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This form structure is an organized set of data definitions for a copyrighted form
Title:
Wechsler Preschool and Primary Scale of Intelligence Fourth Edition Age 2 to 3
Short Name:
WPPSI4_2_3
Description:
The WPPSI–IV is an innovative measure of cognitive development for preschoolers and young children that's rooted in contemporary theory and research that also places a strong emphasis on child-friendly, developmentally appropriate features and includes new processing speed tasks, the addition of working memory subtests, an expanded factor structure. The extensive enhancements are targeted to benefit both children and examiners. Wechsler, D. (2012). Wechsler Preschool and Primary Scale of Intelligence—fourth edition technical manual and interpretive manual. San Antonio,TX: Psychological Corporation. Copyright 2012. Pearson, Inc., and/or its affiliates. http://www.pearsonclinical.com/
Disease:
Traumatic Brain Injury
Organization:
FITBIR
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2018-03-28
Version:
1.0
Date Created:
2016-08-09
Owner:
Number of Data Elements:
74
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
7 Assessment completion status  Status of completion of an assessment, such as a case report from (CRF), instrument, scale, computer assessment, etc. AssessmentCompletionStat Recommended CDE
8 Assessment completion status text  A free text related to "Assessment completion status" specifying completion details. This data element should be used along with AssessmenttCompletionStat to further describe the status of assessment completion AssessmentCompletionStatTxt Recommended CDE

WPPSI4 Age 2-3- Raw scores (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Intelligence Scale For Children- Fourth Edition (WISC-IV) Vocabulary Section- Total raw score  Receptive vocabulary total raw score, as part of Wechsler Preschool and Primary Scale of Intelligence - Fourth Edition (WPPSI-IV) WPPSI4RVTtlRawScore Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) Block Design Section - Total raw score  Total raw score, as part of Wechsler Preschool and Primary Scale of Intelligence - Fourth Edition (WPPSI - IV) WPPSI4BDTotalRawScore Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) Picture Memory subtest- Completion time  Picture memory total raw score, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) WPPSI4PMTtlRawScore Recommended CDE
4 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) Information Section- Total raw score  Information total raw score, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) WPPSI4INTtlRawScore Recommended CDE
5 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) Object Assembly Section- Completion time  Object assembly total raw score, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) WPPSI4OATtlRawScore Recommended CDE
6 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) Zoo Location Section- Total raw score  Zoo location total raw score, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) WPPSI4ZLTtlRawScore Recommended CDE
7 Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) Picture Naming Section - Total raw score  Picture naming total raw score, as part of the Wechsler Preschool and Primary Scale of Intelligence Third Edition (WPPSI-III) WPPSI3PNTtlRawScore Recommended CDE

WPPSI4 Age 2-3- Scaled scores (Appears Up To 7 Times)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Subtest type  Subtest type, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) WPPSI4SubtestTyp Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Scaled score  Scale score, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) WPPSI4SclScore Recommended CDE

WPPSI4 Age 2-3- Confidence interval (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Confidence interval type  Type of the confidence interval, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) WPPSI4CondIntvlTyp Recommended CDE

WPPSI4 Age 2-3- Verbal Comprehension (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Age 2 to 3 verbal comprehension scaled score  Verbal comprehension scaled score for age 2-3, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) WPPSI4Age2to3VerbCompSclScore Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Verbal comprehension composite score  VCI, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) WPPSI4VerbCompCompstScore Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Percentile rank score  Percentile rank, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) WPPSI4PerctlRankScore Recommended CDE
4 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Lower bound value  Lower bound of the confidence interval, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) WPPSI4LowerBoundVal Recommended CDE
5 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Upper bound value  Upper bound of the confidence interval, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) WPPSI4UpperBoundVal Recommended CDE

WPPSI4 Age 2-3- Visual Spatial (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Visual spatial scaled score  Visual spatial scaled score, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) WPPSI4VislSpatlSclScore Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Visual spatial composite score  VSI, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) WPPSI4VislSpatlCompstScore Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Percentile rank score  Percentile rank, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) WPPSI4PerctlRankScore Recommended CDE
4 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Lower bound value  Lower bound of the confidence interval, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) WPPSI4LowerBoundVal Recommended CDE
5 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Upper bound value  Upper bound of the confidence interval, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) WPPSI4UpperBoundVal Recommended CDE

WPPSI4 Age 2-3- Working Memory (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Working memory scaled score  Working memory scaled score, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) WPPSI4WorkMemSclScore Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Working memory composite score  WMI, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) WPPSI4WorkMemCompstScore Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Percentile rank score  Percentile rank, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) WPPSI4PerctlRankScore Recommended CDE
4 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Lower bound value  Lower bound of the confidence interval, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) WPPSI4LowerBoundVal Recommended CDE
5 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Upper bound value  Upper bound of the confidence interval, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) WPPSI4UpperBoundVal Recommended CDE

WPPSI4 Age 2-3- Full Scale (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Age 2 to 3 full scale score  Full scale score for age 2-3, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) WPPSI4Age2to3FullSclScore Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Full scale composite score  FSIQ, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) WPPSI4FullSclCompstScore Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Percentile rank score  Percentile rank, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) WPPSI4PerctlRankScore Recommended CDE
4 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Lower bound value  Lower bound of the confidence interval, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) WPPSI4LowerBoundVal Recommended CDE
5 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Upper bound value  Upper bound of the confidence interval, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) WPPSI4UpperBoundVal Recommended CDE

WPPSI4 Age 2-3- Notes (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Age 2 to 3 notes text  Notes for age 2-3 summary scores, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) WPPSI4Age2to3NotesTxt Recommended CDE

Ancillary Analysis- Vocabulary Acquisition (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Age 2 to 3 vocabulary acquisition score  Sum of scales scores of RV and PN for age 2-3, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) WPPSI4Age2to3VocabAcqstnScore Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Age 2 to 3 VAI score  VAI for age 2-3, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) WPPSI4Age2to3VAIScore Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Percentile rank score  Percentile rank, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) WPPSI4PerctlRankScore Recommended CDE
4 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Lower bound value  Lower bound of the confidence interval, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) WPPSI4LowerBoundVal Recommended CDE
5 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Upper bound value  Upper bound of the confidence interval, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI - IV) WPPSI4UpperBoundVal Recommended CDE

Pairwise Difference Comparisons-Index Level (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Statistical significance indicator  Critical value significance level, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) WPPSI4StatSigInd Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Comparison group indicator  Comparison group indicator, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) WPPSI4ComprsnGrpInd Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Age 2 to 3 GAI FSIQ difference score  Subtract FSIQ from GAI scaled score for age 2-3, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) WPPSI4Age2to3GAIFSIQDiffScore Recommended CDE
4 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Critical value  Critical value, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) WPPSI4CritVal Recommended CDE
5 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Significant difference indicator  Significant difference indicator, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) WPPSI4ISigDiffInd Recommended CDE
6 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Base rate value  Base rate value, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) WPPSI4BaseRtVal Recommended CDE

Pairwise Difference Comparisons-Subtest Level (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Statistical significance indicator  Critical value significance level, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) WPPSI4StatSigInd Recommended CDE
2 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Comparison group indicator  Comparison group indicator, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) WPPSI4ComprsnGrpInd Recommended CDE
3 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Age 2 to 3 RV IN difference score  Subtract IN scaled score from RV scaled score for age 2-3, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) WPPSI4Age2to3RVINDiffScore Recommended CDE
4 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Critical value  Critical value, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) WPPSI4CritVal Recommended CDE
5 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Significant difference indicator  Significant difference indicator, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) WPPSI4ISigDiffInd Recommended CDE
6 Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) - Base rate value  Base rate value, as part of the Wechsler Preschool and Primary Scale of Intelligence Fourth Edition (WPPSI-IV) WPPSI4BaseRtVal Recommended CDE

Behavioral Observations (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Wechsler instruments - Referral source text  Description of referral source/reason for referral/presenting complaints, as part of the Wechsler instruments WechslerReferralSourceTxt Recommended CDE
2 Wechsler instruments - Language text  Language description, as part of the Wechsler instruments WechslerLanguageTxt Recommended CDE
3 Wechsler instruments - Physical appearance text  Description of physical appearance, as part of the Wechsler instruments WechslerPhysAppearnceTxt Recommended CDE
4 Wechsler instruments - VAM problems text  Description of visual/auditory/motor problems, as part of the Wechsler instruments WechslerVAMProbTxt Recommended CDE
5 Wechsler instruments - Attention concentration text  Description of attention and concentration, as part of the Wechsler instruments WechslerAttnConcntratnTxt Recommended CDE
6 Wechsler instruments - Attitude toward testing text  Description of attention and concentration, as part of the Wechsler instruments WechslerAttdeTwdTestingTxt Recommended CDE
7 Wechsler instruments - Affect mood text  Description of affect/mood, as part of the Wechsler instruments WechslerAffectMoodTxt Recommended CDE
8 Wechsler instruments - Unusual behaviors text  Description of unusual behaviors/verbalizations, as part of the Wechsler instruments WechslerUnusualBehrsTxt Recommended CDE
9 Wechsler instruments - Other notes text  Other notes text, as part of the Wechsler instruments WechslerOtherNotesTxt Recommended CDE
Keywords

Change History