The Activity in Counseling Trial (ACT) Elements
Forms

 

Record Format
1) Activities Inventory PDF
2) Influences on Activity PDF
3) 18-Month Adverse Events PDF
4) Follow-up Adverse Events PDF
5) Clinical Measures PDF
6) Demographics and Medical History PDF
7) Diet PDF
8) SVO Disposition PDF
9) SV1 Disposition PDF
10) SV2 Disposition PDF
11) 6-Month Follow-up Disposition PDF
12) 12-Month Telephone Follow-up Dispostion PDF
13) 24-Month A Follow-up Disposition PDF
14) 24-Month B Follow-up Disposition PDF
15) End of Study Survey PDF
16) Follow-up Health Habits PDF
17) Quality of Life PDF
18) Heart Rate Variability PDF
19) Max Graded Exercise Test PDF
20) Baseline Medications PDF
21) Medlant Variables PDF
22) Physical Activity Recall PDF
23) Physician End of Study Survey PDF
24) Physical Exam PDF
25) Pulse Wave Velocity Variables PDF
26) Random Variables PDF
27) Self Evaluation PDF
28) Study Termination PDF
29) Submax Graded Exercise Test PDF
30) Telephone Pre-Screening PDF

 






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