0 Ratings

ID

17681

Description

A Phase 2, Double-Blind, Randomized, Placebo and Active-Controlled Dose-Finding Study to Assess the Efficacy, Safety and Tolerability of Multiple Oral Doses of ASP1941 in Subjects with Type 2 Diabetes Mellitus Visit 11

Keywords

  1. 8/31/16 8/31/16 -
  2. 9/28/16 9/28/16 -
Uploaded on

September 28, 2016

DOI

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License

Creative Commons BY-NC 3.0 Legacy

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    Visit 11 Diabetes Mellitus-ASP1941-1941-CL-0004 NCT01071850

    Visit 11 Diabetes Mellitus-ASP1941-1941-CL-0004 NCT01071850

    Date of Visit
    Description

    Date of Visit

    Alias
    UMLS CUI-1
    C1320303
    Date of visit
    Description

    Visit date

    Data type

    date

    Alias
    UMLS CUI [1]
    C1320303
    Orthostatic Vital Signs
    Description

    Orthostatic Vital Signs

    Alias
    UMLS CUI-1
    C0518766
    Not done:
    Description

    Assessment

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C0518766
    UMLS CUI [1,2]
    C1516048
    Assessment Date
    Description

    Assessment Date

    Data type

    date

    Alias
    UMLS CUI [1,1]
    C0518766
    UMLS CUI [1,2]
    C1516048
    UMLS CUI [1,3]
    C2985720
    Assessment Time
    Description

    Assessment Time

    Data type

    time

    Alias
    UMLS CUI [1,1]
    C0518766
    UMLS CUI [1,2]
    C1516048
    UMLS CUI [1,3]
    C0040223
    Vital Signs
    Description

    Position

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0518766
    Location of blood pressure measurement
    Description

    Location of blood pressure measurement

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0005823
    Systolic Blood Pressure
    Description

    Systolic Blood Pressure

    Data type

    text

    Measurement units
    • mmHg
    Alias
    UMLS CUI [1]
    C0871470
    mmHg
    Diastolic Blood Pressure
    Description

    Diastolic Blood Pressure

    Data type

    text

    Measurement units
    • mmHg
    Alias
    UMLS CUI [1]
    C0428883
    mmHg
    Pulse Rate
    Description

    Pulse Rate

    Data type

    text

    Measurement units
    • Beats/min
    Alias
    UMLS CUI [1]
    C0232117
    Beats/min
    ECG: 12 Lead ECG 1
    Description

    ECG: 12 Lead ECG 1

    Alias
    UMLS CUI-1
    C0013798
    Date ECG was performed
    Description

    ECG Date

    Data type

    date

    Alias
    UMLS CUI [1,1]
    C0013798
    UMLS CUI [1,2]
    C0011008
    ECG Time performed
    Description

    ECG time

    Data type

    time

    Alias
    UMLS CUI [1,1]
    C0013798
    UMLS CUI [1,2]
    C0040223
    ECG Interpretation
    Description

    ECG Interpretation

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C1623258
    UMLS CUI [1,2]
    C0459471
    Weight
    Description

    Weight

    Alias
    UMLS CUI-1
    C0005910
    Assessment Date
    Description

    Assessment Date

    Data type

    date

    Alias
    UMLS CUI [1]
    C2985720
    Weight
    Description

    Weight

    Data type

    text

    Measurement units
    • kg
    Alias
    UMLS CUI [1]
    C0005910
    kg
    Waist and Hip Circumference
    Description

    Waist and Hip Circumference

    Alias
    UMLS CUI-1
    C0455829
    UMLS CUI-3
    C0562350
    Waist Circumference
    Description

    Waist Circumference

    Data type

    text

    Measurement units
    • cm
    Alias
    UMLS CUI [1]
    C0455829
    cm
    Hip Circumference
    Description

    Hip Circumference

    Data type

    text

    Measurement units
    • cm
    Alias
    UMLS CUI [1]
    C0562350
    cm
    EQ-5D
    Description

    EQ-5D

    Alias
    UMLS CUI-1
    C2733251
    Assessment Date
    Description

    Assessment Date

    Data type

    date

    Alias
    UMLS CUI [1,1]
    C2985720
    UMLS CUI [1,2]
    C2733251
    Mobility
    Description

    Mobility

    Data type

    text

    Alias
    UMLS CUI [1]
    C0449580
    Self-Care
    Description

    Self-Care

    Data type

    text

    Alias
    UMLS CUI [1]
    C3639376
    Usual Activities
    Description

    Usual Activities

    Data type

    text

    Alias
    UMLS CUI [1]
    C3639377
    Pain/Discomfort
    Description

    Pain/Discomfort

    Data type

    text

    Alias
    UMLS CUI [1]
    C3639378
    Anxiety / Depression
    Description

    Anxiety / Depression

    Data type

    text

    Alias
    UMLS CUI [1]
    C0003467
    UMLS CUI [2]
    C0011581
    Imaginable health state
    Description

    Health state today

    Data type

    text

    Alias
    UMLS CUI [1]
    C3827400
    ADDQol
    Description

    ADDQol

    Diab-MedSat
    Description

    Diab-MedSat

    Assessment Date
    Description

    Assessment Date

    Data type

    date

    Alias
    UMLS CUI [1]
    C2985720
    Over the past two weeks how bothered have you been by the amount of home monitoring (blood sugar testing) required as part of using your medication(s)?
    Description

    Bothered, Blood sugar testing

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C3174324
    UMLS CUI [1,2]
    C0005803
    Over the past two weeks how bothered have you been by the number of times you need to take your medication(s) daily?
    Description

    bothered, medication

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C3174324
    UMLS CUI [1,2]
    C0013227
    Over the past two weeks how bothered have you been by the need to adjust the dosing (amount) of your medication(s)?
    Description

    bothered, adjusting medication

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C3174324
    UMLS CUI [1,2]
    C0013227
    Over the past two weeks how bothered have you been by how your medication(s) interferes with your daily life?
    Description

    bothered medication interference

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C3174324
    UMLS CUI [1,2]
    C0013227
    Over the past two weeks how bothered have you been by any of the following due to your diabetes medication(s)? Unwanted weight gain
    Description

    weight gain bothered

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0043094
    UMLS CUI [1,2]
    C3174324
    Over the past two weeks, how bothered have you been by any of the following due to your diabetes medication(s)? - Pain or discomfort
    Description

    pain or discomfort

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C3639378
    UMLS CUI [1,2]
    C3174324
    Over the past two weeks, how bothered have you been by any of the following due to your diabetes medication(s)? - Gas and bloating
    Description

    gas and bloating

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0946092
    UMLS CUI [1,2]
    C3174324
    Over the past two weeks, how bothered have you been by any of the following due to your diabetes medication(s)? - Diarrhea
    Description

    diarrhea

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0011991
    UMLS CUI [2]
    C3174324
    Over the past two weeks, how bothered have you been by any of the following due to your diabetes medication(s)? - Symptoms of low blood sugar (trembling, sweating, dizziness or blurred vision)
    Description

    low blood sugar

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C1457887
    UMLS CUI [1,2]
    C0020615
    UMLS CUI [1,3]
    C3174324
    Over the past two weeks, how DISSATISFIED or SATISFIED have you been with the ability of your diabetes medication(s) to ... keep your blood sugar levels stable (avoids highs and lows)?
    Description

    blood glucose stable

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0392201
    UMLS CUI [1,2]
    C0205360
    UMLS CUI [1,3]
    C0086715
    UMLS CUI [1,4]
    C0242428
    Over the past two weeks, how DISSATISFIED or SATISFIED have you been with the ability of your diabetes medication(s) to ... help you from feeling tired and lacking energy?
    Description

    lack of energy

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0015672
    UMLS CUI [1,2]
    C0242428
    Overall over the past two weeks, how DISSATISFIED or SATISFIED have you been with ... the ease and convenience of your diabetes medications
    Description

    convenience

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C3831015
    UMLS CUI [1,2]
    C0242428
    Overall over the past two weeks, how DISSATISFIED or SATISFIED have you been with ... the impact of your diabetes medication(s) on your physical well being?
    Description

    physical well being

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0018684
    UMLS CUI [1,2]
    C0242428
    Overall over the past two weeks, how DISSATISFIED or SATISFIED have you been with ... the impact of your diabetes medication(s) on your emotional well being?
    Description

    emotional well being

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0025353
    UMLS CUI [1,2]
    C0242428
    Thinking about your diabetes medication(s) over the past two weeks ... how difficult has it been for your to plan your daily activities around your medication(s)?
    Description

    daily activities

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0001288
    UMLS CUI [1,2]
    C0013216
    Thinking about your diabetes medication(s) over the past two weeks ... how much burden has it been for you to take your medication(s) as prescribed?
    Description

    burden to take medication

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C2828008
    UMLS CUI [1,2]
    C0013216
    Thinking about your diabetes medication(s) over the past two weeks ... how embarrassed or awkward have you felt of taking your medication(s) as prescribed?
    Description

    embarrassed to take medication

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C3174033
    UMLS CUI [1,2]
    C0013216
    Thinking about your diabetes medication(s) over the past two weeks ... how worries have you been that your medication(s) is not helping you to slow down or prevent long-term complications?
    Description

    worry med not show/prevent complication

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0850735
    UMLS CUI [1,2]
    C0013216
    Over the past two weeks, how often has taking your diabetes medication(s) as prescribed INTERFERED WITH your ability to... be flexible with planning meals (when you eat and what you are able to eat)?
    Description

    Medication Interferes with meals

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0013216
    UMLS CUI [1,2]
    C1998602
    Over the past two weeks, how often has taking your diabetes medication(s) as prescribed INTERFERED WITH your ability to... do your recommended physical activity or exercise?
    Description

    Medication Interferes with exercise

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0013216
    UMLS CUI [1,2]
    C0015259
    Over the past two weeks, how often has taking your diabetes medication(s) as prescribed INTERFERED WITH your ability to... follow your recommended diet?
    Description

    Medication Interferes with meals

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0013216
    UMLS CUI [1,2]
    C0012155
    Overall, thinking about each of the aspects of your diabetes medication(s) as mentioned above, how DISSATISFIED or SATISFIED have you been with your current diabetes medication(s)?
    Description

    Satisfaction with medication

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0242428
    UMLS CUI [1,2]
    C0013216
    Overall, based on your current experiences with your diabetes medication(s), how INTERESTED would you be to change the type of medication(s) you take or the way you take it, if it was possible?
    Description

    Overall Insterest to change medication

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0013216
    UMLS CUI [1,2]
    C0580105

    Similar models

    Visit 11 Diabetes Mellitus-ASP1941-1941-CL-0004 NCT01071850

    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Date of Visit
    C1320303 (UMLS CUI-1)
    Visit date
    Item
    Date of visit
    date
    C1320303 (UMLS CUI [1])
    Item Group
    Orthostatic Vital Signs
    C0518766 (UMLS CUI-1)
    Assessment
    Item
    Not done:
    boolean
    C0518766 (UMLS CUI [1,1])
    C1516048 (UMLS CUI [1,2])
    Assessment Date
    Item
    Assessment Date
    date
    C0518766 (UMLS CUI [1,1])
    C1516048 (UMLS CUI [1,2])
    C2985720 (UMLS CUI [1,3])
    Assessment Time
    Item
    Assessment Time
    time
    C0518766 (UMLS CUI [1,1])
    C1516048 (UMLS CUI [1,2])
    C0040223 (UMLS CUI [1,3])
    Item
    integer
    C0518766 (UMLS CUI [1])
    Code List
    Vital Signs
    CL Item
    Sitting (Sitting)
    CL Item
    Standing (Standing)
    Item
    Location of blood pressure measurement
    integer
    C0005823 (UMLS CUI [1])
    Code List
    Location of blood pressure measurement
    CL Item
    Right Arm  (1)
    CL Item
    Left Arm (2)
    Systolic Blood Pressure
    Item
    Systolic Blood Pressure
    text
    C0871470 (UMLS CUI [1])
    Diastolic Blood Pressure
    Item
    Diastolic Blood Pressure
    text
    C0428883 (UMLS CUI [1])
    Pulse Rate
    Item
    Pulse Rate
    text
    C0232117 (UMLS CUI [1])
    Item Group
    ECG: 12 Lead ECG 1
    C0013798 (UMLS CUI-1)
    ECG Date
    Item
    Date ECG was performed
    date
    C0013798 (UMLS CUI [1,1])
    C0011008 (UMLS CUI [1,2])
    ECG time
    Item
    ECG Time performed
    time
    C0013798 (UMLS CUI [1,1])
    C0040223 (UMLS CUI [1,2])
    Item
    ECG Interpretation
    integer
    C1623258 (UMLS CUI [1,1])
    C0459471 (UMLS CUI [1,2])
    Code List
    ECG Interpretation
    CL Item
    Normal  (0 )
    CL Item
    Abnormal - not clinically significant  (1 )
    CL Item
    Abnormal - clinically significant (2 )
    Item Group
    Weight
    C0005910 (UMLS CUI-1)
    Assessment Date
    Item
    Assessment Date
    date
    C2985720 (UMLS CUI [1])
    Weight
    Item
    Weight
    text
    C0005910 (UMLS CUI [1])
    Item Group
    Waist and Hip Circumference
    C0455829 (UMLS CUI-1)
    C0562350 (UMLS CUI-3)
    Waist Circumference
    Item
    Waist Circumference
    text
    C0455829 (UMLS CUI [1])
    Hip Circumference
    Item
    Hip Circumference
    text
    C0562350 (UMLS CUI [1])
    Item Group
    C2733251 (UMLS CUI-1)
    Assessment Date
    Item
    Assessment Date
    date
    C2985720 (UMLS CUI [1,1])
    C2733251 (UMLS CUI [1,2])
    Mobility
    Item
    Mobility
    text
    C0449580 (UMLS CUI [1])
    Self-Care
    Item
    Self-Care
    text
    C3639376 (UMLS CUI [1])
    Usual Activities
    Item
    Usual Activities
    text
    C3639377 (UMLS CUI [1])
    Pain/Discomfort
    Item
    Pain/Discomfort
    text
    C3639378 (UMLS CUI [1])
    Anxiety / Depression
    Item
    Anxiety / Depression
    text
    C0003467 (UMLS CUI [1])
    C0011581 (UMLS CUI [2])
    Health state today
    Item
    Imaginable health state
    text
    C3827400 (UMLS CUI [1])
    Item Group
    ADDQol
    Item Group
    Diab-MedSat
    Assessment Date
    Item
    Assessment Date
    date
    C2985720 (UMLS CUI [1])
    Item
    Over the past two weeks how bothered have you been by the amount of home monitoring (blood sugar testing) required as part of using your medication(s)?
    integer
    C3174324 (UMLS CUI [1,1])
    C0005803 (UMLS CUI [1,2])
    Code List
    Over the past two weeks how bothered have you been by the amount of home monitoring (blood sugar testing) required as part of using your medication(s)?
    CL Item
    Not at all bothered  (1)
    CL Item
    Slightly bothered  (2)
    CL Item
    Somewhat bothered  (3)
    CL Item
    Very bothered  (4)
    CL Item
    Extremely bothered (5)
    Item
    Over the past two weeks how bothered have you been by the number of times you need to take your medication(s) daily?
    integer
    C3174324 (UMLS CUI [1,1])
    C0013227 (UMLS CUI [1,2])
    Code List
    Over the past two weeks how bothered have you been by the number of times you need to take your medication(s) daily?
    CL Item
    Not at all bothered  (1)
    CL Item
    Slightly bothered  (2)
    CL Item
    Somewhat bothered  (3)
    CL Item
    Very bothered  (4)
    CL Item
    Extremely bothered (5)
    Item
    Over the past two weeks how bothered have you been by the need to adjust the dosing (amount) of your medication(s)?
    integer
    C3174324 (UMLS CUI [1,1])
    C0013227 (UMLS CUI [1,2])
    Code List
    Over the past two weeks how bothered have you been by the need to adjust the dosing (amount) of your medication(s)?
    CL Item
    Not at all bothered  (1)
    CL Item
    Slightly bothered  (2)
    CL Item
    Somewhat bothered  (3)
    CL Item
    Very bothered  (4)
    CL Item
    Extremely bothered (5)
    Item
    Over the past two weeks how bothered have you been by how your medication(s) interferes with your daily life?
    integer
    C3174324 (UMLS CUI [1,1])
    C0013227 (UMLS CUI [1,2])
    Code List
    Over the past two weeks how bothered have you been by how your medication(s) interferes with your daily life?
    CL Item
    Not at all bothered  (1)
    CL Item
    Slightly bothered  (2)
    CL Item
    Somewhat bothered  (3)
    CL Item
    Very bothered  (4)
    CL Item
    Extremely bothered (5)
    Item
    Over the past two weeks how bothered have you been by any of the following due to your diabetes medication(s)? Unwanted weight gain
    integer
    C0043094 (UMLS CUI [1,1])
    C3174324 (UMLS CUI [1,2])
    Code List
    Over the past two weeks how bothered have you been by any of the following due to your diabetes medication(s)? Unwanted weight gain
    CL Item
    Not at all bothered  (1)
    CL Item
    Slightly bothered  (2)
    CL Item
    Somewhat bothered  (3)
    CL Item
    Very bothered  (4)
    CL Item
    Extremely bothered (5)
    Item
    Over the past two weeks, how bothered have you been by any of the following due to your diabetes medication(s)? - Pain or discomfort
    integer
    C3639378 (UMLS CUI [1,1])
    C3174324 (UMLS CUI [1,2])
    Code List
    Over the past two weeks, how bothered have you been by any of the following due to your diabetes medication(s)? - Pain or discomfort
    CL Item
    Not at all bothered  (1)
    CL Item
    Slightly bothered  (2)
    CL Item
    Somewhat bothered  (3)
    CL Item
    Very bothered  (4)
    CL Item
    Extremely bothered (5)
    Item
    Over the past two weeks, how bothered have you been by any of the following due to your diabetes medication(s)? - Gas and bloating
    integer
    C0946092 (UMLS CUI [1,1])
    C3174324 (UMLS CUI [1,2])
    Code List
    Over the past two weeks, how bothered have you been by any of the following due to your diabetes medication(s)? - Gas and bloating
    CL Item
    Not at all bothered  (1)
    CL Item
    Slightly bothered  (2)
    CL Item
    Somewhat bothered  (3)
    CL Item
    Very bothered  (4)
    CL Item
    Extremely bothered (5)
    Item
    Over the past two weeks, how bothered have you been by any of the following due to your diabetes medication(s)? - Diarrhea
    integer
    C0011991 (UMLS CUI [1])
    C3174324 (UMLS CUI [2])
    Code List
    Over the past two weeks, how bothered have you been by any of the following due to your diabetes medication(s)? - Diarrhea
    CL Item
    Not at all bothered  (1)
    CL Item
    Slightly bothered  (2)
    CL Item
    Somewhat bothered  (3)
    CL Item
    Very bothered  (4)
    CL Item
    Extremely bothered (5)
    Item
    Over the past two weeks, how bothered have you been by any of the following due to your diabetes medication(s)? - Symptoms of low blood sugar (trembling, sweating, dizziness or blurred vision)
    integer
    C1457887 (UMLS CUI [1,1])
    C0020615 (UMLS CUI [1,2])
    C3174324 (UMLS CUI [1,3])
    Code List
    Over the past two weeks, how bothered have you been by any of the following due to your diabetes medication(s)? - Symptoms of low blood sugar (trembling, sweating, dizziness or blurred vision)
    CL Item
    Not at all bothered  (1)
    CL Item
    Slightly bothered  (2)
    CL Item
    Somewhat bothered  (3)
    CL Item
    Very bothered  (4)
    CL Item
    Extremely bothered (5)
    Item
    Over the past two weeks, how DISSATISFIED or SATISFIED have you been with the ability of your diabetes medication(s) to ... keep your blood sugar levels stable (avoids highs and lows)?
    integer
    C0392201 (UMLS CUI [1,1])
    C0205360 (UMLS CUI [1,2])
    C0086715 (UMLS CUI [1,3])
    C0242428 (UMLS CUI [1,4])
    Code List
    Over the past two weeks, how DISSATISFIED or SATISFIED have you been with the ability of your diabetes medication(s) to ... keep your blood sugar levels stable (avoids highs and lows)?
    CL Item
    Extremely dissatisfied  (1)
    CL Item
    Very dissatisfied (2)
    CL Item
    Slightly dissatisfied (3)
    CL Item
    Neither dissatisfied or satisfied (4)
    CL Item
    Slightly satisfied (5)
    CL Item
    Very satisfied (6)
    CL Item
    Extremely satisfied (7)
    Item
    Over the past two weeks, how DISSATISFIED or SATISFIED have you been with the ability of your diabetes medication(s) to ... help you from feeling tired and lacking energy?
    integer
    C0015672 (UMLS CUI [1,1])
    C0242428 (UMLS CUI [1,2])
    Code List
    Over the past two weeks, how DISSATISFIED or SATISFIED have you been with the ability of your diabetes medication(s) to ... help you from feeling tired and lacking energy?
    CL Item
    Extremely dissatisfied  (1)
    CL Item
    Very dissatisfied (2)
    CL Item
    Slightly dissatisfied (3)
    CL Item
    Neither dissatisfied or satisfied (4)
    CL Item
    Slightly satisfied (5)
    CL Item
    Very satisfied (6)
    CL Item
    Extremely satisfied (7)
    Item
    Overall over the past two weeks, how DISSATISFIED or SATISFIED have you been with ... the ease and convenience of your diabetes medications
    integer
    C3831015 (UMLS CUI [1,1])
    C0242428 (UMLS CUI [1,2])
    Code List
    Overall over the past two weeks, how DISSATISFIED or SATISFIED have you been with ... the ease and convenience of your diabetes medications
    CL Item
    Extremely dissatisfied  (1)
    CL Item
    Very dissatisfied (2)
    CL Item
    Slightly dissatisfied (3)
    CL Item
    Neither dissatisfied or satisfied (4)
    CL Item
    Slightly satisfied (5)
    CL Item
    Very satisfied (6)
    CL Item
    Extremely satisfied (7)
    Item
    Overall over the past two weeks, how DISSATISFIED or SATISFIED have you been with ... the impact of your diabetes medication(s) on your physical well being?
    integer
    C0018684 (UMLS CUI [1,1])
    C0242428 (UMLS CUI [1,2])
    Code List
    Overall over the past two weeks, how DISSATISFIED or SATISFIED have you been with ... the impact of your diabetes medication(s) on your physical well being?
    CL Item
    Extremely dissatisfied  (1)
    CL Item
    Very dissatisfied (2)
    CL Item
    Slightly dissatisfied (3)
    CL Item
    Neither dissatisfied or satisfied (4)
    CL Item
    Slightly satisfied (5)
    CL Item
    Very satisfied (6)
    CL Item
    Extremely satisfied (7)
    Item
    Overall over the past two weeks, how DISSATISFIED or SATISFIED have you been with ... the impact of your diabetes medication(s) on your emotional well being?
    integer
    C0025353 (UMLS CUI [1,1])
    C0242428 (UMLS CUI [1,2])
    Code List
    Overall over the past two weeks, how DISSATISFIED or SATISFIED have you been with ... the impact of your diabetes medication(s) on your emotional well being?
    CL Item
    Extremely dissatisfied  (1)
    CL Item
    Very dissatisfied (2)
    CL Item
    Slightly dissatisfied (3)
    CL Item
    Neither dissatisfied or satisfied (4)
    CL Item
    Slightly satisfied (5)
    CL Item
    Very satisfied (6)
    CL Item
    Extremely satisfied (7)
    Item
    Thinking about your diabetes medication(s) over the past two weeks ... how difficult has it been for your to plan your daily activities around your medication(s)?
    integer
    C0001288 (UMLS CUI [1,1])
    C0013216 (UMLS CUI [1,2])
    Code List
    Thinking about your diabetes medication(s) over the past two weeks ... how difficult has it been for your to plan your daily activities around your medication(s)?
    CL Item
    Not at all (1)
    CL Item
    Slightly (2)
    CL Item
    Somewhat (3)
    CL Item
    Very (4)
    CL Item
    Extremely (5)
    Item
    Thinking about your diabetes medication(s) over the past two weeks ... how much burden has it been for you to take your medication(s) as prescribed?
    integer
    C2828008 (UMLS CUI [1,1])
    C0013216 (UMLS CUI [1,2])
    Code List
    Thinking about your diabetes medication(s) over the past two weeks ... how much burden has it been for you to take your medication(s) as prescribed?
    CL Item
    Not at all (1)
    CL Item
    Slightly (2)
    CL Item
    Somewhat (3)
    CL Item
    Very (4)
    CL Item
    Extremely (5)
    Item
    Thinking about your diabetes medication(s) over the past two weeks ... how embarrassed or awkward have you felt of taking your medication(s) as prescribed?
    integer
    C3174033 (UMLS CUI [1,1])
    C0013216 (UMLS CUI [1,2])
    Code List
    Thinking about your diabetes medication(s) over the past two weeks ... how embarrassed or awkward have you felt of taking your medication(s) as prescribed?
    CL Item
    Not at all (1)
    CL Item
    Slightly (2)
    CL Item
    Somewhat (3)
    CL Item
    Very (4)
    CL Item
    Extremely (5)
    Item
    Thinking about your diabetes medication(s) over the past two weeks ... how worries have you been that your medication(s) is not helping you to slow down or prevent long-term complications?
    integer
    C0850735 (UMLS CUI [1,1])
    C0013216 (UMLS CUI [1,2])
    Code List
    Thinking about your diabetes medication(s) over the past two weeks ... how worries have you been that your medication(s) is not helping you to slow down or prevent long-term complications?
    CL Item
    Not at all (1)
    CL Item
    Slightly (2)
    CL Item
    Somewhat (3)
    CL Item
    Very (4)
    CL Item
    Extremely (5)
    Item
    Over the past two weeks, how often has taking your diabetes medication(s) as prescribed INTERFERED WITH your ability to... be flexible with planning meals (when you eat and what you are able to eat)?
    integer
    C0013216 (UMLS CUI [1,1])
    C1998602 (UMLS CUI [1,2])
    Code List
    Over the past two weeks, how often has taking your diabetes medication(s) as prescribed INTERFERED WITH your ability to... be flexible with planning meals (when you eat and what you are able to eat)?
    CL Item
    Never (1)
    CL Item
    Rarely (2)
    CL Item
    Sometimes (3)
    CL Item
    Often (4)
    CL Item
    All the time (5)
    Item
    Over the past two weeks, how often has taking your diabetes medication(s) as prescribed INTERFERED WITH your ability to... do your recommended physical activity or exercise?
    integer
    C0013216 (UMLS CUI [1,1])
    C0015259 (UMLS CUI [1,2])
    Code List
    Over the past two weeks, how often has taking your diabetes medication(s) as prescribed INTERFERED WITH your ability to... do your recommended physical activity or exercise?
    CL Item
    Never (1)
    CL Item
    Rarely (2)
    CL Item
    Sometimes (3)
    CL Item
    Often (4)
    CL Item
    All the time (5)
    Item
    Over the past two weeks, how often has taking your diabetes medication(s) as prescribed INTERFERED WITH your ability to... follow your recommended diet?
    integer
    C0013216 (UMLS CUI [1,1])
    C0012155 (UMLS CUI [1,2])
    Code List
    Over the past two weeks, how often has taking your diabetes medication(s) as prescribed INTERFERED WITH your ability to... follow your recommended diet?
    CL Item
    Never (1)
    CL Item
    Rarely (2)
    CL Item
    Sometimes (3)
    CL Item
    Often (4)
    CL Item
    All the time (5)
    Item
    Overall, thinking about each of the aspects of your diabetes medication(s) as mentioned above, how DISSATISFIED or SATISFIED have you been with your current diabetes medication(s)?
    integer
    C0242428 (UMLS CUI [1,1])
    C0013216 (UMLS CUI [1,2])
    Code List
    Overall, thinking about each of the aspects of your diabetes medication(s) as mentioned above, how DISSATISFIED or SATISFIED have you been with your current diabetes medication(s)?
    CL Item
    Extremely dissatisfied  (1)
    CL Item
    Very dissatisfied (2)
    CL Item
    Slightly dissatisfied (3)
    CL Item
    Neither dissatisfied or satisfied (4)
    CL Item
    Slightly satisfied (5)
    CL Item
    Very satisfied (6)
    CL Item
    Extremely satisfied (7)
    Item
    Overall, based on your current experiences with your diabetes medication(s), how INTERESTED would you be to change the type of medication(s) you take or the way you take it, if it was possible?
    integer
    C0013216 (UMLS CUI [1,1])
    C0580105 (UMLS CUI [1,2])
    Code List
    Overall, based on your current experiences with your diabetes medication(s), how INTERESTED would you be to change the type of medication(s) you take or the way you take it, if it was possible?
    CL Item
    Not at all interested (1)
    CL Item
    Slightly interested (2)
    CL Item
    Somewhat interested (3)
    CL Item
    Very interested (4)
    CL Item
    Extremely interested (5)

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