CDE Detailed Report

Disease: Mitochondrial Disease
Sub-Domain: Executive Functioning
CRF: Behavior Rating Inventory of Executive Function (BRIEF)

Displaying 1 - 24 of 24
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (Question Text) Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C54610 Brief Test of Executive Function Second Edition (BRIEF 2) - Task completion total raw scale score BRIEF2TskCmpltnTtlRwSclScore Total score of the raw scale for the task completion function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) Total score of the raw scale for the task completion function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) Task Completion Numeric Values

Self form only

Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. Pediatric Supplemental 1.00 2017-03-22 09:57:02.0 Behavior Rating Inventory of Executive Function (BRIEF) ? Second Edition (BRIEF-2) Executive Functioning Outcomes and End Points

Free-Form Entry

C19059 Informant participant relationship other text InformantPartcpntRelateOTH The free-text field related to 'Informant participant relationship type' specifying other text. The relationship of the informant to participant/subject The free-text field related to 'Informant participant relationship type' specifying other text. The relationship of the informant to participant/subject Other relationship to student Alphanumeric

Teacher form only

Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. Pediatric Supplemental 3.00 2013-08-30 17:06:52.8 Behavior Rating Inventory of Executive Function (BRIEF) ? Second Edition (BRIEF-2) Executive Functioning Outcomes and End Points 4000

Free-Form Entry

C54611 Brief Test of Executive Function Second Edition (BRIEF 2) - Initiate total raw scale score BRIEF2IntiatTtlRwSclScore Total score of the raw scale for the initiate function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) Total score of the raw scale for the initiate function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) Initiate Numeric Values

Parent and Teacher forms only

Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. Pediatric Supplemental 1.00 2017-03-22 09:57:02.0 Behavior Rating Inventory of Executive Function (BRIEF) ? Second Edition (BRIEF-2) Executive Functioning Outcomes and End Points

Free-Form Entry

C21117 Subject name SubjectName Name of subject/participant. Name of subject/participant. Name Alphanumeric

Parent form question text: Child's name; Teacher form question text: Student's name

Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. Pediatric Supplemental 1.00 2015-06-12 15:16:39.0 Behavior Rating Inventory of Executive Function (BRIEF) ? Second Edition (BRIEF-2) Executive Functioning Outcomes and End Points 255

Free-Form Entry

C54612 Brief Test of Executive Function Second Edition (BRIEF 2) - Working memory total raw scale score BRIEF2WrkngMmryTtlRwSclScore Total score of the raw scale for the working memory function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) Total score of the raw scale for the working memory function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) Working Memory Numeric Values Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. Pediatric Supplemental 1.00 2017-03-22 09:57:02.0 Behavior Rating Inventory of Executive Function (BRIEF) ? Second Edition (BRIEF-2) Executive Functioning Outcomes and End Points

Free-Form Entry

C54602 Behavior Rating Inventory of Executive Function 2nd Edition (BRIEF 2) - Form version name BRIEF2FormVersionName Name of the version of the form, as part of the Behavior Rating Inventory of Executive Function 2nd Edition (BRIEF 2) Name of the version of the form, as part of the Behavior Rating Inventory of Executive Function 2nd Edition (BRIEF 2) Form Parent form;Self form;Teacher form Parent form;Self form;Teacher form Alphanumeric Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. Pediatric Supplemental 1.00 2017-03-20 15:13:56.0 Behavior Rating Inventory of Executive Function (BRIEF) ? Second Edition (BRIEF-2) Executive Functioning Outcomes and End Points

Single Pre-Defined Value Selected

C54613 Brief Test of Executive Function Second Edition (BRIEF 2) - Plan organize total raw scale score BRIEF2PlnOrgnzTtlRwSclScore Total score of the raw scale for the plan/organize function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) Total score of the raw scale for the plan/organize function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) Plan/Organize Numeric Values Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. Pediatric Supplemental 1.00 2017-03-22 09:57:02.0 Behavior Rating Inventory of Executive Function (BRIEF) ? Second Edition (BRIEF-2) Executive Functioning Outcomes and End Points

Free-Form Entry

C00007 Birth date BirthDate Date (and time, if applicable and known) the participant/subject was born Date (and time, if applicable and known) the participant/subject was born Date of birth Date or Date & Time Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Behavior Rating Inventory of Executive Function (BRIEF) ? Second Edition (BRIEF-2) Executive Functioning Outcomes and End Points

Free-Form Entry

793
C54603 Informant participant familiar grade InfrmntPrtcpntFmlrGrade Grade denoting the degree to which the informant knows the subject/participant Grade denoting the degree to which the informant knows the subject/participant How well do you know this student? Very well;Moderately well;Not well Very well;Moderately well;Not well Alphanumeric

Teacher form only

Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. Pediatric Supplemental 1.00 2017-03-22 09:39:15.0 Behavior Rating Inventory of Executive Function (BRIEF) ? Second Edition (BRIEF-2) Executive Functioning Outcomes and End Points

Single Pre-Defined Value Selected

C54614 Brief Test of Executive Function Second Edition (BRIEF 2) - Task monitor total raw scale score BRIEF2TskMntrTtlRwSclScore Total score of the raw scale for the task-monitor function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) Total score of the raw scale for the task-monitor function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) Task-Monitor Numeric Values

Parent and Teacher forms only

Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. Pediatric Supplemental 1.00 2017-03-22 09:57:02.0 Behavior Rating Inventory of Executive Function (BRIEF) ? Second Edition (BRIEF-2) Executive Functioning Outcomes and End Points

Free-Form Entry

C00008 Age value AgeVal Value for participant/subject's age, calculated as elapsed time since the birth of the participant/subject. Value for participant/subject's age, calculated as elapsed time since the birth of the participant/subject. Age Numeric Values

The preferred unit for sharing age data is months.

Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Behavior Rating Inventory of Executive Function (BRIEF) ? Second Edition (BRIEF-2) Executive Functioning Outcomes and End Points

Free-Form Entry

0 1800 month
C54604 Informant participant relationship duration InfrmntPrtcpntRltnshpDur Duration for which the informant has known the subject/participant Duration for which the informant has known the subject/participant How long have you known this student? Numeric Values

Teacher form only. Record value in months.

Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. Pediatric Supplemental 1.00 2017-03-22 09:46:35.0 Behavior Rating Inventory of Executive Function (BRIEF) ? Second Edition (BRIEF-2) Executive Functioning Outcomes and End Points

Free-Form Entry

C54615 Brief Test of Executive Function Second Edition (BRIEF 2) - Organize material total raw scale score BRIEF2OrgnzMtrlTtlRwSclScore Total score of the raw scale for the organization of materials function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) Total score of the raw scale for the organization of materials function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) Organization of Materials Numeric Values

Parent and Teacher forms only

Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. Pediatric Supplemental 1.00 2017-03-22 09:57:02.0 Behavior Rating Inventory of Executive Function (BRIEF) ? Second Edition (BRIEF-2) Executive Functioning Outcomes and End Points

Free-Form Entry

C00012 Education level USA type EduLvlUSATyp Highest grade or level of school participant/subject has completed or the highest degree received Highest grade or level of school participant/subject has completed or the highest degree received Grade Never attended/Kindergarten only;1st Grade;2nd Grade;3rd Grade;4th Grade;5th Grade;6th Grade;7th Grade;8th Grade;9th Grade;10th Grade;11th Grade;12th Grade, no diploma;High school graduate;GED or equivalent;Some college, no degree;Associate degree: occupational/technical/vocational program;Associate degree: academic program;Bachelor's degree (e.g., BA, AB, BS, BBA);Master's degree (e.g., MA, MS, MEng, MEd, MBA);Professional school degree (e.g., MD, DDS, DVM, JD);Doctoral degree (e.g., PhD, EdD);Unknown Never attended/Kindergarten only;1st Grade;2nd Grade;3rd Grade;4th Grade;5th Grade;6th Grade;7th Grade;8th Grade;9th Grade;10th Grade;11th Grade;12th Grade, no diploma;High school graduate;GED or equivalent;Some college, no degree;Associate degree: occupational/technical/vocational program;Associate degree: academic program;Bachelor's degree (e.g., BA, AB, BS, BBA);Master's degree (e.g., MA, MS, MEng, MEd, MBA);Professional school degree (e.g., MD, DDS, DVM, JD);Doctoral degree (e.g., PhD, EdD);Unknown Alphanumeric Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Behavior Rating Inventory of Executive Function (BRIEF) ? Second Edition (BRIEF-2) Executive Functioning Outcomes and End Points

Single Pre-Defined Value Selected

3134878
C54605 Informant participant relationship duration unit of measure InfrmntPrtcpntRltnshpDurUOM Field related to 'Informant participant relationship duration' specifying the unit of measure of the duration for which the informant has known the participant Field related to 'Informant participant relationship duration' specifying the unit of measure of the duration for which the informant has known the participant How long have you known this student? Months Months Alphanumeric

Teacher form only

Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. Pediatric Supplemental 1.00 2017-03-22 09:46:35.0 Behavior Rating Inventory of Executive Function (BRIEF) ? Second Edition (BRIEF-2) Executive Functioning Outcomes and End Points

Single Pre-Defined Value Selected

C00035 Gender type GenderTyp Self-reported gender of the participant/subject. Self-reported gender of the participant/subject.. Gender Alphanumeric Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Behavior Rating Inventory of Executive Function (BRIEF) ? Second Edition (BRIEF-2) Executive Functioning Outcomes and End Points

Single Pre-Defined Value Selected

2200604
C54606 Brief Test of Executive Function Second Edition (BRIEF 2) - Inhibit total raw scale score BRIEF2InhbtTtlRwSclScore Total score of the raw scale for the inhibit function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) Total score of the raw scale for the inhibit function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) Inhibit Numeric Values Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. Pediatric Supplemental 1.00 2017-03-22 09:57:02.0 Behavior Rating Inventory of Executive Function (BRIEF) ? Second Edition (BRIEF-2) Executive Functioning Outcomes and End Points

Free-Form Entry

C08088 Age value unit of measure AgeValUoM Unit of measure used to initially record the age value Unit of measure used to initially record the age value Age Months;years Months;years Alphanumeric

The preferred unit for sharing age data is months.

Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. Pediatric Supplemental 3.00 2013-07-22 09:34:41.527 Behavior Rating Inventory of Executive Function (BRIEF) ? Second Edition (BRIEF-2) Executive Functioning Outcomes and End Points

Single Pre-Defined Value Selected

C54607 Brief Test of Executive Function Second Edition (BRIEF 2) - Self monitor total raw scale score BRIEF2SlfMntrTtlRwSclScore Total score of the raw scale for the self monitor function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) Total score of the raw scale for the self monitor function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) Self-Monitor Numeric Values Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. Pediatric Supplemental 1.00 2017-03-22 09:57:02.0 Behavior Rating Inventory of Executive Function (BRIEF) ? Second Edition (BRIEF-2) Executive Functioning Outcomes and End Points

Free-Form Entry

C15910 Assessment date and time AssessDateTime The date of participant's injury The date of participant's injury Today's date Date or Date & Time Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Behavior Rating Inventory of Executive Function (BRIEF) ? Second Edition (BRIEF-2) Executive Functioning Outcomes and End Points

Free-Form Entry

C54608 Brief Test of Executive Function Second Edition (BRIEF 2) - Shift total raw scale score BRIEF2ShftTtlRwSclScore Total score of the raw scale for the shift function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) Total score of the raw scale for the shift function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) Shift Numeric Values Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. Pediatric Supplemental 1.00 2017-03-22 09:57:02.0 Behavior Rating Inventory of Executive Function (BRIEF) ? Second Edition (BRIEF-2) Executive Functioning Outcomes and End Points

Free-Form Entry

C17499 Special education indicator SpecialEduInd Indicator as to whether the participant/subject has or had special education Indicator as to whether the participant/subject has or had special education Does this student receive special education services? Yes;No Yes;No Alphanumeric

Teacher form only

Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. Pediatric Supplemental 3.00 2013-07-15 16:08:48.687 Behavior Rating Inventory of Executive Function (BRIEF) ? Second Edition (BRIEF-2) Executive Functioning Outcomes and End Points

Single Pre-Defined Value Selected

C54609 Brief Test of Executive Function Second Edition (BRIEF 2) - Emotional control total raw scale score BRIEF2EmtnlCntrlTtlRwSclScore Total score of the raw scale for the emotional control function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) Total score of the raw scale for the emotional control function, as part of the Brief Test of Executive Function Second Edition (BRIEF 2) Emotional Control Numeric Values Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. Pediatric Supplemental 1.00 2017-03-22 09:57:02.0 Behavior Rating Inventory of Executive Function (BRIEF) ? Second Edition (BRIEF-2) Executive Functioning Outcomes and End Points

Free-Form Entry

C17738 Informant participant relationship type InformantPartcpntRelateTyp The relationship of the informant to participant/subject The relationship of the informant to participant/subject Relationship Mother;Father;Stepfather;Stepmother;Guardian;Teacher;Counselor;Other, specify: Mother;Father;Stepfather;Stepmother;Guardian;Teacher;Counselor;Other, specify: Alphanumeric

Parent and Teacher forms only. Parent form question text: Relationship to child; Teacher form question text: Relationship to student.

Gioia G, Isquith P, Guy S, and Kenworthy L. (2015). Behavior Rating Inventory of Executive Function, Second Edition (BRIEF 2). Psychological Assessment Resources, Lutz, Florida. Pediatric Supplemental 3.00 2013-08-30 17:06:52.8 Behavior Rating Inventory of Executive Function (BRIEF) ? Second Edition (BRIEF-2) Executive Functioning Outcomes and End Points

Single Pre-Defined Value Selected

CSV