Name | Value |
---|---|
INSTRUMENT | BAM-C-CBT-SUD |
LAST UPDATE | 2023-12-27 13:54:44 |
ENTRY CHECKSUM | 3064997577 |
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:", |