This form structure is an organized set of data definitions for a form that has not been copyrighted

 General Details

Title:
Contingency Naming Test
Short Name:
CNT
Description:
The CNT tests response switching with four different tasks. Each task has a different rule by which the subject must identify colored shapes (i.e. according to its color or to its shape).
Disease:
Traumatic Brain Injury , General (For all diseases)
Organization:
FITBIR
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Version:
1.0
Date Created:
2016-10-20
Owner:
Number of Data Elements:
32
eForms:
N

 Documentation


 Groups & Attached Data Elements

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

CNT Practice Trials (Appears Up To 9 Times)

# Title Short Description Variable Name Required? Type
1 Trial number (numeric)  The number representing the sequence for any repeated measure test or assessment when it is performed multiple times. TrialNumber Recommended CDE
2 Contingency Naming Test (CNT)-Attribute type  Attribute type , as part of Contingency Naming Test (CNT) CNTAttributeTyp Recommended CDE
3 Contingency Naming Test (CNT)-Trial Error number  Trial error count , as part of Contingency Naming Test (CNT) CNTTrialErrorNum Recommended CDE
4 Contingency Naming Test (CNT)-Trial self correction number  Trial self correction count , as part of Contingency Naming Test (CNT) CNTTrialSelfCorrectionNum Recommended CDE
5 Contingency Naming Test (CNT)-Trial to criterion number  Trial to criterion number , as part of Contingency Naming Test (CNT) CNTTrialCriterionNum Recommended CDE

CNT Experimental Trials (Appears Up To 4 Times)

# Title Short Description Variable Name Required? Type
1 Trial number (numeric)  The number representing the sequence for any repeated measure test or assessment when it is performed multiple times. TrialNumber Recommended CDE
2 Contingency Naming Test (CNT)-Experimental trial type  Experimental trial type , as part of Contingency Naming Test (CNT) CNTExperimentalTrialTyp Recommended CDE
3 Contingency Naming Test (CNT)-Attribute type  Attribute type , as part of Contingency Naming Test (CNT) CNTAttributeTyp Recommended CDE
4 Contingency Naming Test (CNT)-Response time duration  Response time duration , as part of Contingency Naming Test (CNT) CNTResponseTimeDur Recommended CDE
5 Contingency Naming Test (CNT)-Trial self correction number  Trial self correction count , as part of Contingency Naming Test (CNT) CNTTrialSelfCorrectionNum Recommended CDE
6 Contingency Naming Test (CNT)-Trial Error number  Trial error count , as part of Contingency Naming Test (CNT) CNTTrialErrorNum Recommended CDE
7 Contingency Naming Test (CNT)-Trial efficiency score  Trial efficiency score , as part of Contingency Naming Test (CNT) CNTTrialEfficiencyScore Recommended CDE

CNT Scoring (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Contingency Naming Test (CNT)-Total response time duration  Total response time duration , as part of Contingency Naming Test (CNT) CNTTotalResponseTimeDur Recommended CDE
2 Contingency Naming Test (CNT)-Total self correction number  Total self correction number, as part of Contingency Naming Test (CNT) CNTTotalSelfCorrectionNum Recommended CDE
3 Contingency Naming Test (CNT)-Total error number  Total error number, as part of Contingency Naming Test (CNT) CNTTotalErrorNum Recommended CDE
4 Contingency Naming Test (CNT)-Total efficiency score  Total efficiency score , as part of Contingency Naming Test (CNT) CNTTotalEfficiencyScore Recommended CDE
5 Contingency Naming Test (CNT)-Cognitive flexibility index score  Cognitive flexibility index, as part of Contingency Naming Test (CNT) CNTCogFlexibilityIndexScore Recommended CDE

 Change History

 Administrative Change History