Form Structure: Wechsler Preschool and Primary Scale of Intelligence Third Edition- Matrix Reasoning subtest
This form structure is an organized set of data definitions for a copyrighted form
Title:
Wechsler Preschool and Primary Scale of Intelligence Third Edition- Matrix Reasoning subtest
Short Name:
WPPSI3MR
Description:
WPPSI-III is a measure of intelligence in young children that is more age-appropriate and user-friendly. Matrix Reasoning subtest measures fluid reasoning, which describes a child's skills at grasping non-verbal concepts such that s/he can identify missing or incorrect aspects of those concepts and complete or correct them. Wechsler, D. (2002). Wechsler Preschool and Primary Scale of Intelligence?third edition technical and interpretive manual. San Antonio, TX: Psychological Corporation. Copyright 2002 by NCS Pearson, Inc. http://www.pearsonclinical.com/
Disease:
Traumatic Brain Injury
Organization:
FITBIR
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Version:
1.0
Date Created:
2016-07-29
Owner:
Number of Data Elements:
25
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 | Vital status | Status of participant/subject as alive or dead | VitStatus | Optional | CDE |
| 5 | Visit date | Actual interview or visit date | VisitDate | Recommended | CDE |
| 6 | Site name | The name of the site for the study | SiteName | Recommended | CDE |
| 7 | Days since baseline | The number of days since baseline | DaysSinceBaseline | Optional | CDE |
| 8 | Case control indicator | Indicator of whether subject is in the case or control arm of the study. | CaseContrlInd | Optional | CDE |
| 9 | General notes text | General notes | GeneralNotesTxt | Optional | CDE |
Additional Element Groups
Listed below are your additional element groups.
Form Administration (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Language form administration ISO code | Code (ISO 639-2) for the language that was used for CRF/instrument/scale/etc. administration | LangCRFAdministratISOCode | Recommended | CDE |
| 2 | Language form administration ISO code other text | The free-text field related to 'Language used for CRF/instrument/scale/etc. administration ISO code' specifying other text. | LangCRFAdministratISOCodeOTH | Recommended | CDE |
| 3 | Context type | The context to which the questions were answered | ContextType | Recommended | CDE |
| 4 | Context type other text | The free-text related to ContextType specifying other text | ContextTypeOTH | Recommended | CDE |
| 5 | Data source | Source of the data provided on the case report form | DataSource | Recommended | CDE |
| 6 | 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 |
WPPSI3 Matrix Reasoning-Sample item A (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Matrix Reasoning - Item response range 1 type | Response of range 1 for a given item, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Matrix Reasoning subtest | WPPSI3MRItemRespnsRange1Typ | Recommended | CDE |
WPPSI3 Matrix Reasoning-Sample item B (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Matrix Reasoning - Item response range 1 type | Response of range 1 for a given item, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Matrix Reasoning subtest | WPPSI3MRItemRespnsRange1Typ | Recommended | CDE |
WPPSI3 Matrix Reasoning-Sample item C (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Matrix Reasoning - Item response range 1 type | Response of range 1 for a given item, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Matrix Reasoning subtest | WPPSI3MRItemRespnsRange1Typ | Recommended | CDE |
WPPSI3 Matrix Reasoning Item 1-17 (Appears Up To 17 Times)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Test item number (numeric) | The test (or assessment) item number representing the sequence for the items/questions of each test/assessmet/questionnaire being asked | TestItemNum | Recommended | CDE |
| 2 | Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Matrix Reasoning - Item response range 1 type | Response of range 1 for a given item, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Matrix Reasoning subtest | WPPSI3MRItemRespnsRange1Typ | Recommended | CDE |
| 3 | Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Matrix Reasoning - Item score | Score for a given item, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Matrix Reasoning subtest | WPPSI3MRItemScore | Recommended | CDE |
WPPSI3 Matrix Reasoning Item 18-29 (Appears Up To 12 Times)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Test item number (numeric) | The test (or assessment) item number representing the sequence for the items/questions of each test/assessmet/questionnaire being asked | TestItemNum | Recommended | CDE |
| 2 | Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Matrix Reasoning - Item response range 2 type | Response of range 2 for a given item, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Matrix Reasoning subtest | WPPSI3MRItemRespnsRange2Typ | Recommended | CDE |
| 3 | Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Matrix Reasoning - Item score | Score for a given item, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Matrix Reasoning subtest | WPPSI3MRItemScore | Recommended | CDE |
WPPSI3 Matrix Reasoning-Scoring (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Matrix Reasoning - Total raw score | Total raw score, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Matrix Reasoning subtest | WPPSI3MRTtlRawScore | Recommended | CDE |
Keywords
