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Mathew Thorpe edited this page Aug 30, 2021
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Variable / Field Name | Section Header | Field Type | Field Label | Choices or Calculations |
---|---|---|---|---|
cough_date_completion | text | Date of completion | ||
cough_visit | radio | Visit | 1, 3 months ; 2, 12 months | |
lcq_q1 | radio | 1) In the last 2 weeks, have you had chest or stomach pains as a result of your cough? | 1, All of the time ; 2, Most of the time ; 3, A good bit of the time ; 4, Some of the time ; 5, A little of the time ; 6, Hardly any of the time ; 7, None of the time | |
lcq_q2 | radio | 2) In the last 2 weeks, have you been bothered by sputum (phlegm) production when you cough? | 1, Every time ; 2, Most times ; 3, Several times ; 4, Some times ; 5, Occasionally ; 6, Rarely ; 7, Never | |
lcq_q3 | radio | 3) In the last 2 weeks, have you been tired because of your cough? | 1, All of the time ; 2, Most of the time ; 3, A good bit of the time ; 4, Some of the time ; 5, A little of the time ; 6, Hardly any of the time ; 7, None of the time | |
lcq_q4 | radio | 4) In the last 2 weeks, have you felt in control of your cough? | 1, None of the time ; 2, Hardly any of the time ; 3, A little of the time ; 4, Some of the time ; 5, A good bit of the time ; 6, Most of the time ; 7, All of the time | |
lcq_q5 | radio | 5) How often during the last 2 weeks have you felt embarrassed by your coughing? | 1, All of the time ; 2, Most of the time ; 3, A good bit of the time ; 4, Some of the time ; 5, A little of the time ; 6, Hardly any of the time ; 7, None of the time | |
lcq_q6 | radio | 6) In the last 2 weeks, my cough has made me feel anxious | 1, All of the time ; 2, Most of the time ; 3, A good bit of the time ; 4, Some of the time ; 5, A little of the time ; 6, Hardly any of the time ; 7, None of the time | |
lcq_q7 | radio | 7) In the last 2 weeks, my cough has interfered with my job or other daily tasks | 1, All of the time ; 2, Most of the time ; 3, A good bit of the time ; 4, Some of the time ; 5, A little of the time ; 6, Hardly any of the time ; 7, None of the time | |
lcq_q8 | radio | 8) In the last 2 weeks, I felt that my cough interfered with the overall enjoyment of my life | 1, All of the time ; 2, Most of the time ; 3, A good bit of the time ; 4, Some of the time ; 5, A little of the time ; 6, Hardly any of the time ; 7, None of the time | |
lcq_q9 | radio | 9) In the last 2 weeks, exposure to paint or fumes has made me cough | 1, All of the time ; 2, Most of the time ; 3, A good bit of the time ; 4, Some of the time ; 5, A little of the time ; 6, Hardly any of the time ; 7, None of the time | |
lcq_q10 | radio | 10) In the last 2 weeks, has your cough disturbed your sleep? | 1, All of the time ; 2, Most of the time ; 3, A good bit of the time ; 4, Some of the time ; 5, A little of the time ; 6, Hardly any of the time ; 7, None of the time | |
lcq_q11 | radio | 11) In the last 2 weeks, how many times a day have you had a coughing bout? | 1, All of the time (continuously) ; 2, Most times during the day ; 3, Several times during the day ; 4, Some times during the day ; 5, Occasionally through the day ; 6, Rarely ; 7, None | |
lcq_q12 | radio | 12) In the last 2 weeks, my cough has made me feel frustrated | 1, All of the time ; 2, Most of the time ; 3, A good bit of the time ; 4, Some of the time ; 5, A little of the time ; 6, Hardly any of the time ; 7, None of the time | |
lcq_q13 | radio | 13) In the last 2 weeks, my cough has made me feel fed up | 1, All of the time ; 2, Most of the time ; 3, A good bit of the time ; 4, Some of the time ; 5, A little of the time ; 6, Hardly any of the time ; 7, None of the time | |
lcq_q14 | radio | 14) In the last 2 weeks, have you suffered from a hoarse voice as a result of your cough? | 1, All of the time ; 2, Most of the time ; 3, A good bit of the time ; 4, Some of the time ; 5, A little of the time ; 6, Hardly any of the time ; 7, None of the time | |
lcq_q15 | radio | 15) In the last 2 weeks, have you had a lot of energy? | 1, None of the time ; 2, Hardly any of the time ; 3, A little of the time ; 4, Some of the time ; 5, A good bit of the time ; 6, Most of the time ; 7, All of the time | |
lcq_q16 | radio | 16) In the last 2 weeks, have you worried that your cough may indicate serious illness? | 1, All of the time ; 2, Most of the time ; 3, A good bit of the time ; 4, Some of the time ; 5, A little of the time ; 6, Hardly any of the time ; 7, None of the time | |
lcq_q17 | radio | 17) In the last 2 weeks, have you been concerned that other people think something is wrong with you, because of your cough? | 1, All of the time ; 2, Most of the time ; 3, A good bit of the time ; 4, Some of the time ; 5, A little of the time ; 6, Hardly any of the time ; 7, None of the time | |
lcq_q18 | radio | 18) In the last 2 weeks, my cough has interrupted conversation or telephone calls | 1, Every time ; 2, Most times ; 3, A good bit of the time ; 4, Some of the time ; 5, A little of the time ; 6, Hardly any of the time ; 7, None of the time | |
lcq_q19 | radio | 19) In the last 2 weeks, I feel that my cough has annoyed my partner, family, or friends | 1, Every time I cough ; 2, Most times when I cough ; 3, Several times when I cough ; 4, Some times when I cough ; 5, Occasionally when I cough ; 6, Rarely ; 7, Never | |
lcq_physical | calc | Physical Domain Score | sum([lcq_q1], [lcq_q2], [lcq_q3], [lcq_q9], [lcq_q10], [lcq_q11], [lcq_q14], [lcq_q15]) / 8 | |
lcq_psycho | calc | Psychological Domain Score | sum([lcq_q4], [lcq_q5], [lcq_q6], [lcq_q12], [lcq_q13], [lcq_q16], [lcq_q17]) / 7 | |
lcq_social | calc | Social Domain Score | sum([lcq_q7], [lcq_q8], [lcq_q18], [lcq_q19]) / 4 | |
lcq_total | calc | Total Score | sum([lcq_physical], [lcq_psycho], [lcq_social]) |
Contents
Case Report Form Definitions
- Forms
- Timepoints
- PHOSP ID
- eConsent Tier 1
- eConsent Tier 2
- Informed Consent Form
- Split Tier Consent
- Eligibility Checklist
- CRF1A Part 1
- CRF1A Part 2
- CRF1A Part 3
- CRF1B
- CRF2A
- CRF2B
- CRF3A
- CRF3B
- CRF3C
- CRF4A
- CRF4B
- CRF Emergency Visit
- Adverse Event Log
- Withdrawals
- CRF Early Termination
- CRF Tier 2 Withdrawal
- Medications Log
- Activity Monitor Log
- Mental Health Assessment
- Nutrition
- Social History
- EQ-5D-5L
- GAD-7
- PHQ-9
- MRC Dyspnoea
- SARC-F
- GPPAQ
- Dyspnoea-12
- FACIT Fatigue
- PCL-5
- BPI
- NEADL
- MoCA
- Rockwood Clinical Frailty
- PSQI
- MEQ
- LCQ
- PFTs
- Walk Tests
- Tier 2 Core Test Checklist
- Tier 2 Research Samples
- Tier 2 Notification - Blood
- Tier 2 Notification - Oral Wash
- Tier 2 Notification - Sputum
- Tier 2 Notification - Urine
- QRISK3
- BIA
- DXA
- Muscle Strength
- SPPB
- Pre-PSQ
- PSQ
- Lab Log - Routine Blood
- Lab Log - Urine
- Lab Log - Immuno
- Lab Log - Additional Tests
- PCR Swab Tests