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Visit 1 Run-In Substance Use: Alcohol History NCT01117584

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General Information
Beschrijving

General Information

Alcohol History
Beschrijving

Alcohol History

Datatype

text

For Former Alcohol User or Current Alcohol User, please specify quantity
Beschrijving

Specification of Quantity if Alcohol User

Datatype

float

Maateenheden
  • Units/Week
Units/Week
Name of Substance
Beschrijving

Type of Alcohol

Datatype

text

Substance Use Consumption
Beschrijving

Quantity

Datatype

text

Use Frequency Per Interval
Beschrijving

One alcohol unit = 1 can of beer, 1 glass of wine or 1 shot of hard liquor.

Datatype

text

Consumption Units
Beschrijving

Consumption Units

Datatype

text

Category for Substance Use
Beschrijving

Category for Substance Use

Datatype

text

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Similar models

Visit 1 Run-In Substance Use: Alcohol History NCT01117584

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
General Information
Item
Alcohol History
text
Alcohol History
Code List
Alcohol History
CL Item
Never Used Alcohol (1)
CL Item
Former Alcohol User (2)
CL Item
Current Alcohol User (3)
Specification of Quantity if Alcohol User
Item
For Former Alcohol User or Current Alcohol User, please specify quantity
float
Type of Alcohol
Item
Name of Substance
text
Quantity
Item
Substance Use Consumption
text
Use Frequency
Item
Use Frequency Per Interval
text
Consumption Units
Item
Consumption Units
text
Category for Substance Use
Item
Category for Substance Use
text
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