Our goal is to provide CAM researchers with a rich source of reliable and useful information about outcome measures for use in CAM related intervention research. We welcome your suggestions for outcome measures to include in the Database. All submissions will be reviewed before being included in the Database.

To suggest an outcome measure for the Database, please complete the on-line form below and click “submit” at the bottom of this page when you are finished.

Personal Information

Name: *

E-mail: *

Required Instrument Information

Outcome Measure Title: *

Brief Description: *

Author(s): *

Reference(s): *

Please provide at least one reference that describes the development of the outcome measure and/or information on validity and reliability

Why do you suggest this outcome for inclusion in the IN-CAM Outcomes Database?: *

Optional Information

What outcome domain(s) do you recommend this outcome measure should be categorized in?:

What year was the outcome measure created in?:

How is the outcome measure accessed?:

e.g article reference, website, book

Is there a cost to obtain the outcome measure?:

No

Yes

If Yes, specify cost:

How many items are in the outcome measure?:

How long does it take to administer the outcome measure?:

What time period is assessed?:

current status

last 24 hours

last 7 days

last month

other

How is the outcome measures administered?:

self

interviewer

self or interviewer

other

What is the target age group (if any)?:

child

adult

elderly

other

What target condition or symptom (if any) is the outcome measure specific to?:

Additional reference(s):

Please list any additional reference(s) on the outcome measure that you are aware of

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