ID

28110

Beschreibung

Smoking Study With Behavioral Therapy for Hypertensive Patients; ODM derived from: https://clinicaltrials.gov/show/NCT00879177

Link

https://clinicaltrials.gov/show/NCT00879177

Stichworte

Versionen (2)
  1. 18.12.17 18.12.17 -
  2. 20.09.21 20.09.21 -
Rechteinhaber

See clinicaltrials.gov

Hochgeladen am

18. Dezember 2017

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 Cigarette Smoking NCT00879177

Englisch

Eligibility Cigarette Smoking NCT00879177

1 Formulare  
Inclusion Criteria
Beschreibung

Inclusion Criteria

Alias
UMLS CUI
C1512693
regular smokers, with no period of abstinence exceeding 3 months in past year
Beschreibung

Tobacco use Regular | Abstinence Period Lacking

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0543414
UMLS CUI [1,2]
C0205272
UMLS CUI [2,1]
C0814442
UMLS CUI [2,2]
C1948053
UMLS CUI [2,3]
C0332268
expired co of at least 8 ppm
Beschreibung

Expired carbon monoxide concentration

Datentyp

boolean

Alias
UMLS CUI [1]
C0429695
self-reported desire to stop smoking
Beschreibung

wishes to stop smoking

Datentyp

boolean

Alias
UMLS CUI [1]
C2203279
at least 18 years of age
Beschreibung

Age

Datentyp

boolean

Alias
UMLS CUI [1]
C0001779
resting systolic bp of 120-160 mmhg and/or diastolic bp of 80-100 mmhg but otherwise in good health (see exclusion criteria)
Beschreibung

Systolic blood pressure at rest | Diastolic blood pressure at rest | General health good

Datentyp

boolean

Alias
UMLS CUI [1]
C2039694
UMLS CUI [2]
C2183311
UMLS CUI [3]
C1277245
if on antihypertensive medication, have not changed medications during the previous month and do not intend to change in the next 3 months
Beschreibung

Antihypertensive Agents unchanged

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0003364
UMLS CUI [1,2]
C0442739
english speaking
Beschreibung

Able to speak English Language

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0564215
UMLS CUI [1,2]
C0376245
Exclusion Criteria
Beschreibung

Exclusion Criteria

Alias
UMLS CUI
C0680251
receipt of smoking cessation treatment (behavioral or pharmacological) in the past month
Beschreibung

Smoking cessation therapy | Smoking cessation drug therapy

Datentyp

boolean

Alias
UMLS CUI [1]
C1095963
UMLS CUI [2]
C4075828
serious or unstable medical disease within the past 6 months, including myocardial infarction, cancer, congestive heart failure, kidney failure, stroke, or seizures
Beschreibung

Disease; Serious | Disease Unstable | Myocardial Infarction | Malignant Neoplasms | Congestive heart failure | Kidney Failure | Cerebrovascular accident | Seizures

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0205404
UMLS CUI [2,1]
C0012634
UMLS CUI [2,2]
C0443343
UMLS CUI [3]
C0027051
UMLS CUI [4]
C0006826
UMLS CUI [5]
C0018802
UMLS CUI [6]
C0035078
UMLS CUI [7]
C0038454
UMLS CUI [8]
C0036572
evidence or history of allergic reactions contraindicating varenicline use or clinically significant laboratory or electrocardiographic (ecg) abnormalities
Beschreibung

Allergic Reaction Varenicline | Medical contraindication Varenicline | Laboratory test result abnormal | ECG abnormality

Datentyp

boolean

Alias
UMLS CUI [1,1]
C1527304
UMLS CUI [1,2]
C1569608
UMLS CUI [2,1]
C1301624
UMLS CUI [2,2]
C1569608
UMLS CUI [3]
C0438215
UMLS CUI [4]
C1832603
breastfeeding, pregnant or not using effective contraception if a woman of childbearing potential
Beschreibung

Breast Feeding | Pregnancy | Childbearing Potential Contraceptive methods Lacking

Datentyp

boolean

Alias
UMLS CUI [1]
C0006147
UMLS CUI [2]
C0032961
UMLS CUI [3,1]
C3831118
UMLS CUI [3,2]
C0700589
UMLS CUI [3,3]
C0332268
arm circumference of >42 cm, which precludes accurate bp monitoring
Beschreibung

Circumference of arm Excludes Blood pressure monitoring

Datentyp

boolean

Alias
UMLS CUI [1,1]
C2075184
UMLS CUI [1,2]
C0332196
UMLS CUI [1,3]
C0026426
serious psychiatric illness in past 6 months (e.g., schizophrenia, psychosis, suicide risk, drug or alcohol dependence other than nicotine)
Beschreibung

Mental disorders Serious | Schizophrenia | Psychotic Disorders | At risk for suicide | Substance Dependence | Exception Nicotine Dependence

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0004936
UMLS CUI [1,2]
C0205404
UMLS CUI [2]
C0036341
UMLS CUI [3]
C0033975
UMLS CUI [4]
C0563664
UMLS CUI [5]
C0038580
UMLS CUI [6,1]
C1705847
UMLS CUI [6,2]
C0028043
use of tobacco containing products other than cigarettes in past month and do not agree to abstain from use of these products during study participation
Beschreibung

Tobacco use | Exception Cigarette | Smoking abstinence Unwilling

Datentyp

boolean

Alias
UMLS CUI [1]
C0543414
UMLS CUI [2,1]
C1705847
UMLS CUI [2,2]
C0677453
UMLS CUI [3,1]
C0814442
UMLS CUI [3,2]
C0558080
ongoing use of any of the following medications: nicotine replacement therapies, monoamine oxidase inhibitors, antipsychotics, mood stabilizers, or naltrexone
Beschreibung

Nicotine replacement therapy | Monoamine Oxidase Inhibitors | Antipsychotic Agents | Mood Stabilizers | Naltrexone

Datentyp

boolean

Alias
UMLS CUI [1]
C1278444
UMLS CUI [2]
C0026457
UMLS CUI [3]
C0040615
UMLS CUI [4]
C4020582
UMLS CUI [5]
C0027360
in recovery for pathological gambling
Beschreibung

Recovery Pathological Gambling

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0237820
UMLS CUI [1,2]
C0030662
Zum Seitenanfang zurückkehren

Ähnliche Modelle

Eligibility Cigarette Smoking NCT00879177

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
C1512693 (UMLS CUI)
Tobacco use Regular | Abstinence Period Lacking
Item
regular smokers, with no period of abstinence exceeding 3 months in past year
boolean
C0543414 (UMLS CUI [1,1])
C0205272 (UMLS CUI [1,2])
C0814442 (UMLS CUI [2,1])
C1948053 (UMLS CUI [2,2])
C0332268 (UMLS CUI [2,3])
Expired carbon monoxide concentration
Item
expired co of at least 8 ppm
boolean
C0429695 (UMLS CUI [1])
wishes to stop smoking
Item
self-reported desire to stop smoking
boolean
C2203279 (UMLS CUI [1])
Age
Item
at least 18 years of age
boolean
C0001779 (UMLS CUI [1])
Systolic blood pressure at rest | Diastolic blood pressure at rest | General health good
Item
resting systolic bp of 120-160 mmhg and/or diastolic bp of 80-100 mmhg but otherwise in good health (see exclusion criteria)
boolean
C2039694 (UMLS CUI [1])
C2183311 (UMLS CUI [2])
C1277245 (UMLS CUI [3])
Antihypertensive Agents unchanged
Item
if on antihypertensive medication, have not changed medications during the previous month and do not intend to change in the next 3 months
boolean
C0003364 (UMLS CUI [1,1])
C0442739 (UMLS CUI [1,2])
Able to speak English Language
Item
english speaking
boolean
C0564215 (UMLS CUI [1,1])
C0376245 (UMLS CUI [1,2])
Item Group
C0680251 (UMLS CUI)
Smoking cessation therapy | Smoking cessation drug therapy
Item
receipt of smoking cessation treatment (behavioral or pharmacological) in the past month
boolean
C1095963 (UMLS CUI [1])
C4075828 (UMLS CUI [2])
Disease; Serious | Disease Unstable | Myocardial Infarction | Malignant Neoplasms | Congestive heart failure | Kidney Failure | Cerebrovascular accident | Seizures
Item
serious or unstable medical disease within the past 6 months, including myocardial infarction, cancer, congestive heart failure, kidney failure, stroke, or seizures
boolean
C0012634 (UMLS CUI [1,1])
C0205404 (UMLS CUI [1,2])
C0012634 (UMLS CUI [2,1])
C0443343 (UMLS CUI [2,2])
C0027051 (UMLS CUI [3])
C0006826 (UMLS CUI [4])
C0018802 (UMLS CUI [5])
C0035078 (UMLS CUI [6])
C0038454 (UMLS CUI [7])
C0036572 (UMLS CUI [8])
Allergic Reaction Varenicline | Medical contraindication Varenicline | Laboratory test result abnormal | ECG abnormality
Item
evidence or history of allergic reactions contraindicating varenicline use or clinically significant laboratory or electrocardiographic (ecg) abnormalities
boolean
C1527304 (UMLS CUI [1,1])
C1569608 (UMLS CUI [1,2])
C1301624 (UMLS CUI [2,1])
C1569608 (UMLS CUI [2,2])
C0438215 (UMLS CUI [3])
C1832603 (UMLS CUI [4])
Breast Feeding | Pregnancy | Childbearing Potential Contraceptive methods Lacking
Item
breastfeeding, pregnant or not using effective contraception if a woman of childbearing potential
boolean
C0006147 (UMLS CUI [1])
C0032961 (UMLS CUI [2])
C3831118 (UMLS CUI [3,1])
C0700589 (UMLS CUI [3,2])
C0332268 (UMLS CUI [3,3])
Circumference of arm Excludes Blood pressure monitoring
Item
arm circumference of >42 cm, which precludes accurate bp monitoring
boolean
C2075184 (UMLS CUI [1,1])
C0332196 (UMLS CUI [1,2])
C0026426 (UMLS CUI [1,3])
Mental disorders Serious | Schizophrenia | Psychotic Disorders | At risk for suicide | Substance Dependence | Exception Nicotine Dependence
Item
serious psychiatric illness in past 6 months (e.g., schizophrenia, psychosis, suicide risk, drug or alcohol dependence other than nicotine)
boolean
C0004936 (UMLS CUI [1,1])
C0205404 (UMLS CUI [1,2])
C0036341 (UMLS CUI [2])
C0033975 (UMLS CUI [3])
C0563664 (UMLS CUI [4])
C0038580 (UMLS CUI [5])
C1705847 (UMLS CUI [6,1])
C0028043 (UMLS CUI [6,2])
Tobacco use | Exception Cigarette | Smoking abstinence Unwilling
Item
use of tobacco containing products other than cigarettes in past month and do not agree to abstain from use of these products during study participation
boolean
C0543414 (UMLS CUI [1])
C1705847 (UMLS CUI [2,1])
C0677453 (UMLS CUI [2,2])
C0814442 (UMLS CUI [3,1])
C0558080 (UMLS CUI [3,2])
Nicotine replacement therapy | Monoamine Oxidase Inhibitors | Antipsychotic Agents | Mood Stabilizers | Naltrexone
Item
ongoing use of any of the following medications: nicotine replacement therapies, monoamine oxidase inhibitors, antipsychotics, mood stabilizers, or naltrexone
boolean
C1278444 (UMLS CUI [1])
C0026457 (UMLS CUI [2])
C0040615 (UMLS CUI [3])
C4020582 (UMLS CUI [4])
C0027360 (UMLS CUI [5])
Recovery Pathological Gambling
Item
in recovery for pathological gambling
boolean
C0237820 (UMLS CUI [1,1])
C0030662 (UMLS CUI [1,2])
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