MOST Manual
This file contains the metadata, events, and data for REDCap project "MOST Manual".
MOST Manual
0
[last_name], [first_name]
1
0
Project to demonstrate use of REDCap for MOST studies
unique_id
Complete?
Auto datetime stamp
Today's Date:
Gender at birth?
What is your date of birth?
Current age (automatically calculated)
Where have you been living during the past month, that is, what borough or other location?
NOTE TO INTERVIEWER:
"Larger NYC metropolitan area" includes locations that border NYC in Nassau County Long Island, and counties in North-East New Jersey on the Hudson River including Middlesex, Union, Essex, Hudson, and Bergen counties Where have you been living during the past month, that is, what borough or other location? <br><br><div class="red"><b> NOTE TO INTERVIEWER: </b><br>"Larger NYC metropolitan area" includes locations that border NYC in Nassau County Long Island, and counties in North-East New Jersey on the Hudson River including Middlesex, Union, Essex, Hudson, and Bergen counties </div>
Do you have any plans to leave the New York City metropolitan area in the next year?
Participant is
INELIGIBLE
That's the end of the interview. Thank you so much for your time, and for telling us about yourself.
You are Not Eligible for the other part of the study.Participant is
<div class = "red"><font color= "red"><h3><strong><center>INELIGIBLE </center></strong></font></h3></div>
That's the end of the interview. Thank you so much for your time, and for telling us about yourself.
You are <font color = "red"><strong>Not Eligible</strong></font> for the other part of the study.
Participant is
ELIGIBLEParticipant is
<div class = "green"><font color="green"><h3><center><strong>ELIGIBLE</strong></center></h3></font></div>
Is the participant:
PLEASE CHECK THE ELIGIBILITY STATUS -
THE PARTICIPANT SHOULD BE ELIGIBLE
<center><div class = "red"><br><br><h3>PLEASE CHECK THE ELIGIBILITY STATUS -
<b>THE PARTICIPANT SHOULD BE <font color ="green"><u>ELIGIBLE</u></font></h3></b><br><br></div></center>
PLEASE CHECK THE ELIGIBILITY STATUS -
THE PARTICIPANT SHOULD BE INELIGIBLE
<center><div class = "red"><br><br><h3>PLEASE CHECK THE ELIGIBILITY STATUS -
<b>THE PARTICIPANT SHOULD BE <u>INELIGIBLE</u></b><br><br></h3></div></center>
That's the end of the interview.
Thank you so much for your time, and for telling us about yourself.
You are eligible for another part of the study, and I will explain what that involves next.<center><h4><br>That's the end of the interview.<br>Thank you so much for your time, and for telling us about yourself.<br><br>You are <font color = "green">eligible</font> for another part of the study, and I will explain what that involves next.</h4></center>
Complete?
Auto datetime stamp
Interviewer: Enter today's date
What is the current month:
What is your date of birth?
Interviewer
Explain to participant how to input dates by typing it in, or using the calendar icon to select the date. What is your date of birth?<br><br><div class="red"><strong>Interviewer</strong><br><br>Explain to participant how to input dates by typing it in, or using the calendar icon to select the date. </div>
Where were you born?
If Other please specify:
How religious or spiritual do you consider yourself to be?
What is the highest level of education you have completed?
Complete?
1. Little interest or pleasure in doing things
2. Feeling down, depressed, or hopeless
3. Trouble falling or staying asleep, or sleeping too much
4. Feeling tired or having little energy
5. Poor appetite or overeating
6. Feeling bad about yourself -- or that you are a failure or have let yourself or your family down
7. Trouble concentrating on things, such as reading the newspaper or watching television
8. Moving or speaking so slowly that other people could have noticed? Or the opposite -- being so fidgety or restless that you have been moving around a lot more than usual
9. Thoughts that you would be better off dead or of hurting yourself in some way
If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?If you checked off <u>any</u> problems, how <u>difficult </u> have these problems made it for you to do your work, take care of things at home, or get along with other people?
Complete?
Over the last 2 weeks, how often have you been bothered by the following problems?<div class = "yellow"><strong>Over the last 2 weeks, how often have you been bothered by the following problems?</strong></div>
Feeling nervous, anxious or on edge.
Not being able to stop or control worrying.
Worrying too much about different things.
Trouble relaxing.
Over the last 2 weeks, how often have you been bothered by the following problems?<div class = "yellow"><strong>Over the last 2 weeks, how often have you been bothered by the following problems?</strong></div>
Being so restless that it is hard to sit still.
Becoming easily annoyed or irritable.
Feeling afraid as if something awful might happen.
If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?
Complete?
Auto datetime stamp: (brief video)
Date Session Completed
Staff initials
How much did you like this video?
What did you think about the length of this video?
Complete?
Auto datetime stamp: (brief video)
Date Session Completed
Staff initials
How much did you like this video?
What did you think about the length of this video?
Complete?
Auto datetime stamp: (brief video)
Date Session Completed
Staff initials
How effective was the group leader?
Complete?
Date Text Message Sent
Did you read the text message?
Complete?
Today's Date:
(date Locator form started)
Date of Locator form update
(Update this date every time Locator form is updated)
First Name
Last Name
Date of Birth
What is you current cell phone number?
What is your email address?
Complete?
Auto datetime stamp: (randomization)
Today's Date
Study Condition
DO NOT change the auto-filled response.<h4><font color = "red">DO NOT change the auto-filled response.</font></h4>
Complete?
Auto datetime stamp: (core session)
Date Session Completed
Staff initials
Introductions
Provide reason for the activity not being completed.
Orientation to the program
Provide reason for the activity not being completed.
What went well during the encounter?
What challenges came up during the encounter?
(include issues you would like to cover in supervision):What challenges came up during the encounter?<br>(include issues you would like to cover in supervision):
Next Steps:
Other Comments:
Complete?
Enter the Study Condition
You are currently in the WRONG study arm.
Go to the Randomization Form, and check the correct study condition.
<div class = "red">You are currently in the <strong>WRONG</strong> study arm.
Go to the Randomization Form, and check the correct study condition. </div>
You are currently in the CORRECT study arm.
<div class = "green">You are currently in the <strong>CORRECT</strong> study arm.</div>
Complete?
Incomplete
Unverified
Complete
Female
Male
Manhattan
The Bronx
Queens
Brooklyn
Staten Island
Larger NYC metropolitan area
Outside NYC metropolitan area
Refuse to Answer
No
Yes
Refuse to Answer
Ineligible
Eligible
Incomplete
Unverified
Complete
January
Februrary
March
April
May
June
July
August
September
October
November
December
USA - mainland, Hawaii, Alaska
Puerto Rico, US Virgin Islands
Other North America
Central America, incl. Mexico
Caribbean
South America
Europe, incl. Eastern Russia
Asia, Australia
Africa
Other
Don't Know
Refuse to Answer
Not Applicable
Not at all
A little
Somewhat
Quite a bit
A great deal
Don't Know
Refuse to Answer
Middle School (Junior High School or less)
Some High School, no diploma
High School graduate/ GED or equivalent
Junior (2-year) College
Technical/ Trade/ Vocational School
Some college (4-year College or University)
College graduate (4-year College or University)
Post-College/ Graduate school
Don't Know
Refuse to Answer
Incomplete
Unverified
Complete
0- Not at all
1- Several days
2- More than half the days
3- Nearly every day
0- Not at all
1- Several days
2- More than half the days
3- Nearly every day
0- Not at all
1- Several days
2- More than half the days
3- Nearly every day
0- Not at all
1- Several days
2- More than half the days
3- Nearly every day
0- Not at all
1- Several days
2- More than half the days
3- Nearly every day
0- Not at all
1- Several days
2- More than half the days
3- Nearly every day
0- Not at all
1- Several days
2- More than half the days
3- Nearly every day
0- Not at all
1- Several days
2- More than half the days
3- Nearly every day
0- Not at all
1- Several days
2- More than half the days
3- Nearly every day
1- Not difficult at all
2- Somewhat difficult
3- Very difficult
4- Extremely difficult
Incomplete
Unverified
Complete
Not at all
Several days
More than half the days
Nearly everyday
Don't Know
Refuse to Answer
Not at all
Several days
More than half the days
Nearly everyday
Don't Know
Refuse to Answer
Not at all
Several days
More than half the days
Nearly everyday
Don't Know
Refuse to Answer
Not at all
Several days
More than half the days
Nearly everyday
Don't Know
Refuse to Answer
Not at all
Several days
More than half the days
Nearly everyday
Don't Know
Refuse to Answer
Not at all
Several days
More than half the days
Nearly everyday
Don't Know
Refuse to Answer
Not at all
Several days
More than half the days
Nearly everyday
Don't Know
Refuse to Answer
Not difficult at all
Somewhat difficult
Very difficult
Extremely difficult
Don't Know
Refuse to Answer
Incomplete
Unverified
Complete
not at all
a little
very much
too short
too long
just right
Incomplete
Unverified
Complete
not at all
a little
very much
too short
too long
just right
Incomplete
Unverified
Complete
Incomplete
Unverified
Complete
Yes
No
Incomplete
Unverified
Complete
Incomplete
Unverified
Complete
tuna
salmon
marlin
bass
trout
shark
carp
halibut
Incomplete
Unverified
Complete
Not at all
A little
somewhat
A lot
Extensively
Not at all
A little
somewhat
A lot
Extensively
Incomplete
Unverified
Complete
tuna
salmon
marlin
bass
trout
shark
carp
halibut
Incomplete
Unverified
Complete