Form Structure: NIH ToolBox Cognition Domain Dimensional Change Card Sort Test
This form structure is an organized set of data definitions for a copyrighted form
Title:
NIH ToolBox Cognition Domain Dimensional Change Card Sort Test
Short Name:
NIHTBDimChngeCrdSrtTest
Description:
Cognition Domain: The NIH Toolbox Dimensional Change Card Sort Test (DCCS) is a measure of cognitive flexibility. This test takes approximately four minutes to administer and is recommended for ages 3-85. Copyright: 2006-2016 National Institutes of Health and Northwestern University.
References: http://www.healthmeasures.net/score-and-interpret/interpret-scores/nih-toolbox
Disease:
General (For all diseases)
Traumatic Brain Injury
Organization:
BRICS/CIT/NIH
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2016-07-01
Version:
1.1
Date Created:
2016-04-07
Owner:
Number of Data Elements:
37
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 |
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 |
Dimensional Change Card Sort Test (Appears Up To 30 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 | NIH Toolbox Cognition Domain Dimensional Change Card Sort Test - Trial type | Type of a given trial as part of the NIH Toolbox Cognition Domain Dimensional Change Card Sort Test | NIHTBDCCSTTrialTyp | Recommended | CDE |
| 3 | NIH Toolbox Cognition Domain Dimensional Change Card Sort Test - Trial result type | Result type (correct or incorrect) of a given trial as part of the NIH Toolbox Cognition Domain Dimensional Change Card Sort Test | NIHTBDCCSTTrialResultTyp | Recommended | CDE |
Dimensional Change Card Sort Test Scoring (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | NIH Toolbox Cognition Domain Dimensional Change Card Sort Test (DCCS) (Web and CAT)- Sum score | Sum score, as a part of NIH Toolbox Cognition Domain Dimensional Change Card Sort Test for Web and CAT | NIHTBDCCSSumScore | Recommended | CDE |
| 2 | NIH Toolbox Cognition Domain Dimensional Change Card Sort Test (DCCS)- Accuracy score | Accuracy score calculated as part of the NIH Toolbox Cognition Domain Dimensional Card Sort Test, including iPad app | NIHTBDCCSTAccuracyScore | Recommended | CDE |
| 3 | NIH Toolbox Cognition Domain Dimensional Change Card Sort Test -(DCCS) Reaction time score | Reaction time score calculated as part of the NIH Toolbox Cognition Domain Dimensional Card Sort Test, including iPad app | NIHTBDCCSTRctnTmScore | Recommended | CDE |
| 4 | NIH Toolbox Cognition Domain Dimensional Change Card Sort Test (DCCS) (Web, CAT and iPad) - Computed accuracy plus reaction time score | Computed accuracy plus reaction time score calculated as part of the NIH Toolbox Cognition Domain Dimensional Change Card Sort Test, including Web, CAT and iPad app | NIHTBDCCSTCmptdAccyRctnTmScore | Recommended | CDE |
| 5 | NIH Toolbox Performance Measures (web and CAT) - Age-adjusted scale score | Age-adjusted scale score, as part of the NIH Toolbox Performance Measures (web and CAT) | NIHTBPMAgeAdjSclScore | Recommended | CDE |
| 6 | NIH Toolbox Performance Measures - Age-adjusted national percentile value | Value of age-adjusted national percentile, as part of the NIH Toolbox Performance Measures | NIHTBPMAgeAdjNationalPctVal | Recommended | CDE |
| 7 | NIH Toolbox Performance Measures - Fully-adjusted scale score | Fully-adjusted scale score, as part of the NIH Toolbox Performance Measures | NIHTBPMFullyAdjSclScore | Recommended | CDE |
| 8 | NIH Toolbox Performance Measures (web and CAT) - Unadjusted scale score | Unadjusted scale score, as part of the NIH Toolbox Performance Measures (web and CAT) | NIHTBPMUnadjSclScore | Recommended | CDE |
| 9 | NIH Toolbox - Standard error | Standard error (a statistical measure of variance that represents the margin of error for the Tscore), as part of the NIH Toolbox Web, Cat and iPad Cognition measures such as: Picture Vocabulary Test and Oral Reading Recognition Test. | NIHTBStandardError | Optional | CDE |
NIH Toolbox Cognition Composite Scores (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | NIH Toolbox Cognition Domain - Fluid Cognition Composite Score | NIH Toolbox Fluid Cognition Composite Score, as a part of the cognition domain of NIH Toolbox | NIHTBFluidCognitionCompScore | Recommended | CDE |
| 2 | NIH Toolbox Cognition Domain - Cognitive Function Composite Score (DCCS) | NIH Toolbox Cognitive Function Composite Score, as a part of cognition domain of the NIH Toolbox | NIHTBCognitFunctCompositeScore | Recommended | CDE |
| 3 | NIH Toolbox Cognition Domain - Early Childhood Composite Score | NIH Toolbox Early Childhood Composite Score, as a part of cognition domain of the NIH Toolbox | NIHTBEarlyChildhdCompsiteScore | Recommended | CDE |
Keywords
