ID

33920

Description

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

Lien

https://clinicaltrials.gov/show/NCT01829776

Mots-clés

Versions (1)
  1. 07/01/2019 07/01/2019 -
Détendeur de droits

See clinicaltrials.gov

Téléchargé le

7 janvier 2019

DOI

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Licence

Creative Commons BY 4.0
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Eligibility Multiple Sclerosis NCT01829776

Anglais

Eligibility Multiple Sclerosis NCT01829776

1 Formulaires  
Inclusion Criteria
Description

Inclusion Criteria

Alias
UMLS CUI
C1512693
ms of any type
Description

Multiple Sclerosis

Type de données

boolean

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

Age

Type de données

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

Type de données

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

Type de données

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

Type de données

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

Type de données

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

Type de données

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

Type de données

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

Type de données

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
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Similar models

Eligibility Multiple Sclerosis NCT01829776

1 Formulaires
Name
Type
Description | Question | Decode (Coded Value)
Type de données
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])
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