Form Structure: Wide Range Assessment of Memory and Learning, Second Edition(WRAML-2)-Story Memory and Delay Recall
This form structure is an organized set of data definitions for a copyrighted form
Resource:
FITBIR
Title:
Wide Range Assessment of Memory and Learning, Second Edition(WRAML-2)-Story Memory and Delay Recall
Short Name:
WRAML2SMDR
Description:
"The WRAML2 is a carefully standardized psychometric instrument which allows the user to evaluate an individual's memory functioning. The WRAML2 affords evaluation of both immediate and delayed memory ability, as well as the acquisition of new learning. Copyright 2003 by Wide Range. Sheslow, D., Adams, W. 2003. Wide Range Assessment of Memory and Learning. NCS Pearson, Bloomington, MN."
Disease:
General (For all diseases)
Traumatic Brain Injury
Organization:
FITBIR
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Version:
1.0
Date Created:
2016-11-17
Owner:
Number of Data Elements:
67
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 |
WRAML2 Story A (Appears Up To 26 Times)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Test item number (numeric) | The test (or assessment) item number representing the sequence for the items/questions of each test/assessmet/questionnaire being asked | TestItemNum | Recommended | CDE |
| 2 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story item response text | Story item response text , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryItemResponseTxt | Recommended | CDE |
| 3 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story item response core score | Story item response core score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryItemRespCoreScore | Recommended | CDE |
| 4 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story item verbatim score | Story item verbatim score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryVrbtmScore | Recommended | CDE |
| 5 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story item gist score | Story item gist score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryGistScore | Recommended | CDE |
| 6 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story item delay recall score | Story item delay recall score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryDelayRecallScore | Recommended | CDE |
| 7 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story A total score | Story A total score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryATotalScore | Recommended | CDE |
| 8 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story A verbatim total score | Story A verbatim total score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryAVrbtmTotalScore | Recommended | CDE |
| 9 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story A gist total score | Story A gist total score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryAGistTotalScore | Recommended | CDE |
| 10 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story A delay recall score | Story A delay recall score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryADelyReclTotalScore | Recommended | CDE |
WRAML2 Story B (Appears Up To 38 Times)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Test item number (numeric) | The test (or assessment) item number representing the sequence for the items/questions of each test/assessmet/questionnaire being asked | TestItemNum | Recommended | CDE |
| 2 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story item response text | Story item response text , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryItemResponseTxt | Recommended | CDE |
| 3 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story item response core score | Story item response core score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryItemRespCoreScore | Recommended | CDE |
| 4 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story item verbatim score | Story item verbatim score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryVrbtmScore | Recommended | CDE |
| 5 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story item gist score | Story item gist score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryGistScore | Recommended | CDE |
| 6 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story item delay recall score | Story item delay recall score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryDelayRecallScore | Recommended | CDE |
| 7 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story B total score | Story B total score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryBTotalScore | Recommended | CDE |
| 8 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story B verbatim total score | Story B verbatim total score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryBVrbtmTotalScore | Recommended | CDE |
| 9 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story B gist total score | Story B gist total score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryBGistTotalScore | Recommended | CDE |
| 10 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story B delay recall score | Story B delay recall score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryBDelyReclTotalScore | Recommended | CDE |
WRAML2 Story C (Appears Up To 40 Times)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Test item number (numeric) | The test (or assessment) item number representing the sequence for the items/questions of each test/assessmet/questionnaire being asked | TestItemNum | Recommended | CDE |
| 2 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story item response text | Story item response text , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryItemResponseTxt | Recommended | CDE |
| 3 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story item response core score | Story item response core score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryItemRespCoreScore | Recommended | CDE |
| 4 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story item verbatim score | Story item verbatim score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryVrbtmScore | Recommended | CDE |
| 5 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story item gist score | Story item gist score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryGistScore | Recommended | CDE |
| 6 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story item delay recall score | Story item delay recall score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryDelayRecallScore | Recommended | CDE |
| 7 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story C total score | Story C total score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryCTotalScore | Recommended | CDE |
| 8 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story C verbatim total score | Story C verbatim total score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryCVrbtmTotalScore | Recommended | CDE |
| 9 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story C gist total score | Story C gist total score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryCGistTotalScore | Recommended | CDE |
| 10 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story C delay recall score | Story C delay recall score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryCDelyReclTotalScore | Recommended | CDE |
WRAML2 Story Memory Scoring (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story Memory Story A and Story B 8 and younger total score | Story Memory Story A and Story B 8 and younger total score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StryMmryAB8YngrTtlScore | Recommended | CDE |
| 2 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story Memory Story A and Story B 8 and younger verbatim total score | Story Memory Story A and Story B 8 and younger verbatim total score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StryMmryAB8YngrVrbScore | Recommended | CDE |
| 3 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story Memory Story A and Story B 8 and younger gist total score | Story Memory Story A and Story B 8 and younger gist total score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StryMmryAB8YngrGstScore | Recommended | CDE |
| 4 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story Memory Story A and Story B 8 and younger delay recall total score | Story Memory Story A and Story B 8 and younger delay recall total score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StryMmryAB8YngrDyRcScore | Recommended | CDE |
| 5 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story Memory Story B and Story C 9 to adult total score | Story Memory Story B and Story C 9 to adult total score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryMmryBC9AdltTtlScore | Recommended | CDE |
| 6 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story Memory Story B and Story C 9 to adult verbatim total score | Story Memory Story B and Story C 9 to adult verbatim total score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryMmryBC9AdtVrbScore | Recommended | CDE |
| 7 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story Memory Story B and Story C 9 to adult gist total score | Story Memory Story B and Story C 9 to adult gist total score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryMmryBC9AdtGstScore | Recommended | CDE |
| 8 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story Memory Story B and Story C 9 to adult delay recall total score | Story Memory Story B and Story C 9 to adult delay recall total score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryMmryBC9AdtDyRcScore | Recommended | CDE |
WRAML2 Story Memory Recognition Story A (Appears Up To 15 Times)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Test item number (numeric) | The test (or assessment) item number representing the sequence for the items/questions of each test/assessmet/questionnaire being asked | TestItemNum | Recommended | CDE |
| 2 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story item response text | Story item response text , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryItemResponseTxt | Recommended | CDE |
| 3 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story item response core score | Story item response core score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryItemRespCoreScore | Recommended | CDE |
| 4 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story A memory recognition total score | Story A memory recognition total score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StryAMmryRcgnTtlScore | Recommended | CDE |
WRAML2 Story Memory Recognition Story B (Appears Up To 18 Times)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Test item number (numeric) | The test (or assessment) item number representing the sequence for the items/questions of each test/assessmet/questionnaire being asked | TestItemNum | Recommended | CDE |
| 2 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story item response text | Story item response text , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryItemResponseTxt | Recommended | CDE |
| 3 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story item response core score | Story item response core score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryItemRespCoreScore | Recommended | CDE |
| 4 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story B memory recognition total score | Story B memory recognition total score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StryBMmryRcgnTtlScore | Recommended | CDE |
WRAML2 Story Memory Recognition Story C (Appears Up To 22 Times)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Test item number (numeric) | The test (or assessment) item number representing the sequence for the items/questions of each test/assessmet/questionnaire being asked | TestItemNum | Recommended | CDE |
| 2 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story item response text | Story item response text , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryItemResponseTxt | Recommended | CDE |
| 3 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story item response core score | Story item response core score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StoryItemRespCoreScore | Recommended | CDE |
| 4 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story B memory recognition total score | Story B memory recognition total score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StryBMmryRcgnTtlScore | Recommended | CDE |
WRAML2 Story Memory Recognition Score (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story A and story B memory recognition 8 yrs and younger total score | Story A and story B memory recognition 8 yrs and younger total score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StryMmryRcgnAB8TtlScore | Recommended | CDE |
| 2 | Wide Range Assessment of Memory and Learning Second Edition (WRAML2) -Story B and story C memory recognition 9 yrs to adult total score | Story B and story C memory recognition 9 yrs to adult total score , as part of Wide Range Assessment of Memory and Learning Second Edition (WRAML2) | WRAML2StryMmryRcgnBC9TtlScore | Recommended | CDE |
Keywords
