Form Structure: Delis-Kaplan Executive Function System (D-KEFS) Twenty Questions Test
This form structure is an organized set of data definitions for a copyrighted form
Title:
Delis-Kaplan Executive Function System (D-KEFS) Twenty Questions Test
Short Name:
DKEFSTQ
Description:
The D-KEFS 20 Questions Test is an instrument to used to assess abstract reasoning and concept formation skills. Participants ask the fewest number of yes and no questions to identify an unknown target object. Copyrighted 2001, NCS Pearson, Inc. All Rights Reserved (http://www.pearsonclinical.com/content/ani/clinicalassessments/us/en.html). Delis, D. C., Kaplan, E., & Kramer, J. H. (2001). Delis-Kaplan executive function system (D-KEFS). Psychological Corporation.Copyrighted 2001,San Antonio, Tex. : Psychological Corporation.
Disease:
Traumatic Brain Injury
Organization:
NIH/CIT/BRICS
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Version:
1.0
Date Created:
2016-08-17
Owner:
Number of Data Elements:
71
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 Exactly 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 Twenty Questions Item 1 (Appears Up To 21 Times)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Delis-Kaplan Executive Function System (D-KEFS) Twenty Questions Test - Item type | Type of items, as related to Twenty Questions test as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueItemTyp | Recommended | CDE |
| 2 | Delis-Kaplan Executive Function System (D-KEFS) -Total questions asked number | The total questions asked, as related to twenty questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueResponseNum | Recommended | CDE |
| 3 | Delis-Kaplan Executive Function System (D-KEFS) -Question type | The spatial or repeated indicator for the examinee's questions, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueQuestionType | Recommended | CDE |
| 4 | Delis-Kaplan Executive Function System (D-KEFS) Twenty Questions Test - Total questions asked count | Total questions asked count, as part of the Delis-Kaplan Executive Function System (D-KEFS) Twenty Questions Test | DKEFSTwentyQueTotQuAskedCt | Recommended | CDE |
| 5 | Delis-Kaplan Executive Function System (D-KEFS)- Examiner's answer indicator | Indicator of examiner's answer, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueExaminersAnsInd | Recommended | CDE |
| 6 | Delis-Kaplan Executive Function System (D-KEFS) Twenty Questions Test - 21 failed to guess indicator | Question 21, failed to guess in 20 questions indicator, as part of the Delis-Kaplan Executive Function System (D-KEFS) Twenty Questions Test | DKEFSTwentyQue21FailedGuessInd | Recommended | CDE |
| 7 | Delis-Kaplan Executive Function System (D-KEFS)- Weighted achievement score | Weighted achievement score, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueWeightedAchScore | Recommended | CDE |
| 8 | Delis-Kaplan Executive Function System (D-KEFS)- Initial abstraction raw score | Raw score of initial abstraction, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueIniAbsRawScore | Recommended | CDE |
| 9 | Delis-Kaplan Executive Function System (D-KEFS)- Spatial question raw score | Raw score of spatial questions, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueSpatQuRawScore | Recommended | CDE |
| 10 | Delis-Kaplan Executive Function System (D-KEFS)- Repeated questions raw score | Raw score of repeated questions, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueRepQuRawScore | Recommended | CDE |
| 11 | Delis-Kaplan Executive Function System (D-KEFS)- Set-loss questions raw score | Raw score of set-loss questions, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueSetLsRawScore | Recommended | CDE |
DKEFS Twenty Questions Item 2 (Appears Up To 21 Times)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Delis-Kaplan Executive Function System (D-KEFS) Twenty Questions Test - Item type | Type of items, as related to Twenty Questions test as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueItemTyp | Recommended | CDE |
| 2 | Delis-Kaplan Executive Function System (D-KEFS) -Total questions asked number | The total questions asked, as related to twenty questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueResponseNum | Recommended | CDE |
| 3 | Delis-Kaplan Executive Function System (D-KEFS) -Question type | The spatial or repeated indicator for the examinee's questions, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueQuestionType | Recommended | CDE |
| 4 | Delis-Kaplan Executive Function System (D-KEFS) Twenty Questions Test - Total questions asked count | Total questions asked count, as part of the Delis-Kaplan Executive Function System (D-KEFS) Twenty Questions Test | DKEFSTwentyQueTotQuAskedCt | Recommended | CDE |
| 5 | Delis-Kaplan Executive Function System (D-KEFS)- Examiner's answer indicator | Indicator of examiner's answer, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueExaminersAnsInd | Recommended | CDE |
| 6 | Delis-Kaplan Executive Function System (D-KEFS) Twenty Questions Test - 21 failed to guess indicator | Question 21, failed to guess in 20 questions indicator, as part of the Delis-Kaplan Executive Function System (D-KEFS) Twenty Questions Test | DKEFSTwentyQue21FailedGuessInd | Recommended | CDE |
| 7 | Delis-Kaplan Executive Function System (D-KEFS)- Weighted achievement score | Weighted achievement score, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueWeightedAchScore | Recommended | CDE |
| 8 | Delis-Kaplan Executive Function System (D-KEFS)- Initial abstraction raw score | Raw score of initial abstraction, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueIniAbsRawScore | Recommended | CDE |
| 9 | Delis-Kaplan Executive Function System (D-KEFS)- Spatial question raw score | Raw score of spatial questions, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueSpatQuRawScore | Recommended | CDE |
| 10 | Delis-Kaplan Executive Function System (D-KEFS)- Repeated questions raw score | Raw score of repeated questions, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueRepQuRawScore | Recommended | CDE |
| 11 | Delis-Kaplan Executive Function System (D-KEFS)- Set-loss questions raw score | Raw score of set-loss questions, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueSetLsRawScore | Recommended | CDE |
DKEFS Twenty Questions Item 3 (Appears Up To 21 Times)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Delis-Kaplan Executive Function System (D-KEFS) Twenty Questions Test - Item type | Type of items, as related to Twenty Questions test as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueItemTyp | Recommended | CDE |
| 2 | Delis-Kaplan Executive Function System (D-KEFS) -Total questions asked number | The total questions asked, as related to twenty questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueResponseNum | Recommended | CDE |
| 3 | Delis-Kaplan Executive Function System (D-KEFS) -Question type | The spatial or repeated indicator for the examinee's questions, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueQuestionType | Recommended | CDE |
| 4 | Delis-Kaplan Executive Function System (D-KEFS) Twenty Questions Test - Total questions asked count | Total questions asked count, as part of the Delis-Kaplan Executive Function System (D-KEFS) Twenty Questions Test | DKEFSTwentyQueTotQuAskedCt | Recommended | CDE |
| 5 | Delis-Kaplan Executive Function System (D-KEFS)- Examiner's answer indicator | Indicator of examiner's answer, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueExaminersAnsInd | Recommended | CDE |
| 6 | Delis-Kaplan Executive Function System (D-KEFS) Twenty Questions Test - 21 failed to guess indicator | Question 21, failed to guess in 20 questions indicator, as part of the Delis-Kaplan Executive Function System (D-KEFS) Twenty Questions Test | DKEFSTwentyQue21FailedGuessInd | Recommended | CDE |
| 7 | Delis-Kaplan Executive Function System (D-KEFS)- Weighted achievement score | Weighted achievement score, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueWeightedAchScore | Recommended | CDE |
| 8 | Delis-Kaplan Executive Function System (D-KEFS)- Initial abstraction raw score | Raw score of initial abstraction, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueIniAbsRawScore | Recommended | CDE |
| 9 | Delis-Kaplan Executive Function System (D-KEFS)- Spatial question raw score | Raw score of spatial questions, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueSpatQuRawScore | Recommended | CDE |
| 10 | Delis-Kaplan Executive Function System (D-KEFS)- Repeated questions raw score | Raw score of repeated questions, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueRepQuRawScore | Recommended | CDE |
| 11 | Delis-Kaplan Executive Function System (D-KEFS)- Set-loss questions raw score | Raw score of set-loss questions, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueSetLsRawScore | Recommended | CDE |
DKEFS Twenty Questions Item 4 (Appears Up To 21 Times)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Delis-Kaplan Executive Function System (D-KEFS) Twenty Questions Test - Item type | Type of items, as related to Twenty Questions test as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueItemTyp | Recommended | CDE |
| 2 | Delis-Kaplan Executive Function System (D-KEFS) -Total questions asked number | The total questions asked, as related to twenty questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueResponseNum | Recommended | CDE |
| 3 | Delis-Kaplan Executive Function System (D-KEFS) -Question type | The spatial or repeated indicator for the examinee's questions, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueQuestionType | Recommended | CDE |
| 4 | Delis-Kaplan Executive Function System (D-KEFS) Twenty Questions Test - Total questions asked count | Total questions asked count, as part of the Delis-Kaplan Executive Function System (D-KEFS) Twenty Questions Test | DKEFSTwentyQueTotQuAskedCt | Recommended | CDE |
| 5 | Delis-Kaplan Executive Function System (D-KEFS)- Examiner's answer indicator | Indicator of examiner's answer, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueExaminersAnsInd | Recommended | CDE |
| 6 | Delis-Kaplan Executive Function System (D-KEFS) Twenty Questions Test - 21 failed to guess indicator | Question 21, failed to guess in 20 questions indicator, as part of the Delis-Kaplan Executive Function System (D-KEFS) Twenty Questions Test | DKEFSTwentyQue21FailedGuessInd | Recommended | CDE |
| 7 | Delis-Kaplan Executive Function System (D-KEFS)- Weighted achievement score | Weighted achievement score, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueWeightedAchScore | Recommended | CDE |
| 8 | Delis-Kaplan Executive Function System (D-KEFS)- Initial abstraction raw score | Raw score of initial abstraction, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueIniAbsRawScore | Recommended | CDE |
| 9 | Delis-Kaplan Executive Function System (D-KEFS)- Spatial question raw score | Raw score of spatial questions, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueSpatQuRawScore | Recommended | CDE |
| 10 | Delis-Kaplan Executive Function System (D-KEFS)- Repeated questions raw score | Raw score of repeated questions, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueRepQuRawScore | Recommended | CDE |
| 11 | Delis-Kaplan Executive Function System (D-KEFS)- Set-loss questions raw score | Raw score of set-loss questions, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueSetLsRawScore | Recommended | CDE |
Summary Scores Primary Measures (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Delis-Kaplan Executive Function System (D-KEFS) - Initial abstraction total raw score | Total raw score for initial abstraction, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS) | DKEFSTwentyQueIniAbTotRawScore | Recommended | CDE |
| 2 | Delis-Kaplan Executive Function System (D-KEFS) - Initial abstraction scaled score | Scaled score of initial abstraction, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueIniAbsSclScore | Recommended | CDE |
| 3 | Delis-Kaplan Executive Function System (D-KEFS) - Total questions asked total raw score | Total questions asked total raw score, as related to the Twenty Questions Test, as part of the Delis-Kaplan Executive Function System (D-KEFS) | DKEFSTwentyQueTotAskRawScore | Recommended | CDE |
| 4 | Delis-Kaplan Executive Function System (D-KEFS) - Total questions asked scaled score | Scaled score of total questions asked, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueTotAskSclScore | Recommended | CDE |
| 5 | Delis-Kaplan Executive Function System (D-KEFS) - Total weighted achievement total raw score | Total weighted achievement score total raw score, as related to Twenty Questions Test, as part of the Delis-Kaplan Executive Function System (D-KEFS) | DKEFSTwentyQueTotWhAchRawScore | Recommended | CDE |
| 6 | Delis-Kaplan Executive Function System (D-KEFS) - Total weighted achievement scaled score | Total scaled score of weighted achievement, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueTotWhAchSclScore | Recommended | CDE |
Summary Score Optional Measures (Appears Up To 5 Times)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Delis-Kaplan Executive Function System (D-KEFS) Twenty Questions - Spatial questions total raw score | Spatial questions total raw score, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueSpaQuTotRawScore | Recommended | CDE |
| 2 | Delis-Kaplan Executive Function System (D-KEFS) Twenty Questions - Spatial questions cumulative percentile rank | Spatial questions cumulative percentile rank, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueSpaQuCumPerRank | Recommended | CDE |
| 3 | Delis-Kaplan Executive Function System (D-KEFS) - Repeated questions total raw score | Repeated questions total raw score, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueRepQuTotRawScore | Recommended | CDE |
| 4 | Delis-Kaplan Executive Function System (D-KEFS) - Repeated questions cumulative percentile rank | Cumulative percentile rank of repeated questions, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueRepQuCumPerRank | Recommended | CDE |
| 5 | Delis-Kaplan Executive Function System (D-KEFS) - Set-loss questions total raw score | Set loss questions total raw score, as related to Twenty Questions Test, as part of the Delis-Kaplan Executive Function System (D-KEFS) | DKEFSTwentyQueSetLsTotRawScore | Recommended | CDE |
| 6 | Delis-Kaplan Executive Function System (D-KEFS) - Set-loss questions cumulative percentile rank | Cumulative percentile rank of set-loss questions, as related to Twenty Questions test, as part of the Delis-Kaplan Executive Function System (D-KEFS). | DKEFSTwentyQueSetLsCumPerRank | Recommended | CDE |
Keywords
