ID

33920

Description

Pilot Study of Free From Falls Program in Multiple Sclerosis; ODM derived from: https://clinicaltrials.gov/show/NCT01829776

Link

https://clinicaltrials.gov/show/NCT01829776

Keywords

Versions (1)
  1. 1/7/19 1/7/19 -
Copyright Holder

See clinicaltrials.gov

Uploaded on

January 7, 2019

DOI

To request one please log in.

License

Creative Commons BY 4.0
Model comments :

You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.

Back to model comments
Itemgroup comments for :

Item comments for :

In order to download data models you must be logged in. Please log in or register for free.

Eligibility Multiple Sclerosis NCT01829776

English

Eligibility Multiple Sclerosis NCT01829776

1 forms  
Inclusion Criteria
Description

Inclusion Criteria

Alias
UMLS CUI
C1512693
ms of any type
Description

Multiple Sclerosis

Data type

boolean

Alias
UMLS CUI [1]
C0026769
age 18 years or older
Description

Age

Data type

boolean

Alias
UMLS CUI [1]
C0001779
able to walk at least 100 meters with intermittent or unilateral constant assistance (cane, crutch or braces) with or without resting
Description

Able to walk Meter Quantity Assisted | Independent of Resting | Assistance Intermittent | Assistance Unilateral Constant | Cane user | Crutch user | Brace user

Data type

boolean

Alias
UMLS CUI [1,1]
C2712089
UMLS CUI [1,2]
C0475209
UMLS CUI [1,3]
C1265611
UMLS CUI [1,4]
C1269765
UMLS CUI [2,1]
C0332291
UMLS CUI [2,2]
C0035253
UMLS CUI [3,1]
C1269765
UMLS CUI [3,2]
C0205267
UMLS CUI [4,1]
C1269765
UMLS CUI [4,2]
C0205092
UMLS CUI [4,3]
C1948059
UMLS CUI [5]
C0920240
UMLS CUI [6]
C0920123
UMLS CUI [7]
C0920122
self-reported history of 2 or more falls in the previous 2 months
Description

Falls Quantity Time Interval

Data type

boolean

Alias
UMLS CUI [1,1]
C0085639
UMLS CUI [1,2]
C1265611
UMLS CUI [1,3]
C0872291
clinically stable ms with no relapses within 30 days
Description

Multiple Sclerosis Clinical Stable | Relapse Absent

Data type

boolean

Alias
UMLS CUI [1,1]
C0026769
UMLS CUI [1,2]
C0205210
UMLS CUI [1,3]
C0205360
UMLS CUI [2,1]
C0035020
UMLS CUI [2,2]
C0332197
willing to provide informed consent
Description

Informed Consent

Data type

boolean

Alias
UMLS CUI [1]
C0021430
fluent in written and spoken english.
Description

Able to write Well English Language | Able to speak fluently English Language

Data type

boolean

Alias
UMLS CUI [1,1]
C0584993
UMLS CUI [1,2]
C0205170
UMLS CUI [1,3]
C0376245
UMLS CUI [2,1]
C0564241
UMLS CUI [2,2]
C0376245
daily access to email and willing to respond to a daily email questionnaire
Description

Access Email | Respond to Email Questionnaire

Data type

boolean

Alias
UMLS CUI [1,1]
C0444454
UMLS CUI [1,2]
C0013849
UMLS CUI [2,1]
C1553423
UMLS CUI [2,2]
C0013849
UMLS CUI [2,3]
C0034394
Exclusion Criteria
Description

Exclusion Criteria

Alias
UMLS CUI
C0680251
serious psychiatric or medical conditions that would preclude reliable participation in the study.
Description

Condition Psychiatric Serious | Study Subject Participation Status Excluded | Medical condition Serious Study Subject Participation Status Excluded

Data type

boolean

Alias
UMLS CUI [1,1]
C0348080
UMLS CUI [1,2]
C0205487
UMLS CUI [1,3]
C0205404
UMLS CUI [2,1]
C2348568
UMLS CUI [2,2]
C0332196
UMLS CUI [3,1]
C3843040
UMLS CUI [3,2]
C0205404
UMLS CUI [3,3]
C2348568
UMLS CUI [3,4]
C0332196
Back to the top of the page

Similar models

Eligibility Multiple Sclerosis NCT01829776

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
C1512693 (UMLS CUI)
Multiple Sclerosis
Item
ms of any type
boolean
C0026769 (UMLS CUI [1])
Age
Item
age 18 years or older
boolean
C0001779 (UMLS CUI [1])
Able to walk Meter Quantity Assisted | Independent of Resting | Assistance Intermittent | Assistance Unilateral Constant | Cane user | Crutch user | Brace user
Item
able to walk at least 100 meters with intermittent or unilateral constant assistance (cane, crutch or braces) with or without resting
boolean
C2712089 (UMLS CUI [1,1])
C0475209 (UMLS CUI [1,2])
C1265611 (UMLS CUI [1,3])
C1269765 (UMLS CUI [1,4])
C0332291 (UMLS CUI [2,1])
C0035253 (UMLS CUI [2,2])
C1269765 (UMLS CUI [3,1])
C0205267 (UMLS CUI [3,2])
C1269765 (UMLS CUI [4,1])
C0205092 (UMLS CUI [4,2])
C1948059 (UMLS CUI [4,3])
C0920240 (UMLS CUI [5])
C0920123 (UMLS CUI [6])
C0920122 (UMLS CUI [7])
Falls Quantity Time Interval
Item
self-reported history of 2 or more falls in the previous 2 months
boolean
C0085639 (UMLS CUI [1,1])
C1265611 (UMLS CUI [1,2])
C0872291 (UMLS CUI [1,3])
Multiple Sclerosis Clinical Stable | Relapse Absent
Item
clinically stable ms with no relapses within 30 days
boolean
C0026769 (UMLS CUI [1,1])
C0205210 (UMLS CUI [1,2])
C0205360 (UMLS CUI [1,3])
C0035020 (UMLS CUI [2,1])
C0332197 (UMLS CUI [2,2])
Informed Consent
Item
willing to provide informed consent
boolean
C0021430 (UMLS CUI [1])
Able to write Well English Language | Able to speak fluently English Language
Item
fluent in written and spoken english.
boolean
C0584993 (UMLS CUI [1,1])
C0205170 (UMLS CUI [1,2])
C0376245 (UMLS CUI [1,3])
C0564241 (UMLS CUI [2,1])
C0376245 (UMLS CUI [2,2])
Access Email | Respond to Email Questionnaire
Item
daily access to email and willing to respond to a daily email questionnaire
boolean
C0444454 (UMLS CUI [1,1])
C0013849 (UMLS CUI [1,2])
C1553423 (UMLS CUI [2,1])
C0013849 (UMLS CUI [2,2])
C0034394 (UMLS CUI [2,3])
Item Group
C0680251 (UMLS CUI)
Condition Psychiatric Serious | Study Subject Participation Status Excluded | Medical condition Serious Study Subject Participation Status Excluded
Item
serious psychiatric or medical conditions that would preclude reliable participation in the study.
boolean
C0348080 (UMLS CUI [1,1])
C0205487 (UMLS CUI [1,2])
C0205404 (UMLS CUI [1,3])
C2348568 (UMLS CUI [2,1])
C0332196 (UMLS CUI [2,2])
C3843040 (UMLS CUI [3,1])
C0205404 (UMLS CUI [3,2])
C2348568 (UMLS CUI [3,3])
C0332196 (UMLS CUI [3,4])
Back to the top of the page 

Contact

Please use this form for feedback, questions and suggestions for improvements.

Fields marked with * are required.

Help

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial