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

 General Details

Title:
Shape School Task (SST)
Short Name:
SST
Description:
The Shape School Task examines inhibition and switching processes in children. The measure uses a storybook design with colors, facial expressions and shapes that a child would know. The Shape School Task involves four conditions: control, inhibit, switch and both. Each condition includes 15 figures. The dependent measure for each condition is an efficiency score, calculated from accuracy indexes and naming speed. References: Espy, K. A. (1997). The Shape School: Assessing executive function in preschool children. Developmental Neuropsychology, 13(4), 495-499.
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:
2016-11-07
Owner:
Number of Data Elements:
39
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

SST Control Condition (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 The Shape School Task (SST) - Attribute type 

(Draft)

Type of attributes, as part of The Shape School Task (SST) SSTAttributeTyp Recommended UDE
3 The Shape School Task (SST) - Correct number 

(Draft)

Number of correct answers, as part of The Shape School Task (SST) SSTCorrectNum Recommended UDE
4 The Shape School Task (SST) - Error number 

(Draft)

Number of errors while answering, as part of The Shape School Task (SST) SSTErrorsNum Recommended UDE
5 The Shape School Task (SST) - Time duration 

(Draft)

Duration of time to complete task, as part of The Shape School Task (SST) SSTTimeDur Recommended UDE
6 The Shape School Task (SST) - Efficiency score 

(Draft)

Score for efficiency of testing, as part of The Shape School Task (SST) SSTEfficiencyScore Recommended UDE

SST Inhibition Condition (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 The Shape School Task (SST) - Attribute type 

(Draft)

Type of attributes, as part of The Shape School Task (SST) SSTAttributeTyp Recommended UDE
3 The Shape School Task (SST) - Correct number 

(Draft)

Number of correct answers, as part of The Shape School Task (SST) SSTCorrectNum Recommended UDE
4 The Shape School Task (SST) - Error number 

(Draft)

Number of errors while answering, as part of The Shape School Task (SST) SSTErrorsNum Recommended UDE
5 The Shape School Task (SST) - Time duration 

(Draft)

Duration of time to complete task, as part of The Shape School Task (SST) SSTTimeDur Recommended UDE
6 The Shape School Task (SST) - Efficiency score 

(Draft)

Score for efficiency of testing, as part of The Shape School Task (SST) SSTEfficiencyScore Recommended UDE

SST Switch Condition (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 The Shape School Task (SST) - Attribute type 

(Draft)

Type of attributes, as part of The Shape School Task (SST) SSTAttributeTyp Recommended UDE
3 The Shape School Task (SST) - Correct number 

(Draft)

Number of correct answers, as part of The Shape School Task (SST) SSTCorrectNum Recommended UDE
4 The Shape School Task (SST) - Error number 

(Draft)

Number of errors while answering, as part of The Shape School Task (SST) SSTErrorsNum Recommended UDE
5 The Shape School Task (SST) - Time duration 

(Draft)

Duration of time to complete task, as part of The Shape School Task (SST) SSTTimeDur Recommended UDE
6 The Shape School Task (SST) - Efficiency score 

(Draft)

Score for efficiency of testing, as part of The Shape School Task (SST) SSTEfficiencyScore Recommended UDE

SST Both Condition (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 The Shape School Task (SST) - Attribute type 

(Draft)

Type of attributes, as part of The Shape School Task (SST) SSTAttributeTyp Recommended UDE
3 The Shape School Task (SST) - Correct number 

(Draft)

Number of correct answers, as part of The Shape School Task (SST) SSTCorrectNum Recommended UDE
4 The Shape School Task (SST) - Error number 

(Draft)

Number of errors while answering, as part of The Shape School Task (SST) SSTErrorsNum Recommended UDE
5 The Shape School Task (SST) - Time duration 

(Draft)

Duration of time to complete task, as part of The Shape School Task (SST) SSTTimeDur Recommended UDE
6 The Shape School Task (SST) - Efficiency score 

(Draft)

Score for efficiency of testing, as part of The Shape School Task (SST) SSTEfficiencyScore Recommended UDE

 Change History

 Administrative Change History