Form Structure: Wechsler Adult Intelligence Scale Fourth Edition (WAIS-IV) Digit Span
This form structure is an organized set of data definitions for a copyrighted form
Title:
Wechsler Adult Intelligence Scale Fourth Edition (WAIS-IV) Digit Span
Short Name:
WAISIV_Digit_Span
Description:
Wechsler Adult Intelligence Scale Fourth Edition (WAIS-IV) is a test designed to measure intelligence in adults and older adolescents. The Digit Span test is part of the Working Memory Subtest and consists of three memory tasks that measure rote learning and memory, attention, auditory processing, mental manipulation, and working memory. Copyright © 2017 Pearson Education, Inc or its affiliate(s). All rights reserved,http://www.pearsonclinical.com/psychology/products/100000392/wechsler-adult-intelligence-scalefourth-edition-wais-iv.html Recommended by CDISC for TBI (TAUG TBI)
Disease:
Traumatic Brain Injury
Organization:
NIH/CIT/BRICS
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2015-09-18
Version:
1.4
Date Created:
2015-08-31
Owner:
Number of Data Elements:
37
eForms:
N
Logically grouped data elements with defined frequency at which they repeat.
# | Title | Short Description | Variable Name | Required? | Type |
---|---|---|---|---|---|
1 | GUID | Global Unique ID which uniquely identifies a subject | GUID | Required | CDE |
2 | Subject identifier number | An identification number assigned to the participant/subject within a given protocol or a study. | SubjectIDNum | Optional | CDE |
3 | Age in years | Value for participant's subject age recorded in years. | AgeYrs | Recommended | CDE |
4 | Visit date | Actual interview or visit date | VisitDate | Recommended | CDE |
5 | Site name | The name of the site for the study | SiteName | Recommended | CDE |
6 | Days since baseline | The number of days since baseline | DaysSinceBaseline | Optional | CDE |
7 | Case control indicator | Indicator of whether subject is in the case or control arm of the study. | CaseContrlInd | Optional | CDE |
8 | General notes text | General notes | GeneralNotesTxt | Optional | CDE |
Additional Element Groups
Listed below are your additional element groups.
Form Administration Group (Repeat Infinitely)
# | Title | Short Description | Variable Name | Required? | Type |
---|---|---|---|---|---|
1 | Context type | The context to which the questions were answered | ContextType | Recommended | CDE |
2 | Context type other text | The free-text related to ContextType specifying other text | ContextTypeOTH | Recommended | CDE |
3 | Data source | Source of the data provided on the case report form | DataSource | Recommended | CDE |
4 | Data source other text | The free-text field related to Data source specifying other text. Source of the data provided on the case report form | DataSourceOTH | Recommended | CDE |
Forward (Repeat Infinitely)
# | Title | Short Description | Variable Name | Required? | Type |
---|---|---|---|---|---|
1 | Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span forward subtest item number | Item number, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Forward subtest | WAIS_IVDSFItemNum | Recommended | CDE |
2 | Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span forward subtest trial number | Trial number, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Forward subtest | WAIS_IVDSFTrialNum | Recommended | CDE |
3 | Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span forward subtest number series text | Series of numbers, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Forward subtest | WAIS_IVDSFNumTxt | Recommended | CDE |
4 | Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span forward subtest response text | Participant response, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Forward subtest | WAIS_IVDSFRespnsTxt | Recommended | CDE |
5 | Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span forward subtest item score | Item score, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Forward subtest | WAIS_IVDSFItemScore | Recommended | CDE |
6 | Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span forward subtest trial score | Trial score, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Forward subtest | WAIS_IVDSFTrialScore | Recommended | CDE |
7 | Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span forward subtest last trial correct digit score | Score for correctly recalled digits for the last trial, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Forward subtest | WAIS_IVLDSFScore | Recommended | CDE |
8 | Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span forward subtest total raw score | Total raw score, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Forward subtest | WAIS_IVDSFTtlScore | Recommended | CDE |
Backward (Repeat Infinitely)
# | Title | Short Description | Variable Name | Required? | Type |
---|---|---|---|---|---|
1 | Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span backward subtest item number | Item number, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Backward subtest | WAIS_IVDSBItemNum | Recommended | CDE |
2 | Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span backward subtest trial number | Trial number, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Backward subtest | WAIS_IVDSBTrialNum | Recommended | CDE |
3 | Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span backward subtest number series text | Series of numbers, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Backward subtest | WAIS_IVDSBNumTxt | Recommended | CDE |
4 | Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span backward subset response text | Participant response, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Backward subtest | WAIS_IVDSBRespnsTxt | Recommended | CDE |
5 | Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span backward subtest trial score | Trial score, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Backward subtest | WAIS_IVDSBTrialScore | Recommended | CDE |
6 | Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span backward subtest item score | Item score, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Backward subtest | WAIS_IVDSBItemScore | Recommended | CDE |
7 | Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span backward subtest last trial correct digit score | Score for correctly recalled digits for the last trial, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Backward subtest | WAIS_IVLDSBScore | Recommended | CDE |
8 | Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span backward subtest total raw score | Total raw score, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Backward subtest | WAIS_IVDSBTtlScore | Recommended | CDE |
Sequencing (Repeat Infinitely)
# | Title | Short Description | Variable Name | Required? | Type |
---|---|---|---|---|---|
1 | Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span sequencing subtest item number | Item number, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Sequencing subtest | WAIS_IVDSSItemNum | Recommended | CDE |
2 | Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span sequencing subtest trial number | Trial number, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Sequencing subtest | WAIS_IVDSSTrialNum | Recommended | CDE |
3 | Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span sequencing subtest number series text | Series of numbers, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Sequencing subtest | WAIS_IVDSSNumTxt | Recommended | CDE |
4 | Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span sequencing subtest response text | Participant response, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Sequencing subtest | WAIS_IVDSSRespnsTxt | Recommended | CDE |
5 | Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span sequencing subtest trial score | Trial score, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Sequencing subtest | WAIS_IVDSSTrialScore | Recommended | CDE |
6 | Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span sequencing subtest item score | Item score, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Sequencing subtest | WAIS_IVDSSItemScore | Recommended | CDE |
7 | Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span sequencing subtest last trial correct digit score | Score for correctly recalled digits for the last trial of the sequencing portion, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span subtest | WAIS_IVLDSSScore | Recommended | CDE |
8 | Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span sequencing subtest total raw score | Total raw score, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Sequencing subtest | WAIS_IVDSSTtlScore | Recommended | CDE |
Summary Statistics (Repeat Infinitely)
# | Title | Short Description | Variable Name | Required? | Type |
---|---|---|---|---|---|
1 | Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span subtest total raw score | Total score, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span subtest | WAIS_IVDSTtlScore | Recommended | CDE |
Keywords