Date of Assessment
Item
Date of Assessment
date
C2985720 (UMLS CUI [1])
Item
Question 1. Overall, with respect to ease of treatment, which treatment do you prefer?
integer
C1522634 (UMLS CUI [1])
C1272700 (UMLS CUI [2,1])
C0087111 (UMLS CUI [2,2])
C0558295 (UMLS CUI [3])
Code List
Question 1. Overall, with respect to ease of treatment, which treatment do you prefer?
CL Item
I prefer intravitreal injections (1)
CL Item
I prefer eye drops (2)
CL Item
I have no preference (3)
Item
Question 2. Overall, with respect to comfort of treatment (e.g., pain, discomfort, irritation or other physical distress) which treatment do you prefer?
integer
C1522634 (UMLS CUI [1])
C1331418 (UMLS CUI [2,1])
C0087111 (UMLS CUI [2,2])
C0030193 (UMLS CUI [3])
C2364135 (UMLS CUI [4])
C1706307 (UMLS CUI [5])
C4061283 (UMLS CUI [6])
C0087111 (UMLS CUI [7,1])
C0558295 (UMLS CUI [7,2])
Code List
Question 2. Overall, with respect to comfort of treatment (e.g., pain, discomfort, irritation or other physical distress) which treatment do you prefer?
CL Item
I prefer intravitreal injections (1)
CL Item
I prefer eye drops (2)
CL Item
I have no preference (3)
Item
Question 3. Overall, with respect to your feelings associated with treatment (e.g., nervousness, fear, anxiety or other emotional distress) which treatment do you prefer?
integer
C1522634 (UMLS CUI [1])
C1527305 (UMLS CUI [2,1])
C0087111 (UMLS CUI [2,2])
C0004083 (UMLS CUI [2,3])
C0027769 (UMLS CUI [3])
C4054984 (UMLS CUI [4])
C0003467 (UMLS CUI [5])
C0700361 (UMLS CUI [6])
C0087111 (UMLS CUI [7,1])
C0558295 (UMLS CUI [7,2])
Code List
Question 3. Overall, with respect to your feelings associated with treatment (e.g., nervousness, fear, anxiety or other emotional distress) which treatment do you prefer?
CL Item
I prefer intravitreal injections (1)
CL Item
I prefer eye drops (2)
CL Item
I have no preference (3)
Item
Question 4. Overall, with respect to the impact on your day-to-day activities before, during and after treatment, which treatment do you prefer?
integer
C1522634 (UMLS CUI [1])
C4049986 (UMLS CUI [2])
C0871707 (UMLS CUI [3])
C0087111 (UMLS CUI [4,1])
C0558295 (UMLS CUI [4,2])
Code List
Question 4. Overall, with respect to the impact on your day-to-day activities before, during and after treatment, which treatment do you prefer?
CL Item
I prefer intravitreal injections (1)
CL Item
I prefer eye drops (2)
CL Item
I have no preference (3)
Item
Question 5a. If you could only have one treatment, which would you choose?
integer
C1522634 (UMLS CUI [1])
C0087111 (UMLS CUI [2,1])
C1707391 (UMLS CUI [2,2])
Code List
Question 5a. If you could only have one treatment, which would you choose?
CL Item
Intravitreal injections (4)
Question 5b. What is the single most important reason for your choice?
Item
Question 5b. What is the single most important reason for your choice?
text
C1522634 (UMLS CUI [1])
C0392360 (UMLS CUI [2,1])
C1707391 (UMLS CUI [2,2])
Item
Who has been primarily responsible for administering the medication (eye drops) over the study?
text
C0015399 (UMLS CUI [1,1])
C1533734 (UMLS CUI [1,2])
C0678341 (UMLS CUI [1,3])
C0008976 (UMLS CUI [1,4])
C0347984 (UMLS CUI [1,5])
Code List
Who has been primarily responsible for administering the medication (eye drops) over the study?
CL Item
Caregiver (or equivalent) (1)
CL Item
Subject self-administers (2)
CL Item
Both subject and caregiver (3)
CL Item
Other, specify (OT)
If other person is responsible for administering the medication, specify
Item
If other person is responsible for administering the medication, specify
text
C0015399 (UMLS CUI [1,1])
C1533734 (UMLS CUI [1,2])
C0678341 (UMLS CUI [1,3])
C0205394 (UMLS CUI [1,4])
C2348235 (UMLS CUI [1,5])