Form Structure: Wide Range Achievement Test 4 (WRAT4) - Spelling Subtest
This form structure is an organized set of data definitions for a copyrighted form
Title:
Wide Range Achievement Test 4 (WRAT4) - Spelling Subtest
Short Name:
WRAT4SpellingSubtest
Description:
The Wide Range Achievement Test 4 (WRAT4) is a norm-referenced test that measures the basic academic skills of word reading, sentence comprehension, spelling, and math computation. It was standardized on a representative national sample of over 3,000 individuals ranging in age from 5-94 years. Copyright 2006 by Wide Range, Inc. All rights reserved. No reproduction is allowed without the express written permission of NCS Pearson, Inc. Published and distributed exclusively under license from Wide Range, Inc. NCS Pearson, Inc., 5601 Green Valley Drive, Bloomington, MN 55437. www.PearsonCIInlcal.com References: Wilkinson, G. S., & Robertson, G. J. (2006). Wide Range Achievement Test–Fourth Edition. Lutz, FL: Psychological Assessment Resources.
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:
2016-08-22
Owner:
Number of Data Elements:
30
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 |
WRAT-4 Word Reading Form Administration (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Wide Range Achievement Test 4 (WRAT-4) - Word region text | Text to describe the region where the subject took the test, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4WrdRdngRegionTxt | Recommended | CDE |
| 2 | Wide Range Achievement Test 4 (WRAT-4) - Word reading test type | The type of sub-test performed, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4WrdRdngTestTyp | Recommended | CDE |
WRAT 4 Part 1 Letter Writing Spelling Test (Appears Up To 15 Times)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Wide Range Achievement Test (WRAT-4) - Letter writing item text | Text for the letter writing item dictated, as a part of Wide Range Achievement Test (WRAT-4) | WRAT4LetterWritingItemTxt | Recommended | CDE |
| 2 | Wide Range Achievement Test (WRAT-4) - Letter writing item score | Score for the letter writing item dictated, as a part of part 1 of the spelling subtest for Wide Range Achievement Test (WRAT-4) | WRAT4LetterWritingItemScore | Recommended | CDE |
| 3 | Wide Range Achievement Test (WRAT-4) - Letter writing item raw score | Raw score for the part 1, letter writing item dictated, as a part of the spelling subtest for Wide Range Achievement Test (WRAT-4) | WRAT4LetterWritingItemRawScore | Recommended | CDE |
WRAT 4 Part 2 Spelling Test (Appears Up To 42 Times)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Wide Range Achievement Test (WRAT-4) - Spelling item text | Text for part 2, spelling test item, as a part of Wide Range Achievement Test (WRAT-4) | WRAT4SpellingItemTxt | Recommended | CDE |
| 2 | Wide Range Achievement Test (WRAT-4) - Spelling item score | Score for part 2, spelling test item, as a part of Wide Range Achievement Test (WRAT-4) | WRAT4SpellingItemScore | Recommended | CDE |
| 3 | Wide Range Achievement Test (WRAT-4) - 5 basal rule indicator | Indicator for the 5 basal rule, as a part of part 1 of the spelling subtest for Wide Range Achievement Test (WRAT-4) | WRAT45BasalRuleInd | Recommended | CDE |
| 4 | Wide Range Achievement Test (WRAT-4) - 10 ceiling rule indicator | Indicator for the 10 ceiling rule, as a part of part 1 of the spelling subtest for Wide Range Achievement Test (WRAT-4) | WRAT410RuleInd | Recommended | CDE |
| 5 | Wide Range Achievement Test (WRAT-4) - Spelling raw score | Raw score for part 2 of the spelling test, as a part of Wide Range Achievement Test (WRAT-4) | WRAT4SpellingRawScore | Recommended | CDE |
| 6 | Wide Range Achievement Test (WRAT-4) - Spelling total raw score | Total raw score for part 2 of the spelling test, as a part of Wide Range Achievement Test (WRAT-4) | WRAT4SpellingTotalRawScore | Recommended | CDE |
WRAT4 Spelling Test Combined Scoring (Appears Up To 6 Times)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Wide Range Achievement Test 4 (WRAT-4) - Word reading test type | The type of sub-test performed, as part of the Wide Range Achievement Test 4 (WRAT-4). | WRAT4WrdRdngTestTyp | Recommended | CDE |
| 2 | Wide Range Achievement Test 4 (WRAT-4) - Combined form part 1 letter writing score | Score of the part 1 combined form for the letter writing subtest, as a part of the Wide Range Achievement Test 4 (WRAT-4) | WRAT4CFPart1LettrWrtingScore | Recommended | CDE |
| 3 | Wide Range Achievement Test (WRAT-4) - Spelling raw score | Raw score for part 2 of the spelling test, as a part of Wide Range Achievement Test (WRAT-4) | WRAT4SpellingRawScore | Recommended | CDE |
| 4 | Wide Range Achievement Test 4 (WRAT- 4) - Combined form spelling raw score | Raw score for the combined form for the spelling subtest, as a part of the Wide Range of Achievement Test 4 (WRAT- 4) | WRAT4CFSpellingRawScore | Recommended | CDE |
Keywords
