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Questionnaires

The CHILD study uses questionnaires to obtain information. The following is a list of the various questionnaires that we have developed and/or are using in this study. Where you see "CRF, eCRF" this means that we have built the questionnaire to be accessed through a web based portal. Otherwise we have developed the questionnaires using standard paper based techniques.

If you are interested in learning more about these tools, please contact the CHILD Project Management team.

The National Coordinating centre can be reached by contacting:

Diana Lefebvre PhD - Research Administrative Manager
905-522-1155 ext. 32866 and lefeb@mcmaster.ca

Joanne Duncan BSc MSc. CCRP - Project Manager
905-522-1155 ext. 35228 and duncanj@mcmaster.ca

Specific Questionnaires

The following list of questionnaires will be administered to all participants in the 4 recruitment sites. The questionnaires are paper based and double entered. The CHILD study introduced electronic data capture through a web based portal and those questionnaires are denoted as (eCRF). The questionnaires pertaining to the year 4 assessment are presently in development,

 

GENERAL COHORT (GC) Questionnaires

 

GC > Enrollment


173.        Mother's Profile   F4PROFILE
174.        Not Enroled Q109DECLINE  
175.        Enrolment F15ELIGIBILITY
176.        Withdrawal   Q6WITHDRAW  
177.        Supplemental Residential History   Q110PASTHOME 

 

GC > Prenatal 18 Weeks (In-person)


178.        Prenatal Mother's Health Q91PRNMH18W    
179.        Prenatal Home Environment   Q92HENV18WK
180.        Prenatal Mother's Food Frequency Canadianized Hutchinson Cancer Res Center Qr
181.        FFQ Checklist Q45FFQCHKL
182.        Mother's Vitamins and Supplements Q113MSUPPL18W
183.        Prenatal Mother's Stress Q94PRNS18W  
184.        Mother's Prenatal Medications Q95MMED18W
185.        Mother's Extra Medications Q183MMEDEXTR
186.        Mother's Venous Blood Collection F59SPECIMEN_MBLOOD
187.        Mother's Saliva Collection 18WK F72SPECIMEN_MOMSALIV
188.        SES 18WK Q100SES18WK 
189.        Reimbursement 18 Week Q272REM18W

 

GC > Father Prenatal (In-person)


190.        Father's Consent Q124FCONSENT
191.        Father's Health   Q93PRNFH18W
192.        Father's Skin Test Meds/Supplements Q156FTHRSKMS
193.        Father's Spirometry Data Form Q99PRNFSP18W
194.        Father's Skin Prick Test Q98PRNFSK18W
195.        Father's Venous Blood Form F59SPECIMEN_FBLOOD
196.        Father's Saliva Collection Form F72SPECIMEN_DADSALIV

 

GC > 36-Week Prenatal (Mail-out)


197.        Prenatal Mother's Stress  Q106PRNS36W
198.        Mother's RLE Q104RLE36WK
199.        Mother's CSR Q105CSR36WK
200.        Mother's ISE  Q101ISE36WK
201.        Mother's DAS Q103DAS36WK
202.        LSI and SCID Q102SCID36WK (Vancouver only)

 

GC > Birth (Mail-out or in-hospital visit)

 

203.        Child Birth Chart Data Q107CBIRTHCD  
204.        Cord Blood Hematology Results Q89CBLDHEM
205.        Cord Blood Collection Form F59SPECIMEN_CDBLOOD
206.        Child CBC at birth Q149CCBCBTH
207.        Child Meconium Collection Form F37SPECIMEN_MECONIUM
208.        Birth Visit eNO Q166ENOBIRTH
209.        Child Medications Birth Q213CMEDBTH
210.        Child Extra Medications Birth Q221CMEDBEXT
211.        Mother Meds 18WK to Birth Q157MMEDBTH
212.        Mother Extra Medications Q183MMEDEXTR

 

GC > 3 Month Home Visit (Mail-out and home visit)


213.        Home Environment 3 Months Q114HENVQ3M  
214.        Environmental Assessment RA  Q117ENVRA3M
215.        Residences to 3 Months Q160RESIDEN3M
216.        Mother's Meds Birth to 3 Months Q151MMED3M
217.        Mother's Extra Medications Q183MMEDEXTR
218.        Mother's Vitamins and Supplements Q154MSUPPL3M
219.        Child Health 3 months Q127CHLTH3M
220.        Child Health 3 months (revised) Q233CHLTH3M
221.        Child Nutrition 3 months Q230NUTR3M 
222.        Child Medications Birth to 3 Months Q148CMED3M
223.        Child Extra Medications Q212CMEDEXTR
224.        IPFT Visit Assessment Q167IPFTASSM (Toronto only)
225.        IPFT 3 Months Q170IPFT3M (Toronto only)
226.        Multiple Breath Washout 3 Months Q169MBW3M (Toronto only)
227.        Breast Milk Collection Form F55SPECIMEN_BREAST_MILK
228.        Child Urine Collection Form F61SPECIMEN_URINE
229.        Control Urine 3 Months F61SPECIMEN_URINE_QC
230.        Child Nasal Collection Form F37SPECIMEN_NASAL
231.        Child Stool Collection Form F37SPECIMEN_STOOL
232.        Dust Child's Bedroom F47SPECIMEN_DUST BCDUST
233.        Dust Most-Used Living Space F47SPECIMEN_DUST MUDUST
234.        Control Dust 3 Months F47SPECIMEN_DUST_CNDUST
235.        Clinic Urine Collection Form F61SPECIMEN_URINE_CLINIC (Toronto only)
236.        Reimbursement 3 Months Q273REM3M
237.        Reimbursement IPFT 3 Months Q347REMIPFT3M

 

Electronic Case Record Form (eCRF)

 

GC > 6 Month (Electronic CRF; eCRF)


238.        Home Environment 6 months Q165HENV6M  
239.        Postnatal Mother Stress Q163PSTNS6M
240.        Child Health 6 months Q164CHLTH6M
241.        Child Health 6 months (revised) Q234CHLTH6M
242.        Child Nutrition 6 months Q231NUTR6M
243.        Child Medications  3 to 6 months Q111CMED6M
244.        Child e-Meds 6 months Q235CEMED6M
245.        Child Extra Medications Q212CMEDEXTR
246.        Mother's Medications 3 to 6 months Q152MMED6M
247.        Mother's e-Meds 3 to 6 months Q236MEMED6M
248.        Mother's Extra Medications Q183MMEDEXTR

 

GC > 1 Year (eCRF and Clinic Visit)


249.        Home Environment 1 Year Q173HENV1Y
250.        Residences 3 Months to 1 Year Q187RESID1Y
251.        Child Health 1 Year Q198CHLTH1Y
252.        Child Nutrition 1 Year Q232NUTR1Y   
253.        Child Medications 6-12 months Q129CMED1Y
254.        Child e-Meds 6 to 12 months Q362CEMED1Y
255.        Child Extra Medications Q212CMEDEXTR
256.        Child Clinical Assessment Q192CHCLA1Y
257.        Child Venous Blood CBC 1 Year Q191CCBC1Y
258.        Child Skin Prick Test 1 Year Q190CSKP1Y
259.        Child Skin Test Meds/Supplements Q197CSKMS1Y
260.        IPFT Visit Assessment 1 Year Q167IPFTASSM (Toronto only)
261.        Child's Venous Blood 1 Year F59SPECIMEN_CVBLOOD
262.        Child's Nasal Swab 1 Year F71SPECIMEN_NASAL
263.        Child's Urine Collection 1 Year F61SPECIMEN_URINE
264.        Child's Stool Collection 1 Year F37SPECIMEN_STOOL
265.        Child's Viral Swab F37SPECIMEN_VIRAL (Toronto only)
266.        Child's Saliva 1 Year F73SPECIMEN_CHILDSALIV
267.        Parenting 1 Year Q174PARNT1Y 
268.        Mother's Health 1 Year Q182MHLTH1Y
269.        Mother's meds 6 to 12 Months Q142MMED1Y
270.        Mother Extra Medications Q183MMEDEXTR
271.        Mother's Stress Q175PSTNS1Y
272.        SES 1 Year Q176SES1Y
273.        DAS 1 Year Q177DAS1Y
274.        CSR 1 Year Q181CSR1Y
275.        RLE 1 Year Q180RLE1Y
276.        ISE 1 Year Q178ISE1Y
277.        LSI and SCID 1 Year Q179SCID1Y (Vancouver only)
278.        Mother Skin Prick 1 Year Q184MSKP1Y
279.        Mother Skin Test Meds/Supplements   Q185MSKMS1Y
280.        Mother Spirometry 1 Year Q186MSPIR1Y
281.        Mother Venous Blood 1 Year F59SPECIMEN_MBLOOD
282.        Mother's Saliva Collection 1 Year F72SPECIMEN_MOMSALIV
283.        Reimbursement 1 Year Q274REMB1Y

 

GC > 18 Months (eCRF)


284.        Home Environment 18 Months Q215HENV18M
285.        Child Health 18 Months Q218CHLTH18M
286.        Child Nutrition 18 Months Q220NUTR18M
287.        Child meds 1 to 1.5 Years Q189CMED18M
288.        Child e-meds 12 to 18 Months Q277CEMED18M
289.        Child extra medications Q227CMEDEXTR
290.        Mother's stress 18 Months Q216MSTS18M
291.        IPFT Visit Assessment Q167IPFTASSM (Toronto only)
292.        Reimbursement IPFT 18 Months Q348REMBIPFT18M (Toronto only)

 

GC > 2 Years (eCRF)


293.        Home Environment 2 Years Q280HENV2Y
294.        Residences 1 to 2 Years Q239RESID2Y  
295.        Child Health 2 Years Q299CHLTH2Y
296.        Child Nutrition 2 Years Q261NUTR2Y 
297.        Child Medications 1.5 to 2 Years Q222CMED2Y
298.        Child e-meds 1.5 to 2 Years Q281CEMED2Y
299.        Child Extra Medications Q227CMEDEXTR
300.        Mother's Stress 2 Years Q243PSTNS2Y
301.        Parenting 2 Years Q245PARNT2Y

 

GC > 2.5 Years (eCRF)


302.        Home Environment 2.5 Years Q353HENV2HY 
303.        Mother's Stress 2.5 Years Q352MSTS2HY 
304.        Child Health 2.5 Years Q302CHLTH2HY
305.        Child Nutrition 2.5 Years Q354NUTR2HY
306.        Child Medications 2 to 2.5 Years Q304CMED2HY
307.        Child e-meds 2 to 2.5 Years Q303CEMED2HY
308.        Child Extra Medications Q227CMEDEXTR

 

GC > 3 Year (eCRF and Clinic Visit)


309.        Home Environment 3 Years Q376HENV3Y
310.        New Home Characteristics 3 Years Q385NHCHAR3Y
311.        Residences 2 to 3 Years Q368RESID3Y  
312.        Child Health 3 Years Q377CHLTH3Y
313.        Child Food Frequency 3 Years Q366CFFQ3Y
314.        Food Packaging/ Preparation 3 Years Q365CFPP3Y
315.        Child Medications 2.5 to 3 Years Q367CMED3Y
316.        Child e-meds 2.5 to 3 Years Q364CEMED3Y 
317.        Child Extra Meds 2.5 to 3 Years Q227CMEDEXTR
318.        Child Clinical Assessment Q378CHCLA3Y
319.        Child Skin Prick Test 3 Years Q379CSKP3Y
320.        Child Skin Test Meds/Supplements Q380CSKMS3Y
321.        Child Spirometry 3 Years Q381CSPIR3Y
322.        IPFT Visit Assessment Q400IPFTASSM (Toronto only)
323.        Parenting 3 Years Q370PARNT3Y 
324.        Mother's Stress 3 Years Q369PSTNS3Y
325.        SES 3 Years Q371SES3Y
326.        DAS 3 Years Q372DAS3Y
327.        CSR 3 Years Q373CSR3Y
328.        RLE 3 Years Q374RLE3Y
329.        ISE 3 Years Q375ISE3Y
330.        Reimbursement 3 Years Q275REIM3Y

 

In Development

 

GC > 4 Years (eCRF) To Be Developed


331.        Home Environment 4 Years TBD – October 2013
332.        Residences 3 to 4 Years TBD – October 2013
333.        Mother's Stress 4 Years TBD – October 2013
334.        Child Health 4 Years TBD – October 2013
335.        Child Food Frequency 4 Years TBD – October 2013
336.        Food Packaging/Preparation 4 Years TBD – October 2013
337.        Child Meds 3 to 4 Years TBD – October 2013
338.        Parenting 4 Years TBD – October 2013
339.        Mother's Stress 4 Years TBD – October 2013
340.        SES 4 Years TBD – October 2013
341.        DAS 4 Years TBD – October 2013
342.        CSR 4 Years TBD – October 2013
343.        RLE 4 Years TBD – October 2013
344.        ISE 4 Years TBD – October 2013
345.        IPFT Visit Assessment 4 Years Q167IPFTASSM
346.        Reimbursement IPFT 4 Years TBD – October 2013 (Toronto only)

 

GC > 5 Year (eCRF and Clinic visit) To Be Developed


347.        Home Environment 5 Years TBD – October 2014
348.        Residences 4 to 5 Years TBD – October 2014
349.        Child Health 5 Years TBD – October 2014
350.        Child Food Frequency 5 Years TBD – October 2014
351.        Food Packaging/ Preparation 5 Years TBD – October 2014
352.        Child Clinical Assessment 5 Years TBD – October 2014
353.        Child Meds 4 to 5 Years TBD – October 2014
354.        Child Extra Meds 4 to 5 Years TBD – October 2014
355.        Child Skin Prick Test 5 Years TBD – October 2014
356.        Child Skin Test Meds/Supplements 5yr TBD – October 2014
357.        Child Methacholine Challenge 5 Years TBD – October 2014
358.        Child Spirometry 5 Years TBD – October 2014
359.        Child Venous Blood Collection 5 Years TBD – October 2014
360.        Child Urine Collection 5 Years TBD – October 2014
361.        Parenting 5 Years TBD – October 2014
362.        Mother's Stress 5 Years TBD – October 2014
363.        Mother's Health 5 Years TBD – October 2014
364.        SES 5 Years TBD – October 2014
365.        DAS 5 Years TBD – October 2014
366.        CSR 5 Years TBD – October 2014
367.        RLE 5 Years TBD – October 2014
368.        ISE 5 Years TBD – October 2014
369.        Reimbursement 5 Years Q276REM5Y
370.        IPFT Visit Assessment 5 Years Q167IPFTASSM (Toronto only)
371.        Reimbursement IPFT 5 Years TBD – October 2014

 

CHILD Logo and Tag

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VANGUARD COHORT (VC) Questionnaires

 

VC > Enrollment

REF #
1.     Mother's Profile   F4PROFILE  
2.     Reason for Ineligibility F15ELIGIBILITY
3.     Withdrawal   Q6WITHDRAW  
4.     Supplemental Residential History   Q110PASTHOME  
 

 

VC > Prenatal 18 Weeks

5.     Mother's Health Q14PRNMH18WP    
6.     Prenatal Home Environment   Q49HENV18WKP  
7.     Prenatal Mother's Stress Q57PRNS18WP  
8.     Mother's Nutrition Q86MNUTR18WP
9.     Supplemental Mother's Activity Q78MACTIV18WP
10.  Mother's Venous Blood Collection F59SPECIMEN_MBLOOD
11.  Reimbursement 18 WK Q272REM18W 

 

VC > Father Prenatal

12.  Father's Consent Q124FCONSENT
13.  Father's Health   Q51PRNFH18WP
14.  Father's Skin Test Meds  Q194FTHRSKMSP
15.  Father's Spirometry Data Form Q88PRNFSP18WP
16.  Father's Skin Prick Test Q87PRNFSK18WP
17.  Father's Venous Blood Form F59SPECIMEN_FBLOOD
18.  Father's Saliva Collection Form F72SPECIMEN_DADSALIV

 

VC> 36-Week Prenatal

19.  Prenatal Mother's Stress  Q60PRNS36WP
20.  Mother's RLE Q55RLE36WKP
21.  Mother's CSR Q58CSR36WKP
22.  Mother's ISE  Q52ISE36WKP
23.  Mother's DAS Q54DAS36WKP
24.  LSI and SCID Q53SCID36WKP
25.  Prenatal SES Q56SES36WKP

 

VC > Birth
26.  Child Birth Chart Data Q59CBIRTHCDP  
27.  Cord Blood Hematology Results Q89CBLDHEMP
28.  Birth Visit eNO Q166ENOBIRTH 
29.  Cord Blood Collection Form F59SPECIMEN_CDBLOOD
30.  Child Meconium Collection Form F37SPECIMEN_MECONIUM

 

VC > 3 Month Home Visit

31.   Home Environment Q47HENVQ3MP  
32.  Environmental Assessment RA  Q48ENVRA3MP
33.  Residences 3 Months to 1 Year Q161RESID1YP
34.  Supplemental Garage Part Two Q75SGARPNP
35.  Supplemental Phthalates Q76SPHLATEP
36.  Child Health 3 Months Q112CHLTH3MP  
37.  Child Medications 3 Months Q115CMED3MP 
38.  Supplemental Child's Activity Q77SCHACTIVP
39.  IPFT Visit Assessment Q167IPFTASSM  (Toronto only)
40.  Breast Milk Collection Form F55SPECIMEN_BREAST_MILK
41.  Child Urine Collection Form F61SPECIMEN_URINE
42.  Child Nasal Collection Form F37SPECIMEN_NASAL
43.  Child Stool Collection Form F37SPECIMEN_STOOL
44.  Dust Child's Bedroom F47SPECIMEN_DUST BCDUST
45.  Dust Most-Used Living Space F47SPECIMEN_DUST MUDUST
46.  Control Dust 3 Months F47SPECIMEN_DUST_CNDUST
47.  Clinic Urine Collection Form F61SPECIMEN_URINE_CLINIC (Toronto only)
48.  Reimbursement 3 Months Q273REM3M
49.  Reimbursement IPFT 3 Months Q247REMIPFT3M

 

VC > 6 Month (Mail-out)

50.  Home Environment 6 Months Q125HENV6MP  
51.  Postnatal Mother Stress Q118PSTNS6MP 
52.  Child Health 6 Months Q119CHLTH6MP
53.  Child Medications  6 Months Q116CMED6MP  
54.  Mother's Medications 6 Months Q141MMED6MP

 

VC > 1 Year (Clinic Visit)

55.  Home Environment 1 Year Q132HENV1YP
56.  Residences 3 Months to 1 Year Q161RESID1YP 
57.  Child Health 1 Year Q120CHLTH1YP   
58.  Child Medications 6-12 Months Q130CMED1YP
59.  Child Clinical Assessment Q162CHCLA1YP
60.  Child Venous Blood CBC 1 Year Q124CCBC1YP
61.  Child Skin Prick Test 1 Year Q150CSKP1YP
62.  Child Skin Test Meds/Supplements Q196CSKMS1YP
63.  IPFT Visit Assessment 1 Year Q167IPFTASSM (Toronto only)
64.  Child's Venous Blood 1 Year F59SPECIMEN_CVBLOOD
65.  Child's Nasal Swab 1 Year F71SPECIMEN_NASAL
66.  Child's Urine Collection 1 Year F61SPECIMEN_URINE
67.  Child's Stool Collection 1 Year F37SPECIMEN_STOOL
68.  Child's Viral Swab F37SPECIMEN_VIRAL (Toronto only)
69.  Child's Saliva 1 Year F73SPECIMEN_CHILDSALIV
70.  Parenting Questionnaire 1 Year Q126PARNT1YP 
71.  Mother's Health 1 Year Q133MHLTH1YP
72.  Mother's meds 6 to 12 Months Q131MMED1YP
73.  Mother Extra Medications Q183MMEDEXTR
74.  Mother's Skin Test Meds/Supplements Q143MSKP1YP
75.  Mother's Spirometry Q144MSPIR1YP
76.  Mother's Stress Q140PSTNS1YP
77.   SES 1 Year Q134SES1YP
78.  DAS 1 Year Q137DAS1YP
79.  CSR 1 Year Q139CSR1YP
80.  RLE 1 Year Q138RLE1YP
81.  ISE 1 Year Q135ISE1YP
82.  LSI and SCID 1 Year Q136SCID1YP (Vancouver only)
83.  Mother Skin Prick 1 Year Q143MSKP1YP
84.  Mother Skin Test Meds/Supplements   Q144MSKMS1YP
85.  Mother Spirometry 1 Year Q144MSPIR1YP
86.  Mother Venous Blood 1 Year F59SPECIMEN_MBLOOD
87.  Mother's Saliva Collection 1 Year F72SPECIMEN_MOMSALIV
88.  Reimbursement 1 Year Q274REM1Y

 

VC > 18 Months (Mail-out)

89.  Child Health 18 Months Q172CHLTH18MP
90.  Child meds 1 to 1.5 Years Q153CMED18MP
91.  Child extra medications Q212CMEDEXTR
92.  Mother's stress 18 Months Q171MSTS18MP
93.  Home Environment 18 Months Q147HENV18MP
94.  IPFT Visit Assessment Q167IPFTASSM (Toronto only)
95.  Reimbursement IPFT 18 Months Q248REMBIPFT18M (Toronto only)

 

Vanguard Cohort > 2 Year (Mail-out)

96.  Home Environment 2 Years Q207HENV2YP
97.  Residences 1 to 2 Years Q208RESID2YP  
98.  Child Health 2 Years Q188CHLTH2YP 
99.  Child Medications 1.5 to 2 Years Q193CMED2YP
100. Child Extra Medications Q212CMEDEXTR
101. Mother's Stress 2 Years Q200PSTNS2YP
102. Parenting 2 Years Q209PARNT2YP
103. SES 2 Years Q201SES2YP
104. DAS 2 Years Q202DAS2YP
105. CSR 2 Years Q203CSR2YP
106. RLE 2 Years Q204RLE2YP
107. ISE 2 Years Q205ISE2YP

 

VC > 2.5 Years (Mail-out)

108.        Home Environment 2.5 Years Q214HENV2HYP 
109.        Mother's Stress 2.5 Years Q217MSTS2HYP 
110.        Child Health 2.5 Years Q219CHLTH2HYP
111.        Child Nutrition 2.5 Years Q228NUTR2HYP
112.        Child Meds 2 to 2.5 Years Q210CMED2HYP
113.        Child Extra Meds 2 to 2.5 Years Q227CMEDEXTR

 

VC > 3 Year (Clinic Visit)

114.        Home Environment 3 Years Q258HENV3YP
115.        Residences 2 to 3 Years Q240RESID3YP  
116.        Child Health 3 Years Q288CHLTH3YP
117.        Child Food Frequency 3 Years Q211CFFQ3YP
118.        Food Packaging/ Preparation 3 Years Q40CFPP3YP
119.        Child Clinical Assessment Q289CHCLA3YP
120.        Child Meds 2.5 to 3 Years Q223CMED3YP 
121.        Child Extra Meds 2.5 to 3 Years Q227CMEDEXTR
122.        Child Clinical Assessment Q289CHCLA3YP
123.        Child Skin Prick Test 3 Years Q290CSKP3YP
124.        Child Skin Test Meds/Supplements Q292CSKMS3YP
125.        Child Spirometry 3 Years Q346CSPIR3YP
126.        IPFT Visit Assessment Q167IPFTASSM (Toronto only)
127.        Parenting 3 Years Q246PARNT3YP 
128.        Mother's Stress 3 Years Q244PSTNS3YP
129.        SES 3 Years Q248SES3YP
130.        DAS 3 Years Q250DAS3YP
131.        CSR 3 Years Q252CSR3YP
132.        RLE 3 Years Q254RLE3YP
133.        ISE 3 Years Q256ISE3YP
134.        LSI and SCID Q286SCID3YP (Vancouver only)
135.        Reimbursement 3 Years Q275REM3Y

 

VC > 4 Year (e-CRF) 

136.        Home Environment 4 Years Q387HENV4YP 
137.        Residences 3 to 4 Years Q386RESID4YP
138.        Mother's Stress 4 Years Q389PSTNS4YP
139.        Child Health 4 Years Q388CHLTH4YP
140.        Child Food Frequency 4 Years Q391CFFQ4YP
141.        Food Packaging/Preparation 4 Years Q398CFPP4YP
142.        Child Meds 3 to 4 Years Q294CMED4YP
143.        Parenting 4 Years Q390PARNT4YP
144.        Mother's Stress 4 Years Q389PSTNS4YP
145.        SES 4 Years Q392SES4YP
146.        DAS 4 Years Q393DAS4YP
147.        CSR 4 Years Q394CSR4YP
148.        RLE 4 Years Q395RLE4YP
149.        ISE 4 Years Q396ISE4YP

 

VC > 5 Year (Clinic Visit) To Be Developed

150.        Home Environment 5 Years TBD – August 2013
151.        Residences 4 to 5 Years TBD – August 2013 
152.        Child Health 5 Years TBD – August 2013
153.        Child Food Frequency 5 Years TBD – August 2013
154.        Food Packaging/ Preparation 5 Years TBD – August 2013
155.        Child Clinical Assessment 5 Years TBD – August 2013
156.        Child Meds 4 to 5 Years TBD – August 2013 
157.        Child Extra Meds 4 to 5 Years TBD – August 2013
158.        Child Skin Prick Test 5 Years TBD – August 2013
159.        Child Skin Test Meds/Supplements 5yr TBD – August 2013
160.        Child Methacholine Challenge 5 Years TBD – August 2013
161.        Child Spirometry 5 Years TBD – August 2013
162.        Child Venous Blood Collection 5 Years TBD – August 2013
163.        Child Urine Collection 5 Years TBD – August 2013
164.        IPFT Visit Assessment 5 Years TBD – August 2013 (Toronto only)
165.        Parenting 5 Years TBD – August 2013 
166.        Mother's Stress 5 Years TBD – August 2013
167.        Mother's Health 5 Years TBD – August 2013
168.        SES 5 Years TBD – August 2013
169.        DAS 5 Years TBD – August 2013
170.        CSR 5 Years TBD – August 2013
171.        RLE 5 Years TBD – August 2013
172.        ISE 5 Years TBD – August 2013

 

CHILD Logo and Tag

Dr. Mandhane has developed the Sleep, Learning, Education and the Environment (SLEEP-E) project to study the role of sleep disordered breathing in cognitive growth and development. The children in this group will be invited to participate in a sleep study. The development of the Sleep questionnaires followed a similar course as the general cohort. The vanguard cohort in Edmonton assited in refining the questionnaires and then these were translated into and electronic data capture form.

 

General Cohort > SLEEP QUESTIONNAIRES

 
419.        Father Global Sleep Assessment Q90GSAQ

 

GC > 3 Months (eCRF):

420.        Brief Infant Sleep Qr Q122BISQ  
421.        Paediatric Sleep Qr  Q123PSQ

 

GC > 6 Months (eCRF):

422.        Brief Infant Sleep Qr Q122BISQ   
423.        Paediatric Sleep Qr Q123PSQ    

 

GC > 9 Months (eCRF):

424.        Brief Infant Sleep Qr Q355EBISQ9M
425.        Paediatric Sleep Qr Q358EPSQ9M  

 

GC > 1 Year (eCRF):

426.        Brief Infant Sleep Qr Q356EBISQ1Y  
427.        Paediatric Sleep Qr Q359EPSQ1Y  
428.        Global Sleep Assessment Q90GSAQ
429.        Bayley Scales Q195BAYLEY

 

GC > 15 Months (eCRF):

430.        Brief Infant Sleep Qr Q357EBISQ15M
431.        Paediatric Sleep Qr Q360EPSQ15M

 

GC > 1.5 Years (eCRF):

432.        Brief Infant Sleep (Electronic) Q278EBISQ18M
433.        Paediatric Sleep (Electronic) Q279EPSQ18M

 

GC > 21 Months (eCRF):

434.        Brief Infant Sleep Qr Q282EBISQ21M  
435.        Paediatric Sleep Qr   Q123PSQ  

 

GC > 2 Years (eCRF):

436.        Brief Infant Sleep 2 Years Q282EBISQ2Y
437.        Paediatric Sleep 2 Years   Q283EPSQ2Y
438.        CBCL - Preschool 2 Years Q300CBCL2Y
439.        BRIEF-P 2 Years Q301BRIEFP2Y
440.        Bayley Scales Q195BAYLEY

 

GC > 27 Months (eCRF):

441.        Brief Infant Sleep Qr Q330EBISQ27M
442.        Paediatric Sleep Qr Q316EPSQ27M  

 

GC > 2.5 Years (eCRF):

443.        Brief Infant Sleep 2.5 Years Q305EBISQ2HY
444.        Paediatric Sleep 2.5 Years Q306EPSQ2HY

 

GC > 33 Months (eCRF):

445.        Brief Infant Sleep Qr Q329EBISQ33M
446.        Paediatric Sleep Qr Q318EPSQ33M

 

GC > 3 Years (eCRF):

447.        Brief Infant Sleep Qr Q122BISQ
448.        Paediatric Sleep Qr Q319EPSQ3Y
449.        Child's Sleep Habits 3 Years Q349CSHQ3Y
450.        CBCL - Preschool 3 Years Q335CBCL3Y
451.        BRIEF-P 3 Years Q340BRIEFP3Y

 

GC > 39 Months (eCRF):

452.        Paediatric Sleep Qr Q320EPSQ39M

 

GC > 42 Months (eCRF):

453.        Paediatric Sleep Qr Q321EPSQ42M

 

GC > 45 Months (eCRF):

454.        Paediatric Sleep Qr Q322EPSQ45M  

 

GC > 4 Years (eCRF):

455.        Paediatric Sleep Qr Q323EPSQ4Y  
456.        CBCL - Preschool 4 Years Q336CBCL4Y
457.        Child's Sleep Habits 4 Years Q350CSHQ4Y
458.        BRIEF-P 4 Years Q341BRIEFP4Y

 

GC > 51 Months (eCRF):

459.        Paediatric Sleep Qr Q324EPSQ51M

 

GC > 54 Months (eCRF):

460.        Paediatric Sleep Qr Q325EPSQ54M

 

GC > 57 Months (eCRF):

461.        Paediatric Sleep Qr Q326EPSQ57M

 

GC > 5 Years (eCRF):

462.        Paediatric Sleep Qr Q327EPSQ5Y
463.        CBCL - Preschool 5 Years Q337CBCL5Y
464.        BRIEF-P 5 Years Q342BRIEFP5Y
465.        Child's Sleep Habits 5 Years Q351CSHQ5Y

 

 

VANGUARD COHORT > SLEEP QUESTIONNAIRES

Vanguard Cohort > Father:

372.        Father's Sleep Qr  Q108FSLEEPP
373.        Global Sleep Assessment Q90GSAQ

Vanguard Cohort > 3 Months:

374.        Brief Infant Sleep Qr (V) Q122BISQ
375.        Paediatric Sleep Qr (V) Q123PSQ

Vanguard Cohort > 6 Months:

376.        Brief Infant Sleep Qr Q122BISQ    
377.        Paediatric Sleep Qr Q123PSQ       

Vanguard Cohort > 9 Months:

378.        Brief Infant Sleep Qr Q122BISQ    
379.        Paediatric Sleep Qr Q123PSQ      

Vanguard Cohort > 1 Year:

380.        Brief Infant Sleep Qr Q122BISQ
381.        Paediatric Sleep Qr Q123PSQ
382.        Bayley Scales Q195BAYLEY  
383.        Global Sleep Assessment Q90GSAQ

Vanguard Cohort > 15 Months:

384.        Brief Infant Sleep Qr Q122BISQ     
385.        Paediatric Sleep Qr Q123PSQ

Vanguard Cohort > 1.5 Years:   

 

386.        Brief Infant Sleep Qr Q122BISQ
387.        Paediatric Sleep Qr Q123PSQ

Vanguard Cohort > 21 Months: 

388.        Brief Infant Sleep Qr Q122BISQ    
389.        Paediatric Sleep Qr Q123PSQ

Vanguard Cohort > 2 Years:

390.        Brief Infant Sleep Qr       Q122BISQ     
391.        Paediatric Sleep Qr Q123PSQ    
392.        CBCL - Preschool   Q267CBCL   
393.        BRIEF-P Q268BRIEFP

Vanguard Cohort > 27 Months:

394.        Brief Infant Sleep Qr Q122BISQ   
395.        Paediatric Sleep Qr Q123PSQ 

Vanguard Cohort > 2.5 Years:   

396.        Brief Infant Sleep Qr Q122BISQ   
397.        Paediatric Sleep Qr Q123PSQ

Vanguard Cohort > 33 Months:

398.        Brief Infant Sleep Qr Q329EBISQ33MP
399.        Paediatric Sleep Qr Q328EPSQ33MP

Vanguard Cohort > 3 Years:

400.        Brief Infant Sleep 3 Years Q295BISQ3YP   
401.        Paediatric Sleep 3 Years    Q296PSQ3YP   
402.        Child's Sleep Habits 3 Years Q271CSHQ3YP
403.        CBCL - Preschool  3 Years Q297CBCL3YP  
404.        BRIEF-P  3 Years Q298BRIEF3YP 

Vanguard Cohort > 39 Months: 

405.        Paediatric Sleep Qr Q308PSQ39MP

Vanguard Cohort > 42 Months:

406.        Paediatric Sleep Qr Q309PSQ42MP    

Vanguard Cohort > 45 Months:

407.        Paediatric Sleep Qr Q310PSQ45M

Vanguard Cohort > 4 Years:

408.        Paediatric Sleep Qr Q311PSQ4YP  
409.        CBCL - Preschool  4 Years Q333CBCL4YP  
410.        BRIEF-P  4 Years Q338BRIEF4YP
411.        Child's Sleep Habits 4 Years Q343CSHQ4YP

Vanguard Cohort > 51 Months:

412.        Paediatric Sleep Qr Q312PSQ51MP

Vanguard Cohort > 54 Months:

413.        Paediatric Sleep Qr Q313PSQ54MP

Vanguard Cohort > 57 Months:

414.        Paediatric Sleep Qr Q314PSQ57MP

Vanguard Cohort > 5 Years:

415.        Paediatric Sleep Qr Q315PSQ5YP    
416.        Child's Sleep Habits 5 Years  Q344CSHQ5YP
417.        BRIEF-P  5 Years Q339BRIEF5YP
418.        CBCL - Preschool  5 Years Q334CBCL5YP

 

CHILD Logo and Tag

Study members who volunteer for the CHILD Study will be given an opportunity to participate in specialized assessments of lung inflammation and lung function. As well, during the first year of life your child will be closely monitored for cold and flu-like symptoms.

 

Aimée Dubeau
416-813-7765

child.study@sickkids.ca

 

A PDF of the SickKids Infant Pulmonary Function testing process | A video showing the SickKids Infant Pulmonary Function Test

Dr. Turvey and colleagues are interested in a assessing the impact of stress and mothers in Vancouver will be invited to participate in a process to understand more about the impact of "life stress" on healthy development.

 

Child Study Staff
(Telephone) 604 - 875 - 2345 x 6390
(E-mail) childstudy@cfri.ubc.ca

 

The following standardized instruments are currently being employed in the CHILD Study: NOTE: Post-natal questionnaire sets are identical to the 36 week prenatal set with the addition of the Parenting Questionnaire:

 

CPre-natal: 18-34 Weeks GA

  1. Profile of Mood States (POMS)
  2. Perceived Stress Scales (PSS)
  3. Centre for Epidemiological Studies - Depression Scale (CES-D)

Pre-natal Assessment 36 (± 4 ) Weeks GA

  1. Chronic Stressor Evaluation
  2. Recent Life Events (RLE)
  3. Profile of Mood States (POMS)
  4. Perceived Stress Scales (PSS)
  5. Centre for Epidemiological Studies - Depression Scale (CES-D)
  6. Dyadic Adjustment Scale (DAS)
  7. Interpersonal Support Evaluation List (ISEL)
  8. Socio Economic Status Index (SES)
  9. MacArthur Subjective Community Standing Scale
  10. MacArthur Subjective Socioeconomic Standing Scale

Post-natal: 1 year and subsequently

  1. Chronic Stressor Evaluation
  2. Recent Life Events (RLE)
  3. Parenting Questionnaires (PQ)
  4. Profile of Mood States (POMS)
  5. Perceived Stress Scales (PSS)
  6. Centre for Epidemiological Studies - Depression Scale (CES-D)
  7. Dyadic Adjustment Scale (DAS)
  8. Interpersonal Support Evaluation List (ISEL)
  9. Socio Economic Status Index (SES)
  10. MacArthur Subjective Community Standing Scale
  11. MacArthur Subjective Socioeconomic Standing Scale
 

 

 

CHILD Logo and Tag