Really Cool
    Minority Data

Search Results

Use the search box below to revise your search .

Your query returned 3150 variables.

Click on the Variable Name for more detail


Name
Label/Question
1.

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - AE: Caregiver/Care Recipient Acute Baseline Alerts/Adverse Events Forms Guidebook.


Name
Label/Question
2.

Subject ID

Subject ID: __ __ __ __

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - AE: Caregiver/Care Recipient Acute Baseline Alerts/Adverse Events Forms Guidebook.


Name
Label/Question
3.

Report date

Report Date:

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - AE: Caregiver/Care Recipient Acute Baseline Alerts/Adverse Events Forms Guidebook.


Name
Label/Question
4.

Event

Acute Baseline Alert/Adverse Event (Mark all that apply)

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - AE: Caregiver/Care Recipient Acute Baseline Alerts/Adverse Events Forms Guidebook.


Name
Label/Question
5.

Event, specify

If Acute Baseline Alert/Adverse Event: CG Severe medical problem, Specify: ____________________

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - AE: Caregiver/Care Recipient Acute Baseline Alerts/Adverse Events Forms Guidebook.


Name
Label/Question
6.

Date event month

Date of Acute Baseline Alert/Adverse Event: Month

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - AE: Caregiver/Care Recipient Acute Baseline Alerts/Adverse Events Forms Guidebook.


Name
Label/Question
7.

Date event day

Date of Acute Baseline Alert/Adverse Event: Day

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - AE: Caregiver/Care Recipient Acute Baseline Alerts/Adverse Events Forms Guidebook.


Name
Label/Question
8.

Date event year

Date of Acute Baseline Alert/Adverse Event: Year

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - AE: Caregiver/Care Recipient Acute Baseline Alerts/Adverse Events Forms Guidebook.


Name
Label/Question
9.

Treatment related

Acute Baseline Alert/Adverse Event: Treatment Related?

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - AE: Caregiver/Care Recipient Acute Baseline Alerts/Adverse Events Forms Guidebook.


Name
Label/Question
10.

Status of event

Acute Baseline Alert/Adverse Event: Event status resolved/controlled?

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - AE: Caregiver/Care Recipient Acute Baseline Alerts/Adverse Events Forms Guidebook.


Name
Label/Question
11.

Resolution date month

Date of Resolution - Acute Baseline Alert/Adverse Event (if applicable): Month

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - AE: Caregiver/Care Recipient Acute Baseline Alerts/Adverse Events Forms Guidebook.


Name
Label/Question
12.

Resolution date day

Date of Resolution - Acute Baseline Alert/Adverse Event (if applicable): Day

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - AE: Caregiver/Care Recipient Acute Baseline Alerts/Adverse Events Forms Guidebook.


Name
Label/Question
13.

Resolution date year

Date of Resolution - Acute Baseline Alert/Adverse Event (if applicable): Year

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - AE: Caregiver/Care Recipient Acute Baseline Alerts/Adverse Events Forms Guidebook.


Name
Label/Question
14.

REACH certification number

2. REACH II Certification Number: __ __ __ __

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - AE: Caregiver/Care Recipient Acute Baseline Alerts/Adverse Events Forms Guidebook.


Name
Label/Question
15.

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - AF: Acute Baseline Alerts/Adverse Events Follow-Up Report Guidebook.


Name
Label/Question
16.

Report date

Report Date:

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - AF: Acute Baseline Alerts/Adverse Events Follow-Up Report Guidebook.


Name
Label/Question
17.

Subject ID

Subject ID: __ __ __ __

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - AF: Acute Baseline Alerts/Adverse Events Follow-Up Report Guidebook.


Name
Label/Question
18.

Date event month

Date of Acute Baseline Alerts/Adverse Events: Month

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - AF: Acute Baseline Alerts/Adverse Events Follow-Up Report Guidebook.


Name
Label/Question
19.

Date event day

Date of Acute Baseline Alerts/Adverse Events: Day

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - AF: Acute Baseline Alerts/Adverse Events Follow-Up Report Guidebook.


Name
Label/Question
20.

Date event year

Date of Acute Baseline Alerts/Adverse Events: Year

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - AF: Acute Baseline Alerts/Adverse Events Follow-Up Report Guidebook.


Name
Label/Question
21.

Event

Event Code

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - AF: Acute Baseline Alerts/Adverse Events Follow-Up Report Guidebook.


Name
Label/Question
22.

Resolution date month

Date of Resolution - Acute Baseline Alert/Adverse Event: Month

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - AF: Acute Baseline Alerts/Adverse Events Follow-Up Report Guidebook.


Name
Label/Question
23.

Resolution date day

Date of Resolution - Acute Baseline Alert/Adverse Event: Day

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - AF: Acute Baseline Alerts/Adverse Events Follow-Up Report Guidebook.


Name
Label/Question
24.

Resolution date year

Date of Resolution - Acute Baseline Alert/Adverse Event: Year

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - AF: Acute Baseline Alerts/Adverse Events Follow-Up Report Guidebook.


Name
Label/Question
25.

REACH certification number

1.1. Reach II Certification Number: __ __ __ __

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - AF: Acute Baseline Alerts/Adverse Events Follow-Up Report Guidebook.


Name
Label/Question
26.

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - BA: Baseline Battery Guidebook.


Name
Label/Question
27.

Subject ID

Subject ID: __ __ __ __

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - BA: Baseline Battery Guidebook.


Name
Label/Question
28.

Which time point

1. Which interview is taking place?

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - BA: Baseline Battery Guidebook.


Name
Label/Question
29.

Which time point specify

If 6 month follow-up interview is taking place, 1.1. Specify type:

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - BA: Baseline Battery Guidebook.


Name
Label/Question
30.

Baseline start date

2. Date interview started:

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - BA: Baseline Battery Guidebook.


Name
Label/Question
31.

Baseline end date

3. Date interview completed:

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - BA: Baseline Battery Guidebook.


Name
Label/Question
32.

CG consent to participate

Baseline battery only: 6. Has the caregiver (CG) given consent to participate in the study?

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - BA: Baseline Battery Guidebook.


Name
Label/Question
33.

CR consent to participate

Baseline battery only: 7. Has the care recipient (CR) given consent to participate in the study or has proxy consent been obtained? ... (view details)

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - BA: Baseline Battery Guidebook.


Name
Label/Question
34.

Date score

MMSE 1. Please tell me today's date. Can you tell me what (month, date, year, day, season) it is? Score _____ (Maximum Score = 5)

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - BA: Baseline Battery Guidebook.


Name
Label/Question
35.

Building score

MMSE 2. Can you tell me what building we are in right now? (Building, floor, city, county, state) Score _____ (Maximum Score = 5)

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - BA: Baseline Battery Guidebook.


Name
Label/Question
36.

Number of trials

MMSE I'm going to name three objects, and I'd like you to repeat them after me, ok? (Name three objects, allotting one second to say each.) APPLE ... TABLE ... PENNY Give 1 point for each correct answer on the first trial only. Repeat the ... (view details)

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - BA: Baseline Battery Guidebook.


Name
Label/Question
37.

Object score

MMSE I'm going to name three objects, and I'd like you to repeat them after me, ok? (Name three objects, allotting one second to say each.) APPLE ... TABLE ... PENNY Score _____ (Maximum Score = 3) ... (view details)

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - BA: Baseline Battery Guidebook.


Name
Label/Question
38.

Math score

MMSE 4. I'm going to ask you to do some subtraction. Think of the number 7. I want you to subtract 7 from 100. Now subtract 7 from that and keep going until I stop you. Score ____ (Maximum Score = 5) ... (view details)

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - BA: Baseline Battery Guidebook.


Name
Label/Question
39.

World score

MMSE 5. I want you to spell a word forward and then backward. The word is 'WORLD.' Spell it forward. ____ ____ ____ ____ ____ (If incorrect, then correct the participant and allow him/her to respell it until he/she spells it correctly.) Sp... (view details)

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - BA: Baseline Battery Guidebook.


Name
Label/Question
40.

Recall score

MMSE 6 . Do you remember a few minutes ago I had you repeat some words after me? Can you tell me what they were? (Give 1 point for each correct answer) Score _____ (Maximum Score = 3) ... (view details)

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - BA: Baseline Battery Guidebook.


Name
Label/Question
41.

Name these score

MMSE 7. Please name these for me. (Show the participant a wooden pencil and a watch, preferably worn on the wrist. Score 1 point for each correct answer.) Score _____ (Maximum Score = 2) ... (view details)

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - BA: Baseline Battery Guidebook.


Name
Label/Question
42.

Repeat sentence score

MMSE 8. I'm going to read a sentence and I want you to repeat it after me. Say exactly what I say, ok? NO IFS, ANDS, OR BUTS. Score _____ (Maximum Score = 1; Score 1 point only if every word is repeated correctly.) ... (view details)

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - BA: Baseline Battery Guidebook.


Name
Label/Question
43.

Paper score

MMSE 9. Now I'm going to ask you to do something for me. I'm only going to say it once, so listen carefully. Take this paper in your right hand; Fold the paper in half with both hands; and put the paper in your lap. Score _____ (Maximum Sc... (view details)

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - BA: Baseline Battery Guidebook.


Name
Label/Question
44.

Close eyes score

MMSE 10. Read this card, and do what the card tells you to do. (Show the card with close your eyes on it. One prompt allowed after initial instructions. Score 1 point.) Score _____ (Maximum Score = 1) ... (view details)

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - BA: Baseline Battery Guidebook.


Name
Label/Question
45.

Write sentence score

MMSE 11. Now please write a sentence for me on this blank piece of paper. (Do not dictate a sentence or provide a subject; it must be written spontaneously. Prompt as often as you like. The sentence must contain a subject and verb and be s... (view details)

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - BA: Baseline Battery Guidebook.


Name
Label/Question
46.

Copy design score

MMSE 12. Please copy this design exactly as it is for me. (Hold the card with the design on it in front of the participant; do not let the participant trace the design. All 10 angles must be present and 2 must intersect to score 1 point. T... (view details)

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - BA: Baseline Battery Guidebook.


Name
Label/Question
47.

Total score

13. Total MMSE Score: _____

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - BA: Baseline Battery Guidebook.


Name
Label/Question
48.

MMSE = 0

14. Is the MMSE Total Score = 0?

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - BA: Baseline Battery Guidebook.


Name
Label/Question
49.

22 hours in bed chair

15. Does (CR) spend at least 22 hours a day in a bed or chair?

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - BA: Baseline Battery Guidebook.


Name
Label/Question
50.

Care recipient bedbound

If (CR) does spend at least 22 hours a day in a bed or chair, 15.1. Has this occurred for at least 4 of the past 7 days?

Taken from: Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 - BA: Baseline Battery Guidebook.

Results 1 - 50 of 3150
2 3 4