| Biobank |
|
Subject |
Oral rinse, Blood, Salvia, Tumour tissue |
| Patient-reported outcome measures |
|
Subject |
Instrument |
|
Measured once: |
|
| NQ_x101 |
Demographics |
Age and gender |
| NQ_x103 |
Education and literacy |
Education and literacy |
| NQ_x104 |
Country of birth and family |
Country of birth and family |
| NQ_x112 |
Personality (big five) |
NEO Five Factor Inventory (NEO-FFI) |
| NQ_x113 |
Locus of control |
Pearlin Schooler and Mastery Scale (PSMS) |
| NQ_x115 |
Coping |
Utrecht Coping List (UCL) |
| NQ_x116 |
Social Desirability |
Social desirability questionnaire (study-specific questionnaire) |
| NQ_x127 |
Fertility |
Study-specific questionnaire (women only) |
|
|
|
|
Measured every time point: |
|
|
Questionnaire A |
|
| NQ_x102 |
Weight |
Gender, age, self-reported weight |
| NQ_x106 |
Smoking and nicotine dependence |
Smoking habits (study-specific questionnaire) |
| NQ_x107 |
Alcohol intake and dependence |
Alcohol (study-specific questionnaire) |
| NQ_x108 |
Drugs use |
Drugs (study-specific questionnaire) |
| NQ_x109 |
Generic quality of life |
EuroQol (EQ-5D + VAS) |
| NQ_x110 |
Disease-specific quality of life |
EORTC QLQ-C30 |
| NQ_x111 |
Tumour-specific quality of life |
EORTC QLQ-H&N35 |
| NQ_x114 |
Coping |
Mental Adjustment to Cancer (MAC) |
| NQ_x117 |
Severity anxiety/depression |
Hospital Anxiety and Depression Scale (HADS) |
| NQ_x118 |
Fatigue |
Multidimensional Fatigue Inventory (MFI) |
| NQ_x119 |
Swallowing |
Swallowing Quality of Life Questionnaire (SwalQoL) |
| NQ_x120 |
Speech |
Speech Handicap Index (SHI) |
| NQ_x121 |
Xerostomia |
Groningen Radiation Induced Xerostomia (GRIX) |
| NQ_x122 |
Shoulder problems |
Shoulder Disability Questionnaire (SDQ) |
| NQ_x123 |
Fear of recurrence |
Cancer Worry Scale (CWS) |
| NQ_x128 |
Social support |
Social Support List – Interactions (SSL-I12) |
| NQ_x130 |
Physical activity |
Physical Activity Scale for the Elderly (PASE) |
|
|
|
|
Questionnaire B |
|
| NQ_x202 |
Participation |
Impact on Participation and Autonomy (IPA) |
| NQ_x203 |
Self-perceived neurocognitive function |
Cognitive Failures Questionnaire (CFQ) |
| NQ_x204 |
Self-efficacy |
Generalized Self-Efficacy Scale (GSE) |
| NQ_x205 |
Sleep quality |
Pittsburgh Sleep Quality Index (PSQI) |
| NQ_x206 |
Life events |
Brugha/List of Threatening Experiences |
| NQ_x207 |
Post-traumatic stress |
Impact of Event Scale-Revised (IES-R) |
| NQ_x208 |
Loneliness |
Loneliness Scale (deJong Gierveld) |
| NQ_x209 |
Hearing |
Caron |
| NQ_x210 |
Sexual functioning – men |
International Index of Erectile Function (IIEF) |
| NQ_x211 |
Sexual functioning – women |
Female Sexual Function Index (FSFI) |
| NQ_x212 |
Supportive care needs |
Supportive Care Needs Survey Short-Form 34 (SCNS-SF34) and SCNS head and neck cancer module (SCNS-HNC) |
| NQ_x214 |
Leisure activities |
Study-specific questionnaire |
| Home based interview and test |
|
Subject |
Instrument |
|
Measured during home-based visit: |
|
| NQ_x302 |
Anxiety disorders |
WHO–Composite International Diagnostic Interview (CIDI) |
| NQ_x303 |
Major Depressive Disorder (MDD) |
WHO–Composite International Diagnostic Interview (CIDI) |
| NQ_x304 |
Verbal learning and verbal recall: immediate recall |
Hopkins Verbal Learning Test (HVLT) |
| NQ_x305 |
Visual motor scanning speed |
Trailmaking A |
| NQ_x306 |
Executive functioning |
Trailmaking B |
| NQ_x307 |
Verbal fluency |
Controlled Oral Word Association Test (COWA) |
| NQ_x308 |
Daily life |
Instrumental Activities Daily Life (IADL) |
| NQ_x309 |
Pain |
Brief Pain Inventory (BPI) |
| NQ_x310 |
Verbal learning and verbal recall: Delayed |
Hopkins Verbal Learning Test (HVLT) – Delayed Recall |
| NQ_x311 |
Blood pressure |
Systolic and diastolic blood pressure |
| NQ_x312 |
Body composition |
Weight, height, BMI, circumferences (waist and hip), skinfolds (4 measurements) |
| NQ_x313 |
Pulmonary function |
Peak flow |
| NQ_x314 |
Muscle strength |
JAMAR handgrip dynamometer, 30s chair stand test |
| NQ_x315 |
Nutrition status |
Mini Nutritional Assessment (MNA) |
| NQ_x317 |
Oral and shoulder function |
Functional Rehabilitation Outcome Grades (FROG) |
| NQ_x318 |
Cardiorespiratory fitness |
Chester Step test |
| NQ_001 |
Dietary intake |
Recall dietary intake |
| NQ_003 |
Heart rate |
Polar |
|
|
|
|
Measured after home-based visit: |
|
| NQ_002 |
Objectively measured physical activity |
Accelerometer (gt3x en agd) |
| Clinical data |
| NQ_x401 |
Baseline eCRF |
|
| NQ_x402 |
Follow-up eCRF (2 years follow-up) |
|
