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Form Structure: California Verbal Learning Test Children's version (CVLT-C) Scores

This form structure is an organized set of data definitions for a copyrighted form
Title:
California Verbal Learning Test Children's version (CVLT-C) Scores
Short Name:
CVLTCScores
Description:
California Verbal Learning Test Childrens version (CVLT-C) . The test is usually administered to children aged 5–16 to evaluate mild to severe learning disabilities, attention deficit disorder, mental retardation and other neurological disorders. It also provides information for the diagnosis of psychiatric disorders. It also assessed recall and recognition. Copyright © 1994 NCS Pearson, Inc. All rights reserved. Standardization edition copyright © 1989 NCS Pearson, Inc.alifornia Verbal Learning Test Children's version (CVLT-C) . Copyright Pearson, Pearson Executive Office 5601 Green Valley Drive Bloomington, MN 55437 800.627.7271 www.PsychCorp.com References: O'Jile JR1, Schrimsher GW, O'Bryant SE. The California Verbal Learning Test-Children's Version: relation to factor indices of the Wechsler Intelligence Scale for Children-Third Edition. J Clin Exp Neuropsychol. 2005 Oct;27(7):815-22. https://www.ncbi.nlm.nih.gov/pubmed/16183615
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:
2020-02-11
Version:
1.0
Date Created:
2016-12-17
Owner:
Number of Data Elements:
78
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.

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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
7 BRICS data completeness index  Index reflecting the completeness of data in BRICS calculated for a given row as % of missing variables. Calculated in % BRICSDataCompletIndex Optional CDE
8 Data captured by type  Type of an individual (or a device) who captured the subject data and/or filled out the case report form (CRF), questionnaire, assessment form, computerized test, etc., including eFORMs and automatic sensors DataCapturedByTyp Recommended CDE
9 Data captured by other text  The free-text field related to "Data captured by whom type" specifying other text DataCapturedByTypOTH Optional CDE

CVLTC administration (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 California Verbal Learning Test Children's version (CVLT-C) - Referral reason text  Referral reason text, as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCReferralReasnTxt Recommended CDE
2 Medication prior or concomitant use indicator  Indicator of whether the participant/subject reported taking any medications during the time period relevant to the study protocol MedctnPriorConcomUseInd Recommended CDE
3 Medication prior or concomitant name  Name of the prior/concomitant agent or drug administered. MedctnPriorConcomName Recommended CDE
4 Hearing problems indicator  Indicator of any hearing loss or deficit as diagnosed by a physician HearingProblemsInd Recommended UDE
5 Hearing problems indicator describe text  The free-text related to "HearingProblemsInd", specifying describe text. HearingProblemsIndOTH Recommended UDE

Level of recall and contrast scores List A (Appears Up To 5 Times)

# Title Short Description Variable Name Required? Type
1 Trial number (numeric)  The number representing the sequence for any repeated measure test or assessment when it is performed multiple times. TrialNumber Recommended CDE
2 California Verbal Learning Test Children's version (CVLT-C) - List A, trial total correct words count  Total count of correct words recalled by the subject for List A for a given trial (Total C), as part of California Verbal Learning Test Children's version (CVLT-C). Also used as a trial/list raw score. CVLTCListATotCorrWordsCt Recommended CDE
3 California Verbal Learning Test Children's version (CVLT-C) - List A, trial scaled score (z-score)  Scaled score (z-score) for List A for a given trial, as part of California Verbal Learning Test Children's version (CVLT-C). Also used as a trial/list raw score. CVLTCListATotScaledScr Recommended CDE
4 California Verbal Learning Test Children's version (CVLT-C) - List A total recall trials 1-5 raw score  Total raw score for List A, calculated as a total number of words recalled across in trials 1-5 (a sum of Total C for trials 1-5), as part of California Verbal Learning Test Children's version (CVLT-C). CVLCListATotRecallRawScr Recommended CDE
5 California Verbal Learning Test Children's version (CVLT-C) - List A total recall scaled score (T-score)  Total recall scaled score (T-score) List A trials 1-5, as part of California Verbal Learning Test Children's version (CVLT-C). CVLCListATotRecallScaledScr Recommended CDE
6 California Verbal Learning Test Children's version (CVLT-C) - Confidence Interval List A total trials 1-5 scaled score (z-score)  Scaled score (z-score) calculated for a confidence interval List A total trials 1-5 , calculated based on performance in List A, trials 1-5, as part of California Verbal Learning Test Children's version (CVLT-C). CVLCListAConfIntScaledScr Recommended CDE

Level of recall and contrast scores List B (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 California Verbal Learning Test Children's version (CVLT-C) - List B free recall trial correct words count  Total count of correct words recalled from the interference list - List B (Total C), as part of California Verbal Learning Test Children's version (CVLT-C). Also used as a trial/list raw score. CVLTCListBTotCorrWordsCt Recommended CDE
2 California Verbal Learning Test Children's version (CVLT-C) - List B free recall trial total scaled score (z-score)  Total scaled score for list B free recall (z-score), as part of California Verbal Learning Test Children's version (CVLT-C). CVLCListBTotScaledScr Recommended CDE
3 California Verbal Learning Test Children's version (CVLT-C) - List B free recall vs List A trial 1 free recall percentage change value  Percentage change value for List B free recall vs List A trial 1 free recall, as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCFRPercChangeVal Recommended CDE
4 California Verbal Learning Test Children's version (CVLT-C) - List B free recall vs List A trial 1 free recall difference score  Difference score for List B free recall vs List A trial 1 free recall, as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCFRDiffScr Recommended CDE

Level of recall and contrast scores List A SD FR (Appears Up To 5 Times)

# Title Short Description Variable Name Required? Type
1 Trial number (numeric)  The number representing the sequence for any repeated measure test or assessment when it is performed multiple times. TrialNumber Recommended CDE
2 California Verbal Learning Test Children's version (CVLT-C) - List A, trial total correct words count  Total count of correct words recalled by the subject for List A for a given trial (Total C), as part of California Verbal Learning Test Children's version (CVLT-C). Also used as a trial/list raw score. CVLTCListATotCorrWordsCt Recommended CDE
3 California Verbal Learning Test Children's version (CVLT-C) - List A short delay free recall scaled score (z-score)  Short delay free recall scaled score for List A (z-score), as part of California Verbal Learning Test Children's version (CVLT-C). CVLCListASDFRScaledScr Recommended CDE
4 California Verbal Learning Test Children's version (CVLT-C) - Short delay free recall vs List A trial 5 percentage change value  Percentage change value calculated for short delay free recall vs List A trial 5, as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCSDFRPercChangeVal Recommended CDE
5 California Verbal Learning Test Children's version (CVLT-C) - Short delay free recall vs List A trial 5 difference score  Difference score for short delay free recall vs List A trial 5, as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCSDFRDiffScr Recommended CDE

Level of recall and contrast scores List A SD CR (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 California Verbal Learning Test Children's version (CVLT-C) - List A, trial total correct words count  Total count of correct words recalled by the subject for List A for a given trial (Total C), as part of California Verbal Learning Test Children's version (CVLT-C). Also used as a trial/list raw score. CVLTCListATotCorrWordsCt Recommended CDE
2 California Verbal Learning Test Children's version (CVLT-C) - List A short delay cued recall scaled score (z-score)  List A short delay cued recall scaled score (z-score), as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCListASDCRScaledScr Recommended CDE

Level of recall and contrast scores List A LD FR (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 California Verbal Learning Test Children's version (CVLT-C) - List A, trial total correct words count  Total count of correct words recalled by the subject for List A for a given trial (Total C), as part of California Verbal Learning Test Children's version (CVLT-C). Also used as a trial/list raw score. CVLTCListATotCorrWordsCt Recommended CDE
2 California Verbal Learning Test Children's version (CVLT-C) - List A short delay free recall scaled score (z-score)  List A short delay free recall scaled score (z-score), as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCListALDFRScaledScr Recommended CDE
3 California Verbal Learning Test Children's version (CVLT-C) - Long delay free recall vs short delay free recall percentage change value  Percentage change value calculated for a long delay free recall vs short delay free recall, as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCLDSDFRPercChangeVal Recommended CDE
4 California Verbal Learning Test Children's version (CVLT-C) - Long delay free recall vs short delay free recall difference score  Difference score for Long delay free recall vs short delay free recall, as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCLDSDFRDiffScr Recommended CDE

Level of recall and contrast scores List A LD CR (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 California Verbal Learning Test Children's version (CVLT-C) - List A, trial total correct words count  Total count of correct words recalled by the subject for List A for a given trial (Total C), as part of California Verbal Learning Test Children's version (CVLT-C). Also used as a trial/list raw score. CVLTCListATotCorrWordsCt Recommended CDE
2 California Verbal Learning Test Children's version (CVLT-C) - List A long delay cued recall scaled score (z-score)  Scaled score (z-score) for List A long delay cued recall , as part of California Verbal Learning Test Children's version (CVLT-C). CVLCListALDCRScaledScr Recommended CDE

Learning characteristics List A Trials 1-5 (Appears Up To 3 Times)

# Title Short Description Variable Name Required? Type
1 California Verbal Learning Test Children's version (CVLT-C) - Semantic-Clustering ratio raw score  Semantic-Cluster raw score calculated as a number of word pairs recalled in semantic cluster (i.e. consecutive words from the same category), as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCSemClustRawScr Recommended CDE
2 California Verbal Learning Test Children's version (CVLT-C) - Serial-Cluster raw score  Serial-Cluster raw score raw score calculated as a number of word pairs recalled in a serial cluster, as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCSerialClustRawScr Recommended CDE
3 California Verbal Learning Test Children's version (CVLT-C) - Semantic-Cluster ratio (Observed/Expected) raw score  Raw score calculated for Semantic-Cluster ratio (Observed/Expected), as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCSemClustRatioRawScr Recommended CDE
4 California Verbal Learning Test Children's version (CVLT-C) - Semantic-Cluster ratio (Observed/Expected) scaled score (z-score)  Scaled score (z-score) calculated for Semantic-Cluster ratio (Observed/Expected), as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCSemClustRatioScaledScr Recommended CDE
5 California Verbal Learning Test Children's version (CVLT-C) - Serial-Cluster ratio (Observed/Expected) scaled score (z-score)  Scaled score (z-score) calculated for Serial-Cluster ratio (Observed/Expected), as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCSerialClustRatioScaledScr Recommended CDE
6 California Verbal Learning Test Children's version (CVLT-C) - Serial-Cluster ratio (Observed/Expected) raw score  Raw score calculated for Serial-Cluster ratio (Observed/Expected), as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCSerialClustRatioRawScr Recommended CDE
7 California Verbal Learning Test Children's version (CVLT-C) - Serial position recall region type  Type of region (primacy region, middle region, or recency region), as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCSerialPosRecallRegionTyp Recommended CDE
8 California Verbal Learning Test Children's version (CVLT-C) - Percent of total recall scaled score (z-score)  Scaled score (z-score) calculated for percent of total recall from the following primacy region, middle region, or recency region, as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCTotalRecPercentScaledScr Recommended CDE
9 California Verbal Learning Test Children's version (CVLT-C) - Percent of total recall raw score  Raw score calculated for percent of total recall from the following primacy region, middle region, or recency region, as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCTotalRecPercentRawScr Recommended CDE
10 California Verbal Learning Test Children's version (CVLT-C) - Learning slope scaled score (z-score)  Scaled score (z-score) for a learning slope, as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCLSScaledScr Recommended CDE
11 California Verbal Learning Test Children's version (CVLT-C) - Learning slope raw score  Raw score for a learning slope, as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCLSRawScr Recommended CDE
12 California Verbal Learning Test Children's version (CVLT-C) - Percent recall consistency scaled score (z-score)  Scaled score (z-score) for a percent recall consistency, as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCPercRecConsScaledScr Recommended CDE
13 California Verbal Learning Test Children's version (CVLT-C) - Percent recall consistency raw score  Raw score for a percent recall consistency, as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCPercRecConsRawScr Recommended CDE
14 California Verbal Learning Test Children's version (CVLT-C) - Learning slope score for trials 1-2  Score of the learning slope for trials 1-2, as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCTrial12LSScore Recommended CDE
15 California Verbal Learning Test Children's version (CVLT-C) - Learning slope score for trials 2-5  Score of the learning slope for trials 2-5, as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCTrial25LSScore Recommended CDE

Recall errors (Appears Up To 3 Times)

# Title Short Description Variable Name Required? Type
1 California Verbal Learning Test Children's version (CVLT-C) - Total perseverations for all recalls/trials count  Total count of perseverations for all trials/recalls, as part of California Verbal Learning Test Children's version (CVLT-C). Also used as a raw score CVLTCTotPerseverCt Recommended CDE
2 California Verbal Learning Test Children's version (CVLT-C) - Perseverations (free and cued recall trials total) scaled score (z-score)  Total scaled score (z-score) for perseverations (free and cued recall total), as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCTotPerseverationScaledScr Recommended CDE
3 California Verbal Learning Test Children's version (CVLT-C) - Total intrusions for all cued recall trials count  Total count of intrusions for all cued recall trials, as part of California Verbal Learning Test Children's version (CVLT-C). Also used as a raw score. CVLTCTotCRIntrCt Recommended CDE
4 California Verbal Learning Test Children's version (CVLT-C) - Cued recall trials intrusions scaled score (z-score)  Scaled score (z-score) for cued recall trials intrusions, as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCTotCRIntrScaledScr Recommended CDE
5 California Verbal Learning Test Children's version (CVLT-C) - Total intrusions for all free recall trials count  Total count of intrusions for all free recall trials, as part of California Verbal Learning Test Children's version (CVLT-C). Also used as a raw score. CVLTCTotFRIntrCt Recommended CDE
6 California Verbal Learning Test Children's version (CVLT-C) - Free recall trials intrusions standard score (z-score)  Scaled score (z-score) for free recall trials intrusions, as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCTotFRIntrScaledScr Recommended CDE
7 California Verbal Learning Test Children's version (CVLT-C) - Serial position recall region type  Type of region (primacy region, middle region, or recency region), as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCSerialPosRecallRegionTyp Recommended CDE
8 California Verbal Learning Test Children's version (CVLT-C) - Serial cluster region recall percentage  Percentage of words recalled correctly from the given serial cluster region (e.g.. Primacy, middle, recency), as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCSerClustRegionPercent Recommended CDE

Recognition measures and contrast scores (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 California Verbal Learning Test Children's version (CVLT-C) - List A recognition hits count  Count of recognition hits in List A , as part of California Verbal Learning Test Children's version (CVLT-C). Also used as a raw score. CVLTCListARecognHistCt Recommended CDE
2 California Verbal Learning Test Children's version (CVLT-C) - Correct recognition hits scaled score (z-score)  Scaled score (z-score) for correct recognition hits, as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCRecognHitsCorrScaledScr Recommended CDE
3 California Verbal Learning Test Children's version (CVLT-C) - Discriminability raw score  Raw score for discriminability- accuracy of distinguishing target from distracter words on recognition testing, as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCDiscriminRawScr Recommended CDE
4 California Verbal Learning Test Children's version (CVLT-C) - Discriminability scaled score (z-score)  Scaled score (z-score) for discriminability, as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCDiscriminScaledScr Recommended CDE
5 California Verbal Learning Test Children's version (CVLT-C) - Recognition Discriminability vs Long-Delay Free recall percentage change value  Percentage change value for Recognition Discriminability vs Long-Delay Free recall, as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCRecDiscrLDFRPercChangeVal Recommended CDE
6 California Verbal Learning Test Children's version (CVLT-C) - Recognition Discriminability vs Long-Delay Free recall difference score (z-score)  Difference score ( as a z-score) for Recognition Discriminability vs Long-Delay Free recall, as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCRecDiscrLDFRDiffScr Recommended CDE
7 California Verbal Learning Test Children's version (CVLT-C) - False positive total count  Total count of false positives - a number of words incorrectly identified as List A target, as part of California Verbal Learning Test Children's version (CVLT-C). Also used as raw score. CVLTCFalsePositiveTotCt Recommended CDE
8 California Verbal Learning Test Children's version (CVLT-C) - False positive scaled score (z-score)  False positive scaled score (z-score), as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCFalsePositiveScaledScr Recommended CDE
9 California Verbal Learning Test Children's version (CVLT-C) - Response bias raw score  Response bias raw score, as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCResponseBiasRawScr Recommended CDE
10 California Verbal Learning Test Children's version (CVLT-C) - Response bias scaled score (z-score)  Response bias scaled score (z-score), as part of California Verbal Learning Test Children's version (CVLT-C). CVLTCResponseBiasScaledScr Recommended CDE
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