UDSv3 Packet information
Table 1. Required and optional forms included in UDSv3 packets *
Form | IVP | FVP | TIP | TFP | Summary of changes made for TIP | Summary of changes made for TFP |
---|---|---|---|---|---|---|
T1: Inclusion Form | Adapted TFP version of the form for initial visit | Added response option to capture COVID-19 as a reason for telehealth visit; Added question about modality of administration (telephone, video conference, combination) | ||||
A1: Subject Demographics | — | — | ||||
A2: Co-participant Demographics | Made a required form (i.e., not required for IVP or FVP) | — | ||||
A3: Subject Family History | — | — | ||||
A4: Subject Medications | — | — | ||||
A5: Subject Health History | — | NA | ||||
B1: Physical | Made a required form (i.e., not required for IVP or FVP); removed physical measurements (i.e., height, weight, blood pressure, heart rate) | NA | ||||
B4: CDR Plus NACC FTLD | — | — | ||||
B5: NPI-Q | — | — | ||||
B6: GDS | Additional instruction provided in guidebook | Added as an optional form (i.e., not part of previous TFP version); additional instruction provided in guidebook | ||||
B7: NACC FAS | — | — | ||||
B8: Neurological Examaination of Findings | Made an optional form (i.e., required in IVP and FVP); additional instruction provided in guidebook | NA | ||||
B9: Clinical Judgement of Symptoms | Additional instruction provided in guidebook | Additional instruction provided in guidebook | ||||
C1: Neuropsychological Test Battery, in-person ** | NA | NA | ||||
C2: Neuropsychological Test Battery, in-person ** | NA | NA | ||||
C2T: Neuropsychological Test Battery, telehealth | Created and added as a required form | Created and added as an optional form | ||||
D1: Clinician Diagnosis | Additional instruction provided in guidebook | Additional instruction provided in guidebook | ||||
D2: Clinician-assessed Medical Conditions | — | — |
Table 2. Required and optional tests in C2 and C2T neuropsychological test battery *
Test | C2 | C2T |
---|---|---|
Montreal Cognitiva Assessment (MoCA) | ||
Montreal Cognitiva Assessment (MoCA) Blind | ||
Craft Story 21 Recall — Immediate and Delayed | ||
Benson Complex Figure Copy and Recall | ||
Number Span Test - Forward and Backward | ||
Category Fluency - Animals and Vegetables | ||
Trail Making Test - Part A and B | ||
Oral Trail Making Test - Part A and B | ||
Multilingual Naming Test (MINT) | ||
Verbal Naming Test | ||
Verbal Fluency Phonemic Test — F and L words | ||
Rey Auditory Verbal Learning (RAVLT) - Immediate and Delayed |
- Required
- Optional
* Changes ratified by Clinical Task Force.
** Either C1 or C2 is required for the FVP.