shared data for that element and apply a query filter to your Cart based on selected value ranges

At the top of this page you can also:

  • Use the search bar to filter the elements displayed. This will not filter on the Size of Required columns
  • Download a copy of this definition in CSV format
  • Download a blank CSV submission template prepopulated with the correct structure header rows ready to fill with subject records and upload

Please email the The NDA Help Desk with any questions.