ID

21085

Beschreibung

ODM form of Dr. Cohen's Scales. This form contains questions about the current circumstances, home or current family, of the interviewer. Forms derived from http://www.psy.cmu.edu/~scohen/scales.html

Link

http://www.psy.cmu.edu/~scohen/scales.html

Stichworte

Versionen (1)
  1. 10.04.17 10.04.17 -
Rechteinhaber

Dr. Sheldon Cohen

Hochgeladen am

10. April 2017

DOI

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Lizenz

Creative Commons BY-NC 3.0
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SC Adulthood Cohen’s Scale

Englisch

SC Adulthood

1 Formulare  
  1. StudyEvent: ODM
    1. SC Adulthood
Adulthood
Beschreibung

Adulthood

Alias
UMLS CUI-1
C0700597
1. How many people (NOT including yourself) live in your home?
Beschreibung

How many people are living or staying at this address

Datentyp

integer

Alias
UMLS CUI [1]
C3172576
2. How many bedrooms (including guest bedrooms, bedrooms used as offices etc) are in the house or apartment which is your PRIMARY residence?
Beschreibung

number of bedroom

Datentyp

integer

Alias
UMLS CUI [1,1]
C0449788
UMLS CUI [1,2]
C0557652
3. Which of the following best describes the highest level of educational you have completed?
Beschreibung

educational status

Datentyp

text

Alias
UMLS CUI [1]
C0013658
Do you have firm plans for further education?
Beschreibung

Has plan further education

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0332315
UMLS CUI [1,2]
C0578818
If yes, what?
Beschreibung

Has plan further education

Datentyp

text

Alias
UMLS CUI [1,1]
C0332315
UMLS CUI [1,2]
C0578818
4. What is your current employment status? Check ALL that apply. Working full time for pay
Beschreibung

Full-time employment

Datentyp

boolean

Alias
UMLS CUI [1]
C0682295
4. What is your current employment status? Check ALL that apply. Working full time for pay → number of hours per week
Beschreibung

Full-time employment; work hours per week

Datentyp

float

Alias
UMLS CUI [1]
C0682295
UMLS CUI [2]
C3699549
4. What is your current employment status? Check ALL that apply. Working part time for pay
Beschreibung

Part-time employment

Datentyp

boolean

Alias
UMLS CUI [1]
C0682294
4. What is your current employment status? Check ALL that apply. Working part time for pay → number of hours per week
Beschreibung

Part-time employment; work hours per week

Datentyp

float

Alias
UMLS CUI [1]
C0682294
UMLS CUI [2]
C3699549
4. What is your current employment status? Check ALL that apply. Not currently employed, looking for work
Beschreibung

Not currently employed

Datentyp

boolean

Alias
UMLS CUI [1]
C2230090
4. What is your current employment status? Check ALL that apply. Retired
Beschreibung

Retired

Datentyp

boolean

Alias
UMLS CUI [1]
C0035345
4. What is your current employment status? Check ALL that apply. Homemaker
Beschreibung

Homemaker

Datentyp

boolean

Alias
UMLS CUI [1]
C0555052
4. What is your current employment status? Check ALL that apply. Disabled (not working because of permanent or temporary disability)
Beschreibung

Disabled

Datentyp

boolean

Alias
UMLS CUI [1]
C0018576
4. What is your current employment status? Check ALL that apply. Other (please specify):
Beschreibung

Other

Datentyp

boolean

Alias
UMLS CUI [1]
C0205394
5. Which category best describes your yearly household income before taxes? Do not give the dollar amount, just give the category. Include all income received from employment, social security, support from children or other family, welfare, Aid to Families with Dependent Children (AFDC), bank interest, retirement accounts, rental property, investments, etc.
Beschreibung

household income

Datentyp

text

Alias
UMLS CUI [1]
C0557163
6. Do you OWN your own home now (includes paying a mortgage)?
Beschreibung

Owns own home; Houseowner with mortgage

Datentyp

boolean

Alias
UMLS CUI [1]
C0578827
UMLS CUI [2]
C0425072
7. Do you OWN a working motor vehicle (car, truck, van, SUV) now?
Beschreibung

Possess Automobiles

Datentyp

boolean

Alias
UMLS CUI [1,1]
C3154893
UMLS CUI [1,2]
C0004381
7. Do you OWN a working motor vehicle (car, truck, van, SUV) now? If yes, how many do you own?
Beschreibung

Number of automobiles

Datentyp

integer

Alias
UMLS CUI [1,1]
C0449788
UMLS CUI [1,2]
C0004381
8. During the last year, did you take an out-of-town vacation?
Beschreibung

vacation

Datentyp

boolean

Alias
UMLS CUI [1]
C0680199
9. Do you have a daily newspaper delivered to your home?
Beschreibung

Providing Newspapers

Datentyp

boolean

Alias
UMLS CUI [1,1]
C1999230
UMLS CUI [1,2]
C0027989
10. During the last year, did you have a dental check-up?
Beschreibung

dental check-up

Datentyp

boolean

Alias
UMLS CUI [1]
C0750862
11. Compared to others your age, would you say your health is:
Beschreibung

health assessment

Datentyp

text

Alias
UMLS CUI [1]
C0175637
12. Approximately how many books do your read a year?
Beschreibung

Reading Books

Datentyp

text

Alias
UMLS CUI [1,1]
C0034754
UMLS CUI [1,2]
C0006002
13. How old is your MOTHER?
Beschreibung

age mother

Datentyp

integer

Alias
UMLS CUI [1,1]
C0001779
UMLS CUI [1,2]
C0026591
If your mother passed away, how old was she when she died?
Beschreibung

Age at death mother

Datentyp

integer

Alias
UMLS CUI [1,1]
C1546180
UMLS CUI [1,2]
C0026591
What year did she die?
Beschreibung

year Death

Datentyp

partialDate

Alias
UMLS CUI [1,1]
C0439234
UMLS CUI [1,2]
C1306577
Don’t know any of the above
Beschreibung

Do not know

Datentyp

boolean

14. How old is your FATHER?
Beschreibung

age father

Datentyp

integer

Alias
UMLS CUI [1,1]
C0001779
UMLS CUI [1,2]
C0015671
If your father passed away, how old was he when he died?
Beschreibung

Age at death father

Datentyp

integer

Alias
UMLS CUI [1,1]
C1546180
UMLS CUI [1,2]
C0015671
What year did he die?
Beschreibung

year Death

Datentyp

partialDate

Alias
UMLS CUI [1,1]
C0439234
UMLS CUI [1,2]
C1306577
Don’t know any of the above
Beschreibung

Do not know

Datentyp

boolean

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Ähnliche Modelle

SC Adulthood

1 Formulare
  1. StudyEvent: ODM
    1. SC Adulthood
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Adulthood
C0700597 (UMLS CUI-1)
How many people are living or staying at this address
Item
1. How many people (NOT including yourself) live in your home?
integer
C3172576 (UMLS CUI [1])
number of bedroom
Item
2. How many bedrooms (including guest bedrooms, bedrooms used as offices etc) are in the house or apartment which is your PRIMARY residence?
integer
C0449788 (UMLS CUI [1,1])
C0557652 (UMLS CUI [1,2])
Item
3. Which of the following best describes the highest level of educational you have completed?
text
C0013658 (UMLS CUI [1])
undefined item
Code List
3. Which of the following best describes the highest level of educational you have completed?
CL Item
Didn’t Finish High School  (1)
C2825140 (UMLS CUI-1)
CL Item
Didn’t Finish High School, but completed a technical/vocational program  (2)
C1883542 (UMLS CUI-1)
CL Item
High School Graduate or GED (General Education Diploma)  (3)
C0870649 (UMLS CUI-1)
CL Item
Completed High School and a technical/vocational program  (4)
C0682185 (UMLS CUI-1)
CL Item
Less than 2 Years of College  (5)
C0557806 (UMLS CUI-1)
CL Item
2 Years of College or more/ including associate degree or equivalent  (6)
C0557806 (UMLS CUI-1)
CL Item
College graduate (4 or 5 year program)  (7)
C0682187 (UMLS CUI-1)
CL Item
Master’s degree (or other post-graduate training)  (8)
C1513010 (UMLS CUI-1)
CL Item
Doctoral degree (PhD., MD, EdD, DVM, DDS, JD, etc) (9)
C1512027 (UMLS CUI-1)
Has plan further education
Item
Do you have firm plans for further education?
boolean
C0332315 (UMLS CUI [1,1])
C0578818 (UMLS CUI [1,2])
Has plan further education
Item
If yes, what?
text
C0332315 (UMLS CUI [1,1])
C0578818 (UMLS CUI [1,2])
Full-time employment
Item
4. What is your current employment status? Check ALL that apply. Working full time for pay
boolean
C0682295 (UMLS CUI [1])
Full-time employment; work hours per week
Item
4. What is your current employment status? Check ALL that apply. Working full time for pay → number of hours per week
float
C0682295 (UMLS CUI [1])
C3699549 (UMLS CUI [2])
Part-time employment
Item
4. What is your current employment status? Check ALL that apply. Working part time for pay
boolean
C0682294 (UMLS CUI [1])
Part-time employment; work hours per week
Item
4. What is your current employment status? Check ALL that apply. Working part time for pay → number of hours per week
float
C0682294 (UMLS CUI [1])
C3699549 (UMLS CUI [2])
Not currently employed
Item
4. What is your current employment status? Check ALL that apply. Not currently employed, looking for work
boolean
C2230090 (UMLS CUI [1])
Retired
Item
4. What is your current employment status? Check ALL that apply. Retired
boolean
C0035345 (UMLS CUI [1])
Homemaker
Item
4. What is your current employment status? Check ALL that apply. Homemaker
boolean
C0555052 (UMLS CUI [1])
Disabled
Item
4. What is your current employment status? Check ALL that apply. Disabled (not working because of permanent or temporary disability)
boolean
C0018576 (UMLS CUI [1])
Other
Item
4. What is your current employment status? Check ALL that apply. Other (please specify):
boolean
C0205394 (UMLS CUI [1])
Item
5. Which category best describes your yearly household income before taxes? Do not give the dollar amount, just give the category. Include all income received from employment, social security, support from children or other family, welfare, Aid to Families with Dependent Children (AFDC), bank interest, retirement accounts, rental property, investments, etc.
text
C0557163 (UMLS CUI [1])
undefined item
Code List
5. Which category best describes your yearly household income before taxes? Do not give the dollar amount, just give the category. Include all income received from employment, social security, support from children or other family, welfare, Aid to Families with Dependent Children (AFDC), bank interest, retirement accounts, rental property, investments, etc.
CL Item
Less than $5,000 =Less than $5,000  (1)
CL Item
$5,000 - $9,999 =$5,000 - $9,999  (2)
CL Item
$10,000 - $14,999 =$10,000 - $14,999  (3)
CL Item
$15,000 - $19,999 =$15,000 - $19,999  (4)
CL Item
$20,000 - $29,999 =$20,000 - $29,999  (5)
CL Item
$30,000 - $39,999 =$30,000 - $39,999  (6)
CL Item
$40,000 - $49,999 =$40,000 - $49,999  (7)
CL Item
$50,000 - $59,999 =$50,000 - $59,999  (8)
CL Item
$60-000 - $74,999 =$60-000 - $74,999  (9)
CL Item
$75,000 - $99,999 =$75,000 - $99,999  (10)
CL Item
$100,000 - $124,999 =$100,000 - $124,999  (11)
CL Item
$125,000 - $149,999 =$125,000 - $149,999  (12)
CL Item
$150,000 or more=$150,000 or more (13)
Owns own home; Houseowner with mortgage
Item
6. Do you OWN your own home now (includes paying a mortgage)?
boolean
C0578827 (UMLS CUI [1])
C0425072 (UMLS CUI [2])
Possess Automobiles
Item
7. Do you OWN a working motor vehicle (car, truck, van, SUV) now?
boolean
C3154893 (UMLS CUI [1,1])
C0004381 (UMLS CUI [1,2])
Number of automobiles
Item
7. Do you OWN a working motor vehicle (car, truck, van, SUV) now? If yes, how many do you own?
integer
C0449788 (UMLS CUI [1,1])
C0004381 (UMLS CUI [1,2])
vacation
Item
8. During the last year, did you take an out-of-town vacation?
boolean
C0680199 (UMLS CUI [1])
Providing Newspapers
Item
9. Do you have a daily newspaper delivered to your home?
boolean
C1999230 (UMLS CUI [1,1])
C0027989 (UMLS CUI [1,2])
dental check-up
Item
10. During the last year, did you have a dental check-up?
boolean
C0750862 (UMLS CUI [1])
Item
11. Compared to others your age, would you say your health is:
text
C0175637 (UMLS CUI [1])
undefined item
Code List
11. Compared to others your age, would you say your health is:
CL Item
Excellent (1)
CL Item
Very Good (2)
CL Item
Good  (3)
CL Item
Fair (4)
CL Item
Poor (5)
Item
12. Approximately how many books do your read a year?
text
C0034754 (UMLS CUI [1,1])
C0006002 (UMLS CUI [1,2])
undefined item
Code List
12. Approximately how many books do your read a year?
CL Item
Never  (1)
CL Item
1-2 per year (2)
CL Item
3-4 per year (3)
CL Item
4 or more (4)
age mother
Item
13. How old is your MOTHER?
integer
C0001779 (UMLS CUI [1,1])
C0026591 (UMLS CUI [1,2])
Age at death mother
Item
If your mother passed away, how old was she when she died?
integer
C1546180 (UMLS CUI [1,1])
C0026591 (UMLS CUI [1,2])
year Death
Item
What year did she die?
partialDate
C0439234 (UMLS CUI [1,1])
C1306577 (UMLS CUI [1,2])
Do not know
Item
Don’t know any of the above
boolean
age father
Item
14. How old is your FATHER?
integer
C0001779 (UMLS CUI [1,1])
C0015671 (UMLS CUI [1,2])
Age at death father
Item
If your father passed away, how old was he when he died?
integer
C1546180 (UMLS CUI [1,1])
C0015671 (UMLS CUI [1,2])
year Death
Item
What year did he die?
partialDate
C0439234 (UMLS CUI [1,1])
C1306577 (UMLS CUI [1,2])
Do not know
Item
Don’t know any of the above
boolean
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