ID

18136

Beschreibung

Asthma In-Home Monitoring (AIM) Trial; ODM derived from: https://clinicaltrials.gov/show/NCT00282516

Link

https://clinicaltrials.gov/show/NCT00282516

Stichworte

Versionen (1)
  1. 21.10.16 21.10.16 -
Hochgeladen am

21. Oktober 2016

DOI

Für eine Beantragung loggen Sie sich ein.

Lizenz

Creative Commons BY 4.0
Modell Kommentare :

Hier können Sie das Modell kommentieren. Über die Sprechblasen an den Itemgruppen und Items können Sie diese spezifisch kommentieren.

Zurück zu Modell Kommentaren
Itemgroup Kommentare für :

Item Kommentare für :

Um Formulare herunterzuladen müssen Sie angemeldet sein. Bitte loggen Sie sich ein oder registrieren Sie sich kostenlos.

Eligibility Mild, Moderate and Severe Persistent Asthma as Defined by NHLBI-2 Guidelines NCT00282516

Englisch

Eligibility Mild, Moderate and Severe Persistent Asthma as Defined by NHLBI-2 Guidelines NCT00282516

1 Formulare  
Inclusion Criteria
Beschreibung

Inclusion Criteria

Alias
UMLS CUI
C1512693
diagnosis of persistent asthma as defined using the nhlbi expert panel report -2 guidelines assignment of severity classification will be made at the beginning of the study based on severity of disease off therapy.
Beschreibung

Persistent asthma | Degrees of severity

Datentyp

boolean

Alias
UMLS CUI [1]
C3266628
UMLS CUI [2]
C0441982
dependent of active duty or retired us military personnel
Beschreibung

Military Personnel dependent

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0026126
UMLS CUI [1,2]
C3244310
6 to 17 years of age
Beschreibung

Age

Datentyp

boolean

Alias
UMLS CUI [1]
C0001779
not moving from oahu for 12 months after entry into study
Beschreibung

Relocation of home

Datentyp

boolean

Alias
UMLS CUI [1]
C2699029
ability to receive cable modem hook-up in home
Beschreibung

modem device Home Ability

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0011007
UMLS CUI [1,2]
C0442519
UMLS CUI [1,3]
C0085732
willingness to learn to record and send mdi + spacer technique and peak flow two times week
Beschreibung

Metered Dose Inhaler Readiness to learn | AeroChamber MDI Spacer Readiness to learn | Peak expiratory flow rate measurement Readiness to learn

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0993596
UMLS CUI [1,2]
C1299415
UMLS CUI [2,1]
C0725073
UMLS CUI [2,2]
C1299415
UMLS CUI [3,1]
C0030735
UMLS CUI [3,2]
C1299415
willing to attend asthma education follow-up visits either in person or electronically at 2- weeks, 6- weeks, 3-months and 6-month intervals after initiation into the study.
Beschreibung

Asthma education Follow-up visit Willing

Datentyp

boolean

Alias
UMLS CUI [1,1]
C1679754
UMLS CUI [1,2]
C0589121
UMLS CUI [1,3]
C0600109
willing to complete survey at the end of study period.
Beschreibung

Survey Completion Willing

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0038951
UMLS CUI [1,2]
C0205197
UMLS CUI [1,3]
C0600109
willing to sign informed, written consent
Beschreibung

Informed Consent

Datentyp

boolean

Alias
UMLS CUI [1]
C0021430
Exclusion Criteria
Beschreibung

Exclusion Criteria

Alias
UMLS CUI
C0680251
diagnosis of mild intermittent asthma as defined by expert panel report -2 guidelines.
Beschreibung

Mild intermittent asthma

Datentyp

boolean

Alias
UMLS CUI [1]
C1960045
<6 and >17 years of age
Beschreibung

Age

Datentyp

boolean

Alias
UMLS CUI [1]
C0001779
family leaving oahu within 12 months
Beschreibung

Family Relocation of home

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0015576
UMLS CUI [1,2]
C2699029
inability to receive cable modem hook-up in home
Beschreibung

modem device Home Unable

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0011007
UMLS CUI [1,2]
C0442519
UMLS CUI [1,3]
C1299582
unwilling or unable to learn to record and send mdi + spacer technique and peak flow and/or to attend asthma education follow-up visits either in person or electronically at initiation into study and at 2- weeks, 6- weeks, 3-months and 6 month intervals.
Beschreibung

Metered Dose Inhaler Learning Unwilling | AeroChamber MDI Spacer Learning Unwilling | Peak expiratory flow rate measurement Learning Unwilling | Asthma education Follow-up visit Unwilling

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0993596
UMLS CUI [1,2]
C0023185
UMLS CUI [1,3]
C0558080
UMLS CUI [2,1]
C0725073
UMLS CUI [2,2]
C0023185
UMLS CUI [2,3]
C0558080
UMLS CUI [3,1]
C0030735
UMLS CUI [3,2]
C0023185
UMLS CUI [3,3]
C0558080
UMLS CUI [4,1]
C1679754
UMLS CUI [4,2]
C0589121
UMLS CUI [4,3]
C0558080
unwilling to complete survey at the end of study period.
Beschreibung

Survey Completion Unwilling

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0038951
UMLS CUI [1,2]
C0205197
UMLS CUI [1,3]
C0558080
patients or parents who decline to participate.
Beschreibung

participation Refused | parent participation Refused

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0679823
UMLS CUI [1,2]
C1705116
UMLS CUI [2,1]
C0030551
UMLS CUI [2,2]
C0679823
UMLS CUI [2,3]
C1705116
patients with other chronic pulmonary disease (cystic fibrosis, bronchopulmonary dysplasia)
Beschreibung

Other chronic pulmonary disease | Cystic Fibrosis | Bronchopulmonary Dysplasia

Datentyp

boolean

Alias
UMLS CUI [1]
C0810290
UMLS CUI [2]
C0010674
UMLS CUI [3]
C0006287
Zum Seitenanfang zurückkehren

Ähnliche Modelle

Eligibility Mild, Moderate and Severe Persistent Asthma as Defined by NHLBI-2 Guidelines NCT00282516

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
C1512693 (UMLS CUI)
Persistent asthma | Degrees of severity
Item
diagnosis of persistent asthma as defined using the nhlbi expert panel report -2 guidelines assignment of severity classification will be made at the beginning of the study based on severity of disease off therapy.
boolean
C3266628 (UMLS CUI [1])
C0441982 (UMLS CUI [2])
Military Personnel dependent
Item
dependent of active duty or retired us military personnel
boolean
C0026126 (UMLS CUI [1,1])
C3244310 (UMLS CUI [1,2])
Age
Item
6 to 17 years of age
boolean
C0001779 (UMLS CUI [1])
Relocation of home
Item
not moving from oahu for 12 months after entry into study
boolean
C2699029 (UMLS CUI [1])
modem device Home Ability
Item
ability to receive cable modem hook-up in home
boolean
C0011007 (UMLS CUI [1,1])
C0442519 (UMLS CUI [1,2])
C0085732 (UMLS CUI [1,3])
Metered Dose Inhaler Readiness to learn | AeroChamber MDI Spacer Readiness to learn | Peak expiratory flow rate measurement Readiness to learn
Item
willingness to learn to record and send mdi + spacer technique and peak flow two times week
boolean
C0993596 (UMLS CUI [1,1])
C1299415 (UMLS CUI [1,2])
C0725073 (UMLS CUI [2,1])
C1299415 (UMLS CUI [2,2])
C0030735 (UMLS CUI [3,1])
C1299415 (UMLS CUI [3,2])
Asthma education Follow-up visit Willing
Item
willing to attend asthma education follow-up visits either in person or electronically at 2- weeks, 6- weeks, 3-months and 6-month intervals after initiation into the study.
boolean
C1679754 (UMLS CUI [1,1])
C0589121 (UMLS CUI [1,2])
C0600109 (UMLS CUI [1,3])
Survey Completion Willing
Item
willing to complete survey at the end of study period.
boolean
C0038951 (UMLS CUI [1,1])
C0205197 (UMLS CUI [1,2])
C0600109 (UMLS CUI [1,3])
Informed Consent
Item
willing to sign informed, written consent
boolean
C0021430 (UMLS CUI [1])
Item Group
C0680251 (UMLS CUI)
Mild intermittent asthma
Item
diagnosis of mild intermittent asthma as defined by expert panel report -2 guidelines.
boolean
C1960045 (UMLS CUI [1])
Age
Item
<6 and >17 years of age
boolean
C0001779 (UMLS CUI [1])
Family Relocation of home
Item
family leaving oahu within 12 months
boolean
C0015576 (UMLS CUI [1,1])
C2699029 (UMLS CUI [1,2])
modem device Home Unable
Item
inability to receive cable modem hook-up in home
boolean
C0011007 (UMLS CUI [1,1])
C0442519 (UMLS CUI [1,2])
C1299582 (UMLS CUI [1,3])
Metered Dose Inhaler Learning Unwilling | AeroChamber MDI Spacer Learning Unwilling | Peak expiratory flow rate measurement Learning Unwilling | Asthma education Follow-up visit Unwilling
Item
unwilling or unable to learn to record and send mdi + spacer technique and peak flow and/or to attend asthma education follow-up visits either in person or electronically at initiation into study and at 2- weeks, 6- weeks, 3-months and 6 month intervals.
boolean
C0993596 (UMLS CUI [1,1])
C0023185 (UMLS CUI [1,2])
C0558080 (UMLS CUI [1,3])
C0725073 (UMLS CUI [2,1])
C0023185 (UMLS CUI [2,2])
C0558080 (UMLS CUI [2,3])
C0030735 (UMLS CUI [3,1])
C0023185 (UMLS CUI [3,2])
C0558080 (UMLS CUI [3,3])
C1679754 (UMLS CUI [4,1])
C0589121 (UMLS CUI [4,2])
C0558080 (UMLS CUI [4,3])
Survey Completion Unwilling
Item
unwilling to complete survey at the end of study period.
boolean
C0038951 (UMLS CUI [1,1])
C0205197 (UMLS CUI [1,2])
C0558080 (UMLS CUI [1,3])
participation Refused | parent participation Refused
Item
patients or parents who decline to participate.
boolean
C0679823 (UMLS CUI [1,1])
C1705116 (UMLS CUI [1,2])
C0030551 (UMLS CUI [2,1])
C0679823 (UMLS CUI [2,2])
C1705116 (UMLS CUI [2,3])
Other chronic pulmonary disease | Cystic Fibrosis | Bronchopulmonary Dysplasia
Item
patients with other chronic pulmonary disease (cystic fibrosis, bronchopulmonary dysplasia)
boolean
C0810290 (UMLS CUI [1])
C0010674 (UMLS CUI [2])
C0006287 (UMLS CUI [3])
Zum Seitenanfang zurückkehren 

Kontakt

Benutzen Sie dieses Formular für Rückmeldungen, Fragen und Verbesserungsvorschläge.

Mit * gekennzeichnete Felder sind notwendig.

Hilfe

Benötigen Sie Hilfe bei der Suche? Um mehr Details zu erfahren und die Suche effektiver nutzen zu können schauen Sie sich doch das entsprechende Video auf unserer Tutorial Seite an.

Zum Video