Form Structure: Word Memory Test (WMT)
This form structure is an organized set of data definitions for a copyrighted form
Title:
Word Memory Test (WMT)
Short Name:
WMT
Description:
The Word Memory Test is a computerized assessment that tests for verbal learning and memory. It is designed to evaluate an individual's effort to do well to determine whether or not the person's test scores are valid estimates of ability;Green, P. (2003). Green's Word Memory Test for Windows User's Manual. Edmonton, Alberta, Canada:Green's Publishing;http://wordmemorytest.com/;Note on copyright: As the inventor, first author and main researcher of the WMT, MSVT, NV-MSVT & MCI, Dr. Green is the legally registered owner of copyright of the WMT, MSVT, NV-MSVT & MCI internationally. Legitimate copies of the CDs and test manuals and the licenses to use the WMT, MSVT, NV-MSVT or MCI in any format are sold only by Green's Publishing.
Copyright by Green's Publishing: http://wordmemorytest.com/
Disease:
General (For all diseases)
Traumatic Brain Injury
Organization:
NIH/CIT/BRICS
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Version:
1.0
Date Created:
2016-08-18
Owner:
Number of Data Elements:
28
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 |
Word Memory Test Scoring (Appears Up To 1 Time)
# | Title | Short Description | Variable Name | Required? | Type |
---|---|---|---|---|---|
1 | Word Memory Test (WMT) - Diagnosis text | The diagnosis text, as part of the Word Memory Test (WMT). | WMTDiagnosisTxt | Recommended | CDE |
2 | Word Memory Test (WMT) - Diagnosis comment text | The diagnosis comment text, as part of the Word Memory Test (WMT). | WMTDiagnosisCommentTxt | Recommended | CDE |
3 | Word Memory Test (WMT) - Diagnosis subcategory text | The subcategory of diagnosis text, as part of the Word Memory Test (WMT). | WMTDiagnosisSubcategoryTxt | Recommended | CDE |
4 | Word Memory Test (WMT) - Immediate recognition percent value | The immediate recognition percent value, as part of the Word Memory Test (WMT). | WMTImmedRecogPerVal | Recommended | CDE |
5 | Word Memory Test (WMT) - Delay recognition percent value | The delayed recognition percent value, as part of the Word Memory Test (WMT). | WMTDelayRecogPerVal | Recommended | CDE |
6 | Word Memory Test (WMT) - Consistency percent value | The consistency value, as part of the Word Memory Test (WMT). | WMTConsisPerVal | Recommended | CDE |
7 | Word Memory Test (WMT) - Multiple choice percent value | The multiple choice value, as part of the Word Memory Test (WMT). | WMTMultChoicePerVal | Recommended | CDE |
8 | Word Memory Test (WMT) -Paired associates percent value | The paired associates percent value , as part of the Word Memory Test (WMT). | WMTPairAssocPerVal | Recommended | CDE |
9 | Word Memory Test (WMT) -Free recall percent value | The free recall percent value, as part of the Word Memory Test (WMT). | WMTFreeRecalPerVal | Recommended | CDE |
10 | Word Memory Test (WMT) -Delay free recall percent value | The delay free recall percent value, as part of the Word Memory Test (WMT). | WMTLonDelayFreeRecalPerVal | Recommended | CDE |
11 | Word Memory Test (WMT) - Immediate recognition average response time | The immediate recognition average response time, as part of the Word Memory Test (WMT). | WMTImmedRecogAvRespTime | Recommended | CDE |
12 | Word Memory Test (WMT) -Delay recognition average response time | The delay recognition average response time,, as part of the Word Memory Test (WMT). | WMTDelayRecogAvRespTime | Recommended | CDE |
13 | Word Memory Test (WMT) - Multiple choice average response time | The multiple choice average response time, as part of the Word Memory Test (WMT) . | WMTMultChoiceAvRespTime | Recommended | CDE |
Keywords