Form Structure: Brief Visuospatial Memory Test - Revised (BVMT-R)
This form structure is an organized set of data definitions for a copyrighted form
Title:
Brief Visuospatial Memory Test - Revised (BVMT-R)
Short Name:
BVMTR
Description:
The Brief Visuospatial Memory Test - Revised (BVMT-R) is a commonly used assessment tool to measure visuospatial learning and memory abilities across research and clinical settings. Copyright PAR INC - http://www4.parinc.com/Products/Product.aspx?ProductID=BVMT
Author: Ralph H. B. Benedict, PhD, ABCN
A measure of visuospatial memory, the BVMT-R can be used as part of a large neuropsychological battery, as a screening measure, and as a repeat measure to document changes over time. Purpose: Measure visuospatial memory Age range:18 to 79 years.
Neuropsychological impairment, Knowledge graph, See also
Disease:
General (For all diseases)
Traumatic Brain Injury
Organization:
NIH
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2016-11-16
Version:
1.1
Date Created:
2015-04-08
Owner:
Number of Data Elements:
49
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 | 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 |
Brief Visuospatial Memory Test (Appears Up To 6 Times)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Form administered number | Number of form administered for the Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRFormAdministeredNum | Recommended | CDE |
| 2 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Trial 1 raw score | Raw score for Trial 1 portion of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRTrial1RawScore | Recommended | CDE |
| 3 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Trial 1 T-score | T-score for Trial 1 portion of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRTrial1TScore | Recommended | CDE |
| 4 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Trial 1 percentage value | Percentile for Trial 1 portion of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRTrial1Percentile | Recommended | CDE |
| 5 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Trial 2 raw score | Raw score for Trial 2 portion of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRTrial2RawScore | Recommended | CDE |
| 6 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Trial 2 T-score | T-score for Trial 2 portion of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRTrial2TScore | Recommended | CDE |
| 7 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Trial 2 percentage value | Percentile for Trial 2 portion of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRTrial2Percentile | Recommended | CDE |
| 8 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Trial 3 raw score | Raw score for Trial 3 portion of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRTrial3RawScore | Recommended | CDE |
| 9 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Trial 3 T-score | T-score for Trial 3 portion of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRTrial3TScore | Recommended | CDE |
| 10 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Trial 3 percentage value | Percentile for Trial 3 portion of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRTrial3Percentile | Recommended | CDE |
| 11 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Total recall raw score | Raw score for Total Recall portion of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRTtlRecallRawScore | Recommended | CDE |
| 12 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Total recall t-score | T-score for Total Recall portion of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRTtlRecallTScore | Recommended | CDE |
| 13 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Total recall percentage value | Percentile for Total Recall portion of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRTtlRecallPercentile | Recommended | CDE |
| 14 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Learning raw score | Raw score for Learning portion of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRLearnRawScore | Recommended | CDE |
| 15 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Learning T-score | T-score for Learning portion of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRLearnTScore | Recommended | CDE |
| 16 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Learning percentage value | Percentile for Learning portion of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRLearnPercentile | Recommended | CDE |
| 17 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Delayed recall raw score | Raw score for Delayed Recall portion of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRDelayRecallRawScore | Recommended | CDE |
| 18 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Delayed recall T-score | T-score for Delayed Recall portion of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRDelayRecallTScore | Recommended | CDE |
| 19 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Delayed recall percentage value | Percentile for Delayed Recall portion of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRDelayRecallPercentile | Recommended | CDE |
| 20 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Percent retained raw score | Raw score for Percent Retained portion of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRPercntRetainRawScore | Recommended | CDE |
| 21 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Percent retained percentage value | Percentile for Percent Retained portion of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRPercntRetainPercentile | Recommended | CDE |
| 22 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Recognition hits raw score | Raw score for Recognition Hits portion of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRHitsRawScore | Recommended | CDE |
| 23 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Recognition hits percentage value | Percentile for Recognition Hits portion of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRHitsPercentile | Recommended | CDE |
| 24 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Recognition false alarm raw score | Raw score for Recognition False Alarms portion of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRFalseAlarmRawScore | Recommended | CDE |
| 25 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Recognition false alarm percentage value | Percentile for Recognition False Alarms portion of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRFalseAlarmPercentile | Recommended | CDE |
| 26 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Recognition discrimination index raw score | Raw score for Recognition Discrimination portion of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRDiscrimIndxRawScore | Recommended | CDE |
| 27 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Recognition discrimination index percentage value | Percentile for Recognition Discrimination Index portion of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRDiscrimIndxPercentile | Recommended | CDE |
| 28 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Recognition response bias raw score | Raw score for Recognition Response Bias portion of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRResponsBiasRawScore | Recommended | CDE |
| 29 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Recognition response bias percentage value | Percentile for Recognition Response Bias portion of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRResponsBiasPercentile | Recommended | CDE |
| 30 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Copy raw score | Raw score for Copy portion of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRCopyRawScore | Recommended | CDE |
| 31 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Comparison group text | Description of comparison group for Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRComparisonGroupTxt | Recommended | CDE |
| 32 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Trial 3 completion time | Time the participant/subject completed Trial 3 portion of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRTrial3CompleteTime | Recommended | CDE |
| 33 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Delayed recall start time | Time started delayed recall trials for Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRDelayRecallStartTime | Recommended | CDE |
| 34 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Delay interval minute time | Time of delay interval in minutes for Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRDelayIntervalTime | Recommended | CDE |
| 35 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Copy image status | Copy image created by the subject, as part of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRCopyImage | Recommended | CDE |
| 36 | Brief Visuospatial Memory Test - Revised (BVMT-R) - Stimulus image status | Stimulus image plate (8x11-inch ) containing six geometric visual designs in a 2x3 matrix, as part of Brief Visuospatial Memory Test - Revised (BVMT-R) | BVMTRStimulusImage | Recommended | CDE |
Keywords
