...
| Page properties |
|---|
| Title | Minnesota Tobacco Withdrawal Scale-Revised (MTWS-R) |
|---|
| CDISC Reference | QuestionnaireSupplement to the Study Data Tabulation Model Implementation Guide for Human Clinical Trials |
|---|
| QRS Short Name | |
|---|
| QRS Permission Status | Public Domain |
|---|
| Team | Tobacco Implementation Guide (TIG) and CDISC Questionnaires, Ratings, and Scales (QRS) Subteam |
|---|
| Supplement Version | 1.0 |
|---|
| Status | DRAFT |
|---|
| Date | 2024-0104-2208 |
|---|
| Notes to Readers | - This supplement is available to be used with other CDISC user guides for specific therapeutic/disease areas and follows the CDISC Study Data Tabulation Model Implementation Guide for Human Clinical Trials.
|
|---|
| Known Issues |
|
|---|
|
...
Revision History
| Date | Version |
|---|
| 2024-0104-2408 | 1.0 Draft |
© 2024 Clinical Data Interchange Standards Consortium, Inc. All rights reserved.
...
| Dataset wrap |
|---|
|
| Rowcaps |
|---|
| Rows 1-8: | Show the eight well-validated, primary withdrawal symptom descriptors (single items) based on DSM-5 (QSTESTCDs MTWSR101 through MTWSR108). | | Rows 9-15: | Show the seven additional symptom candidates (e.g., “Craving to smoke;” “Constipation;” and “Dizziness”). | | Row 16: | Shows the total withdrawal discomfort score is calculated from the first eight symptoms. | | Rows 17-32: | Show the subject was not evaluated on this instrument at visit 2. Since the reason for not completing the visit was collected, the date is included in QSDTC for when the visit was planned. |
|
| Dataset2 |
|---|
| Row | STUDYID | DOMAIN | USUBJID | QSSEQ | QSTESTCD | QSTEST | QSCAT | QSORRES | QSSTRESC | QSSTRESN | QSSTAT | QSREASND | QSLOBXFL | VISITNUM | QSDTC | QSEVLINT | | 1 | STUDYX | QS | 2324-P0001 | 1 | MTWSR101 | MTWSR1-Angry, Irritable, Frustrated | MTWS-R | Slight | 1 | 1 |
|
| Y | 1 | 2023-08-13 | -PT24H | | 2 | STUDYX | QS | 2324-P0001 | 2 | MTWSR102 | MTWSR1-Anxious, Nervous | MTWS-R | Moderate | 3 | 3 |
|
| Y | 1 | 2023-08-13 | -PT24H | | 3 | STUDYX | QS | 2324-P0001 | 3 | MTWSR103 | MTWSR1-Depressed Mood, Sad | MTWS-R | Mild | 2 | 2 |
|
| Y | 1 | 2023-08-13 | -PT24H | | 4 | STUDYX | QS | 2324-P0001 | 4 | MTWSR104 | MTWSR1-Difficulty Concentrating | MTWS-R | Mild | 2 | 2 |
|
| Y | 1 | 2023-08-13 | -PT24H | | 5 | STUDYX | QS | 2324-P0001 | 5 | MTWSR105 | MTWSR1-Inc Appetite, Hungry, Weight Gain | MTWS-R | Slight | 1 | 1 |
|
| Y | 1 | 2023-08-13 | -PT24H | | 6 | STUDYX | QS | 2324-P0001 | 6 | MTWSR106 | MTWSR1-Sleep Problems/Awakening at Night | MTWS-R | Slight | 1 | 1 |
|
| Y | 1 | 2023-08-13 | -PT24H | | 7 | STUDYX | QS | 2324-P0001 | 7 | MTWSR107 | MTWSR1-Restless | MTWS-R | Moderate | 3 | 3 |
|
| Y | 1 | 2023-08-13 | -PT24H | | 8 | STUDYX | QS | 2324-P0001 | 8 | MTWSR108 | MTWSR1-Impatient | MTWS-R | Slight | 1 | 1 |
|
| Y | 1 | 2023-08-13 | -PT24H | | 9 | STUDYX | QS | 2324-P0001 | 9 | MTWSR109 | MTWSR1-Craving to Smoke | MTWS-R | Severe | 4 | 4 |
|
| Y | 1 | 2023-08-13 | -PT24H | | 10 | STUDYX | QS | 2324-P0001 | 10 | MTWSR110 | MTWSR1-Constipation | MTWS-R | Slight | 1 | 1 |
|
| Y | 1 | 2023-08-13 | -PT24H | | 11 | STUDYX | QS | 2324-P0001 | 11 | MTWSR111 | MTWSR1-Dizziness | MTWS-R | None | 0 | 0 |
|
| Y | 1 | 2023-08-13 | -PT24H | | 12 | STUDYX | QS | 2324-P0001 | 12 | MTWSR112 | MTWSR1-Coughing | MTWS-R | Slight | 1 | 1 |
|
| Y | 1 | 2023-08-13 | -PT24H | | 13 | STUDYX | QS | 2324-P0001 | 13 | MTWSR113 | MTWSR1-Dreaming or Nightmares | MTWS-R | Slight | 1 | 1 |
|
| Y | 1 | 2023-08-13 | -PT24H | | 14 | STUDYX | QS | 2324-P0001 | 14 | MTWSR114 | MTWSR1-Nausea | MTWS-R | None | 0 | 0 |
|
| Y | 1 | 2023-08-13 | -PT24H | | 15 | STUDYX | QS | 2324-P0001 | 15 | MTWSR115 | MTWSR1-Sore Throat | MTWS-R | None | 0 | 0 |
|
| Y | 1 | 2023-08-13 | -PT24H | | 16 | STUDYX | QS | 2324-P0001 | 16 | MTWSR116 | MTWSR1-Total Withdrawal Discomfort Score | MTWS-R | 14 | 14 | 14 |
|
| Y | 1 | 2023-08-13 | -PT24H | | 17 | STUDYX | QS | 2324-P0001 | 17 | MTWSR101 | MTWSR1-Angry, Irritable, Frustrated | MTWS-R |
|
|
| NOT DONE | PATIENT MISSED FORM AT VISIT. |
| 2 | 2023-09-10 |
| | 18 | STUDYX | QS | 2324-P0001 | 18 | MTWSR102 | MTWSR1-Anxious, Nervous | MTWS-R |
|
|
| NOT DONE | PATIENT MISSED FORM AT VISIT. |
| 2 | 2023-09-10 |
| | 19 | STUDYX | QS | 2324-P0001 | 19 | MTWSR103 | MTWSR1-Depressed Mood, Sad | MTWS-R |
|
|
| NOT DONE | PATIENT MISSED FORM AT VISIT. |
| 2 | 2023-09-10 |
| | 20 | STUDYX | QS | 2324-P0001 | 20 | MTWSR104 | MTWSR1-Difficulty Concentrating | MTWS-R |
|
|
| NOT DONE | PATIENT MISSED FORM AT VISIT. |
| 2 | 2023-09-10 |
| | 21 | STUDYX | QS | 2324-P0001 | 21 | MTWSR105 | MTWSR1-Inc Appetite, Hungry, Weight Gain | MTWS-R |
|
|
| NOT DONE | PATIENT MISSED FORM AT VISIT. |
| 2 | 2023-09-10 |
| | 22 | STUDYX | QS | 2324-P0001 | 22 | MTWSR106 | MTWSR1-Sleep Problems/Awakening at Night | MTWS-R |
|
|
| NOT DONE | PATIENT MISSED FORM AT VISIT. |
| 2 | 2023-09-10 |
| | 23 | STUDYX | QS | 2324-P0001 | 23 | MTWSR107 | MTWSR1-Restless | MTWS-R |
|
|
| NOT DONE | PATIENT MISSED FORM AT VISIT. |
| 2 | 2023-09-10 |
| | 24 | STUDYX | QS | 2324-P0001 | 24 | MTWSR108 | MTWSR1-Impatient | MTWS-R |
|
|
| NOT DONE | PATIENT MISSED FORM AT VISIT. |
| 2 | 2023-09-10 |
| | 25 | STUDYX | QS | 2324-P0001 | 25 | MTWSR109 | MTWSR1-Craving to Smoke | MTWS-R |
|
|
| NOT DONE | PATIENT MISSED FORM AT VISIT. |
| 2 | 2023-09-10 |
| | 26 | STUDYX | QS | 2324-P0001 | 26 | MTWSR110 | MTWSR1-Constipation | MTWS-R |
|
|
| NOT DONE | PATIENT MISSED FORM AT VISIT. |
| 2 | 2023-09-10 |
| | 27 | STUDYX | QS | 2324-P0001 | 27 | MTWSR111 | MTWSR1-Dizziness | MTWS-R |
|
|
| NOT DONE | PATIENT MISSED FORM AT VISIT. |
| 2 | 2023-09-10 |
| | 28 | STUDYX | QS | 2324-P0001 | 28 | MTWSR112 | MTWSR1-Coughing | MTWS-R |
|
|
| NOT DONE | PATIENT MISSED FORM AT VISIT. |
| 2 | 2023-09-10 |
| | 29 | STUDYX | QS | 2324-P0001 | 29 | MTWSR113 | MTWSR1-Dreaming or Nightmares | MTWS-R |
|
|
| NOT DONE | PATIENT MISSED FORM AT VISIT. |
| 2 | 2023-09-10 |
| | 30 | STUDYX | QS | 2324-P0001 | 30 | MTWSR114 | MTWSR1-Nausea | MTWS-R |
|
|
| NOT DONE | PATIENT MISSED FORM AT VISIT. |
| 2 | 2023-09-10 |
| | 31 | STUDYX | QS | 2324-P0001 | 31 | MTWSR115 | MTWSR1-Sore Throat | MTWS-R |
|
|
| NOT DONE | PATIENT MISSED FORM AT VISIT. |
| 2 | 2023-09-10 |
| | 32 | STUDYX | QS | 2324-P0001 | 32 | MTWSR116 | MTWSR1-Total Withdrawal Discomfort Score | MTWS-R |
|
|
| NOT DONE | PATIENT MISSED FORM AT VISIT. |
| 2 | 2023-09-10 |
|
|
|
...