Form Structure: Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) Symbol Search
This form structure is an organized set of data definitions for a copyrighted form
Title:
Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) Symbol Search
Short Name:
WAISIV_SymSear
Description:
Wechsler Adult Intelligence Scale Fourth Edition (WAIS-IV) is a test designed to measure intelligence in adults and older adolescents. The Symbol Search test is part of the Processing Speed Subtest and consists of two measured abilities, including visual perception/analysis, and scanning speed. References: Wechsler, David (1939). The Measurement of Adult Intelligence. Baltimore (MD): Williams & Witkins.
Wechsler, David (1958). The Measurement and Appraisal of Adult Intelligence (4th ed.). Baltimore (MD): Williams & Witkins. Retrieved 4 June 2013. Copyright: Pearson Clinical, https://www.pearsonclinical.com/psychology/products/100000392/wechsler-adult-intelligence-scalefourth-edition-wais-iv.html Recommended by CDISC for TBI
Disease:
Traumatic Brain Injury
Organization:
NIH/CIT/BRICS
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2015-09-18
Version:
1.1
Date Created:
2015-09-01
Owner:
Number of Data Elements:
16
eForms:
Y
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 |
Symbol Search (Repeat Infinitely)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | WAIS-IV Symbol Search - Completion time duration | Time interval required to complete symbol search, as part of Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) Symbol Search subtest | WAISIVSSTimeDur | Recommended | CDE |
| 2 | WAIS-IV Symbol Search - Number correct answers | Number of correct answers as part of Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) Symbol Search subtest | WAISIVSSCorrectNum | Recommended | CDE |
| 3 | WAIS-IV Symbol Search - Number incorrect answers | Number of incorrect answers as part of Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) Symbol Search subtest | WAISIVSSIncorrectNum | Recommended | CDE |
| 4 | WAIS-IV Symbol Search - Total raw score | Total raw score, as part of Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV) Symbol Search subtest | WAISIVSSTtlRawScore | Recommended | CDE |
Keywords
