ID

44882

Description

A Phase 2, Double-Blind, Randomized, Placebo and Active-Controlled Dose-Finding Study to Assess the Efficacy, Safety and Tolerability of Multiple Oral Doses of ASP1941 in Subjects with Type 2 Diabetes MellitusTEST Study Visit 9

Mots-clés

  1. 01/09/2016 01/09/2016 -
  2. 05/09/2016 05/09/2016 -
  3. 28/09/2016 28/09/2016 -
  4. 28/09/2016 28/09/2016 -
  5. 28/09/2016 28/09/2016 -
  6. 19/02/2022 19/02/2022 - Martin Dugas
Détendeur de droits

Astellas Pharma Inc

Téléchargé le

19 février 2022

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY-NC 4.0

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Visit 9 Diabetes Mellitus-ASP1941-1941-CL-0004 NCT01071850

Visit 9 Diabetes Mellitus-ASP1941-1941-CL-0004 NCT01071850

Date of Visit
Description

Date of Visit

Alias
UMLS CUI-1
C1320303
Date of visit
Description

Visit date

Type de données

date

Alias
UMLS CUI [1]
C1320303
Physical Examination
Description

Physical Examination

Alias
UMLS CUI-1
C0031809
Was the physical examination performed? Record any abnormal findings/conditions identified during the exam on the appropriate form.
Description

Physical Examination

Type de données

boolean

Alias
UMLS CUI [1]
C0031809
Assessment Date
Description

Assessment Date

Type de données

date

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C2985720
Orthostatic vital signs
Description

Orthostatic vital signs

Alias
UMLS CUI-1
C0518766
Not Done:
Description

Assessment

Type de données

boolean

Alias
UMLS CUI [1,1]
C0518766
UMLS CUI [1,2]
C1516048
Assessment Date
Description

Assessment Date

Type de données

date

Alias
UMLS CUI [1,1]
C0518766
UMLS CUI [1,2]
C1516048
UMLS CUI [1,3]
C2985720
Assessment Time
Description

Assessment Time

Type de données

time

Alias
UMLS CUI [1,1]
C0518766
UMLS CUI [1,2]
C1516048
UMLS CUI [1,3]
C0040223
Vital Signs Position
Description

Vital Signs Position

Type de données

integer

Alias
UMLS CUI [1,1]
C0518766
UMLS CUI [1,2]
C1262869
Location of blood pressure measurement
Description

Location of blood pressure measurement

Type de données

integer

Alias
UMLS CUI [1]
C0005823
Systolic blood pressure
Description

Systolic blood pressure

Type de données

text

Unités de mesure
  • mmHg
Alias
UMLS CUI [1]
C0871470
mmHg
Diastolic Blood Pressure
Description

Diastolic Blood Pressure

Type de données

text

Unités de mesure
  • mmHg
Alias
UMLS CUI [1]
C0428883
mmHg
Pulse Rate
Description

Pulse Rate

Type de données

text

Unités de mesure
  • Beats/min
Alias
UMLS CUI [1]
C0232117
Beats/min
12 Lead ECG 1
Description

12 Lead ECG 1

Alias
UMLS CUI [1]
C0430456
Date ECG was performed
Description

ECG Date

Type de données

date

Alias
UMLS CUI [1,1]
C0013798
UMLS CUI [1,2]
C0011008
ECG Time performed
Description

ECG time

Type de données

time

Alias
UMLS CUI [1,1]
C0013798
UMLS CUI [1,2]
C0040223
ECG Interpretation
Description

ECG Interpretation

Type de données

integer

Alias
UMLS CUI [1,1]
C1623258
UMLS CUI [1,2]
C0459471
Weight
Description

Weight

Alias
UMLS CUI-1
C0005910
Assessment Date
Description

Assessment Date

Type de données

date

Alias
UMLS CUI [1,1]
C0005910
UMLS CUI [1,2]
C2985720
Body weight
Description

Weight

Type de données

float

Unités de mesure
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Waist and Hip Circumference
Description

Waist and Hip Circumference

Alias
UMLS CUI-1
C0455829
UMLS CUI-3
C0562350
Waist circumference
Description

Waist circumference

Type de données

float

Unités de mesure
  • cm
Alias
UMLS CUI [1]
C0455829
cm
Hip circumference
Description

Hip circumference

Type de données

float

Unités de mesure
  • cm
Alias
UMLS CUI [1]
C0562350
cm
Pregnancy Test
Description

Pregnancy Test

Alias
UMLS CUI-1
C0032976
Select "Not done" if urine sample was not taken.
Description

Urine Sample

Type de données

integer

Date of Sample Taken
Description

Pregnancy Test: Date

Type de données

date

Alias
UMLS CUI [1,1]
C0032976
UMLS CUI [1,2]
C0011008
Pregnancy test result
Description

Pregnancy test

Type de données

integer

Alias
UMLS CUI [1]
C0427777
EQ-5D
Description

EQ-5D

Alias
UMLS CUI-1
C2733251
ADDQol
Description

ADDQol

Diab-MedSat
Description

Diab-MedSat

Assessment Date
Description

Assessment Date

Type de données

date

Alias
UMLS CUI [1]
C2985720
Over the past two weeks how bothered have you been by the amount of home monitoring (blood sugar testing) required as part of using your medication(s)?
Description

Bothered, Blood sugar testing

Type de données

integer

Alias
UMLS CUI [1,1]
C3174324
UMLS CUI [1,2]
C0005803
Over the past two weeks how bothered have you been by the number of times you need to take your medication(s) daily?
Description

bothered, medication

Type de données

integer

Alias
UMLS CUI [1,1]
C3174324
UMLS CUI [1,2]
C0013227
Over the past two weeks how bothered have you been by the need to adjust the dosing (amount) of your medication(s)?
Description

bothered, adjusting medication

Type de données

integer

Alias
UMLS CUI [1,1]
C3174324
UMLS CUI [1,2]
C0013227
Over the past two weeks how bothered have you been by how your medication(s) interferes with your daily life?
Description

bothered medication interference

Type de données

integer

Alias
UMLS CUI [1,1]
C3174324
UMLS CUI [1,2]
C0013227
Over the past two weeks how bothered have you been by any of the following due to your diabetes medication(s)? Unwanted weight gain
Description

weight gain bothered

Type de données

integer

Alias
UMLS CUI [1,1]
C0043094
UMLS CUI [1,2]
C3174324
Over the past two weeks, how bothered have you been by any of the following due to your diabetes medication(s)? - Pain or discomfort
Description

pain or discomfort

Type de données

integer

Alias
UMLS CUI [1,1]
C3639378
UMLS CUI [1,2]
C3174324
Over the past two weeks, how bothered have you been by any of the following due to your diabetes medication(s)? - Gas and bloating
Description

gas and bloating

Type de données

integer

Alias
UMLS CUI [1,1]
C0946092
UMLS CUI [1,2]
C3174324
Over the past two weeks, how bothered have you been by any of the following due to your diabetes medication(s)? - Diarrhea
Description

diarrhea

Type de données

integer

Alias
UMLS CUI [1,1]
C0011991
UMLS CUI [1,2]
C3174324
Over the past two weeks, how bothered have you been by any of the following due to your diabetes medication(s)? - Symptoms of low blood sugar (trembling, sweating, dizziness or blurred vision)
Description

low blood sugar

Type de données

integer

Alias
UMLS CUI [1,1]
C1457887
UMLS CUI [1,2]
C0020615
UMLS CUI [1,3]
C3174324
Over the past two weeks, how DISSATISFIED or SATISFIED have you been with the ability of your diabetes medication(s) to ... keep your blood sugar levels stable (avoids highs and lows)?
Description

blood glucose stable

Type de données

integer

Alias
UMLS CUI [1,1]
C0392201
UMLS CUI [1,2]
C0205360
UMLS CUI [1,3]
C0086715
UMLS CUI [1,4]
C0242428
Over the past two weeks, how DISSATISFIED or SATISFIED have you been with the ability of your diabetes medication(s) to ... help you from feeling tired and lacking energy?
Description

lack of energy

Type de données

integer

Alias
UMLS CUI [1,1]
C0015672
UMLS CUI [1,2]
C0242428
Overall over the past two weeks, how DISSATISFIED or SATISFIED have you been with ... the ease and convenience of your diabetes medications
Description

convenience

Type de données

integer

Alias
UMLS CUI [1,1]
C3831015
UMLS CUI [1,2]
C0242428
Overall over the past two weeks, how DISSATISFIED or SATISFIED have you been with ... the impact of your diabetes medication(s) on your physical well being?
Description

physical well being

Type de données

integer

Alias
UMLS CUI [1,1]
C0018684
UMLS CUI [1,2]
C0242428
Overall over the past two weeks, how DISSATISFIED or SATISFIED have you been with ... the impact of your diabetes medication(s) on your emotional well being?
Description

emotional well being

Type de données

integer

Alias
UMLS CUI [1,1]
C0025353
UMLS CUI [1,2]
C0242428
Thinking about your diabetes medication(s) over the past two weeks ... how difficult has it been for your to plan your daily activities around your medication(s)?
Description

daily activities

Type de données

integer

Alias
UMLS CUI [1,1]
C0001288
UMLS CUI [1,2]
C0013216
Thinking about your diabetes medication(s) over the past two weeks ... how much burden has it been for you to take your medication(s) as prescribed?
Description

burden to take medication

Type de données

integer

Alias
UMLS CUI [1,1]
C2828008
UMLS CUI [1,2]
C0013216
Thinking about your diabetes medication(s) over the past two weeks ... how embarrassed or awkward have you felt of taking your medication(s) as prescribed?
Description

embarrassed to take medication

Type de données

integer

Alias
UMLS CUI [1,1]
C3174033
UMLS CUI [1,2]
C0013216
Thinking about your diabetes medication(s) over the past two weeks ... how worries have you been that your medication(s) is not helping you to slow down or prevent long-term complications?
Description

worry med not show/prevent complication

Type de données

integer

Alias
UMLS CUI [1,1]
C0850735
UMLS CUI [1,2]
C0013216
Over the past two weeks, how often has taking your diabetes medication(s) as prescribed INTERFERED WITH your ability to... be flexible with planning meals (when you eat and what you are able to eat)?
Description

Medication Interferes with meals

Type de données

integer

Alias
UMLS CUI [1,1]
C0013216
UMLS CUI [1,2]
C1998602
Over the past two weeks, how often has taking your diabetes medication(s) as prescribed INTERFERED WITH your ability to... do your recommended physical activity or exercise?
Description

Medication Interferes with exercise

Type de données

integer

Alias
UMLS CUI [1,1]
C0013216
UMLS CUI [1,2]
C0015259
Over the past two weeks, how often has taking your diabetes medication(s) as prescribed INTERFERED WITh your ability to... follow your recommended diet?
Description

Medication Interferes with meals

Type de données

integer

Alias
UMLS CUI [1,1]
C0013216
UMLS CUI [1,2]
C0012155
Overall, thinking about each of the aspects of your diabetes medication(s) as mentioned above, how DISSATISFIED or SATISFIED have you been with your current diabetes medication(s)?
Description

Satisfaction with medication

Type de données

integer

Alias
UMLS CUI [1,1]
C0242428
UMLS CUI [1,2]
C0013216
Overall, based on your current experiences with your diabetes medication(s), how INTERESTED would you be to change the type of medication(s) you take or the way you take it, if it was possible?
Description

Overall Insterest to change medication

Type de données

integer

Alias
UMLS CUI [1,1]
C0013216
UMLS CUI [1,2]
C0580105

Similar models

Visit 9 Diabetes Mellitus-ASP1941-1941-CL-0004 NCT01071850

Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
Date of Visit
C1320303 (UMLS CUI-1)
Visit date
Item
Date of visit
date
C1320303 (UMLS CUI [1])
Item Group
Physical Examination
C0031809 (UMLS CUI-1)
Physical Examination
Item
Was the physical examination performed? Record any abnormal findings/conditions identified during the exam on the appropriate form.
boolean
C0031809 (UMLS CUI [1])
Assessment Date
Item
Assessment Date
date
C0031809 (UMLS CUI [1,1])
C2985720 (UMLS CUI [1,2])
Item Group
Orthostatic vital signs
C0518766 (UMLS CUI-1)
Assessment
Item
Not Done:
boolean
C0518766 (UMLS CUI [1,1])
C1516048 (UMLS CUI [1,2])
Assessment Date
Item
Assessment Date
date
C0518766 (UMLS CUI [1,1])
C1516048 (UMLS CUI [1,2])
C2985720 (UMLS CUI [1,3])
Assessment Time
Item
Assessment Time
time
C0518766 (UMLS CUI [1,1])
C1516048 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
Item
Vital Signs Position
integer
C0518766 (UMLS CUI [1,1])
C1262869 (UMLS CUI [1,2])
Code List
Vital Signs Position
CL Item
Sitting (1)
CL Item
Standing (2)
Item
Location of blood pressure measurement
integer
C0005823 (UMLS CUI [1])
Code List
Location of blood pressure measurement
CL Item
Right Arm (1)
CL Item
Left Arm (2)
Systolic blood pressure
Item
Systolic blood pressure
text
C0871470 (UMLS CUI [1])
Diastolic Blood Pressure
Item
Diastolic Blood Pressure
text
C0428883 (UMLS CUI [1])
Pulse Rate
Item
Pulse Rate
text
C0232117 (UMLS CUI [1])
Item Group
12 Lead ECG 1
C0430456 (UMLS CUI [1])
ECG Date
Item
Date ECG was performed
date
C0013798 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
ECG time
Item
ECG Time performed
time
C0013798 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
Item
ECG Interpretation
integer
C1623258 (UMLS CUI [1,1])
C0459471 (UMLS CUI [1,2])
Code List
ECG Interpretation
CL Item
Normal  (0 )
CL Item
Abnormal - not clinically significant  (1 )
CL Item
Abnormal - clinically significant (2 )
Item Group
Weight
C0005910 (UMLS CUI-1)
Assessment Date
Item
Assessment Date
date
C0005910 (UMLS CUI [1,1])
C2985720 (UMLS CUI [1,2])
Weight
Item
Body weight
float
C0005910 (UMLS CUI [1])
Item Group
Waist and Hip Circumference
C0455829 (UMLS CUI-1)
C0562350 (UMLS CUI-3)
Waist circumference
Item
Waist circumference
float
C0455829 (UMLS CUI [1])
Hip circumference
Item
Hip circumference
float
C0562350 (UMLS CUI [1])
Item Group
Pregnancy Test
C0032976 (UMLS CUI-1)
Item
Select "Not done" if urine sample was not taken.
integer
Code List
Select "Not done" if urine sample was not taken.
CL Item
Not done (Not done)
Pregnancy Test: Date
Item
Date of Sample Taken
date
C0032976 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Pregnancy test result
integer
C0427777 (UMLS CUI [1])
Code List
Pregnancy test result
CL Item
Negative (1)
CL Item
Positive (2)
Item Group
EQ-5D
C2733251 (UMLS CUI-1)
Item Group
ADDQol
Item Group
Diab-MedSat
Assessment Date
Item
Assessment Date
date
C2985720 (UMLS CUI [1])
Item
Over the past two weeks how bothered have you been by the amount of home monitoring (blood sugar testing) required as part of using your medication(s)?
integer
C3174324 (UMLS CUI [1,1])
C0005803 (UMLS CUI [1,2])
Code List
Over the past two weeks how bothered have you been by the amount of home monitoring (blood sugar testing) required as part of using your medication(s)?
CL Item
Not at all bothered  (1)
C3828778 (UMLS CUI-1)
(Comment:en)
CL Item
Slightly bothered  (2)
C3831310 (UMLS CUI-1)
(Comment:en)
CL Item
Somewhat bothered  (3)
C3831293 (UMLS CUI-1)
(Comment:en)
CL Item
Very bothered  (4)
C3831292 (UMLS CUI-1)
(Comment:en)
CL Item
Extremely bothered (5)
C3830278 (UMLS CUI-1)
(Comment:en)
Item
Over the past two weeks how bothered have you been by the number of times you need to take your medication(s) daily?
integer
C3174324 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
Code List
Over the past two weeks how bothered have you been by the number of times you need to take your medication(s) daily?
CL Item
Not at all bothered  (1)
C3828778 (UMLS CUI-1)
(Comment:en)
CL Item
Slightly bothered  (2)
C3831310 (UMLS CUI-1)
(Comment:en)
CL Item
Somewhat bothered  (3)
C3831293 (UMLS CUI-1)
(Comment:en)
CL Item
Very bothered  (4)
C3831292 (UMLS CUI-1)
(Comment:en)
CL Item
Extremely bothered (5)
C3830278 (UMLS CUI-1)
(Comment:en)
Item
Over the past two weeks how bothered have you been by the need to adjust the dosing (amount) of your medication(s)?
integer
C3174324 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
Code List
Over the past two weeks how bothered have you been by the need to adjust the dosing (amount) of your medication(s)?
CL Item
Not at all bothered  (1)
C3828778 (UMLS CUI-1)
(Comment:en)
CL Item
Slightly bothered  (2)
C3831310 (UMLS CUI-1)
(Comment:en)
CL Item
Somewhat bothered  (3)
C3831293 (UMLS CUI-1)
(Comment:en)
CL Item
Very bothered  (4)
C3831292 (UMLS CUI-1)
(Comment:en)
CL Item
Extremely bothered (5)
C3830278 (UMLS CUI-1)
(Comment:en)
Item
Over the past two weeks how bothered have you been by how your medication(s) interferes with your daily life?
integer
C3174324 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
Code List
Over the past two weeks how bothered have you been by how your medication(s) interferes with your daily life?
CL Item
Not at all bothered  (1)
C3828778 (UMLS CUI-1)
(Comment:en)
CL Item
Slightly bothered  (2)
C3831310 (UMLS CUI-1)
(Comment:en)
CL Item
Somewhat bothered  (3)
C3831293 (UMLS CUI-1)
(Comment:en)
CL Item
Very bothered  (4)
C3831292 (UMLS CUI-1)
(Comment:en)
CL Item
Extremely bothered (5)
C3830278 (UMLS CUI-1)
(Comment:en)
Item
Over the past two weeks how bothered have you been by any of the following due to your diabetes medication(s)? Unwanted weight gain
integer
C0043094 (UMLS CUI [1,1])
C3174324 (UMLS CUI [1,2])
Code List
Over the past two weeks how bothered have you been by any of the following due to your diabetes medication(s)? Unwanted weight gain
CL Item
Not at all bothered  (1)
C3828778 (UMLS CUI-1)
(Comment:en)
CL Item
Slightly bothered  (2)
C3831310 (UMLS CUI-1)
(Comment:en)
CL Item
Somewhat bothered  (3)
C3831293 (UMLS CUI-1)
(Comment:en)
CL Item
Very bothered  (4)
C3831292 (UMLS CUI-1)
(Comment:en)
CL Item
Extremely bothered (5)
C3830278 (UMLS CUI-1)
(Comment:en)
Item
Over the past two weeks, how bothered have you been by any of the following due to your diabetes medication(s)? - Pain or discomfort
integer
C3639378 (UMLS CUI [1,1])
C3174324 (UMLS CUI [1,2])
Code List
Over the past two weeks, how bothered have you been by any of the following due to your diabetes medication(s)? - Pain or discomfort
CL Item
Not at all bothered  (1)
C3828778 (UMLS CUI-1)
(Comment:en)
CL Item
Slightly bothered  (2)
C3831310 (UMLS CUI-1)
(Comment:en)
CL Item
Somewhat bothered  (3)
C3831293 (UMLS CUI-1)
(Comment:en)
CL Item
Very bothered  (4)
C3831292 (UMLS CUI-1)
(Comment:en)
CL Item
Extremely bothered (5)
C3830278 (UMLS CUI-1)
(Comment:en)
Item
Over the past two weeks, how bothered have you been by any of the following due to your diabetes medication(s)? - Gas and bloating
integer
C0946092 (UMLS CUI [1,1])
C3174324 (UMLS CUI [1,2])
Code List
Over the past two weeks, how bothered have you been by any of the following due to your diabetes medication(s)? - Gas and bloating
CL Item
Not at all bothered  (1)
C3828778 (UMLS CUI-1)
(Comment:en)
CL Item
Slightly bothered  (2)
C3831310 (UMLS CUI-1)
(Comment:en)
CL Item
Somewhat bothered  (3)
C3831293 (UMLS CUI-1)
(Comment:en)
CL Item
Very bothered  (4)
C3831292 (UMLS CUI-1)
(Comment:en)
CL Item
Extremely bothered (5)
C3830278 (UMLS CUI-1)
(Comment:en)
Item
Over the past two weeks, how bothered have you been by any of the following due to your diabetes medication(s)? - Diarrhea
integer
C0011991 (UMLS CUI [1,1])
C3174324 (UMLS CUI [1,2])
Code List
Over the past two weeks, how bothered have you been by any of the following due to your diabetes medication(s)? - Diarrhea
CL Item
Not at all bothered  (1)
C3828778 (UMLS CUI-1)
(Comment:en)
CL Item
Slightly bothered  (2)
C3831310 (UMLS CUI-1)
(Comment:en)
CL Item
Somewhat bothered  (3)
C3831293 (UMLS CUI-1)
(Comment:en)
CL Item
Very bothered  (4)
C3831292 (UMLS CUI-1)
(Comment:en)
CL Item
Extremely bothered (5)
C3830278 (UMLS CUI-1)
(Comment:en)
Item
Over the past two weeks, how bothered have you been by any of the following due to your diabetes medication(s)? - Symptoms of low blood sugar (trembling, sweating, dizziness or blurred vision)
integer
C1457887 (UMLS CUI [1,1])
C0020615 (UMLS CUI [1,2])
C3174324 (UMLS CUI [1,3])
Code List
Over the past two weeks, how bothered have you been by any of the following due to your diabetes medication(s)? - Symptoms of low blood sugar (trembling, sweating, dizziness or blurred vision)
CL Item
Not at all bothered  (1)
C3828778 (UMLS CUI-1)
(Comment:en)
CL Item
Slightly bothered  (2)
C3831310 (UMLS CUI-1)
(Comment:en)
CL Item
Somewhat bothered  (3)
C3831293 (UMLS CUI-1)
(Comment:en)
CL Item
Very bothered  (4)
C3831292 (UMLS CUI-1)
(Comment:en)
CL Item
Extremely bothered (5)
C3830278 (UMLS CUI-1)
(Comment:en)
Item
Over the past two weeks, how DISSATISFIED or SATISFIED have you been with the ability of your diabetes medication(s) to ... keep your blood sugar levels stable (avoids highs and lows)?
integer
C0392201 (UMLS CUI [1,1])
C0205360 (UMLS CUI [1,2])
C0086715 (UMLS CUI [1,3])
C0242428 (UMLS CUI [1,4])
Code List
Over the past two weeks, how DISSATISFIED or SATISFIED have you been with the ability of your diabetes medication(s) to ... keep your blood sugar levels stable (avoids highs and lows)?
CL Item
Extremely dissatisfied  (1)
CL Item
Very dissatisfied (2)
CL Item
Slightly dissatisfied (3)
CL Item
Neither dissatisfied or satisfied (4)
CL Item
Slightly satisfied (5)
CL Item
Very satisfied (6)
CL Item
Extremely satisfied (7)
Item
Over the past two weeks, how DISSATISFIED or SATISFIED have you been with the ability of your diabetes medication(s) to ... help you from feeling tired and lacking energy?
integer
C0015672 (UMLS CUI [1,1])
C0242428 (UMLS CUI [1,2])
Code List
Over the past two weeks, how DISSATISFIED or SATISFIED have you been with the ability of your diabetes medication(s) to ... help you from feeling tired and lacking energy?
CL Item
Extremely dissatisfied  (1)
CL Item
Very dissatisfied (2)
CL Item
Slightly dissatisfied (3)
CL Item
Neither dissatisfied or satisfied (4)
CL Item
Slightly satisfied (5)
CL Item
Very satisfied (6)
CL Item
Extremely satisfied (7)
Item
Overall over the past two weeks, how DISSATISFIED or SATISFIED have you been with ... the ease and convenience of your diabetes medications
integer
C3831015 (UMLS CUI [1,1])
C0242428 (UMLS CUI [1,2])
Code List
Overall over the past two weeks, how DISSATISFIED or SATISFIED have you been with ... the ease and convenience of your diabetes medications
CL Item
Extremely dissatisfied  (1)
CL Item
Very dissatisfied (2)
CL Item
Slightly dissatisfied (3)
CL Item
Neither dissatisfied or satisfied (4)
CL Item
Slightly satisfied (5)
CL Item
Very satisfied (6)
CL Item
Extremely satisfied (7)
Item
Overall over the past two weeks, how DISSATISFIED or SATISFIED have you been with ... the impact of your diabetes medication(s) on your physical well being?
integer
C0018684 (UMLS CUI [1,1])
C0242428 (UMLS CUI [1,2])
Code List
Overall over the past two weeks, how DISSATISFIED or SATISFIED have you been with ... the impact of your diabetes medication(s) on your physical well being?
CL Item
Extremely dissatisfied  (1)
CL Item
Very dissatisfied (2)
CL Item
Slightly dissatisfied (3)
CL Item
Neither dissatisfied or satisfied (4)
CL Item
Slightly satisfied (5)
CL Item
Very satisfied (6)
CL Item
Extremely satisfied (7)
Item
Overall over the past two weeks, how DISSATISFIED or SATISFIED have you been with ... the impact of your diabetes medication(s) on your emotional well being?
integer
C0025353 (UMLS CUI [1,1])
C0242428 (UMLS CUI [1,2])
Code List
Overall over the past two weeks, how DISSATISFIED or SATISFIED have you been with ... the impact of your diabetes medication(s) on your emotional well being?
CL Item
Extremely dissatisfied  (1)
CL Item
Very dissatisfied (2)
CL Item
Slightly dissatisfied (3)
CL Item
Neither dissatisfied or satisfied (4)
CL Item
Slightly satisfied (5)
CL Item
Very satisfied (6)
CL Item
Extremely satisfied (7)
Item
Thinking about your diabetes medication(s) over the past two weeks ... how difficult has it been for your to plan your daily activities around your medication(s)?
integer
C0001288 (UMLS CUI [1,1])
C0013216 (UMLS CUI [1,2])
Code List
Thinking about your diabetes medication(s) over the past two weeks ... how difficult has it been for your to plan your daily activities around your medication(s)?
CL Item
Not at all (1)
CL Item
Slightly (2)
CL Item
Somewhat (3)
CL Item
Very (4)
CL Item
Extremely (5)
Item
Thinking about your diabetes medication(s) over the past two weeks ... how much burden has it been for you to take your medication(s) as prescribed?
integer
C2828008 (UMLS CUI [1,1])
C0013216 (UMLS CUI [1,2])
Code List
Thinking about your diabetes medication(s) over the past two weeks ... how much burden has it been for you to take your medication(s) as prescribed?
CL Item
Not at all (1)
CL Item
Slightly (2)
CL Item
Somewhat (3)
CL Item
Very (4)
CL Item
Extremely (5)
Item
Thinking about your diabetes medication(s) over the past two weeks ... how embarrassed or awkward have you felt of taking your medication(s) as prescribed?
integer
C3174033 (UMLS CUI [1,1])
C0013216 (UMLS CUI [1,2])
Code List
Thinking about your diabetes medication(s) over the past two weeks ... how embarrassed or awkward have you felt of taking your medication(s) as prescribed?
CL Item
Not at all (1)
CL Item
Slightly (2)
CL Item
Somewhat (3)
CL Item
Very (4)
CL Item
Extremely (5)
Item
Thinking about your diabetes medication(s) over the past two weeks ... how worries have you been that your medication(s) is not helping you to slow down or prevent long-term complications?
integer
C0850735 (UMLS CUI [1,1])
C0013216 (UMLS CUI [1,2])
Code List
Thinking about your diabetes medication(s) over the past two weeks ... how worries have you been that your medication(s) is not helping you to slow down or prevent long-term complications?
CL Item
Not at all (1)
CL Item
Slightly (2)
CL Item
Somewhat (3)
CL Item
Very (4)
CL Item
Extremely (5)
Item
Over the past two weeks, how often has taking your diabetes medication(s) as prescribed INTERFERED WITH your ability to... be flexible with planning meals (when you eat and what you are able to eat)?
integer
C0013216 (UMLS CUI [1,1])
C1998602 (UMLS CUI [1,2])
Code List
Over the past two weeks, how often has taking your diabetes medication(s) as prescribed INTERFERED WITH your ability to... be flexible with planning meals (when you eat and what you are able to eat)?
CL Item
Never (1)
CL Item
Rarely (2)
CL Item
Sometimes (3)
CL Item
Often (4)
CL Item
All the time (5)
Item
Over the past two weeks, how often has taking your diabetes medication(s) as prescribed INTERFERED WITH your ability to... do your recommended physical activity or exercise?
integer
C0013216 (UMLS CUI [1,1])
C0015259 (UMLS CUI [1,2])
Code List
Over the past two weeks, how often has taking your diabetes medication(s) as prescribed INTERFERED WITH your ability to... do your recommended physical activity or exercise?
CL Item
Never (1)
CL Item
Rarely (2)
CL Item
Sometimes (3)
CL Item
Often (4)
CL Item
All the time (5)
Item
Over the past two weeks, how often has taking your diabetes medication(s) as prescribed INTERFERED WITh your ability to... follow your recommended diet?
integer
C0013216 (UMLS CUI [1,1])
C0012155 (UMLS CUI [1,2])
Code List
Over the past two weeks, how often has taking your diabetes medication(s) as prescribed INTERFERED WITh your ability to... follow your recommended diet?
CL Item
Never (1)
CL Item
Rarely (2)
CL Item
Sometimes (3)
CL Item
Often (4)
CL Item
All the time (5)
Item
Overall, thinking about each of the aspects of your diabetes medication(s) as mentioned above, how DISSATISFIED or SATISFIED have you been with your current diabetes medication(s)?
integer
C0242428 (UMLS CUI [1,1])
C0013216 (UMLS CUI [1,2])
Code List
Overall, thinking about each of the aspects of your diabetes medication(s) as mentioned above, how DISSATISFIED or SATISFIED have you been with your current diabetes medication(s)?
CL Item
Extremely dissatisfied  (1)
CL Item
Very dissatisfied (2)
CL Item
Slightly dissatisfied (3)
CL Item
Neither dissatisfied or satisfied (4)
CL Item
Slightly satisfied (5)
CL Item
Very satisfied (6)
CL Item
Extremely satisfied (7)
Item
Overall, based on your current experiences with your diabetes medication(s), how INTERESTED would you be to change the type of medication(s) you take or the way you take it, if it was possible?
integer
C0013216 (UMLS CUI [1,1])
C0580105 (UMLS CUI [1,2])
Code List
Overall, based on your current experiences with your diabetes medication(s), how INTERESTED would you be to change the type of medication(s) you take or the way you take it, if it was possible?
CL Item
Not at all interested (1)
CL Item
Slightly interested (2)
CL Item
Somewhat interested (3)
CL Item
Very interested (4)
CL Item
Extremely interested (5)

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