SCREEN

Table Description:

Detailed notes for this table are included below.

1.0 Description: Screening / Demographics

View Source CRFs

1.0 CRFs: Click on any PAG_NAME link below to be taken to the CRF used in the PPMI 1.0 Study.

2.0 CRFs: Click on any PAG_NAME link below to be taken to a screenshot of how this eCRF is currently implemented in the PPMI 2.0 Study.

2.0 Data Dictionary

Table Constraints:

2.0 Code Book

ITM_NAME

CODE

DECODE_1.0

APPRDX

1

Parkinson’s disease

APPRDX

2

Healthy Control

APPRDX

3

SWEDD

APPRDX

4

Prodromal

APPRDX

5

Genetic Cohort - PD

APPRDX

6

Genetic Cohort - Unaffected

APPRDX

7

Genetic Registry - PD

APPRDX

8

Genetic Registry - Unaffected

APPRDX

9

AV133

GENDER

0

Female of child bearing potential

GENDER

1

Female of non-child bearing potential

GENDER

2

Male

HISPLAT

0

No

HISPLAT

1

Yes

HISPLAT

2

Unknown or not reported

P3GRP

1

Hyposmia

P3GRP

2

RBD

P3GRP

3

LRRK2

RAASIAN

0

No

RAASIAN

1

Yes

RAASIAN

2

Unknown or not reported

RABLACK

0

No

RABLACK

1

Yes

RABLACK

2

Unknown or not reported

RAHAWOPI

0

No

RAHAWOPI

1

Yes

RAHAWOPI

2

Unknown or not reported

RAINDALS

0

No

RAINDALS

1

Yes

RAINDALS

2

Unknown or not reported

RANOS

0

No

RANOS

1

Yes

RANOS

2

Unknown or not reported

RAWHITE

0

No

RAWHITE

1

Yes

RAWHITE

2

Unknown or not reported

REFERRAL

1

Site Personnel

REFERRAL

2

PCP

REFERRAL

4

Family or Friend

REFERRAL

10

Newspaper/Magazine Article

REFERRAL

11

Newspaper/Magazine Ad

REFERRAL

14

Radio/TV Ad

REFERRAL

15

Radio/TV Story

REFERRAL

16

Online News/Blog/Other

REFERRAL

17

Out of Home Ad

REFERRAL

18

Event

REFERRAL

30

Advocacy Organization

REFERRAL

31

Support Group

REFERRAL

48

Social Media

REFERRAL

50

Study Website

REFERRAL

53

Site Website

REFERRAL

54

Study Web Ad

REFERRAL

58

Clinicaltrials.gov

REFERRAL

59

PDtrials.org

REFERRAL

60

Specialist

REFERRAL

67

23andMe

REFERRAL

68

Widespread Recruitment Initiative (WRI)

REFERRAL

69

Genetic Coordination Core (GCC)

REFERRAL

71

MJFF Communication

REFERRAL

72

Another PD Subject

REFERRAL

73

Fox Trial Finder

REFERRAL

80

1-800 Call center

REFERRAL

99

Other (specify in comments)

RSNDEC

1

Confidentiality issues

RSNDEC

3

Protocol too restrictive

RSNDEC

4

Protocol too time intensive

RSNDEC

5

Travel requirements

RSNDEC

6

Family advised declining

RSNDEC

7

Physician advised declining

RSNDEC

8

Enrolled in other study

RSNDEC

9

Not interested

RSNDEC

11

Risks of Protocol

RSNDEC

12

Did not agree to lumbar puncture

RSNDEC

99

Other (specify in comments)

RSNEXC

1

Exclusionary medication

RSNEXC

2

Other medical, psychiatric, or surgical

RSNEXC

3

Disease too advanced

RSNEXC

4

DX uncertain

RSNEXC

6

Did not meet other inclusion criteria

RSNEXC

8

Enrolled in other study

RSNEXC

12

Abnormal Safety Labs

RSNEXC

13

SPECT Scan

RSNEXC

99

Other (specify in comments)

Missing Columns

ITM_NAME

DSCR_1.0

APPRDX

Appropriate Diagnosis

BIRTHDT

Date of Birth

COMM

Comment

CONSNTDT

Informed consent date

CURRENT_APPRDX

Current Appropriate Diagnosis

DECLINED

Declined

EXCLUDED

Excluded

GENDER

Gender

HISPLAT

Ethnicity: Is subject Hispanic/Latino

P3GRP

Prodromal group type

PRJENRDT

Projected Enrollment Date

RAASIAN

Identify self as Asian

RABLACK

Identify self as Black/African American

RAHAWOPI

Identify self as Hawaiian/Other Pacif Is

RAINDALS

Identify self as Am Indian/Alaska Native

RANOS

Race not specified

RANOSCM

Race not specified comments

RAWHITE

Identify self as White

REFERNAM

Medical Professional referral

REFERRAL

Referral source

RSNDEC

Reason for Declining

RSNEXC

Reason for Exclusion

SIGNCNST

Signed Consent

Details

The SCREEN CRF exists in both 1.0 and 2.0, but is limited to only capturing information on a participant’s demographics in 2.0 (gender, handedness, ethnicty, race). In 1.0, the scope also included other information about a participant, such as consent, referrals, and a participant’s status in the study (excluded or declined). The model name SCREEN is a legacy reference to PPMI 1.0’s CRF title “Screening/Demographics”.

SOA and Cohorts

Depending on a participant’s cohort, the timing of when this CRF is completed will vary. For Healthy Control, Parkinson’s Disease, and PD Genetic Cohort participants, this form is completed at Screening or at any Transition Activity. A Transition Activity is the first 2.0 visit for a 1.0 participant that is transitioning into the 2.0 study. For participants in the Prodromal Cohort, this form is completed at the Baseline visit or at a Transition Activity.

Here are details on some of the key differences between variables in this table between PPMI 1.0 and 2.0:

SEX and CHLDBEAR

In PPMI 1.0 the variable GENDER had 3 options: Female of child bearing potential, Female of non-child bearing potential, and Male. In PPMI 2.0 this has been replaced by two separate variables: SEX which records biological sex (Female or Male) and CHLDBEAR which records child bearing potential for Females (Yes or No) and will be Null for Males.

HANDED

The variable capturing a participant’s handedness was moved to this table from SOCIOECO (where it existed in 1.0).

ASHKJEW, BASQUE, AFICBERB

All three of these questions capture details on a participant’s ethnicity that were not captured in 1.0.

DECLINED, EXCLUDED

Both of these questions are now captured in the SCRNFAIL table, in the SCFAILRSN variable.

RSNDEC

This variable is now captured in the SCRNFAIL table.

SIGNCNST, CONSNTDT

Information on a participant’s consent can be found in the CONSENT table.