MACS Forms
The majority of forms require Acrobat Reader.
Data Collection Forms:
Effective January 18, 2011, the variable visit
number suffix was changed from 2 digits (i.e., VARIABLE_54)
to a 3 digit suffix (i.e., VARIABLE_054) and affects ALL visit
questionnaire variables from the first visit onward,
excluding NP Waves 1 - 10.
- Visit: Baseline
( Acrobat Reader required )
- Visit 1: Original Cohort
April 1, 1984 - April 8, 1985
-
Physical Exam /
w/variables
-
Section 2 & 3: demographics & psychosocial /
w/variables
-
Section 4 :
behavior, medical history, health services
/
w/variables
- Visit 707 (Visit 75): First New Recruits
April 1, 1987 - March 16, 1995
-
Physical Exam /
w/variables
-
Section 2 & 3: demographics & psychosocial /
w/variables
-
Section 4:
behavior, medical history, health services
/
w/variables
- Visit 736 (Visit 365): Second New Recruits
October 1, 2001 - August 8, 2003
- Screening Form:
(Guidelines)
English /
Spanish
-
Retrospective Medical Record Abstraction
(Guidelines)
- Eligibility Form
- Physical Exam/Lipodystrophy:
English /
w/variables /
Spanish
- Section 2 & 3: demographics & psychosocial
English /
w/variables /
Spanish
- Section 4 : behavior, medical history, health services
English /
w/variables /
Spanish
(Guidelines)
- Drug Form 1: antivirals
English /
w/variables /
Spanish
(Guidelines)
- Drug Form 2: non-antivirals
English /
w/variables /
Spanish
(Guidelines)
- Antiviral Medication Adherence: antiviral medication adherence (same as Visit 36 form)
English /
w/variables /
Spanish
(Guidelines)
- 36-Item Health Survey: quality of life (same form used all visits)
English /
w/variables
- Visit 752 (Visit 525): Open Recruitment
December 2010 - OPEN
- Screening
Form
(Guidelines)
- Retrospective Medical Record Abstraction
Form
(Guidelines)
- Eligibility
Form /
w/variables
(
Guidelines)
- Physical Exam/Lipodystrophy:
English /
w/variables /
Spanish
- Section 2 & 3: demographics & psychosocial
English /
w/variables
- Section 4 : behavior, medical history, health services
English /
w/variables
- Drug Form 1: antivirals
English /
w/variables /
Spanish
- Antiviral Medication Adherence
English /
w/variables /
Spanish
- 36-Item Health Survey: quality of life
English /
w/variables /
Spanish
- Timed Walking and Hand Grip Assessments
English /
w/variables
- Instrumental Activities of Daily Living
English /
w/variables /
Spanish
Visit: Follow-up
( Acrobat Reader required )
- CADI -
Beginning with Visit 59, April 1, 2013, the Section 4 (medical history, behavioral and health services questions), Drug Form 1 (antiviral drug questions) and Antiviral Medication Adherence forms were superseded by a MACS secured web-based computerized assisted direct interview (CADI). As with the previous forms, the CADI questions are administered by an interviewer. The antiviral medication adherence questions are now part of these respective documents. The behavioral questions (sexual, drinking, and smoking) continue to be collected primarily by a separate self-administered web-based questionnaire on the same MACS secured server. However, like the S4, they were included in the CADI as a secondary option for administration.
- Physical Exam/Lipodystrophy
(Lipodystrophy section introduced at Visit 31)
-
Timed Walking and Hand Grip Assessments
(introduced at Visit 44)
- Section 2 & 3:
demographics & psychosocial
- Section 4:
behavior, medical history, health services,
in CADI from Visit 59 onwards
- Drug Form 1:
anti-virals (introduced at Visit 13),
in CADI from Visit 59 onwards
- Drug Form 2:
non-antivirals (Visit 13 through Visit 50)
-
Form 20: patient with AIDS short telephone interview
(introduced at Visit 16 and discontinued at Visit 44)
- 36-Item Health Survey: quality of life (introduced at Visit 21)
Full:
English /
w/variables /
Spanish
Abbreviated: (introduced at Visit 55)
English /
w/variables /
Spanish
-
Antiviral Medication Adherence: antiviral medication adherence
(introduced at Visit 30), in CADI from Visit 59 onwards
-
Men's Attitude Survey: (Visit 31, 35, 39, 43, 47, 51, 55, 59 & 65 only)
-
Instrumental Activities of Daily Living (IADL):
(introduced in the MWII at Visit 49 and converted to form at Visit 55)
-
International Physical Activity Questionnaire (IPAQ):
(Visit 53 and Visit 54)
Questionnaire w/variables:
Visit 53 /
Visit 54
- Family History of Hip Fractures: (Visit 55)
English /
w/variables /
Spanish
-
Visit Guidelines (starting at Visit 34)
- Baseline:
- Form 07: Background information (Baseline only)
- WRAT: Wide Range Achievement Test (Baseline only)
- Follow-up:
- Form 08: Neuropsychological screening battery - psychological tests
(Rey Auditory Verbal Learning test,
Rey-Osterreith Complex Figure, Stroop Task,
Grooved Pegboard Test)
- Form 09: Neuropsychological screening battery - psychological tests
(Rey Auditory Verbal Learning test,
Rey-Osterreith Complex Figure, Stroop Task,
Grooved Pegboard Test) - discontinued at Visit 15
- Form 10: Neurological Assessment
- Form 18: Trail-Making Task and Symbol Digit Task
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Last updated January 24, 2018