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Brain and Central Nervous System Tumors NCT00887146 Follow-Up - North Central Cancer Treatment Group N0577 - Patient Questionnaire Booklet Compliance Form - 2745216v1.0 - North Central Cancer Treatment Group N0577 - Patient Questionnaire Booklet Compliance Form

- 1/9/15 - 1 form, 2 itemgroups, 11 items, 1 language
Itemgroups: Header, Header
North Central Cancer Treatment Group N0577 - Patient Questionnaire Booklet Compliance Form Radiation Therapy or Radiation Therapy and Temozolomide or Temozolomide Alone in Treating Patients With Newly Diagnosed Anaplastic Glioma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=4C07E8C3-3298-293D-E044-0003BA3F9857

Pain Disability Index - deutsche Fassung - PDI

- 12/28/21 - 1 form, 1 itemgroup, 7 items, 1 language
Itemgroup: Beeinträchtigung verschiedener Lebens durch Schmerzen
https://www.testarchiv.eu/de/test/9003694 Der PDI kann bei Patienten mit chronischen Schmerzproblemen eingesetzt werden, um das subjektive Ausmaß an Beeinträchtigung durch die Schmerzproblematik im Alltag zu ermitteln. Er basiert auf einem multidimensionalen Konzept von schmerzbedingter Behinderung und greift dabei auf eine von der WHO (1980) vorgenommene Unterscheidung von Krankheits- und Verletzungsfolgen zurück, in der zwischen Schädigung, Behinderung und Benachteiligung differenziert wird. Erfasst werden sieben Lebensbereiche: (1) Familiäre und häusliche Verpflichtungen, (2) Erholung, (3) Soziale Aktivitäten, (4) Beruf, (5) Sexualleben, (6) Selbstversorgung und (7) Lebensnotwendige Tätigkeiten. Reliabilität: Cronbachs Alpha lag bei Alpha = .83-.90. Validität: Die Eindimensionalität des PDI wurde bestätigt. Die Konstruktvalidität wird durch moderate bis hohe Korrelationen mit den folgenden Indikatoren für die erlebte Behinderung belegt: (1) Down-Time: r = .40; (2) selbstentwickelte funktionale Einschätzungsskala zu Erfassung konkreter Verhaltensbeeinträchtigungen: r = .78; (3) Oswestry Low Back Pain Disability Questionnaire: r = .76. Es ergaben sich Zusammenhänge mit der Schmerzintensität (r = .23-.62), dem Beck-Depressionsinventar (r = .26-.52) und mit der der Depressionsskala CES-D (r = .55). Für die kriterienbezogene Validität sprechen auch Befunde an stationären Schmerzpatienten, denen auf Grundlage des Mainzer Stadienkonzeptes chronischer Schmerzen drei Chronifizierungsstadien zugeteilt wurden. Normen: Es liegen Prozentränge vor. Nach Dillmann, U., Nilges, P., Saile, H. & Gerbershagen, H. U. (2011). PDI. Pain Disability Index - deutsche Fassung [Verfahrensdokumentation und Fragebogen]. In Leibniz-Institut für Psychologie (ZPID) (Hrsg.), Open Test Archive. Trier: ZPID. https://doi.org/10.23668/psycharchives.4505 Bei dem Testverfahren handelt es sich um ein Forschungsinstrument, das der Forschung, Lehre und Praxis dient. Es wird vom Testarchiv online und kostenlos zur Verfügung gestellt und ist urheberrechtlich geschützt, d. h. das Urheberrecht liegt weiterhin bei dem/den Autor/en. Rückmeldung über die Anwendung eines Verfahrens aus dem Testarchiv des Leibniz-Instituts für Psychologie (ZPID) muss an die Testautoren/-innen gemeldet werden.

Measurement Instrument Database for the Social Science (MIDSS) - The Psychosocial Pain Assessment Form (PPAF)

- 1/13/21 - 1 form, 7 itemgroups, 138 items, 1 language
Itemgroups: Pain, Psychosocial assessment, Pain, Psychosocial assessment, Rating scale, Pain, Psychosocial assessment, Economic, Pain, Psychosocial assessment, Social support, Pain, Psychosocial assessment, Activities of Daily Living, Pain, Psychosocial assessment, Emotional support, Pain, Psychosocial assessment, Coping Behavior
Otis-Green, S., & The City of Hope Pain/Palliative Resource Center. (2012) . The Psychosocial Pain Assessment Form (PPAF). Measurement Instrument Database for the Social Science. Retrieved 12.01.2021, from www.midss.ie. Key references: Otis-Green, S. (2006). Psychosocial Pain Assessment Form. In Dow (Ed.), Nursing Care of Women with Cancer. St. Louis, MO: Elsevier Mosby, 556-561. Otis-Green, S. (2005). Psychosocial Pain Assessment Form. In Kuebler, Davis, Moore (Eds.), Palliative Practices: An Interdisciplinary Approach. St. Louis, MO: Elsevier Mosby, 462-467. Primary use / Purpose: The Psychosocial Pain Assessment Form (PPAF) is a comprehensive assessment form for measuring psychosocial pain. It does so under five domains: economic, social support, activities of daily living, emotional impact, and coping style. Additionally, an assessment of prior history is included to help clinicians focus interventions where sexual abuse or other traumatic memories are present. Background: The psychosocial model of pain is now widely accepted. Pain is no longer treated, or thought of, as a purely physiological condition, but instead, one that is the product of a myriad of both psychological and physiological factors. For this reason, there is a need for instruments which measure the full range of outcomes and causes associated with chronic pain, whether they be psychological, economic, or physiological. The Psychosocial Pain Assessment Form (PPAF) was developed to be used in this capacity. Digital Object Identifier (DOI): http://dx.doi.org/10.13072/midss.344

Measurement Instrument Database for the Social Science (MIDSS) - The Knowledge and Attitudes Survey Regarding Pain (KASRP)

- 1/12/21 - 1 form, 4 itemgroups, 39 items, 1 language
Itemgroups: Pain, Health Surveys, Pain, Health Surveys, Pain, Case, Pain, Case
Ferrell, B. & McCaffery, M. (2012). The Knowledge and Attitudes Survey Regarding Pain (KASRP). Measurement Instrument Database for the Social Science. Retrieved 12.01.2021, from www.midss.ie. Key references: “Knowledge and Attitudes Survey Regarding Pain” developed by Betty Ferrell, RN, PhD, FAAN and Margo McCaffery, RN, MS, FAAN, (http://prc.coh.org), revised 2012. Ferrell, B. R. (2007). Reducing barriers to pain assessment and management: An institutional perspective. Journal of Palliative Medicine, 10(1S), S15-S18. DOI: 10.1089/jpm.2007.9828. McCaffery, M., Ferrell, B. R., Pasero, C. (2000). Nurses' personal opinions about patients' pain and their effect on recorded assessments and titration of opioid doses. Pain Management Nursing, 1(3): 79-87 Primary use / Purpose: The Knowledge and Attitudes Survey Regarding Pain (KASRP) is a 37-item questionnaire. It contains 21 true or false questions and 16 multiple choice ones. Its purpose is to measure the attitudes and knowledge of caregivers on the subject of pain. It is particularly useful as a pre/post test measure and can be used to rate learning outcomes following educational programs on pain. Background: Chronic pain is a debilitating and often incurable problem for many. Palliative care-givers also routinely meet the need for effective treatment of pain in terminally ill patients. Effective care-giving is important in ensuring the wellbeing of these patients. Without sufficient training caregivers will struggle to meet the demands of dealing with chronic pain patients. The Knowledge and Attitudes Survey Regarding Pain (KASRP) is therefore a useful tool for specifically evaluating the knowledge of caregivers on the subject of pain. Psychometrics: The psychometric properties of the Knowledge and Attitudes Survey Regarding Pain (KASRP) are discussed in the introduction to the scale which is attached below. Digital Object Identifier (DOI): http://dx.doi.org/10.13072/midss.341

Measurement Instrument Database for the Social Science (MIDSS) - The Patient Pain Questionnaire (PPQ)

- 1/12/21 - 1 form, 3 itemgroups, 16 items, 1 language
Itemgroups: Instructions, Knowledge, Experience
The City of Hope Pain & Palliative Care Resource Center. (2012) . The Patient Pain Questionnaire (PPQ) . Measurement Instrument Database for the Social Science. Retrieved 12.01.2021, from www.midss.ie Key references: Ferrell, B. R., Ferrell, B., Rhiner, M., Grant, M. (1991). Family Factors Influencing Cancer Pain. Post Graduate Medical Journal, 67 (Suppl 2), 64-69. Ferrell, B. R., Rhiner, M., Cohen, M., Grant, M. (1991). Pain as a Metaphor for Illness. Part I: Impact of Cancer Pain on Family Caregivers. Oncology Nursing Forum, 18(8), 1303-1309. Ferrell, B. R., Cohen, M., Rhiner, M., Rozak, A. (1991). Pain as a Metaphor for Illness. Part II: Family Caregivers' Management of Pain. Oncology Nursing Forum,18(8), 1315-1321. Ferrell, B. R., Rhiner, M., Ferrell, B. (1993). Development and Implementation of a Pain Education Program. Cancer, 72(11), 3426-3432. Primary use / Purpose: The Patient Pain Questionnaire (PPQ) is a 16-item ordinal inventory. Its purpose is to measure the knowledge and experience of a cancer patient in managing chronic pain. Background: Cancer pain is recognised as a serious barrier to mental wellbeing in cancer patients. One of the main aims of palliative care is to buffer patients against pain, both mental and physical. By using the Patient Pain Questionnaire (PPQ) and also the related family pain questionnaire (FPQ) clinicians and researchers can gain a clearer understanding of the patient/caregiver perspective and how this might interact with or even predict wellbeing or adjustment to pain. The PPQ can be used by either clinicans or researchers. Psychometrics: The psychometric properties of the Patient Pain Questionnaire (PPQ) are discussed in the introduction to the instrument itself which is attached below. Digital Object Identifier (DOI): http://dx.doi.org/10.13072/midss.332

Measurement Instrument Database for the Social Science (MIDSS) - The Controlling Pain Vignettes Survey (CPVS) - Patient Vital Signs Vignettes

- 1/12/21 - 4 forms, 3 itemgroups, 17 items, 1 language
Itemgroups: General information qualifier, Health Professional, Patient Information, Patient Information
McCaffery, M., Ferrell, B. R., & O'Neil-Page, E.. (2012) . The Controlling Pain Vignettes Survey (CPVS) . Measurement Instrument Database for the Social Science. Retrieved 12.01.2021, from www.midss.ie Key references: McCaffery, M. & Ferrell, B. R. (1991). How would you respond to these patients in pain? Nursing 91, June, 34-37. McCaffery, M. & Ferrell, B. R. (1991). Patient age: Does it affect your pain-control decisions? Nursing, 91, September, 44-48. McCaffery, M. & Ferrell, B. R. (1992). How vital are vital signs? Nursing 92, January, 43-46. McCaffery, M., Ferrell, B. R., & and O'Neil-Page, E. (1992). Does life style affect your pain-control decisions? Nursing 92, April, 58, 60-61. Primary use / Purpose: The Controlling Pain Vignettes Survey (CPVS) is a four part survey in which nurses are presented with four pairs of patients as hypothetical case studies. The four pairs of patients differ according to four criteria: behaviour, age, vital signs, and lifestyle. The purpose of the survey is to measure the influence of these four criteria on nurse's assessments of patient pain. Background: Nurses are forced to make difficult decisions when presented with patients who are experiencing pain. Ethical dilemmas can also arise around issues such over-medication, under-medication, and opioid side effects to name a few. It is important to gain an understanding of how nurses make these decisions so that more insight can be gained into the factors influencing those decision making processes. This survey is the product of four separate studies, each investigating one specific factor which may be influential during nurses’ assessments of patient pain. Digital Object Identifier (DOI): http://dx.doi.org/10.13072/midss.330

The Controlling Pain Vignettes Survey (CPVS) - Patient Behavior Vignettes

3 itemgroups 17 items

The Controlling Pain Vignettes Survey (CPVS) - Life Style Vignettes

3 itemgroups 17 items

The Controlling Pain Vignettes Survey (CPVS) - Patient Age Vignettes

3 itemgroups 17 items

Measurement Instrument Database for the Social Science (MIDSS) - The Clinical Decision Making Survey (CDMS)

- 10/11/20 - 1 form, 15 itemgroups, 69 items, 1 language
Itemgroups: Instruction, Pain intensity, Evaluation Method, Pain, Question (Inquiry), Pain intensity (observable entity), rating scale; Pain relief, rating scale, Analgesics, Analgesics, Today, Change of medication, Pain, Evaluation, Documentation, Pain, Prescriptions, Non-drug, Order (action), Pain, Contact with, Physicians, Pain relief, Optimum, Problem, Pain, Decision, Pain management, Conflict (Psychology), Demography, Nurses, Patient
Ferrell, B. R., Eberts, M. T., McCaffery, M., Grant, M.. (2012) . The Clinical Decision Making Survey (CDMS) . Measurement Instrument Database for the Social Science. Retrieved 10.10.2020, from www.midss.ie Key references: Ferrell, B. R., Eberts, M. T., McCaffery, M., Grant, M. (1991). Clinical decision making and pain. Cancer Nurs. 1991 Dec;14(6):289-97. Primary use / Purpose: The Clinical Decision Making Survey (CDMS) is a 14-item survey. Its purpose is to obtain information from nurses relating to their decision making processes when they are dealing with patients who are experiencing pain. Background: Nurses are forced to make difficult decisions when presented with patients who are experiencing pain. Ethical dilemmas can also arise around issues such over-medication, under-medication, and opioid side effects to name a few. It is important to gain an understanding of how nurses make these decisions so that more insight can be gained into the factors influencing those decision making processes. Digital Object Identifier (DOI): http://dx.doi.org/10.13072/midss.329

Safety, Pharmacokinetics and Pharmacodynamics of Refanezumab in Patients with Stroke, NCT00833989 - GDS, MOCA

- 10/4/19 - 1 form, 3 itemgroups, 5 items, 1 language
Itemgroups: Administrative Data, Geriatric Depression Scale, Montreal Cognitive Assessment
Study ID: 111539 Clinical Study ID: 111539 Study Title: A Single-Blind Study of the Safety, Pharmacokinetics and Pharmacodynamics of scalating Repeat Doses of GSK249320 in Patients With Stroke Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00833989 https://clinicaltrials.gov/ct2/show/NCT00833989 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 2 Study Recruitment Status: Completed Generic Name: Refanezumab, Placebo Trade Name: N/A Study Indication: Ischaemic Attack, Transient The study consists of 8 visits: Day 1, Week 1 (Day 5), Week 2 (Day 10), Week 4 (Day 30), Week 8 (Day 60), Week 12 (Day 90), Week 16 (Day 112), Follow-up (F/U). All subjects will receive two doses. The first dose within 24-72 hrs after stroke the second dose 9 +/- 1 days after the first one. Each dose will be given as an intravenous infusion over 60 minutes. This document contains the Geriatric Depression Scale (GDS), Montreal Cognitive Assessment (MOCA) Form. It has to be filled in for Week 1, Week 12 and in case of early withdrawal. It also can be filled in unscheduled.

Questionnaire Oral and maxillofacial surgery - Questionnaire

- 9/17/21 - 1 form, 2 itemgroups, 14 items, 2 languages
Itemgroups: Patient demographics, Insurance
Questionnaire converted to ODM format. Routine documentation of University Hospital of Münster. Publication granted by surgery Prof. Dr. Edgar Schäfer

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