Form Structure: Delis-Kaplan Executive Functioning Systems (DKEFS) Proverbs Test
This form structure is an organized set of data definitions for a copyrighted form
Title:
Delis-Kaplan Executive Functioning Systems (DKEFS) Proverbs Test
Short Name:
DKEFSPT
Description:
Delis-Kaplan Executive Functioning Systems (DKEFS) Proverb Test qualitatively evaluates the nature of an individual's verbal abstraction skills. The D-KEFS Proverb Test includes eight sayings that are presented in two conditions: Free Inquiry and Multiple Choice. The D-KEFS Proverb Test was designed for adolescents and adults (ages 16-89). Copyrighted 2001, NCS Pearson, Inc. All Rights Reserved (http://www.pearsonclinical.com/content/ani/clinicalassessments/us/en.html).
References: Shunk AW, Davis AW, Dean RS (2006). TEST REVIEW: Dean C. Delis, Edith Kaplan & Joel H. Kramer, Delis Kaplan Executive Function System (D-KEFS), The Psychological Corporation, San Antonio, TX, 2001. . Applied Neuropsychology. 13 (4): 275279. doi:10.1207/s15324826an1304_9.
Disease:
Traumatic Brain Injury
General (For all diseases)
Organization:
NIH/CIT/BRICS
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Version:
1.0
Date Created:
2016-08-16
Owner:
Number of Data Elements:
59
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 |
DKEFS Proverbs Test: Condition 1 Free Inquiry (Appears Up To 8 Times)
# | Title | Short Description | Variable Name | Required? | Type |
---|---|---|---|---|---|
1 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - Common proverbs (Item 1 - 5) text. | The common proverb text for items 1 to 5, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbComPrvTxt | Recommended | CDE |
2 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - Uncommon proverbs (Item 6 - 8) text. | The uncommon proverb text for items 6 to 8, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbUncmPrvTxt | Recommended | CDE |
3 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - Condition 1: free inquiry accuracy score. | The condition 1 free inquiry accuracy score, as part of the Delis-Kaplan Executive Function System (D-KEFS) . | DKEFSPrvrbCnd1FIAccrScore | Recommended | CDE |
4 | Delis-Kaplan Executive Function System (D-KEFS) Condition 1: free inquiry abstraction score. | The condition 1 free inquiry abstraction score, as part of the Delis-Kaplan Executive Function System (D-KEFS) . | DKEFSPrvrbCnd1FIAbsScore | Recommended | CDE |
5 | Delis-Kaplan Executive Function System (D-KEFS) Condition 1 - free inquiry achievement score. | The condition 1 free inquiry achievement score, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbCnd1AchScore | Recommended | CDE |
6 | Delis-Kaplan Executive Function System (D-KEFS) Condition 1 - free inquiry total accuracy score. | The condition 1 free inquiry total accuracy score, as part of the Delis-Kaplan Executive Function System (D-KEFS) . | DKEFSPrvrbFITotAccrScore | Recommended | CDE |
7 | Delis-Kaplan Executive Function System (D-KEFS) Condition 1 - free inquiry total abstraction score. | The condition 1 free inquiry total abstraction score, as part of the Delis-Kaplan Executive Function System (D-KEFS) . | DKEFSPrvrbFITotAbsScore | Recommended | CDE |
8 | Delis-Kaplan Executive Function System (D-KEFS) Condition 1 - free inquiry total achievement score. | The condition 1 free inquiry total achievement score, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbFITotAchScore | Recommended | CDE |
DKEFS Proverbs Test: Uncommon Proverbs (Appears Up To 8 Times)
# | Title | Short Description | Variable Name | Required? | Type |
---|---|---|---|---|---|
1 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - Common proverbs (Item 1 - 5) text. | The common proverb text for items 1 to 5, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbComPrvTxt | Recommended | CDE |
2 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - Uncommon proverbs (Item 6 - 8) text. | The uncommon proverb text for items 6 to 8, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbUncmPrvTxt | Recommended | CDE |
3 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - Multiple choice condition 2 response type | The multiple choice condition 2 response type, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvbMCCond2ResponseType | Recommended | CDE |
4 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - Condition 2 multiple choice letter choice score | The multiple choice condition letter choice score , as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvbMCCond2LetChScore | Recommended | CDE |
5 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test | The multiple choice condition 2 multiple choice responses score, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvbMCCond2MCRespScore | Recommended | CDE |
6 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - Total achievement: multiple choice correct total raw score. | The condition 2 multiple choice total achievement score, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbMCTotAchScore | Recommended | CDE |
Summary of Scores: Primary Measures (Appears Up To 1 Time)
# | Title | Short Description | Variable Name | Required? | Type |
---|---|---|---|---|---|
1 | Delis-Kaplan Executive Function System (D-KEFS) Condition 1 - free inquiry total achievement score. | The condition 1 free inquiry total achievement score, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbFITotAchScore | Recommended | CDE |
2 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - Total achievement: free inquiry correct total scaled score. | The total achievement score free inquiry raw scaled score, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbTotAchFISclScore | Recommended | CDE |
3 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - Total achievement: multiple choice correct total raw score. | The condition 2 multiple choice total achievement score, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbMCTotAchScore | Recommended | CDE |
4 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - Total achievement: multiple choice correct cumulative percentile rank. | The total achievement score multiple choice cumulative percentile rank, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSProverbTotAchMCCumPerRank | Recommended | CDE |
Summary of Scores: Optional Measures Free Inquiry (Appears Up To 1 Time)
# | Title | Short Description | Variable Name | Required? | Type |
---|---|---|---|---|---|
1 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - Common proverb achievement score: free inquiry item 1 - 5 total raw score | The common proverb achievement score free inquiry items 1 to 5 total raw score, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbComPrvFIAchRawScore | Recommended | CDE |
2 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - Common proverb achievement score: free inquiry item 1 - 5 total scaled score | The common proverb achievement score free inquiry items 1 to 5 scaled score, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbComPrvFIAchSclScore | Recommended | CDE |
3 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - Uncommon proverb achievement free inquiry item 6 - 8 total raw score | The total uncommon proverb achievement score free inquiry items 6 to 8 total raw score, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbUncmPrvFIAchRawScore | Recommended | CDE |
4 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - Uncommon proverb achievement free inquiry item 6 - 8 scaled score | The uncommon proverb achievement score free inquiry items 6 to 8 scaled score, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbUncmPrvFIAchSclScore | Recommended | CDE |
5 | Delis-Kaplan Executive Function System (D-KEFS) Condition 1 - free inquiry total accuracy score. | The condition 1 free inquiry total accuracy score, as part of the Delis-Kaplan Executive Function System (D-KEFS) . | DKEFSPrvrbFITotAccrScore | Recommended | CDE |
6 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - Accuracy only scaled score. | The accuracy only scaled score, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrverbAccuOnlyTotSclScore | Recommended | CDE |
7 | Delis-Kaplan Executive Function System (D-KEFS) Condition 1 - free inquiry total abstraction score. | The condition 1 free inquiry total abstraction score, as part of the Delis-Kaplan Executive Function System (D-KEFS) . | DKEFSPrvrbFITotAbsScore | Recommended | CDE |
8 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - Abstraction only scaled score | The abstraction only score scaled score, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbAbsOnlyTotSclScore | Recommended | CDE |
9 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - No/don�t know responses total raw score. | The no/don't know responses total raw score, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbNDKResTotRawScore | Recommended | CDE |
10 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - No/don�t know responses cumulative percentile rank | The no/don't know responses cumulative percentile rank, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbNDKResTotCumPerRank | Recommended | CDE |
11 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - Repeated responses total raw score. | The repeated responses total raw score, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbReptRespTotRawScore | Recommended | CDE |
12 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - Repeated responses cumulative percentile rank | The repeated responses cumulative percentile rank, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbReptRespCumPerRank | Recommended | CDE |
Summary of Scores: Optional Measures Multiple Choice (Appears Up To 1 Time)
# | Title | Short Description | Variable Name | Required? | Type |
---|---|---|---|---|---|
1 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - Common proverb achievement multiple choice item 1 - 5 total raw score | The common proverb achievement score multiple choice items 1 to 5 total raw score, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbCmPrvMCAchRawScore | Recommended | CDE |
2 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - Common proverb achievement multiple choice item 1 - 5 cumulative percentile rank | The common proverb achievement score multiple choice items 1 to 5 cumulative percentile rank, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbCmPrvMCAchCmPerRank | Recommended | CDE |
3 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - Uncommon proverb achievement multiple choice item 6 - 8 total raw score | The total uncommon proverb achievement score multiple choice items 6 to 8 total raw score, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbUncmPrvMCAchRawScore | Recommended | CDE |
4 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - Uncommon proverb achievement multiple choice item 6 - 8 cumulative percentile rank | The total uncommon proverb achievement score multiple choice items 6 to 8 cumulative percentile rank, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbUncmMCAchCumPerRank | Recommended | CDE |
5 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - Total correct abstract choices raw score | The total correct abstract choices total raw score, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbTotCrAbsChRawScore | Recommended | CDE |
6 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - Total correct abstract choices cumulative percentile rank | The total correct abstract choices cumulative percentile rank, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbTotCrAbsChCumPerRank | Recommended | CDE |
7 | Delis-Kaplan Executive Function System (D-KEFS) Proverb test - Total correct concrete choices total raw score | The total correct concrete total raw score, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbTotCorCnChRawScore | Recommended | CDE |
8 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - Total correct concrete choices cumulative percentile rank | The total correct concrete cumulative percentile rank, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbTotCorCnChCumPerRank | Recommended | CDE |
9 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - Total incorrect phonemic choices raw score | The total incorrect phonemic choices total raw score, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbTotIncPhChRawScore | Recommended | CDE |
10 | Delis-Kaplan Executive Function System (D-KEFS) Proverb test - Total incorrect phonemic choices cumulative percentile rank | The total incorrect phonemic choices cumulative percentile rank, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbTotIncPhChCumPerRank | Recommended | CDE |
11 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - Total incorrect unrelated choices raw score | The total incorrect unrelated choices total raw score, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbTotIncUnrRawScore | Recommended | CDE |
12 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - Total incorrect unrelated choices cumulative percentile rank | The total incorrect unrelated choices cumulative percentile rank, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbTotIncUnrCumPerRank | Recommended | CDE |
13 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - Total incorrect phonemic and unrelated choices raw score | The total incorrect phonemic and unrelated choices total raw score, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbTotIncPhUnrRawScore | Recommended | CDE |
14 | Delis-Kaplan Executive Function System (D-KEFS) Proverb Test - Total incorrect phonemic and unrelated choices cumulative percentile rank | The total incorrect phonemic and unrelated choices cumulative percentile rank, as part of the Delis-Kaplan Executive Function System (DKEFS) Proverb Test. | DKEFSPrvrbTotInPhUnrCumPerRank | Recommended | CDE |
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