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  1. Impact of Coronavirus on Life in America
    Source: Kaiser Family Foundation (KFF)
    Date Published: 4/2/2020
    Format: Text
    Annotation: This web page details the results of the latest Kaiser Family Foundation Health Tracking poll, conducted March 25-30, 2020, which found that as many cities and states were issuing public health guidance requiring social distancing or shelter-in-place measures, seven in 10 Americans (72 percent) said their lives have been disrupted “a lot” or “some” by the coronavirus (COVID-19) outbreak. The vast majority of the public say U.S. policy should be prioritizing the slowing down of the spread of the coronavirus rather than the U.S. economy.

    Population: Adults only
    Administered by: Trained Lay Examiner/Interviewer
    Language(s): English
    ...[See more] [See less]
    Authors: Kirzinger, Ashley; Kearney, Audrey; Hamel, Liz; Brodie, Mollyann
    Type: Guideline/Assessment Tool
    Access Notes: Link to Topline and Methodology: http://files.kff.org/attachment/Topline-KFF-Health-Tracking-Poll-Early-April-2020.pdf


    Permission/Request required

    Contact Information: Henry J. Kaiser Family Foundation
    Includes Research Tools: Yes.
    ID: 21679. From: Disaster Lit®a database of the U.S. National Library of Medicine.

  2. Questionnaire for Assessing the Impact of the COVID-19 Pandemic and Accompanying Mitigation Efforts on Older Adults (QAICPOA)
    Source: University of California, San Francisco (UCSF)
    Date Published: 4/2/2020
    Format: Text
    Annotation: This questionnaire was developed by expert opinion. It will be used in two studies: the Study of Muscle Mobility and Aging (SOMMA), a study that is currently enrolling men and women age 70 and older to determine the biologic role of muscle in development of mobility disability, and the Osteoporotic Fractures in Men (MrOS Study), an ongoing multicenter cohort study of healthy aging of older men, with a particular focus on osteoporosis. MrOS men were initially enrolled in 2000-2002 and are all now in their mid-80s or older. In each study, organizers hope to administer the questionnaire two or three times over the coming months, along with select other repeated data from the cohorts (e.g., fall incidence, mobility function, activity level).

    Population: Adults only; High Risk/Special/Unique Populations
    Length: 17 questions
    Administered by: Self Administered/Self Report; Trained Lay Examiner/Interviewer
    Special Considerations: Can be administered via self-report or telephone interview.
    Language(s): English

    MROS/SOMMA COVID-19 Social Impact Questionnaire: Full Questionnaire https://www.phenxtoolkit.org/toolkit_content/PDF/MROS.pdf

    Symptoms and Diagnosis: Symptoms and Diagnosis https://www.phenxtoolkit.org/toolkit_content/PDF/MROS_Diagnosis.pdf
    MROS/SOMMA Social Distancing and Hygiene: Social Distancing and Hygiene https://www.phenxtoolkit.org/toolkit_content/PDF/MROS_SocialDistancing.pdf
    ...[See more] [See less]
    Type: Guideline/Assessment Tool
    Access Notes: Citation: Peggy Cawthon, MPH, PHD, Eric Orwoll, MD, Kristine Ensrud, MD, Jane A Cauley, DrPH, Stephen B Kritchevsky, PhD, Steven R Cummings, MD, Anne Newman, MD, Assessing the impact of the covid-19 pandemic and accompanying mitigation efforts on older adults, The Journals of Gerontology: Series A, https://academic.oup.com/biomedgerontology/article/75/9/e123/5822596

    Free/Publicly Available

    Contact Information: Peggy Cawthon at pcawthon@sfcc-cpmc.net
    Includes Research Tools: Yes.
    ID: 21681. From: Disaster Lit®a database of the U.S. National Library of Medicine.

  3. California COVID-19 Health Surveys: Data and Charts
    Source: California Health Care Foundation (CHCF)
    Date Published: 4/1/2020
    Format: Text
    Annotation: This web page provides a series of short surveys to assess demand on California's health care system during the coronavirus pandemic.

    Population: Adults only
    Length: 2 items
    Administered by: Self Administered/Self
    Report
    Language(s): English
    ...[See more] [See less]
    Type: Guideline/Assessment Tool
    Access Notes: Link to COVID-19 California Tracking Polls https://www.chcf.org/collection/covid-19-california-tracking-polls/

    Contact Information: California Healthcare Foundation (CHCF)
    Includes Research Tools: Yes.
    ID: 21550. From: Disaster Lit®a database of the U.S. National Library of Medicine.

  4. UnderStandingAmerica Study COVID-19 Surveys
    Source: Center for Economic and Social Research [University of Southern California Dornsife] (CESR)
    Date Published: 4/1/2020
    Format: PDF
    Annotation: The Understanding America Study (UAS) is a probability-based online panel of adult US residents that began in 2014. Over six years, the UAS has developed an extensive catalogue of questions and responses on a variety of topics related to social science, demography and health. Beginning in March 2020, the UAS started a high-frequency longitudinal data collection related to the COVID19 pandemic.

    Population: Adults only
    Length: 99 questions
    Time to Complete: 20 minutes
    Administered by: Trained Lay Examiner/Interviewer
    Language(s): English, Spanish

    Documentation links to codebooks, questionnaires, reports: https://uasdata.usc.edu/page/Covid-19+Documentation

    Data: information on how to access the data, etc. https://uasdata.usc.edu/page/Covid-19+Data
    Additional data can be found: https://covid19pulse.usc.edu/
    ...[See more] [See less]
    Authors: Bennett, Daniel; Bruine de Bruin, Wandi; Darling, Jill; Kapteyn, Arie; Thomas, Kyla
    Type: Guideline/Assessment Tool
    Access Notes: Citation(s): Publications: https://uasdata.usc.edu/page/Covid-19+Publications

    Permission/Request required

    Contact Information: Ms. Jill Darling (University of Southern California) at jilldarl@usc.edu; uas-l@usc.edu, TaniaGutsche (ProjectandPanelManager, Center for Economic and Social Research, University of Southern California) at tgutsche@usc.edu
    Includes Research Tools: Yes.
    ID: 21649. From: Disaster Lit®a database of the U.S. National Library of Medicine.

  5. CoRonavIruS Health Impact Survey (CRISIS)
    Source: National Institute of Mental Health [National Institutes of Health] (NIMH)
    Date Published: 4/2020
    Format: Text
    Annotation: The CRISIS Survey is designed to enable researchers and care providers to examine the extent and impact of life changes induced by the COVID-19 epidemic on the mental health and behavior of individuals and families across diverse international settings. This data may enable the identification of pre-, peri, and post-COVID-19 demographic, social, and clinical predictors of both short- and long-term impairment and distress induced by COVID-19 and its sequelae. The survey is designed to allow for follow-ups on a regular basis, with recommended frequencies of twice monthly or monthly. To facilitate multicultural perspectives, translations in a broad range of languages are available. Download surveys in PDF or Word Format, via GitHub, or via REDCap.


    Population: All/Anyone
    Length: 99 questions
    Time to Complete: 12 minutes
    Administered by: Self Administered/Self Report
    Language(s): English, Brazilian Portuguese, French, German, Greek, Hebrew, Spanish, Swedish, Turkish

    CRISIS Surveys: Adult Self-Report Baseline Current Form: Full Survey https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Adult.pdf

    CRISIS Baseline Current Form- Background: Demographics; Health Care https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Adult_Background.pdf
    Coronavirus/COVID-19 Health/Exposure Status: Symptoms; Diagnosis; Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Adult_Status.pdf
    Life Changes Due to Coronavirus/COVID-19 Crisis: Life Changes https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Adult_Life_Changes.pdf
    Daily Behaviors During COVID-19: Sleep Changes; Physical Activity https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Adult_Daily_Behaviors.pdf
    Emotions/Worries During COVID-19: Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Adult_Worries.pdf
    Media Use (e.g., mobile devices, media, etc.) During COVID-19: Media Use https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Adult_Media_Use.pdf
    Substance Use (e.g., tobacco, alcohol, other drugs) During COVID-19: Substance Use https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Adult_Substance_Use.pdf

    CRISIS Surveys: Youth Self-Report Baseline Current Form: Full Survey https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Youth.pdf
    CRISIS Baseline Current Form- Background: Demographics; Health Care https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Youth_Background.pdf
    Coronavirus/COVID-19 Health/Exposure Status: Symptoms; Diagnosis; Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Youth_Status.pdf
    Life Changes Due to Coronavirus/COVID-19 Crisis: Life Changes https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Youth_Life_Changes.pdf
    Daily Behaviors During COVID-19: Sleep Changes; Physical Activity https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Youth_Daily_Behaviors.pdf
    Emotions/Worries During COVID-19: Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Youth_Worries.pdf
    Media Use (e.g., mobile devices, media, etc.) During COVID-19: Media Use https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Youth_Media_Use.pdf
    Substance Use (e.g., tobacco, alcohol, other drugs) During COVID-19: Substance Use https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_Youth_Substance_Use.pdf

    CRISIS Surveys: Parent/Caregiver Self-Report Baseline Current Form: Full Survey https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_ParentCaregiver.pdf
    CRISIS BaselineCurrent Form- Background: Demographics; Health Care https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_ParentCaregiver_Background.pdf
    Coronavirus/COVID-19 Health/Exposure Status: Symptoms; Diagnosis; Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_ParentCaregiver_Status.pdf
    Life Changes Due to Coronavirus/COVID-19 Crisis: Life Changes https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_ParentCaregiver_Life_Changes.pdf
    Daily Behaviors During COVID-19: Sleep Changes; Physical Activity https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_ParentCaregiver_Daily_Behaviors.pdf
    Emotions/Worries During COVID-19: Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_ParentCaregiver_Worries.pdf
    Media Use (e.g., mobile devices, media, etc.) During COVID-19: Media Use https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_ParentCaregiver_Media_Use.pdf
    Substance Use (e.g., tobacco, alcohol, other drugs) During COVID-19: Substance Use https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_Baseline_ParentCaregiver_Substance_Use.pdf

    CRISIS Surveys: Adult Self-Report Follow-up Current Form: Full Survey https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_Adult.pdf
    Coronavirus/COVID-19 Health/Exposure Status: Symptoms; Diagnosis; Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_Adult_Status.pdf
    Life Changes Due to Coronavirus/COVID-19 Crisis: Life Changes https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_Adult_Life_Changes.pdf
    Daily Behaviors During COVID-19: Sleep Changes; Physical Activity https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_Adult_Daily_Behaviors.pdf
    Emotions/Worries During COVID-19: Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_Adult_Worries.pdf
    Media Use (e.g., mobile devices, media, etc.) During COVID-19: Media Use https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_Adult_Media_Use.pdf
    Substance Use (e.g., tobacco, alcohol, other drugs) During COVID-19: Substance Use https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_Adult_Substance_Use.pdf

    CRISIS Surveys: Youth Self-Report Follow-up Current Form: Full Survey https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_Youth.pdf
    Coronavirus/COVID-19 Health/Exposure Status: Symptoms; Diagnosis; Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_Youth_Status.pdf
    Life Changes Due to Coronavirus/COVID-19 Crisis: Life Changes https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_Youth_Life_Changes.pdf
    Daily Behaviors During COVID-19: Sleep Changes; Physical Activity https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_Youth_Daily_Behaviors.pdf
    Emotions/Worries During COVID-19: Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_Youth_Worries.pdf
    Media Use (e.g., mobile devices, media, etc.) During COVID-19: Media Use https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_Youth_Media_Use.pdf
    Substance Use (e.g., tobacco, alcohol, other drugs) During COVID-19: Substance Use https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_Youth_Substance_Use.pdf

    CRISIS Surveys: Parent/Caregiver Self-Report Follow-up Current Form: Full Survey https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_ParentCaregiver.pdf
    Coronavirus/COVID-19 Health/Exposure Status: Symptoms; Diagnosis; Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_ParentCaregiver_Status.pdf
    Life Changes Due to Coronavirus/COVID-19 Crisis: Life Changes https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_ParentCaregiver_Life_Changes.pdf
    Daily Behaviors During COVID-19: Sleep Changes; Physical Activity https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_ParentCaregiver_Daily_Behaviors.pdf
    Emotions/Worries During COVID-19: Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_ParentCaregiver_Worries.pdf
    Media Use (e.g., mobile devices, media, etc.) During COVID-19: Media Use https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_ParentCaregiver_Media_Use.pdf
    Substance Use (e.g., tobacco, alcohol, other drugs) During COVID-19: Substance Use https://www.phenxtoolkit.org/toolkit_content/PDF/CRISIS_FollowUp_ParentCaregiver_Substance_Use.pdf
    ...[See more] [See less]
    Authors: Merikangas, K.; Milham, M.; Stringaris, A.
    Type: Guideline/Assessment Tool
    Access Notes: Link to Adult Self-Report Baseline https://www.nlm.nih.gov/dr2/CRISIS_Adult_Self-Report_Baseline_Current_Form_V0.3.pdf
    Link to Adult Self-Report Follow Up Form: https://www.nlm.nih.gov/dr2/CRISIS_Adult_Self-Report_Follow_Up_Current_Form_V0.3.pdf
    Link to Parent/Caregiver Baseline Form https://www.nlm.nih.gov/dr2/CRISIS_Parent_Caregiver_Baseline_Current_Form_V0.3.pdf
    Link to Parent Caregiver Follow Up Form: https://www.nlm.nih.gov/dr2/CRISIS_Parent_Caregiver_Follow_Up_Current_Form_V0.3.pdf
    Link to Youth Self-Report Baseline Form https://www.nlm.nih.gov/dr2/CRISIS_Youth_Self-Report_Baseline_Current_Form_V0.3.pdf
    Link to Youth Self Report Follow Up Form: https://www.nlm.nih.gov/dr2/CRISIS_Youth_Self-Report_Follow_Up_Current_Form_V0.3.pdf
    Link to Forms and background material on GitHub: https://github.com/nimh-comppsych/CRISIS

    Free/Publicly Available
    Contact Information: National Institute of Mental Health Intramural Research Program Mood Spectrum Collaboration, Dr. Kathleen Merikangas at merikank@mail.nih.gov
    Includes Research Tools: Yes.
    ID: 21767. From: Disaster Lit®a database of the U.S. National Library of Medicine.
    REDCap: Yes.

  6. Fear of COVID-19 Scale
    Source: Nottingham Trent University
    Date Published: 4/2020
    Format: PDF
    Annotation: The Fear of COVID-19 Scale, a seven-item scale, has robust psychometric properties. It is reliable and valid in assessing fear of COVID-19 among the general population and will also be useful in allaying COVID-19 fears among individuals. Authors are from Nottingham Trent University, The Hong Kong Polytechnic University, Tabriz University of Medical Sciences, Baqiyatallah University of Medical Sciences, and Jönköping University.

    Population: Adults only
    Length: 7 items
    Administered by: Lay Interviewer
    Language(s): English, Persian, Farsi

    Fear of COVID-19 Scale: Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/NTU_FCS.pdf
    Authors: Ahorsu, Daniel Kwasi; Lin, Chung-Ying; Imani, Vida; Saffari, Mohsen; Griffiths, Mark D.; et al.
    Type: Guideline/Assessment Tool
    Access Notes: Citation: Ahorsu, D.K., Lin, C., Imani, V. et al. The Fear of COVID-19 Scale: Development and Initial Validation. Int J Ment Health Addiction (2020). https://link.springer.com/article/10.1007%2Fs11469-020-00270-8

    Free/Publicly Available
    Contact Information: Nottingham Trent University, Dr. Mark Griffiths, Mark.Griffiths@ntu.ac.uk
    Includes Research Tools: Yes.
    ID: 21768. From: Disaster Lit®a database of the U.S. National Library of Medicine.

  7. Epidemic–Pandemic Impacts Inventory (EPII)
    Source: University of Connecticut School of Medicine
    Date Published: 4/2020
    Format: PDF
    Annotation: The Epidemic–Pandemic Impacts Inventory (EPII; Grasso, Briggs-Gowan, Ford, & Carter, 2020) is a newly developed measure designed to study the impact of the coronavirus disease pandemic COVID-19 (and future epidemics/pandemics) on various domains of personal and family life. Items assess impact in areas that include: Work and Employment, Education and Training, Home Life, Social Activities, Economic, Emotional Health and Wellbeing, Physical Health Problems, Physical Distancing and Quarantine, Infection History, and Positive Change. Items follow a simple response set of Yes (me), Yes (person in home), No, and N/A. Although not yet evaluated, data collection is ongoing, and as of today, over 30 research teams (nationally and internationally) are incorporating the EPII into studies of various populations. Authors are from University of Connecticut School of Medicine and University of Massachusetts.

    Length: 92 questions
    Administered by: Self Administered/Self Report
    Language(s): English, Spanish, Brazilian Portuguese, Urdu

    Adaptations and Supplements available:
    Racial/Ethnic Discrimination Addendum
    Adolescent Adaptation
    Geriatric Adaptation
    Healthcare Supplement
    Mental Health Provider Supplement
    Prenatal Supplement
    Perinatal Labor and Delivery Supplement
    Infancy Supplement


    Epidemic – Pandemic Impacts Inventory (EPII): Full Inventory https://www.phenxtoolkit.org/toolkit_content/PDF/Grasso_EPII.pdf

    Impact of COVID-19 on Work and Employment: Employment https://www.phenxtoolkit.org/toolkit_content/PDF/Grasso_EPII_Work_Employment.pdf
    Impact of COVID-19 on Education and Training: Education and Training https://www.phenxtoolkit.org/toolkit_content/PDF/Grasso_EPII_Education_Training.pdf
    Impact of COVID-19 on Home Life: Home Life and Conflict https://www.phenxtoolkit.org/toolkit_content/PDF/Grasso_EPII_Home_Life.pdf
    Impact of COVID-19 on Social Activities: Social Impact https://www.phenxtoolkit.org/toolkit_content/PDF/Grasso_EPII_Social_Activities.pdf
    Impact of COVID-19 on Economic: Economic Insecurity https://www.phenxtoolkit.org/toolkit_content/PDF/Grasso_EPII_Economic.pdf
    Impact of COVID-19 on Emotional Health and Well-Being: Mental Health and Health Care https://www.phenxtoolkit.org/toolkit_content/PDF/Grasso_EPII_Emotional_Health_Well_Being.pdf
    Impact of COVID-19 on Physical Health Problems: Health Care and Physical Activity https://www.phenxtoolkit.org/toolkit_content/PDF/Grasso_EPII_Physical_Health_Problems.pdf
    Impact of COVID-19 on Physical Distancing and Quarantine: Social Distancing and Hygiene https://www.phenxtoolkit.org/toolkit_content/PDF/Grasso_EPII_Physical_Distancing_Quarantine.pdf
    Impact of COVID-19 on Infection History: Symptoms and Diagnosis https://www.phenxtoolkit.org/toolkit_content/PDF/Grasso_EPII_Infection_History.pdf
    Impact of COVID-19 on Positive Change: Positive Impacts https://www.phenxtoolkit.org/toolkit_content/PDF/Grasso_EPII_Positive_Change.pdf
    ...[See more] [See less]
    Authors: Grasso, Damion J.; Briggs-Gowan, Margaret J.; Ford, Julian; Carter, Alice
    Type: Guideline/Assessment Tool
    Access Notes: Citation: Grasso, D.J., Briggs-Gowan, M.J., Ford, J.D., & Carter, A.S. (2020). The Epidemic – Pandemic Impacts
    Free/Publicly Available
    Contact Information: Dr. Damion Grasso at dgrasso@uchc.edu
    Includes Research Tools: Yes.
    ID: 21769. From: Disaster Lit®a database of the U.S. National Library of Medicine.

  8. National Institutes of Health (NIH) Environmental influences on Child Health Outcomes (ECHO) COVID-19 Questionnaires
    Source: National Institutes of Health (NIH)
    Date Published: 4/2020
    Format: Text
    Annotation: The National Institutes of Health (NIH) Environmental influences on Child Health Outcomes (ECHO) COVID-19 Task Force led the development of the ECHO COVID-19 questionnaires. The Task Force, co-chaired by ECHO investigators Tracy Bastain, PhD, and Carrie Breton, PhD, of the Keck School of Medicine at the University of Southern California, and comprised of 21 additional cohort investigators, as well as representatives from the ECHO NIH Program Office, Coordinating Center (CC), Data Analysis Center (DAC), and Person-Reported Outcome (PRO) Core, developed questionnaires for pregnant women and caregivers, children ages 0 to 12 years old (via parent report), and adolescents ages 13 years and older (via self-report). The purpose of these questionnaires is to assess the impact of being infected with and living during the time of the COVID-19 outbreak. Questionnaire content includes original items developed by the Task Force, as well as modified items from existing surveys and source materials listed in the access notes.

    Population: Adults and teens, High Risk/Special/Unique Populations
    Length: 70 questions
    Administered by: Self Administered/Self Report
    Administered by: Parent/Teacher
    Language(s): English, Spanish

    ENLGISH:
    COVID-19 Questionnaire - Adult Primary Version: Full Questionnaire https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_Adult_Primary.pdf

    COVID-19 Infection - Adult Primary Version: Symptoms and Diagnosis https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_Adult_Primary_Infection.pdf
    Impacts of the COVID-19 Outbreak - Adult Primary Version: Social Impact, Employment and Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_Adult_Primary_Impact.pdf
    Impacts of the COVID-19 Outbreak on Pregnancy - Current - Adult Primary Version Current: Pregnancy and Health Care https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_Adult_Primary_Pregnancy_Current.pdf
    Impacts of the COVID-19 Outbreak on Pregnancy - Recall - Adult Primary Version: Past Pregnancy and Health Care https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_Adult_Primary_Pregnancy_Recall.pdf

    COVID-19 Questionnaire - Adult Alternate Version: Full Questionnaire https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_Adult_Alternate.pdf
    COVID-19 Infection - Adult Alternate Version: Symptoms and Diagnosis https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_Adult_Alternate_Infection.pdf
    Impacts of the COVID-19 Outbreak - Adult Alternate Version: Social Impact and Employment https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_Adult_Alternate_Impact.pdf
    Impacts of the COVID-19 Outbreak on Pregnancy - Current - Adult Alternate Version: Current Pregnancy and Health Care https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_Adult_Alternate_Pregnancy_Current.pdf
    Impacts of the COVID-19 Outbreak on Pregnancy - Recall - Adult Alternate Version: Past Pregnancy and Health Care https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_Adult_Alternate_Pregnancy_Recall.pdf

    COVID-19 Questionnaire - Child Parent-Report Version: Full Questionnaire https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_Child_Parent.pdf
    COVID-19 Infection - Child Parent-Report Version: Symptoms and Diagnosis https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_Child_Parent_Infection.pdf
    Impacts of the COVID-19 Outbreak on the Child Enrolled in ECHO: Social Impact and Education https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_Child_Parent_Report_Impacts.pdf

    COVID-19 Questionnaire - Child Self-Report Primary Version: Full Questionnaire https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_Child_Self_Report_Primary.pdf
    COVID-19 Infection - Child Self-Report - Primary Version: Symptoms and Diagnosis https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_Child_Self_Report_Primary_Infection.pdf
    Impacts of the COVID-19 Outbreak - Child Self-Report - Primary Version: Social Impact, Education and Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_Child_Self_Report_Primary_Impacts.pdf

    COVID-19 Questionnaire - Child Self-Report Alternate Version: Full Questionnaire https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_Child_Self_Report_Alternate.pdf
    COVID-19 Infection - Child Self-Report - Alternate Version: Symptoms and Diagnosis https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_Child_Self_Report_Alternate_Infection.pdf
    Impacts of the COVID-19 Outbreak - Child Self-Report - Alternate Version: Social Impact and Education https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_Child_Self_Report_Alternate_Impacts.pdf

    SPANISH:
    COVID-19 Questionnaire - Adult Primary Version (Spanish): Full Questionnaire https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_AdultPrimary_Spanish.pdf
    COVID-19 Infection - Adult Primary Version (Spanish):General Symptoms; Diagnosis https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_AdultPrimary_Infection_Spanish.pdf
    Impacts of the COVID-19 Outbreak - Adult Primary Version (Spanish): Social Impact; Employment; General Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_AdultPrimary_Impacts_Spanish.pdf
    Impacts of the COVID-19 Outbreak on Pregnancy - Current - Adult Primary Version (Spanish): Current Pregnancy; Health Care https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_AdultPrimary_Pregnancy_Current_Spanish.pdf
    Impacts of the COVID-19 Outbreak on Pregnancy - Recall - Adult Primary Version (Spanish): Past Pregnancy; Health Care https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_AdultPrimary_Pregnancy_Past_Spanish.pdf

    COVID-19 Questionnaire - Adult Alternate Version (Spanish): Full Questionnaire https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_AdultAlternate_Spanish.pdf
    COVID-19 Infection - Adult Alternate Version (Spanish):General Symptoms; Diagnosis https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_AdultAlternate_Infection_Spanish.pdf
    Impacts of the COVID-19 Outbreak - Adult Alternate Version (Spanish): Social Impact; Employment; General Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_AdultAlternate_Impacts_Spanish.pdf
    Impacts of the COVID-19 Outbreak on Pregnancy - Current - Adult Alternate Version (Spanish): Current Pregnancy; Health Care https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_AdultAlternate_Pregnancy_Current_Spanish.pdf
    Impacts of the COVID-19 Outbreak on Pregnancy - Recall - Adult Alternate Version (Spanish):Past Pregnancy; Health Care https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_AdultAlternate_Pregnancy_Past_Spanish.pdf

    COVID-19 Questionnaire - Child Parent-Report Version (Spanish): Full Questionnaire https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_ChildParentReport_Spanish.pdf
    COVID-19 Infection - Child Parent-Report Version (Spanish): General Symptoms; Diagnosis https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_ChildParentReport_Infection_Spanish.pdf
    Impacts of the COVID-19 Outbreak on the Child Enrolled in ECHO (Spanish): Social Impact; Past Pregnancy https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_ChildParentReport_Impacts_Spanish.pdf

    COVID-19 Questionnaire - Child Self-Report Primary Version (Spanish): Full Questionnaire
    COVID-19 Infection - Child Self-Report - Primary Version (Spanish): General Symptoms; Diagnosis https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_ChildPrimary_Infection_Spanish.pdf
    Impacts of the COVID-19 Outbreak - Child Self-Report - Primary Version (Spanish): Social Impact; Past Pregnancy; General Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_ChildPrimary_Impacts_Spanish.pdf

    COVID-19 Questionnaire - Child Self-Report Alternate Version (Spanish): Full Questionnaire https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_ChildAlternate_Spanish.pdf
    COVID-19 Infection - Child Self-Report - Alternate Version (Spanish): General Symptoms; Diagnosis https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_ChildAlternate_Infection_Spanish.pdf
    Impacts of the COVID-19 Outbreak - Child Self-Report - Alternate Version (Spanish): Social Impact; Past Pregnancy https://www.phenxtoolkit.org/toolkit_content/PDF/ECHO_ChildAlternate_Impacts_Spanish.pdf
    ...[See more] [See less]
    Authors: Bastain, Tracy; Breton, Carrie
    Type: Guideline/Assessment Tool
    Access Notes: ECHO COVID-19 Questionnaire Cover Page and References: https://www.nlm.nih.gov/dr2/ECHO_COVID-19_Cover_Page_References.pdf
    ECHO COVID-19 Questionnaire Adult Primary Version Form C19-aPV: https://www.nlm.nih.gov/dr2/C19-aPV_COVID-19_Questionnaire-Adult_Primary_Version_20200409_v01.30.pdf
    ECHO COVID-19 Questionnaire Adult Alternate Version Form C19-aAV: https://www.nlm.nih.gov/dr2/C19-aAV_COVID-19_Questionnaire-Adult_Alternate_Version_20200410_v01.31.pdf
    ECHO COVID-19 Questionnaire Child-Parent Report Form C19-cPR: https://www.nlm.nih.gov/dr2/C19-cPR_COVID-19_Questionnaire-Child_Parent-Report_Version_20200409_v01.30.pdf
    ECHO COVID-19 Questionnaire Child Self-Report Primary Version Form C19-cPV: https://www.nlm.nih.gov/dr2/C19-cPV_COVID-19_Questionnaire-Child_Self-Report_Primary_Version_20200608_v01.31.pdf
    ECHO COVID-19 Questionnaire Child Self-Report Alternate Version Form C19-cAV: https://www.nlm.nih.gov/dr2/C19-cAV_COVID-19_Questionnaire-Child_Self-Report_Alternate_Version_20200608_v01.31.pdf

    Spanish Language Questionnaires:
    COVID-19 Questionnaire - Adult Primary Version: Full Questionnaire Spanish https://www.nlm.nih.gov/dr2/C19-aPV_Spanish_COVID-19_Questionnaire-Adult_Primary_Version_20200409_v01.30.pdf
    COVID-19 Questionnaire - Adult Alternate Version: Full Questionnaire Spanish https://www.nlm.nih.gov/dr2/C19-aAV_Spanish_COVID-19_Questionnaire-Adult_Alternate_Version_20200410_v01.31.pdf
    COVID-19 Questionnaire - Child Parent-Report Version: Full Questionnaire Spanish https://www.nlm.nih.gov/dr2/C19-cPR_Spanish_COVID-19_Questionnaire-Child_Parent-Report_Version_20200617_v01.30.pdf
    COVID-19 Questionnaire - Child Self-Report Primary Version: Full Questionnaire Spanish https://www.nlm.nih.gov/dr2/C19-cPV_Spanish_COVID-19_Questionnaire-Child_Self-Report_Primary_Version_20200608_v01.31.pdf
    COVID-19 Questionnaire - Child Self-Report Alternate Version: Full Questionnaire Spanish https://www.nlm.nih.gov/dr2/C19-cAV_Spanish_COVID-19_Questionnaire-Child_Self-Report_Alternate_Version_20200608_v01.31.pdf

    Freely publicly available
    Contact information: Duke University, Dr. Brian Smith, Echocc@duke.edu
    Includes Research Tools: Yes.
    ID: 21805. From: Disaster Lit®a database of the U.S. National Library of Medicine.

  9. KSADS-COMP with COVID-Specific PTSD Trauma Screen Items
    Source: Kennedy Krieger Institute
    Date Published: 4/2020
    Format: PDF
    Annotation: The Schedule for Affective Disorders and Schizophrenia for School-Aged Children (KSADS) is a widely used and well validated diagnostic interview for children and adolescents. The PTSD trauma screen items from the KSADS-COMP have been revised to capture COVID-19-specific traumas.

    Population: Children/Teens Only
    Administered by: Self Administered/Self Report; Trained Lay Examiner/Interviewer; Parent/Teacher
    Language(s): English, Spanish, Danish, Dutch

    KSADS-COMP PTSD Screen items: Screen for K-SADS-COMP https://www.phenxtoolkit.org/toolkit_content/PDF/KSADS-COMP_PTSD_screen.pdf

    KSADS-COMP PTSD Screen items - Spanish: Screen for K-SADS-COMP https://www.phenxtoolkit.org/toolkit_content/PDF/KennedyKriegerInstute_CIS_Spanish.pdf
    ...[See more] [See less]
    Type: Guideline/Assessment Tool
    Access Notes: The KSADS-COMP is available at https://www.kennedykrieger.org/ksads-comp.

    Proprietary - Cost/Purchase required
    Citation Townsend L, Kobak K, Kearney C, et al. Development of Three Web-Based Computerized Versions of the Kiddie Schedule for Affective Disorders and Schizophrenia Child Psychiatric Diagnostic Interview: Preliminary Validity Data. J Am Acad Child Adolesc Psychiatry. 2020;59(2):309-325. doi: 310.1016/j.jaac.2019.1005.1009. Epub 2019 May 1018.
    Contact Information: Research Center for Child and Family TraumaticStress Kennedy Krieger Institute, Dr. Joan Kaufman, joan.kaufman@kennedykrieger.org; University of Colorado Anschutz Medical Campus, Dr. Joel Stoddard, joel.stoddard@cuanschutz.edu
    Includes Research Tools: Yes.
    ID: 21817. From: Disaster Lit®a database of the U.S. National Library of Medicine.

  10. Pennington Biomedical COVID-19 Survey
    Source: Pennington Biomedical Research Center [Louisiana State University] (PBRC)
    Date Published: 4/2020
    Format: PDF
    Annotation: Scientists at Pennington Biomedical Research Center in Louisiana are conducting this research study to understand how COVID-19 is impacting health behaviors of people in the United States and around the world.

    Population: Adults only
    Length: 103 questions
    Time to Complete: 20 minutes
    Administered by: Self Administered/Self Report
    Language(s): English

    Pennington Biomedical COVID-19 Survey: Full Survey https://www.phenxtoolkit.org/toolkit_content/PDF/PBRC_Covid.pdf

    Regional Social Distancing COVID-19 Mandates: Social Distancing https://www.phenxtoolkit.org/toolkit_content/PDF/PBRC_Covid_Distancing.pdf
    Impacts of COVID-19 on Food Security: Food Security https://www.phenxtoolkit.org/toolkit_content/PDF/PBRC_Covid_Food.pdf
    Worry about COVID-19 Infection: Diagnosis and Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/PBRC_Covid_Worry.pdf
    Impacts of COVID-19 on Employment: Economic Security https://www.phenxtoolkit.org/toolkit_content/PDF/PBRC_Covid_Employment.pdf
    Impacts of COVID-19 on Changes to Physical Activity and Sedentary Behaviors: Physical Activity https://www.phenxtoolkit.org/toolkit_content/PDF/PBRC_Covid_Activity.pdf
    Impacts of COVID-19 on Dietary Changes: Dietary Intake https://www.phenxtoolkit.org/toolkit_content/PDF/PBRC_Covid_Dietary.pdf
    Impacts of COVID-19 on Sleep Changes: Sleep Changes https://www.phenxtoolkit.org/toolkit_content/PDF/PBRC_Covid_Sleep.pdf
    Impacts of COVID-19 on Well-Being: Mental Health https://www.phenxtoolkit.org/toolkit_content/PDF/PBRC_Covid_Well-being.pdf
    ...[See more] [See less]
    Authors: Redman, Leanne
    Type: Guideline/Assessment Tool
    Includes Research Tools: Yes.
    ID: 21818. From: Disaster Lit®a database of the U.S. National Library of Medicine.

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