Form Structure: Reading the Mind in the Eyes Test - Child Version
This form structure is an organized set of data definitions for a form that has not been copyrighted
Title:
Reading the Mind in the Eyes Test - Child Version
Short Name:
RMETestChildVersion
Description:
In the Reading the Mind in the Eyes Test, children are presented with 28 photographs of the eyes of adults and given a choice of four emotions or mental states for each picture, and must choose which emotion is represented. The test was originally developed for autism and has applicability to TBI. The test is individually administered and takes about 10 minutes.Baron-Cohen, S. Wheelwright, S. Scahill, V. Lawson, J. and Spong, A. (2001). Are intuitive physics and intuitive psychology independent? A test with children with Asperger Syndrome. Journal of Developmental and Learning Disorders 5:47-78. http://www.midss.org/content/reading-mind-eyes-test-child
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:
2016-10-25
Owner:
Number of Data Elements:
45
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 |
RMET Practice (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Reading the Mind in the Eyes Test (Child Version) - Picture emotion display practice type | Type of emotion displayed in practice picture, as part of the Reading the Mind in the Eyes Test Child Version. | RMETPicEmotnDispldPracTyp | Recommended | CDE |
Reading the mind in the eyes test (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 1 type | Type of emotion displayed in picture for card 1, as part of the Reading the Mind in the Eyes Test Child Version. | RMETPicEmotnDispldCrd1Typ | Recommended | CDE |
| 2 | Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 2 type | Type of emotion displayed in picture for card 2, as part of the Reading the Mind in the Eyes Test Child Version. | RMETPicEmotnDispldCrd2Typ | Recommended | CDE |
| 3 | Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 3 type | Type of emotion displayed in picture for card 3, as part of the Reading the Mind in the Eyes Test Child Version. | RMETPicEmotnDispldCrd3Typ | Recommended | CDE |
| 4 | Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 4 type | Type of emotion displayed in picture for card 4, as part of the Reading the Mind in the Eyes Test Child Version. | RMETPicEmotnDispldCrd4Typ | Recommended | CDE |
| 5 | Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 5 type | Type of emotion displayed in picture for card 5, as part of the Reading the Mind in the Eyes Test Child Version. | RMETPicEmotnDispldCrd5Typ | Recommended | CDE |
| 6 | Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 6 type | Type of emotion displayed in picture for card 6, as part of the Reading the Mind in the Eyes Test Child Version. | RMETPicEmotnDispldCrd6Typ | Recommended | CDE |
| 7 | Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 7 type | Type of emotion displayed in picture for card 7, as part of the Reading the Mind in the Eyes Test Child Version. | RMETPicEmotnDispldCrd7Typ | Recommended | CDE |
| 8 | Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 8 type | Type of emotion displayed in picture for card 8, as part of the Reading the Mind in the Eyes Test. | RMETPicEmotnDispldCrd8Typ | Recommended | CDE |
| 9 | Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 9 type | Type of emotion displayed in picture for card 9, as part of the Reading the Mind in the Eyes Test Child Version. | RMETPicEmotnDispldCrd9Typ | Recommended | CDE |
| 10 | Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 10 type | Type of emotion displayed in picture for card 10, as part of the Reading the Mind in the Eyes Test. | RMETPicEmotnDispldCrd10Typ | Recommended | CDE |
| 11 | Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 11 type | Type of emotion displayed in picture for card 11, as part of the Reading the Mind in the Eyes Test Child Version. | RMETPicEmotnDispldCrd11Typ | Recommended | CDE |
| 12 | Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 12 type | Type of emotion displayed in picture for card 12, as part of the Reading the Mind in the Eyes Test Child Version. | RMETPicEmotnDispldCrd12Typ | Recommended | CDE |
| 13 | Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 13 type | Type of emotion displayed in picture for card 13, as part of the Reading the Mind in the Eyes Test Child Version. | RMETPicEmotnDispldCrd13Typ | Recommended | CDE |
| 14 | Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 14 type | Type of emotion displayed in picture for card 14, as part of the Reading the Mind in the Eyes Test Child Version. | RMETPicEmotnDispldCrd14Typ | Recommended | CDE |
| 15 | Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 15 type | Type of emotion displayed in picture for card 15, as part of the Reading the Mind in the Eyes Test Child Version. | RMETPicEmotnDispldCrd15Typ | Recommended | CDE |
| 16 | Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 16 type | Type of emotion displayed in picture for card 16, as part of the Reading the Mind in the Eyes Test Child Version. | RMETPicEmotnDispldCrd16Typ | Recommended | CDE |
| 17 | Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 17 type | Type of emotion displayed in picture for card 17, as part of the Reading the Mind in the Eyes Test Child Version. | RMETPicEmotnDispldCrd17Typ | Recommended | CDE |
| 18 | Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 18 type | Type of emotion displayed in picture for card 18, as part of the Reading the Mind in the Eyes Test Child Version. | RMETPicEmotnDispldCrd18Typ | Recommended | CDE |
| 19 | Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 19 type | Type of emotion displayed in picture for card 19, as part of the Reading the Mind in the Eyes Test Child Version. | RMETPicEmotnDispldCrd19Typ | Recommended | CDE |
| 20 | Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 20 type | Type of emotion displayed in picture for card 20, as part of the Reading the Mind in the Eyes Test Child Version. | RMETPicEmotnDispldCrd20Typ | Recommended | CDE |
| 21 | Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 21 type | Type of emotion displayed in picture for card 21, as part of the Reading the Mind in the Eyes Test Child Version. | RMETPicEmotnDispldCrd21Typ | Recommended | CDE |
| 22 | Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 22 type | Type of emotion displayed in picture for card 22, as part of the Reading the Mind in the Eyes Test Child Version. | RMETPicEmotnDispldCrd22Typ | Recommended | CDE |
| 23 | Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 23 type | Type of emotion displayed in picture for card 23, as part of the Reading the Mind in the Eyes Test Child Version. | RMETPicEmotnDispldCrd23Typ | Recommended | CDE |
| 24 | Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 24 type | Type of emotion displayed in picture for card 24, as part of the Reading the Mind in the Eyes Test Child Version. | RMETPicEmotnDispldCrd24Typ | Recommended | CDE |
| 25 | Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 25 type | Type of emotion displayed in picture for card 25, as part of the Reading the Mind in the Eyes Test Child Version. | RMETPicEmotnDispldCrd25Typ | Recommended | CDE |
| 26 | Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 26 type | Type of emotion displayed in picture for card 26, as part of the Reading the Mind in the Eyes Test Child Version. | RMETPicEmotnDispldCrd26Typ | Recommended | CDE |
| 27 | Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 27 type | Type of emotion displayed in picture for card 27, as part of the Reading the Mind in the Eyes Test Child Version. | RMETPicEmotnDispldCrd27Typ | Recommended | CDE |
| 28 | Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 28 type | Type of emotion displayed in picture for card 28, as part of the Reading the Mind in the Eyes Test Child Version. | RMETPicEmotnDispldCrd28Typ | Recommended | CDE |
| 29 | Reading the Mind in the Eyes Test (Child Version) - Total score | Total score for the correctly answered items, as part of the Reading the Mind in the Eyes Test Child Version. | RMETotalScore | Recommended | CDE |
Keywords
