Form Structure: NIH Toolbox Cognition Domain Auditory Verbal Learning Test (Rey) : FITBIR : Federal Interagency Traumatic Brain Injury Research Informatics System

Title:

NIH Toolbox Cognition Domain Auditory Verbal Learning Test (Rey)

Short Name:

NIHTBAuditoryVrblLrngTest

Description:

Cognition Supplementary Measure: The Rey is a word-list learning task in which 15 unrelated words are presented orally (via audio recording) over three consecutive learning trials1. After each presentation, the participant is asked to recall as many of the words as he/she can. The Rey is one of the most widely studied measures of memory and has been used in different languages, cultures and ethnic groups around the world. The test is administered to ages 8-85 and takes approximately three minutes. It can be administered as a supplement to the PSMT for even more detailed study of episodic memory, or as an accommodation in place of PSMT for those with significant visual impairment. Copyright 2012 Northwestern University and the National Institutes of Health. http://www.nihtoolbox.org/Pages/NIH-Toolbox-Terms-and-Conditions.aspx

Disease:

Traumatic Brain Injury General (For all diseases)

Organization:

NIH/CIT/DCB

Required Program Form:

No

Standardization:

Standard NINDS CDE

Labels:

Form Type:

Clinical Assessment

Publication Date:

2016-09-26

Version:

1.0

Date Created:

2016-06-07

Owner:

Number of Data Elements:

27

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.

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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

NIH Toolbox Administration (Appears Up To 1 Time)

#	Title	Short Description	Variable Name	Required?	Type
1	NIH Toolbox - Test domain battery type (Retired)	Type of domain battery for the NIH Toolbox test being administered, as a part of the NIH Toolbox	NIHTBTestDomainBatteryTyp	Recommended	CDE
2	NIH Toolbox - Test domain battery type other	The free-text related to NIHTBTestDomainBatteryTyp specifying other text, as part of the NIH Toolbox	NIHTBTestDomainBatteryTypOTH	Recommended	CDE
3	NIH Toolbox - Test name type	Type of NIH Toolbox test being administered, as part of the NIH Toolbox	NIHTBAdminTestNameTyp	Recommended	CDE
4	NIH Toolbox - Test name type other	The free-text related to NIHTBAdminTestNameTyp specifying other text, as part of the NIH Toolbox	NIHTBAdminTestNameTypOTH	Recommended	CDE
5	NIH Toolbox - Test administration language type	Type of language for test being administrated, as part of the NIH Toolbox	NIHTBTestAdminLanguageTyp	Recommended	CDE
6	NIH Toolbox - Test administration language type other	Free-text related to NIHTBTestAdminLanguageTyp specifying other text, as part of the NIH Toolbox	NIHTBTestAdminLanguageTypOTH	Recommended	CDE
7	NIH Toolbox - Form administered type	Type of NIH Toolbox form being administered, as part of the NIH Toolbox	NIHTBFormAdminTyp	Recommended	CDE
8	NIH Toolbox - Test administration flag type	Type of flag for the NIH Toolbox test being administered, as part of the NIH Toolbox	NIHTBAdminTestFlagTyp	Recommended	CDE
9	NIH Toolbox - Test administration flag indicator	Indicator of a flag for the NIH Toolbox test being administered, as part of the NIH Toolbox	NIHTBAdminTestFlagInd	Recommended	CDE

NIH Toolbox Verbal Auditory Test (Rey) (Appears Up To 3 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	Rey Auditory Verbal Learning Test (RAVLT) - Word list A type	The word used in List A , as part of the Rey Auditory Verbal Learning Test (RAVLT)	RAVLTWordListAType	Recommended	CDE
3	Rey Auditory Verbal Learning Test (RAVLT) - Word correct recall indicator	The indicator if the word was recalled correctly, as part of Rey Auditory Verbal Learning Test (RAVLT)	RAVLTWordCorrectRecallInd	Recommended	CDE
4	Rey Auditory Verbal Learning Test (RAVLT) - Correct recall total words number	Number of words correctly recalled during trial as part of Rey Auditory Verbal Learning Test (RAVLT)	RAVLTTrialCorrectWordsNum	Recommended	CDE
5	NIH Toolbox Cognition Domain Supplemental Measures- RAVLT Total Score	RAVLT Total Score, as a part of the NIH Toolbox Cogniton Domain Supplemental Measure Auditory Verbal Learning Test (Rey) includin iPad app	NIHTBRAVLTTotalScore	Recommended	CDE

Keywords

Change History