ENTRY SPECIFICATION |
{"name": "BAM-C-CBT-SUD",
"columns": 3,
"choices":[
{"id": "c2418", "text": "1. Clinician Interview", "quickKey": 1},
{"id": "c2419", "text": "2. Self Report", "quickKey": 2},
{"id": "c2420", "text": "3. Phone", "quickKey": 3}
]},
{"id": "i2527", "type": "IntroText",
"text": "Instructions <br />This is a standard set of questions about alcohol and drug use
since the last session. Please answer the requested items as accurately as
possible and indicate the method of assessment in item B above. <br />"
"restartDays": 7,
},
{"id": "q9094", "type": "IntegerQuestion", "required": false,
"text": "1. Since the last session, how many days did you drink ANY alcohol?",
"intro": "Instructions <br />This is a standard set of questions about alcohol and drug use
since the last session. Please answer the requested items as accurately as
possible and indicate the method of assessment in item B above. <br />",
"controlWidth": 60, "min": 0, "max": 30},
{"id": "q9095", "type": "IntegerQuestion", "required": false,
"text": "2. Since the last session, how many days did you have at least 5 drinks (if you
are a man) or at least 4 drinks (if you are a woman)? [One drink is considered
"printTitle": "Brief Addiction Monitor - Consumption Items for CBT-SUD (BAM-C-CBT-SUD)",
one shot of hard liquor (1.5 oz.) or 12-ounce can/bottle of beer or 5-ounce
glass of wine.]",
"intro": "Instructions <br />This is a standard set of questions about alcohol and drug use
since the last session. Please answer the requested items as accurately as
possible and indicate the method of assessment in item B above. <br />",
"controlWidth": 60, "min": 0, "max": 30},
{"id": "q9096", "type": "IntegerQuestion", "required": false,
"text": "3. Since the last session, how many days did you use any illegal or street drugs
or abuse any prescription medications?",
"intro": "Instructions <br />This is a standard set of questions about alcohol and drug use
"content":[
since the last session. Please answer the requested items as accurately as
possible and indicate the method of assessment in item B above. <br />",
"controlWidth": 60, "min": 0, "max": 30},
{"id": "i2528", "type": "IntroText",
"text": "4. Since the last session, how many days did you use any of the following drugs: "
},
{"id": "q9097", "type": "IntegerQuestion", "required": false,
"text": "4A. Marijuana (cannabis, pot, weed)?",
"intro": "4. Since the last session, how many days did you use any of the following drugs: ",
"controlWidth": 60, "min": 0, "max": 30},
{"id": "q9092", "type": "DateQuestion", "required": false, "inline": true,
{"id": "q9098", "type": "IntegerQuestion", "required": false,
"text": "4B. Sedatives and/or Tranquilizers (benzos, Valium, Xanax, Ativan, Ambien, barbs,
Phenobarbital, downers, etc.)?",
"intro": "4. Since the last session, how many days did you use any of the following drugs: ",
"controlWidth": 60, "min": 0, "max": 30},
{"id": "q9099", "type": "IntegerQuestion", "required": false,
"text": "4C. Cocaine and/or Crack?",
"intro": "4. Since the last session, how many days did you use any of the following drugs: ",
"controlWidth": 60, "min": 0, "max": 30},
{"id": "q9100", "type": "IntegerQuestion", "required": false,
"text": "A. Date of administration:",
"text": "4D. Other Stimulants (amphetamine, methamphetamine, Dexedrine, Ritalin, Adderall,
speed, crystal meth, ice, etc.)?",
"intro": "4. Since the last session, how many days did you use any of the following drugs: ",
"controlWidth": 60, "min": 0, "max": 30},
{"id": "q9101", "type": "IntegerQuestion", "required": false,
"text": "4E. Opiates (Heroin, Morphine, Dilaudid, Demerol, Oxycontin, oxy, codeine
(Tylenol 2,3,4), Percocet, Vicodin, Fentanyl, etc.)?",
"intro": "4. Since the last session, how many days did you use any of the following drugs: ",
"controlWidth": 60, "min": 0, "max": 30},
{"id": "q9102", "type": "IntegerQuestion", "required": false,
"controlWidth": 120, "daysBack": 30, "daysAhead": 0},
"text": "4F. Inhalants (glues, adhesives, nail polish remover, paint thinner, etc.)?",
"intro": "4. Since the last session, how many days did you use any of the following drugs: ",
"controlWidth": 60, "min": 0, "max": 30},
{"id": "q9103", "type": "IntegerQuestion", "required": false,
"text": "4G. Other drugs (steroids, non-prescription sleep and diet pills, Benadryl,
Ephedra, other over-the-counter or unknown medications)?",
"intro": "4. Since the last session, how many days did you use any of the following drugs: ",
"controlWidth": 60, "min": 0, "max": 30}],
"rules":[
{"question": "q9094", "operator": "EQ", "value": 0,
{"id": "q9093", "type": "ChoiceQuestion", "required": false, "inline": true,
"skips":["q9095"]},
{"question": "q9096", "operator": "EQ", "value": 0,
"skips":["q9097","q9098","q9099","q9100","q9101","q9102","q9103"]}]
}
"text": "B. Method of administration:",
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