Form Structure: Random Gap Detection Test (RGDT)
This form structure is an organized set of data definitions for a copyrighted form
Title:
Random Gap Detection Test (RGDT)
Short Name:
RGDT
Description:
The Random-Gap Detection Test (RGDT) is a component of Central Auditory Processing testing and tests the patientÂ’s ability to detect gaps in tonal and click stimuli. Copyright 2000 NCS Pearson,Inc. Copyright Auditec, Inc. Reference: Steyerberg EW, Mushkudiani N, Perel P, et al. Predicting outcome after traumatic brain injury: development and international validation of prognostic scores based on admission characteristics. PLoS Med. Aug 2008;5(8):e165. MRC CRASH Trial.
Disease:
Traumatic Brain Injury
General (For all diseases)
Organization:
NIH/CIT/BRICS
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Version:
1.0
Date Created:
2016-10-13
Owner:
Number of Data Elements:
42
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 | 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 |
Random Gap Detection Test Info (RGDT) (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Gender Type Extended | Self-reported gender of the participant/subject. | GenderTypExt | Recommended | CDE |
| 2 |
Random Gap Detection Test (RGDT)-Pretest indicator
(Draft) |
Indicator if the pretest was administered, as part of Random Gap Detection Test (RGDT) | RGDTPretestInd | Recommended | UDE |
Tones Subtest1: Screening/Practice (Appears Up To 9 Times)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 |
Random Gap Detection Test (RGDT)-Subtest type
(Draft) |
Type of subtest, as part of Random Gap Detection Test (RGDT) | RGDTSubtestTyp | Recommended | UDE |
| 2 |
Random Gap Detection Test (RGDT)-Frequency type
(Draft) |
Type of frequency used in the practice and subtests, as part of Random Gap Detection Test (RGDT) | RGDTFrequencyTyp | Recommended | UDE |
| 3 |
Random Gap Detection Test (RGDT)-Inter stimulus interval
(Draft) |
IntervaI for inter-stimuli used, as part of Random Gap Detection Test (RGDT) | RGDTInterstimulIntrvl | Recommended | UDE |
| 4 |
Random Gap Detection Test (RGDT)-Stimuli type
(Draft) |
Type of stimuli noted, as part of Random Gap Detection Test (RGDT) | RGDTStimuliTyp | Recommended | UDE |
| 5 |
Random Gap Detection Test (RGDT)-Lowest gap threshold value
(Draft) |
Value for the lowest gap noted, as part of Random Gap Detection Test (RGDT) | RGDTLowestGapThresVal | Recommended | UDE |
| 6 |
Random Gap Detection Test (RGDT)-Gap detection threshold value
(Draft) |
Value for gap detection threshold noted, as part of Random Gap Detection Test (RGDT) | RGDTGapDetectThresVal | Recommended | UDE |
Tones Subtest2: Standard (Appears Up To 9 Times)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 |
Random Gap Detection Test (RGDT)-Subtest type
(Draft) |
Type of subtest, as part of Random Gap Detection Test (RGDT) | RGDTSubtestTyp | Recommended | UDE |
| 2 |
Random Gap Detection Test (RGDT)-Frequency type
(Draft) |
Type of frequency used in the practice and subtests, as part of Random Gap Detection Test (RGDT) | RGDTFrequencyTyp | Recommended | UDE |
| 3 |
Random Gap Detection Test (RGDT)-Inter stimulus interval
(Draft) |
IntervaI for inter-stimuli used, as part of Random Gap Detection Test (RGDT) | RGDTInterstimulIntrvl | Recommended | UDE |
| 4 |
Random Gap Detection Test (RGDT)-Stimuli type
(Draft) |
Type of stimuli noted, as part of Random Gap Detection Test (RGDT) | RGDTStimuliTyp | Recommended | UDE |
| 5 |
Random Gap Detection Test (RGDT)-Lowest gap threshold value
(Draft) |
Value for the lowest gap noted, as part of Random Gap Detection Test (RGDT) | RGDTLowestGapThresVal | Recommended | UDE |
| 6 |
Random Gap Detection Test (RGDT)-Gap detection threshold value
(Draft) |
Value for gap detection threshold noted, as part of Random Gap Detection Test (RGDT) | RGDTGapDetectThresVal | Recommended | UDE |
Clicks Subtest3:Screening/Practice Clicks (Appears Up To 9 Times)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 |
Random Gap Detection Test (RGDT)-Subtest type
(Draft) |
Type of subtest, as part of Random Gap Detection Test (RGDT) | RGDTSubtestTyp | Recommended | UDE |
| 2 |
Random Gap Detection Test (RGDT)-Frequency type
(Draft) |
Type of frequency used in the practice and subtests, as part of Random Gap Detection Test (RGDT) | RGDTFrequencyTyp | Recommended | UDE |
| 3 |
Random Gap Detection Test (RGDT)-Inter stimulus interval
(Draft) |
IntervaI for inter-stimuli used, as part of Random Gap Detection Test (RGDT) | RGDTInterstimulIntrvl | Recommended | UDE |
| 4 |
Random Gap Detection Test (RGDT)-Stimuli type
(Draft) |
Type of stimuli noted, as part of Random Gap Detection Test (RGDT) | RGDTStimuliTyp | Recommended | UDE |
| 5 |
Random Gap Detection Test (RGDT)-Lowest gap threshold value
(Draft) |
Value for the lowest gap noted, as part of Random Gap Detection Test (RGDT) | RGDTLowestGapThresVal | Recommended | UDE |
| 6 |
Random Gap Detection Test (RGDT)-Gap detection threshold value
(Draft) |
Value for gap detection threshold noted, as part of Random Gap Detection Test (RGDT) | RGDTGapDetectThresVal | Recommended | UDE |
Clicks Subtest4 (Appears Up To 9 Times)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 |
Random Gap Detection Test (RGDT)-Gap detection threshold value
(Draft) |
Value for gap detection threshold noted, as part of Random Gap Detection Test (RGDT) | RGDTGapDetectThresVal | Recommended | UDE |
| 2 |
Random Gap Detection Test (RGDT)-Subtest type
(Draft) |
Type of subtest, as part of Random Gap Detection Test (RGDT) | RGDTSubtestTyp | Recommended | UDE |
| 3 |
Random Gap Detection Test (RGDT)-Frequency type
(Draft) |
Type of frequency used in the practice and subtests, as part of Random Gap Detection Test (RGDT) | RGDTFrequencyTyp | Recommended | UDE |
| 4 |
Random Gap Detection Test (RGDT)-Stimuli type
(Draft) |
Type of stimuli noted, as part of Random Gap Detection Test (RGDT) | RGDTStimuliTyp | Recommended | UDE |
| 5 |
Random Gap Detection Test (RGDT)-Inter stimulus interval
(Draft) |
IntervaI for inter-stimuli used, as part of Random Gap Detection Test (RGDT) | RGDTInterstimulIntrvl | Recommended | UDE |
| 6 |
Random Gap Detection Test (RGDT)-Lowest gap threshold value
(Draft) |
Value for the lowest gap noted, as part of Random Gap Detection Test (RGDT) | RGDTLowestGapThresVal | Recommended | UDE |
RGDT Composite (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 |
Random Gap Detection Test (RGDT)-Composite gap detection threshold value
(Draft) |
Value of composite gap detection threshold calculated, as part of Random Gap Detection Test (RGDT) | RGDTCompGapDetectThresVal | Recommended | UDE |
Keywords
