Intervention Minimum Data Elements (MDEs)

Well-Integrated Screening and Evaluation for Women Across the Nation(WISEWOMAN) Reporting System

Attachment 4. InterventionMDE_v700

Intervention Minimum Data Elements (MDEs)

OMB: 0920-0612

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Lifestyle Intervention MDE
Field Descriptions





Data User’s Manual

Version 7.00

July 2008


Part A: Lifestyle Intervention MDE Field Descriptions


Name

Type

Location

0. MDE Version




a. MDE version

MDEVer

Numeric

1 – 3

1. Lifestyle Intervention Location




a. State/Tribal FIPS Code

StFIPS

Character

4 – 5

2. Record Identification




a. Unique Lifestyle Intervention Record ID Number

NRec

Numeric

6-11

3. Participant Information




a. Unique Participant ID Number

EncodeID

Character

12-26

4. Lifestyle Intervention Date




  1. Date of Lifestyle Intervention Session

Intervention

Numeric

27-34

5. Lifestyle Intervention Information




a. Type of Contact

ContactType

Numeric

35-36

b. Setting

Setting

Numeric

37

6. Lifestyle Intervention Session Focus




a. Nutrition

Nutrition

Numeric

38

b. Linked to Community-Based Nutrition Resources

NutLink

Numeric

39

c. Physical Activity

PA

Numeric

40

d. Linked to Community-Based Physical Activity Resources

PALink

Numeric

41

e. Linked to Proactive Tobacco Quit Line

QuitLine

Numeric

42

f. Linked to Community-Based Tobacco Cessation Resources

TobacLink

Numeric

43





Part B: Lifestyle Intervention MDE Field Descriptions

Section 0: MDE Version

Item

0a: MDE version

Purpose

To specify the version of the MDE that was used to construct the file.

Name

MDEVer

Length

3

Type

Numeric

Justification

Right

Leading Zeros

No

Beginning Position

1

Edits

Cannot be blank.

Contents

700 Version 7.00

Explanation

Enter the version of the MDE that was used to construct the files.

Example

MDE version 7.00: 700

Section 1: Lifestyle Intervention Location

Item

1a: State/Tribal FIPS Code

Purpose

To specify the FIPS or Tribal Program code for the State or Tribe where the lifestyle intervention occurred.

Name

StFIPS

Length

2

Type

Character

Justification

Left

Leading Zeros

Yes

Beginning Position

4

Edits

Valid FIPS State/territorial/tribal code; cannot be blank.

Contents

06 California (CA)


09 Connecticut (CT)


17 Illinois (IL)


19 Iowa (IA)


25 Massachusetts (MA)


26 Michigan (MI)


27 Minnesota (MN)


29 Missouri (MO)


31 Nebraska (NE)


37 North Carolina (NC)


41 Oregon (OR)


42 Pennsylvania (PA)


45 South Carolina (SC)


46 South Dakota (SD)


49 Utah (UT)


50 Vermont (VT)


51 Virginia (VA)


54 West Virginia (WV)


55 Wisconsin (WI)


85 Southeast Alaska Region Health Consortium (SEARHC)


92 Southcentral Foundation (SCF)

Explanation

The State FIPS codes are the Federal Information Processing Standard codes developed by the National Bureau of Standards. The Tribal Program codes are codes assigned by CDC to be used by the Tribal Programs in lieu of State FIPS codes.

Example

Connecticut: 09

Section 2: Record Identification

Item

2a: Unique Lifestyle Intervention Record ID Number

Purpose

To uniquely identify records within the file.

Name

NRec

Length

6

Type

Numeric

Justification

Right


Part B: Lifestyle Intervention MDE Field Descriptions (continued)

Leading Zeros

No

Beginning Position

6

Edits

Cannot be blank.

Contents


Explanation

The record ID number is unique and is a sequence number from 1 to the number of records in the file.

Example

Sequence number: 254

Section 3: Participant Information

Item

3a: Unique Participant ID Number

Purpose

To uniquely identify a participant.

Name

EncodeID

Length

15

Type

Character

Justification

Left

Leading Zeros

n/a

Beginning Position

12

Edits

Cannot be blank.

Contents


Explanation

If Social Security number is used, encode it. One simple method is to rearrange the order of the 9 digits. The ID number is unique and constant for each participant to track the participant over time. WISEWOMAN uses the NBCCEDP ID number.

Example

ID: 1234567890

Section 4: Lifestyle Intervention Date

Item

4a: Date of Lifestyle Intervention Session

Purpose

To specify the date of the lifestyle intervention session.

Name

Intervention

Length

8

Type

Numeric

Justification

Right

Leading Zeros

Yes

Beginning Position

27

Edits

Cannot be blank.

INTERVENTION>=AssessDate, WeightDate, BPDate, TCDate, BGDate (dates are from the first screening record).

Contents

MMDDCCYY Date

Explanation

Record the date of the lifestyle intervention session.

Lifestyle intervention date must occur on or after the date that the baseline screening and assessment measurements are completed.

Example

March 31, 2010: 03312010

Section 5: Lifestyle Intervention Information

Item

5a: Type of Contact

Purpose

To specify the type of contact used for the lifestyle intervention session.

Name

ContactType

Length

2

Type

Numeric

Justification

Right

Leading Zeros

No

Beginning Position

35

Edits

Valid range, cannot be blank.

Contents

1 Face-to-Face


2 Phone


3 Evidence that mailed materials were opened and reviewed


4 Evidence that audiotape or DVD was opened and reviewed

5 Evidence that computer based session was completed

77 Unknown



These response options may be expanded by CDC to accommodate other types of lifestyle intervention contacts.

Explanation

Record the type of contact used for the lifestyle intervention session.

Example

Face-to-Face contact: 1

Section 5: Lifestyle Intervention Information

Item

5b: Setting

Purpose

To specify the setting for the lifestyle intervention session.

Name

Setting

Length

1

Type

Numeric

Justification

Right

Leading Zeros

No

Beginning Position

37

Edits

Valid range, cannot be blank.

Contents

1 Individual


2 Group


7 Unknown

Explanation

Record the type of setting used for the lifestyle intervention session.

Example

Group session: 2

Section 6: Lifestyle Intervention Session Focus

Item

6a: Nutrition

Purpose

To indicate whether the participant received nutrition counseling during the lifestyle intervention session.

Name

Nutrition

Length

1

Type

Numeric

Justification

Right

Leading Zeros

No

Beginning Position

38

Edits

Valid range; cannot be blank.

Contents

1 Yes


2 No


7 Unknown

Explanation

Indicate whether the participant received nutrition counseling during the lifestyle intervention session.

Example

Did not receive nutrition counseling: 2

Section 6: Lifestyle Intervention Session Focus

Item

6b: Linked to Community-Based Nutrition Resources

Purpose

To indicate whether the participant was linked to community-based nutrition resources during the lifestyle intervention session.

Name

NutLink

Length

1

Type

Numeric

Justification

Right

Leading Zeros

No

Beginning Position

39

Edits

Valid range; cannot be blank.

Contents

1 Yes


2 No


7 Unknown

Explanation

Indicate whether the participant was linked to community-based nutrition resources during the lifestyle intervention session.

Example

Was linked to community-based nutrition resources: 1

Section 6: Lifestyle Intervention Session Focus

Item

6c: Physical Activity

Purpose

To indicate whether the participant received physical activity counseling during the lifestyle intervention session.

Name

PA

Length

1

Type

Numeric

Justification

Right

Leading Zeros

No

Beginning Position

40

Edits

Valid range; cannot be blank.

Contents

1 Yes


2 No


7 Unknown

Explanation

Indicate whether the participant received physical activity counseling during the lifestyle intervention session.

Example

Received physical activity counseling: 1

Section 6: Lifestyle Intervention Session Focus

Item

6d: Linked to Community-Based Physical Activity Resources

Purpose

To indicate whether the participant was linked to community-based physical activity resources during the lifestyle intervention session.

Name

PALink

Length

1

Type

Numeric

Justification

Right

Leading Zeros

No

Beginning Position

41

Edits

Valid range; cannot be blank.

Contents

1 Yes


2 No


7 Unknown

Explanation

Indicate whether the participant was linked to community-based physical activity resources during the lifestyle intervention session.

Example

Was not linked to community-based physical activity resources: 2

Section 6: Lifestyle Intervention Session Focus

Item

6e: Linked to Proactive Tobacco Quit Line

Purpose

To indicate whether the participant was linked to a proactive tobacco quit line during the lifestyle intervention session.

Name

QuitLine

Length

1

Type

Numeric

Justification

Right

Leading Zeros

No

Beginning Position

42

Edits

Valid range; cannot be blank.

Contents

1 Yes


2 No


7 Unknown

Explanation

Indicate whether the participant was linked to a proactive tobacco quit line during the lifestyle intervention session.

Example

Was linked to a proactive tobacco quit line: 1

Section 6: Lifestyle Intervention Session Focus

Item

6f: Linked to Community-Based Tobacco Cessation Resources

Purpose

To indicate whether the participant was linked to community-based tobacco cessation resources during the lifestyle intervention session.

Name

TobacLink

Length

1

Type

Numeric

Justification

Right

Leading Zeros

No

Beginning Position

43

Edits

Valid range; cannot be blank.

Contents

1 Yes


2 No


7 Unknown

Explanation

Indicate whether the participant was linked to community-based tobacco cessation resources during the lifestyle intervention session.

Example

Not known whether linked to community-based tobacco cessation resources: 7



Version 6.2, May 2006

File Typeapplication/msword
File TitleAttachment 1:
AuthorOlga Khavjou
Last Modified Byarp5
File Modified2009-11-04
File Created2009-09-30

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