Form Structure: Rey Complex Figure Test and Recognition Trial (RCFT)
This form structure is an organized set of data definitions for a copyrighted form
Resource:
FITBIR
Title:
Rey Complex Figure Test and Recognition Trial (RCFT)
Short Name:
RCFT
Description:
The Rey Complex Figure Test is a neuropsychological instrument that can be employed in different cultural backgrounds. Meyers and Meyers (1995) proposed an extended test version including a Recognition Trial (RT), which permits an examination of test motivation through analyses of test profiles and rare recognition mistakes.
Disease:
General (For all diseases)
Organization:
NIH
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2015-09-24
Version:
1.0
Date Created:
2015-05-29
Owner:
Number of Data Elements:
36
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 | Visit date | Actual interview or visit date | VisitDate | Recommended | CDE |
| 5 | Site name | The name of the site for the study | SiteName | Recommended | CDE |
| 6 | Days since baseline | The number of days since baseline | DaysSinceBaseline | Optional | CDE |
| 7 | Case control indicator | Indicator of whether subject is in the case or control arm of the study. | CaseContrlInd | Optional | CDE |
| 8 | General notes text | General notes | GeneralNotesTxt | Optional | CDE |
Additional Element Groups
Listed below are your additional element groups.
Form Administration (Repeat Infinitely)
| # | 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 |
Trial (Appears Up To 54 Times)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Rey Complex Figure Test and Recognition Trial (RCFT) - Trial type | Type of a given trial (e.g. copy, immediate recall, delayed recall), as part of Rey Complex Figure Test and Recognition Trial (RCFT). | RCFTTrialTyp | Recommended | CDE |
| 2 | Rey Complex Figure Test and Recognition Trial (RCFT) - Trial start time | Time when the trial started (e.g. copy, immediate recall, delayed recall trial start time), as part of Rey Complex Figure Test and Recognition Trial (RCFT). | RCFTTrialStartTime | Recommended | CDE |
| 3 | Rey Complex Figure Test and Recognition Trial (RCFT) - Trial completion time | Time (in seconds) required to complete a given trial (e.g. copy, immediate recall, delayed recall), as part of Rey Complex Figure Test and Recognition Trial (RCFT). | RCFTTrialTimeVal | Recommended | CDE |
| 4 | Rey Complex Figure Test and Recognition Trial (RCFT) - Image code | Image code (e.g. 1,2, etc.), as part of Rey Complex Figure Test and Recognition Trial (RCFT). | RCFTImageCode | Recommended | CDE |
| 5 | Rey Complex Figure Test and Recognition Trial (RCFT) - Individual image accuracy scale | Scale that represents accuracy of drawing of an individual image, as part of Rey Complex Figure Test and Recognition Trial (RCFT). | RCFTImageAccuracyScale | Recommended | CDE |
| 6 | Rey Complex Figure Test and Recognition Trial (RCFT) - Individual image placement scale | Scale that represents accuracy of placement of an individual image, as part of Rey Complex Figure Test and Recognition Trial (RCFT). | RCFTImagePlacementScale | Recommended | CDE |
| 7 | Rey Complex Figure Test and Recognition Trial (RCFT) - Individual image score | Score for individual image, as part of Rey Complex Figure Test and Recognition Trial (RCFT). | RCFTImageScore | Recommended | CDE |
| 8 | Rey Complex Figure Test and Recognition Trial (RCFT) - Trial image | Image created by participant for a given trial (e.g. copy, immediate recall, delayed recall), as part of Rey Complex Figure Test and Recognition Trial (RCFT). | RCFTTrialImg | Recommended | CDE |
| 9 | Rey Complex Figure Test and Recognition Trial (RCFT) - Participant response original figure indicator | Indicator of the participant response if image is part of original figure, as part of Rey Complex Figure Test and Recognition Trial (RCFT). | RCFTRecogntionTrueImageInd | Recommended | CDE |
| 10 | Rey Complex Figure Test and Recognition Trial (RCFT) - Trial percentile | Percentile value for a given trial (e.g. copy, immediate recall, delayed recall), as part of Rey Complex Figure Test and Recognition Trial (RCFT). | RCFTTrialPercentile | Recommended | CDE |
| 11 | Rey Complex Figure Test and Recognition Trial (RCFT) - Trial raw score | Raw score for a given trial (e.g. copy, immediate recall, delayed recall), as part of Rey Complex Figure Test and Recognition Trial (RCFT). | RCFTTrialRawScore | Recommended | CDE |
| 12 | Rey Complex Figure Test and Recognition Trial (RCFT) - Trial t-score | T-score for a given trial (e.g. copy, immediate recall, delayed recall), as part of Rey Complex Figure Test and Recognition Trial (RCFT). | RCFTTrialTScore | Recommended | CDE |
| 13 | Rey Complex Figure Test and Recognition Trial (RCFT) - Trial text | Notes taken for a given trial (e.g. copy, immediate recall, delayed recall), as part of Rey Complex Figure Test and Recognition Trial (RCFT). | RCFTTrialTxt | Recommended | CDE |
Recognition (Repeat Infinitely)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Rey Complex Figure Test and Recognition Trial (RCFT) - Recognition false negatives score | Score for recognition false negatives, as part of Rey Complex Figure Test and Recognition Trial (RCFT). | RCFTRecogntionFalsNegativScore | Recommended | CDE |
| 2 | Rey Complex Figure Test and Recognition Trial (RCFT) - Recognition false positives score | Score for recognition false positives, as part of Rey Complex Figure Test and Recognition Trial (RCFT). | RCFTRecogntionFalsPositivScore | Recommended | CDE |
| 3 | Rey Complex Figure Test and Recognition Trial (RCFT) - Recognition total correct score | Total score for recognition total correct, as part of Rey Complex Figure Test and Recognition Trial (RCFT). | RCFTRecogntionTtlCorrectScore | Recommended | CDE |
| 4 | Rey Complex Figure Test and Recognition Trial (RCFT) - Recognition true negatives score | Score for recognition true negatives, as part of Rey Complex Figure Test and Recognition Trial (RCFT). | RCFTRecogntionTrueNegativScore | Recommended | CDE |
| 5 | Rey Complex Figure Test and Recognition Trial (RCFT) - Recognition true positives score | Score for recognition true positives, as part of Rey Complex Figure Test and Recognition Trial (RCFT). | RCFTRecogntionTruePositivScore | Recommended | CDE |
SubjectAttitude (Repeat Infinitely)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Rey Complex Figure Test and Recognition Trial (RCFT) - Rapport status | Status of the participant's rapport, as part of Rey Complex Figure Test and Recognition Trial (RCFT). | RCFTRapportStatus | Recommended | CDE |
| 2 | Rey Complex Figure Test and Recognition Trial (RCFT) - Cooperation status | Status of the participant's cooperation, as part of Rey Complex Figure Test and Recognition Trial (RCFT). | RCFTCooperationStatus | Recommended | CDE |
| 3 | Rey Complex Figure Test and Recognition Trial (RCFT) - Test effort status | Status of the participant's effort on the tests, as part of Rey Complex Figure Test and Recognition Trial (RCFT). | RCFTEffortOnTestsStatus | Recommended | CDE |
Notes (Repeat Infinitely)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Rey Complex Figure Test and Recognition Trial (RCFT) - Referral question text | Notes on referral question, as part of Rey Complex Figure Test and Recognition Trial (RCFT). | RCFTReferralQuestionTxt | Recommended | CDE |
| 2 | Rey Complex Figure Test and Recognition Trial (RCFT) - Background information complaint text | Notes on background information/presenting complaints, as part of Rey Complex Figure Test and Recognition Trial (RCFT). | RCFTBackgroundInfoTxt | Recommended | CDE |
| 3 | Rey Complex Figure Test and Recognition Trial (RCFT) - Behavioral observation text | Notes on behavioural observations, as part of Rey Complex Figure Test and Recognition Trial (RCFT). | RCFTBehavioralObservationsTxt | Recommended | CDE |
Keywords
