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This form structure is an organized set of data definitions for a copyrighted form
Title:
Rey Auditory Verbal Learning Test (RAVLT)
Short Name:
RAVLT
Description:
The Rey Auditory Verbal Learning Test (RAVLT) evaluates a wide diversity of functions: short-term auditory-verbal memory, rate of learning, learning strategies, retroactive, and proactive interference, presence of confabulation of confusion in memory processes, retention of information, and differences between learning and retrieval. Copyright: Statistics Solutions, http://www.statisticssolutions.com/rey-auditory-verbal-learning-test-ravlt/ References: Rey (1964) Schmidt (1996), Spreen & Strauss (1998). Basso, M. M., Harringtion, K., Matson, M., & Lowery, N. (2000). Sex differences on the WMS-III: Findings concerning verbal paired associates and faces. Clinical Neuropsychologist, 14, 231-235. Gough, H. G. (1969). A leadership index on the California Psychological Inventory, Journal of Counseling Psychology, 16, 285-289. King, J.H., Gfeller, J.D., & Davis, H. P. (1998). Neuropsychology, 20, 603, 612. Recommended by CDISC for TBI (TAUG TBI)
Disease:
General (For all diseases)
Organization:
NIH
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2018-02-22
Version:
1.1
Date Created:
2015-07-09
Owner:
Number of Data Elements:
53
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 Group (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

List A: Immediate Recall (Appears Up To 80 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 text  Word list text , as part of Rey Auditory Verbal Learning Test (RAVLT) RAVLTWordListItemsTxt Recommended CDE
3 Rey Auditory Verbal Learning Test (RAVLT)-Word list trial response text  Word list trial response text , as part of Rey Auditory Verbal Learning Test (RAVLT) RAVLTWordListTrialRespTxt Recommended CDE
4 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
5 Rey Auditory Learning Test (RAVLT)- Intrusion or perseverations type  Intrusion or perseveration of word type, as part of the Rey Auditory Verbal Learning Test RAVLTIntrPerseTyp Recommended CDE

List B:Interference (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 Rey Auditory Verbal Learning Test (RAVLT)- Word list text  Word list text , as part of Rey Auditory Verbal Learning Test (RAVLT) RAVLTWordListItemsTxt Recommended CDE
3 Rey Auditory Verbal Learning Test (RAVLT)-Word list trial response text  Word list trial response text , as part of Rey Auditory Verbal Learning Test (RAVLT) RAVLTWordListTrialRespTxt Recommended CDE
4 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
5 Rey Auditory Learning Test (RAVLT)- Intrusion or perseverations type  Intrusion or perseveration of word type, as part of the Rey Auditory Verbal Learning Test RAVLTIntrPerseTyp Recommended CDE

List A: Delayed Recall (20 Minutes) (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 Rey Auditory Verbal Learning Test (RAVLT)- Word list text  Word list text , as part of Rey Auditory Verbal Learning Test (RAVLT) RAVLTWordListItemsTxt Recommended CDE
3 Rey Auditory Verbal Learning Test (RAVLT)-Word list trial response text  Word list trial response text , as part of Rey Auditory Verbal Learning Test (RAVLT) RAVLTWordListTrialRespTxt Recommended CDE
4 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
5 Rey Auditory Learning Test (RAVLT)- Intrusion or perseverations type  Intrusion or perseveration of word type, as part of the Rey Auditory Verbal Learning Test RAVLTIntrPerseTyp Recommended CDE

RAVLT Trial Scoring (Appears Up To 8 Times)

# Title Short Description Variable Name Required? Type
1 Rey Auditory Verbal Learning Test (RAVLT) - Word list type  Type of trial, as part of Rey Auditory Verbal Learning Test (RAVLT) RAVLTWordListTyp Recommended CDE
2 Trial number (numeric)  The number representing the sequence for any repeated measure test or assessment when it is performed multiple times. TrialNumber Recommended CDE
3 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
4 Rey Auditory Verbal Learning Test (RAVLT) - Intrusions number  Intrusions number , as part of Rey Auditory Verbal Learning Test (RAVLT) RAVLTIntrusionsNum Recommended CDE
5 Rey Auditory Verbal Learning Test (RAVLT) - Perseverations number  Perseverations number , as part of Rey Auditory Verbal Learning Test (RAVLT) RAVLTPerseverationsNum Recommended CDE
6 Rey Auditory Verbal Learning Test (RAVLT)-Total intrusions number  Total intrusions number , as part of Rey Auditory Verbal Learning Test (RAVLT) RAVLTTotInstrusionsNum Recommended CDE
7 Rey Auditory Verbal Learning Test (RAVLT)-Total perseverations number  Total perseverations number , as part of Rey Auditory Verbal Learning Test (RAVLT) RAVLTTotPerseverationsNum Recommended CDE

Recognition (Appears Up To 50 Times)

# Title Short Description Variable Name Required? Type
1 Rey Auditory Verbal Learning Test (RAVLT)-Recognition word text  Recognition word text , as part of Rey Auditory Verbal Learning Test (RAVLT) RAVLTRecognitionWordTxt Recommended CDE
2 Rey Auditory Verbal Learning Test (RAVLT)-Recognition recall indicator  Recognition recall indicator , as part of Rey Auditory Verbal Learning Test (RAVLT) RAVLTRecognitionRecallInd Recommended CDE

RAVLT Recognition Scoring (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Rey Auditory Verbal Learning Test (RAVLT) - Recognition list total words count  Total number of words correctly recalled during the recognition list trial, as part of Rey Auditory Verbal Learning Test (RAVLT) RAVLTRecognTtlCorrectWordsNum Recommended CDE
2 Rey Auditory Verbal Learning Test (RAVLT)-List A error number  List A error number , as part of Rey Auditory Verbal Learning Test (RAVLT) RAVLTListAErrorsNum Recommended CDE

RAVLT Summary Scores Part 1 (Appears Up To 8 Times)

# Title Short Description Variable Name Required? Type
1 Rey Auditory Verbal Learning Test (RAVLT) - Word list type  Type of trial, as part of Rey Auditory Verbal Learning Test (RAVLT) RAVLTWordListTyp Recommended CDE
2 Trial number (numeric)  The number representing the sequence for any repeated measure test or assessment when it is performed multiple times. TrialNumber Recommended CDE
3 Rey Auditory Learning Test (RAVLT) -Z score  Z score , as part of Rey Auditory Learning Test (RAVLT) RAVLTZScore Recommended CDE
4 Rey Auditory Learning Test (RAVLT) -T score  T score, as part of Rey Auditory Learning Test (RAVLT) RAVLTTScore Recommended CDE
5 Rey Auditory Learning Test (RAVLT) -Normative reference group text  Normative reference group text, as part of the Rey Auditory Learning Test (RAVLT) RAVLTNormRefGroupTxt Recommended CDE

RAVLT Summary Scores Part 2 (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Rey Auditory Verbal Learning (RAVLT)-Trial I to V total raw score  Trial I to V total raw score , as part of Rey Auditory Verbal Learning (RAVLT) RAVLTTrialIToVTotRawScore Recommended CDE
2 Rey Auditory Verbal Learning (RAVLT)-Trial I to V total z score  Trial I to V total z score , as part of Rey Auditory Verbal Learning (RAVLT) RAVLTTrialIToVTotZScore Recommended CDE
3 Rey Auditory Verbal Learning (RAVLT)-Trial I to V total T score  Trial I to V total T score , as part of Rey Auditory Verbal Learning (RAVLT) RAVLTTrialIToVTotTScore Recommended CDE
4 Rey Auditory Verbal Learning (RAVLT)-False positive raw score  False positive raw score , as part of Rey Auditory Verbal Learning (RAVLT) RAVLTFalPosRawScore Recommended CDE
5 Rey Auditory Verbal Learning (RAVLT)-False positive z score  False positive z score , as part of Rey Auditory Verbal Learning (RAVLT) RAVLTFalPosZScore Recommended CDE
6 Rey Auditory Verbal Learning (RAVLT)-False positive T score  False positive T score , as part of Rey Auditory Verbal Learning (RAVLT) RAVLTFalPosTScore Recommended CDE
7 Rey Auditory Learning Test (RAVLT) -Normative reference group text  Normative reference group text, as part of the Rey Auditory Learning Test (RAVLT) RAVLTNormRefGroupTxt Recommended CDE
Keywords

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