This form structure is an organized set of data definitions for a copyrighted form

 General Details

Title:
Delis-Kaplan Executive Function System (D-KEFS) Color-Word Interference Test (CWIT)
Short Name:
DKEFS_CWIT
Description:
CWIT is one of the 9 DKEFS subtests. It consists of four parts: Color naming, word reading, inhibition, and inhibition/switching. Copyrighted 2001, NCS Pearson, Inc. All Rights Reserved (http://www.pearsonclinical.com/content/ani/clinicalassessments/us/en.html). Delis, D. C., Kaplan, E., & Kramer, J. H. (2001). Delis-Kaplan executive function system (D-KEFS). Psychological Corporation.Copyrighted 2001,San Antonio, Tex. : Psychological Corporation
Disease:
Traumatic Brain Injury
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Publication Date:
2016-09-09
Version:
1.0
Date Created:
2016-03-31
Owner:
Number of Data Elements:
60
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 Context type  The context to which the questions were answered ContextType Recommended CDE
2 Context type other text  The free-text related to ContextType specifying other text ContextTypeOTH Recommended CDE
3 Data source  Source of the data provided on the case report form DataSource Recommended CDE
4 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

DKEFS CWIT-1 Color naming (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 D-KEFS Color-Word Interference Test (CWIT) -Total Uncorrected Errors Count  Count of total uncorrected errors, as part of D-KEFS CWIT. DKEFSCWITTotalUncortdErrorsCt Recommended CDE
2 D-KEFS Color-Word Interference Test (CWIT) -Total Self-corrected Errors Count  Count of total self-corrected errors, as part of D-KEFS CWIT. DKEFSCWITTotalSfCortdErrorsCt Recommended CDE
3 D-KEFS Color-Word Interference Test (CWIT) -Time To Complete 90 Duration  Duration of total time to complete for condition 1 and 2, as part of D-KEFS CWIT. DKEFSCWITTimeToComplte90Dur Recommended CDE

DKEFS CWIT-2 Word reading (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 D-KEFS Color-Word Interference Test (CWIT) -Total Uncorrected Errors Count  Count of total uncorrected errors, as part of D-KEFS CWIT. DKEFSCWITTotalUncortdErrorsCt Recommended CDE
2 D-KEFS Color-Word Interference Test (CWIT) -Total Self-corrected Errors Count  Count of total self-corrected errors, as part of D-KEFS CWIT. DKEFSCWITTotalSfCortdErrorsCt Recommended CDE
3 D-KEFS Color-Word Interference Test (CWIT) -Time To Complete 90 Duration  Duration of total time to complete for condition 1 and 2, as part of D-KEFS CWIT. DKEFSCWITTimeToComplte90Dur Recommended CDE

DKEFS CWIT-3 Inhibition (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 D-KEFS Color-Word Interference Test (CWIT) -Total Uncorrected Errors Count  Count of total uncorrected errors, as part of D-KEFS CWIT. DKEFSCWITTotalUncortdErrorsCt Recommended CDE
2 D-KEFS Color-Word Interference Test (CWIT) -Total Self-corrected Errors Count  Count of total self-corrected errors, as part of D-KEFS CWIT. DKEFSCWITTotalSfCortdErrorsCt Recommended CDE
3 D-KEFS Color-Word Interference Test (CWIT) -Time To Complete 180 Duration  Duration of total time to complete for condition 3 and 4, as part of D-KEFS CWIT. DKEFSCWITTimeToComplte180Dur Recommended CDE

DKEFS CWIT-4 Inhibition/Switching (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 D-KEFS Color-Word Interference Test (CWIT) -Total Uncorrected Errors Count  Count of total uncorrected errors, as part of D-KEFS CWIT. DKEFSCWITTotalUncortdErrorsCt Recommended CDE
2 D-KEFS Color-Word Interference Test (CWIT) -Total Self-corrected Errors Count  Count of total self-corrected errors, as part of D-KEFS CWIT. DKEFSCWITTotalSfCortdErrorsCt Recommended CDE
3 D-KEFS Color-Word Interference Test (CWIT) -Time To Complete 180 Duration  Duration of total time to complete for condition 3 and 4, as part of D-KEFS CWIT. DKEFSCWITTimeToComplte180Dur Recommended CDE

Summary-Primary Measures: Completion Times (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 D-KEFS Color-Word Interference Test (CWIT) -Condition 1 Raw Score  Raw score of color naming, as part of Delis-Kaplan Executive Function System Color-Word Interference Test DKEFSCWITCondtn1RawScore Recommended CDE
2 D-KEFS Color-Word Interference Test (CWIT) -Condition 1 Scaled Score  Scaled score of color naming, as part of D-KEFS CWIT DKEFSCWITCondtn1ScaledScore Recommended CDE
3 D-KEFS Color-Word Interference Test (CWIT) -Condition 2 Raw Score  Raw score of word reading, as part of D-KEFS CWIT DKEFSCWITCondtn2RawScore Recommended CDE
4 D-KEFS Color-Word Interference Test (CWIT) -Condition 2 Scaled Score  Scaled score of word reading, as part of D-KEFS CWIT DKEFSCWITCondtn2ScaledScore Recommended CDE
5 D-KEFS Color-Word Interference Test (CWIT) -Condition 3 Raw Score  Raw score of inhibition, as part of D-KEFS CWIT DKEFSCWITCondtn3RawScore Recommended CDE
6 D-KEFS Color-Word Interference Test (CWIT) -Condition 3 Scaled Score  Scaled score of inhibition, as part of D-KEFS CWIT DKEFSCWITCondtn3ScaledScore Recommended CDE
7 D-KEFS Color-Word Interference Test (CWIT) -Condition 4 Raw Score  Raw score of inhibition/switching, as part of D-KEFS CWIT DKEFSCWITCondtn4RawScore Recommended CDE
8 D-KEFS Color-Word Interference Test (CWIT) -Condition 4 Scaled Score  Scaled score of inhibition/switching, as part of D-KEFS CWIT DKEFSCWITCondtn4ScaledScore Recommended CDE

Summary-Primary Combined Measure: Completion Times (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 D-KEFS Color-Word Interference Test (CWIT) -Composite Scaled Score  Composite scaled score, as part of D-KEFS CWIT DKEFSCWITCompScaledScore Recommended CDE
2 D-KEFS Color-Word Interference Test (CWIT) -Sum of Scaled Scores  Sum of scaled scores, as part of D-KEFS CWIT DKEFSCWITSumScaledScore Recommended CDE

Summary-Primary Contrast Measures: Completion Times (Appears Up To 5 Times)

# Title Short Description Variable Name Required? Type
1 Delis-Kaplan Executive Function System (DKEFS) - Completion time contrast Type  Type of primary contrast measures for completion times, as part of Delis-Kaplan Executive Function System (DKEFS) DKEFSCompletionTimeContrastTyp Recommended CDE
2 D-KEFS Color-Word Interference Test (CWIT) -Difference Scaled Score  Scaled-score difference, as part of D-KEFS CWIT DKEFSCWITDiffScaledScore Recommended CDE
3 D-KEFS Color-Word Interference Test (CWIT) -Contrast Scaled Score  Contrast scaled score, as part of D-KEFS CWIT DKEFSCWITContrastScaledScore Recommended CDE

Summary-Optional Measures: Error Analysis-Cond 1 (Appears Up To 2 Times)

# Title Short Description Variable Name Required? Type
1 Delis-Kaplan Executive Function System (DKEFS) - Condition type  Type of conditions, as part of Delis-Kaplan Executive Function System (DKEFS) DKEFSConditionTyp Recommended CDE
2 Delis-Kaplan Executive Function System (DKEFS) - Error analysis optional type  Optional measures for error analysis, as part of Delis-Kaplan Executive Function System (DKEFS) DKEFSErrorAnalysisOptionalTyp Recommended CDE
3 Delis-Kaplan Executive Function System (DKEFS) - Error raw score  Errors as a raw score, as part of Delis-Kaplan Executive Function System (DKEFS) DKEFSErrorRawScore Recommended CDE
4 Delis-Kaplan Executive Function System (DKEFS) - Cumulative percentile rank value  Cumulative percentile rank for error analysis, as part of Delis-Kaplan Executive Function System (DKEFS) DKEFSCumulatvPerctRankVal Recommended CDE

Summary-Optional Measures: Error Analysis-Cond 2 (Appears Up To 3 Times)

# Title Short Description Variable Name Required? Type
1 Delis-Kaplan Executive Function System (DKEFS) - Condition type  Type of conditions, as part of Delis-Kaplan Executive Function System (DKEFS) DKEFSConditionTyp Recommended CDE
2 Delis-Kaplan Executive Function System (DKEFS) - Error analysis optional type  Optional measures for error analysis, as part of Delis-Kaplan Executive Function System (DKEFS) DKEFSErrorAnalysisOptionalTyp Recommended CDE
3 Delis-Kaplan Executive Function System (DKEFS) - Error raw score  Errors as a raw score, as part of Delis-Kaplan Executive Function System (DKEFS) DKEFSErrorRawScore Recommended CDE
4 Delis-Kaplan Executive Function System (DKEFS) - Cumulative percentile rank value  Cumulative percentile rank for error analysis, as part of Delis-Kaplan Executive Function System (DKEFS) DKEFSCumulatvPerctRankVal Recommended CDE

Summary-Optional Measures: Error Analysis-Cond 3 (Appears Up To 3 Times)

# Title Short Description Variable Name Required? Type
1 Delis-Kaplan Executive Function System (DKEFS) - Condition type  Type of conditions, as part of Delis-Kaplan Executive Function System (DKEFS) DKEFSConditionTyp Recommended CDE
2 Delis-Kaplan Executive Function System (DKEFS) - Error analysis optional type  Optional measures for error analysis, as part of Delis-Kaplan Executive Function System (DKEFS) DKEFSErrorAnalysisOptionalTyp Recommended CDE
3 Delis-Kaplan Executive Function System (DKEFS) - Error raw score  Errors as a raw score, as part of Delis-Kaplan Executive Function System (DKEFS) DKEFSErrorRawScore Recommended CDE
4 Delis-Kaplan Executive Function System (DKEFS) - Cumulative percentile rank value  Cumulative percentile rank for error analysis, as part of Delis-Kaplan Executive Function System (DKEFS) DKEFSCumulatvPerctRankVal Recommended CDE

Summary-Optional Measures: Error Analysis-Cond 4 (Appears Up To 3 Times)

# Title Short Description Variable Name Required? Type
1 Delis-Kaplan Executive Function System (DKEFS) - Condition type  Type of conditions, as part of Delis-Kaplan Executive Function System (DKEFS) DKEFSConditionTyp Recommended CDE
2 Delis-Kaplan Executive Function System (DKEFS) - Error analysis optional type  Optional measures for error analysis, as part of Delis-Kaplan Executive Function System (DKEFS) DKEFSErrorAnalysisOptionalTyp Recommended CDE
3 Delis-Kaplan Executive Function System (DKEFS) - Error raw score  Errors as a raw score, as part of Delis-Kaplan Executive Function System (DKEFS) DKEFSErrorRawScore Recommended CDE
4 Delis-Kaplan Executive Function System (DKEFS) - Cumulative percentile rank value  Cumulative percentile rank for error analysis, as part of Delis-Kaplan Executive Function System (DKEFS) DKEFSCumulatvPerctRankVal Recommended CDE

Summary-Optional Measures: Error Analysis-Cond 5 (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Delis-Kaplan Executive Function System (DKEFS) - Condition type  Type of conditions, as part of Delis-Kaplan Executive Function System (DKEFS) DKEFSConditionTyp Recommended CDE
2 Delis-Kaplan Executive Function System (DKEFS) - Error analysis optional type  Optional measures for error analysis, as part of Delis-Kaplan Executive Function System (DKEFS) DKEFSErrorAnalysisOptionalTyp Recommended CDE
3 Delis-Kaplan Executive Function System (DKEFS) - Error raw score  Errors as a raw score, as part of Delis-Kaplan Executive Function System (DKEFS) DKEFSErrorRawScore Recommended CDE
4 Delis-Kaplan Executive Function System (DKEFS) - Cumulative percentile rank value  Cumulative percentile rank for error analysis, as part of Delis-Kaplan Executive Function System (DKEFS) DKEFSCumulatvPerctRankVal Recommended CDE

Summary-Optional Measures: Error Analysis- Cond 4 All (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Delis-Kaplan Executive Function System (DKEFS) - Error total raw score  Total raw score calculated as the sum of raw scores of Sequencing Errors, Set-Loss Errors and Time-Discontinue Errors in Condition 4 (Number-Letter Switching), as part of Delis-Kaplan Executive Function System (DKEFS) DKEFSErrorTtlRawScore Recommended CDE
2 Delis-Kaplan Executive Function System (DKEFS) - All error types condition 4 scaled score  Scaled score of all error types for condition 4 Number-Letter Switching, as part of Delis-Kaplan Executive Function System (DKEFS) DKEFSAllErTypCond4SclScore Recommended CDE

 Change History

 Administrative Change History