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

 General Details

Title:
Reading the Mind in the Eyes Test - Child Version
Short Name:
RMETestChildVersion
Description:
In the Reading the Mind in the Eyes Test, children are presented with 28 photographs of the eyes of adults and given a choice of four emotions or mental states for each picture, and must choose which emotion is represented. The test was originally developed for autism and has applicability to TBI. The test is individually administered and takes about 10 minutes.Baron-Cohen, S. Wheelwright, S. Scahill, V. Lawson, J. and Spong, A. (2001). Are intuitive physics and intuitive psychology independent? A test with children with Asperger Syndrome. Journal of Developmental and Learning Disorders 5:47-78. http://www.midss.org/content/reading-mind-eyes-test-child
Disease:
Traumatic Brain Injury , General (For all diseases)
Organization:
NIH/CIT/BRICS
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Version:
1.0
Date Created:
2016-10-25
Owner:
Number of Data Elements:
45
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

RMET Practice (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Reading the Mind in the Eyes Test (Child Version) - Picture emotion display practice type  Type of emotion displayed in practice picture, as part of the Reading the Mind in the Eyes Test Child Version. RMETPicEmotnDispldPracTyp Recommended CDE

Reading the mind in the eyes test (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 1 type  Type of emotion displayed in picture for card 1, as part of the Reading the Mind in the Eyes Test Child Version. RMETPicEmotnDispldCrd1Typ Recommended CDE
2 Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 2 type  Type of emotion displayed in picture for card 2, as part of the Reading the Mind in the Eyes Test Child Version. RMETPicEmotnDispldCrd2Typ Recommended CDE
3 Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 3 type  Type of emotion displayed in picture for card 3, as part of the Reading the Mind in the Eyes Test Child Version. RMETPicEmotnDispldCrd3Typ Recommended CDE
4 Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 4 type  Type of emotion displayed in picture for card 4, as part of the Reading the Mind in the Eyes Test Child Version. RMETPicEmotnDispldCrd4Typ Recommended CDE
5 Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 5 type  Type of emotion displayed in picture for card 5, as part of the Reading the Mind in the Eyes Test Child Version. RMETPicEmotnDispldCrd5Typ Recommended CDE
6 Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 6 type  Type of emotion displayed in picture for card 6, as part of the Reading the Mind in the Eyes Test Child Version. RMETPicEmotnDispldCrd6Typ Recommended CDE
7 Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 7 type  Type of emotion displayed in picture for card 7, as part of the Reading the Mind in the Eyes Test Child Version. RMETPicEmotnDispldCrd7Typ Recommended CDE
8 Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 8 type  Type of emotion displayed in picture for card 8, as part of the Reading the Mind in the Eyes Test. RMETPicEmotnDispldCrd8Typ Recommended CDE
9 Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 9 type  Type of emotion displayed in picture for card 9, as part of the Reading the Mind in the Eyes Test Child Version. RMETPicEmotnDispldCrd9Typ Recommended CDE
10 Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 10 type  Type of emotion displayed in picture for card 10, as part of the Reading the Mind in the Eyes Test. RMETPicEmotnDispldCrd10Typ Recommended CDE
11 Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 11 type  Type of emotion displayed in picture for card 11, as part of the Reading the Mind in the Eyes Test Child Version. RMETPicEmotnDispldCrd11Typ Recommended CDE
12 Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 12 type  Type of emotion displayed in picture for card 12, as part of the Reading the Mind in the Eyes Test Child Version. RMETPicEmotnDispldCrd12Typ Recommended CDE
13 Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 13 type  Type of emotion displayed in picture for card 13, as part of the Reading the Mind in the Eyes Test Child Version. RMETPicEmotnDispldCrd13Typ Recommended CDE
14 Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 14 type  Type of emotion displayed in picture for card 14, as part of the Reading the Mind in the Eyes Test Child Version. RMETPicEmotnDispldCrd14Typ Recommended CDE
15 Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 15 type  Type of emotion displayed in picture for card 15, as part of the Reading the Mind in the Eyes Test Child Version. RMETPicEmotnDispldCrd15Typ Recommended CDE
16 Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 16 type  Type of emotion displayed in picture for card 16, as part of the Reading the Mind in the Eyes Test Child Version. RMETPicEmotnDispldCrd16Typ Recommended CDE
17 Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 17 type  Type of emotion displayed in picture for card 17, as part of the Reading the Mind in the Eyes Test Child Version. RMETPicEmotnDispldCrd17Typ Recommended CDE
18 Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 18 type  Type of emotion displayed in picture for card 18, as part of the Reading the Mind in the Eyes Test Child Version. RMETPicEmotnDispldCrd18Typ Recommended CDE
19 Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 19 type  Type of emotion displayed in picture for card 19, as part of the Reading the Mind in the Eyes Test Child Version. RMETPicEmotnDispldCrd19Typ Recommended CDE
20 Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 20 type  Type of emotion displayed in picture for card 20, as part of the Reading the Mind in the Eyes Test Child Version. RMETPicEmotnDispldCrd20Typ Recommended CDE
21 Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 21 type  Type of emotion displayed in picture for card 21, as part of the Reading the Mind in the Eyes Test Child Version. RMETPicEmotnDispldCrd21Typ Recommended CDE
22 Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 22 type  Type of emotion displayed in picture for card 22, as part of the Reading the Mind in the Eyes Test Child Version. RMETPicEmotnDispldCrd22Typ Recommended CDE
23 Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 23 type  Type of emotion displayed in picture for card 23, as part of the Reading the Mind in the Eyes Test Child Version. RMETPicEmotnDispldCrd23Typ Recommended CDE
24 Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 24 type  Type of emotion displayed in picture for card 24, as part of the Reading the Mind in the Eyes Test Child Version. RMETPicEmotnDispldCrd24Typ Recommended CDE
25 Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 25 type  Type of emotion displayed in picture for card 25, as part of the Reading the Mind in the Eyes Test Child Version. RMETPicEmotnDispldCrd25Typ Recommended CDE
26 Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 26 type  Type of emotion displayed in picture for card 26, as part of the Reading the Mind in the Eyes Test Child Version. RMETPicEmotnDispldCrd26Typ Recommended CDE
27 Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 27 type  Type of emotion displayed in picture for card 27, as part of the Reading the Mind in the Eyes Test Child Version. RMETPicEmotnDispldCrd27Typ Recommended CDE
28 Reading the Mind in the Eyes Test (Child Version) - Picture emotion display card 28 type  Type of emotion displayed in picture for card 28, as part of the Reading the Mind in the Eyes Test Child Version. RMETPicEmotnDispldCrd28Typ Recommended CDE
29 Reading the Mind in the Eyes Test (Child Version) - Total score  Total score for the correctly answered items, as part of the Reading the Mind in the Eyes Test Child Version. RMETotalScore Recommended CDE

 Change History

 Administrative Change History