Variable | Age | Education | Race | Ethnicity | Occupation | Recruitment Source | Eligibility | |
---|---|---|---|---|---|---|---|---|
Field Type | Free text, integers only | Free text, integers only | Checkbox | Checkbox | Radio button | Checkbox | Yes/No, checkbox, free text | |
Description | User enters participant’s age | User enters participant’s years of education | • American Indian/Alaska Native • Asian ◦ Asian Indian ◦ Chinese ◦ Filipino ◦ Japanese ◦ Korean ◦ Vietnamese ◦ Other Asian ◦ Unknown or Not Reported • Black or African American • Hawaiian/other Pacific Islander • Caucasian or White • Other • Unknown/Not Reported | • Not Hispanic, Latino/a, or Spanish origin • Yes, Mexican, Mexican American, Chicano/a • Yes, Puerto Rican • Yes, Cuban • Yes, other Hispanic, Latino/a, or Spanish origin • Unknown/Not Reported | • Professional and Higher Executive Occupations, Chief Executives • Middle Professional Occupations/Small Business Owners • Managers • Support Personnel, Drafters, Technicians • Arts Design, Entertainment, Sports Occupations- Non-professional • Aids, Assistants, Clerks • Laborers • Other/Never Employed | • National Campaign ◦ Advertising ◦ Newspaper ◦ TV/Radio ◦ Other • Social Media ◦ YouTube ◦ Other • Referral ◦ Clinician at site ◦ Community clinician ◦ Community partner ◦ Participant ◦ NACC/other obs. ◦ Other | • Registry ◦ Local ◦ GeneMatch ◦ APT Webstudy ◦ Brain Health ◦ TrialMatch ◦ Other • Local Campaign ◦ Previous participant ◦ Local TV ◦ Local Radio ◦ Local theatre ◦ Outreach Event ◦ Other • Website ◦ Site website ◦ AHEAD website ◦ Clinicaltrials.gov ◦ Other ◦ TV/Radio • Other | • Yes ◦ Study ID# • No ◦ No longer interested ◦ No Study Partner ◦ MCI/AD Dx ◦ Medical exclusion (other than MCI/AD) ◦ No longer interested (concerns about investigational treatment ◦ No longer interested (concerns about radiation) ◦ Contraindications to MRI scanning • Other |
Variable | Sex | Zip Code | ||||||
Field Type | Radio button | Free text, 5-digit integer | ||||||
Description | • Male • Female • Other | User enters participant’s 5-digit zip code |