ID

39325

Beschrijving

Study of Adherence and Effects of Balance Exercices (SIEL BLEU Associatio); ODM derived from: https://clinicaltrials.gov/show/NCT01314638

Link

https://clinicaltrials.gov/show/NCT01314638

Trefwoorden

Versies (1)
  1. 20-12-19 20-12-19 -
Houder van rechten

See clinicaltrials.gov

Geüploaded op

20 december 2019

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY 4.0
Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Terug naar het model Commentaren
Itemgroep Commentaren voor :

Item Commentaren voor :

U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

Eligibility Gait Apraxia NCT01314638

Engels

Eligibility Gait Apraxia NCT01314638

1 Formulieren  
Inclusion Criteria
Beschrijving

Inclusion Criteria

Alias
UMLS CUI
C1512693
diagnosis of alzheimer's disease (ad) (dsm-iv/nincds-adrda criteria)
Beschrijving

Alzheimer's Disease

Datatype

boolean

Alias
UMLS CUI [1]
C0002395
age ≥ 65 years old
Beschrijving

Age

Datatype

boolean

Alias
UMLS CUI [1]
C0001779
mild ad (mini-mental state examination score between 21 and 25), moderate ad (mini-mental state examination score between 10 and 20) and severe ad (mini-mental state examination score between 3 and 9)
Beschrijving

Alzheimer's Disease Mild Mini-mental state examination | Alzheimer's Disease Moderate Mini-mental state examination | Alzheimer's Disease Severe Mini-mental state examination

Datatype

boolean

Alias
UMLS CUI [1,1]
C0002395
UMLS CUI [1,2]
C2945599
UMLS CUI [1,3]
C0451306
UMLS CUI [2,1]
C0002395
UMLS CUI [2,2]
C0205081
UMLS CUI [2,3]
C0451306
UMLS CUI [3,1]
C0002395
UMLS CUI [3,2]
C0205082
UMLS CUI [3,3]
C0451306
able to walk without any aid on 15 meters.
Beschrijving

Able to walk Without Help Meter Quantity

Datatype

boolean

Alias
UMLS CUI [1,1]
C2712089
UMLS CUI [1,2]
C3827452
UMLS CUI [1,3]
C0475209
UMLS CUI [1,4]
C1265611
near visual acuity ≥ 2
Beschrijving

Near visual acuity

Datatype

boolean

Alias
UMLS CUI [1]
C0429541
absence of severe depression (score of the 15-item geriatric depression scale ≤ 10)
Beschrijving

Severe depression Absent Geriatric depression scale

Datatype

boolean

Alias
UMLS CUI [1,1]
C0588008
UMLS CUI [1,2]
C0332197
UMLS CUI [1,3]
C0451184
written consent form to participate in the study (or trustworthy person or legal representative for severe ad)
Beschrijving

Informed Consent | Informed Consent Patient Representative

Datatype

boolean

Alias
UMLS CUI [1]
C0021430
UMLS CUI [2,1]
C0021430
UMLS CUI [2,2]
C0030701
being affiliated to a social security regime
Beschrijving

Patient Affiliated Social Security Program

Datatype

boolean

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C1510826
UMLS CUI [1,3]
C0037435
Exclusion Criteria
Beschrijving

Exclusion Criteria

Alias
UMLS CUI
C0680251
musculoskeletal disorders not related to alzheimer's disease
Beschrijving

Musculoskeletal Disease | Relationship Absent Alzheimer's Disease

Datatype

boolean

Alias
UMLS CUI [1]
C0026857
UMLS CUI [2,1]
C0439849
UMLS CUI [2,2]
C0332197
UMLS CUI [2,3]
C0002395
near visual acuity < 2
Beschrijving

Near visual acuity

Datatype

boolean

Alias
UMLS CUI [1]
C0429541
history of cerebrovascular accident or other cerebro-spinal pathology
Beschrijving

Cerebrovascular accident | CNS disorder

Datatype

boolean

Alias
UMLS CUI [1]
C0038454
UMLS CUI [2]
C0007682
poor workmanship of the written or oral french language
Beschrijving

Lacking Able to write French language | Lacking Able to speak French language

Datatype

boolean

Alias
UMLS CUI [1,1]
C0332268
UMLS CUI [1,2]
C0584993
UMLS CUI [1,3]
C0376246
UMLS CUI [2,1]
C0332268
UMLS CUI [2,2]
C0564215
UMLS CUI [2,3]
C0376246
refusal to be informed on possible hanging bare anomaly during study
Beschrijving

Patient Information Refused

Datatype

boolean

Alias
UMLS CUI [1,1]
C1955348
UMLS CUI [1,2]
C1705116
score of mini-mental state examination < 3
Beschrijving

Mini-mental state examination

Datatype

boolean

Alias
UMLS CUI [1]
C0451306
presence of severe depression (score of the 15-item geriatric depression scale > 10)
Beschrijving

Severe depression Geriatric depression scale

Datatype

boolean

Alias
UMLS CUI [1,1]
C0588008
UMLS CUI [1,2]
C0451184
use of walking aid
Beschrijving

Walking aid use

Datatype

boolean

Alias
UMLS CUI [1]
C0429987
subject suffering from pre-existing impellent disturbances
Beschrijving

Psychomotor Disorders Pre-existing

Datatype

boolean

Alias
UMLS CUI [1,1]
C0033922
UMLS CUI [1,2]
C2347662
refusal to participate (or trustworthy person or legal representative)
Beschrijving

Participation Refused | Participation Refused Patient Representative

Datatype

boolean

Alias
UMLS CUI [1,1]
C0679823
UMLS CUI [1,2]
C1705116
UMLS CUI [2,1]
C0679823
UMLS CUI [2,2]
C1705116
UMLS CUI [2,3]
C0030701
Terug naar het begin van de pagina

Similar models

Eligibility Gait Apraxia NCT01314638

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
C1512693 (UMLS CUI)
Alzheimer's Disease
Item
diagnosis of alzheimer's disease (ad) (dsm-iv/nincds-adrda criteria)
boolean
C0002395 (UMLS CUI [1])
Age
Item
age ≥ 65 years old
boolean
C0001779 (UMLS CUI [1])
Alzheimer's Disease Mild Mini-mental state examination | Alzheimer's Disease Moderate Mini-mental state examination | Alzheimer's Disease Severe Mini-mental state examination
Item
mild ad (mini-mental state examination score between 21 and 25), moderate ad (mini-mental state examination score between 10 and 20) and severe ad (mini-mental state examination score between 3 and 9)
boolean
C0002395 (UMLS CUI [1,1])
C2945599 (UMLS CUI [1,2])
C0451306 (UMLS CUI [1,3])
C0002395 (UMLS CUI [2,1])
C0205081 (UMLS CUI [2,2])
C0451306 (UMLS CUI [2,3])
C0002395 (UMLS CUI [3,1])
C0205082 (UMLS CUI [3,2])
C0451306 (UMLS CUI [3,3])
Able to walk Without Help Meter Quantity
Item
able to walk without any aid on 15 meters.
boolean
C2712089 (UMLS CUI [1,1])
C3827452 (UMLS CUI [1,2])
C0475209 (UMLS CUI [1,3])
C1265611 (UMLS CUI [1,4])
Near visual acuity
Item
near visual acuity ≥ 2
boolean
C0429541 (UMLS CUI [1])
Severe depression Absent Geriatric depression scale
Item
absence of severe depression (score of the 15-item geriatric depression scale ≤ 10)
boolean
C0588008 (UMLS CUI [1,1])
C0332197 (UMLS CUI [1,2])
C0451184 (UMLS CUI [1,3])
Informed Consent | Informed Consent Patient Representative
Item
written consent form to participate in the study (or trustworthy person or legal representative for severe ad)
boolean
C0021430 (UMLS CUI [1])
C0021430 (UMLS CUI [2,1])
C0030701 (UMLS CUI [2,2])
Patient Affiliated Social Security Program
Item
being affiliated to a social security regime
boolean
C0030705 (UMLS CUI [1,1])
C1510826 (UMLS CUI [1,2])
C0037435 (UMLS CUI [1,3])
Item Group
C0680251 (UMLS CUI)
Musculoskeletal Disease | Relationship Absent Alzheimer's Disease
Item
musculoskeletal disorders not related to alzheimer's disease
boolean
C0026857 (UMLS CUI [1])
C0439849 (UMLS CUI [2,1])
C0332197 (UMLS CUI [2,2])
C0002395 (UMLS CUI [2,3])
Near visual acuity
Item
near visual acuity < 2
boolean
C0429541 (UMLS CUI [1])
Cerebrovascular accident | CNS disorder
Item
history of cerebrovascular accident or other cerebro-spinal pathology
boolean
C0038454 (UMLS CUI [1])
C0007682 (UMLS CUI [2])
Lacking Able to write French language | Lacking Able to speak French language
Item
poor workmanship of the written or oral french language
boolean
C0332268 (UMLS CUI [1,1])
C0584993 (UMLS CUI [1,2])
C0376246 (UMLS CUI [1,3])
C0332268 (UMLS CUI [2,1])
C0564215 (UMLS CUI [2,2])
C0376246 (UMLS CUI [2,3])
Patient Information Refused
Item
refusal to be informed on possible hanging bare anomaly during study
boolean
C1955348 (UMLS CUI [1,1])
C1705116 (UMLS CUI [1,2])
Mini-mental state examination
Item
score of mini-mental state examination < 3
boolean
C0451306 (UMLS CUI [1])
Severe depression Geriatric depression scale
Item
presence of severe depression (score of the 15-item geriatric depression scale > 10)
boolean
C0588008 (UMLS CUI [1,1])
C0451184 (UMLS CUI [1,2])
Walking aid use
Item
use of walking aid
boolean
C0429987 (UMLS CUI [1])
Psychomotor Disorders Pre-existing
Item
subject suffering from pre-existing impellent disturbances
boolean
C0033922 (UMLS CUI [1,1])
C2347662 (UMLS CUI [1,2])
Participation Refused | Participation Refused Patient Representative
Item
refusal to participate (or trustworthy person or legal representative)
boolean
C0679823 (UMLS CUI [1,1])
C1705116 (UMLS CUI [1,2])
C0679823 (UMLS CUI [2,1])
C1705116 (UMLS CUI [2,2])
C0030701 (UMLS CUI [2,3])
Terug naar het begin van de pagina 

Contact

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

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