A-160 Validating the Picture-Based Memory Impairment Screen as a Memory Screener in a Diverse Primary Care Setting

Objective Quick cognitive screeners which can be used for ethnically and educationally diverse patients are particularly useful within the primary care setting. The Picture-Based Memory Impairment Screen (PMIS) is a brief screening tool which has been validated in such a population. Here we compare the PMIS against a gold-standard memory task (Hopkins Verbal Learning Test-Revised [HVLT-R]) and evaluate its utility as a stand-alone memory screener. Method In this cross-sectional study, adults over 65 with cognitive concerns were recruited at their primary care visit to complete the PMIS as part of a larger randomized controlled trial aimed at improving detection of cognitive impairment. A subset of those participants also agreed to complete neuropsychological testing in English or Spanish (including the HVLT-R). Correlations were performed. Results 108 participants (Mean age = 73; 73% female; 39% Black/AA; 58% Hispanic; 52% evaluated in Spanish; Mean years education = 10.8) completed the PMIS and HVLT-R. The PMIS was correlated with the HVLT-R Immediate Raw Score (rs = 0.229, p = 0.17) and even more strongly correlated with the HVLT-R Delayed Raw Score (rs = 0.347, p < 0.001). Conclusions Early results of this ongoing trial suggest that the PMIS is a useful memory screener which can be used to quickly identify individuals in a diverse primary care setting who are likely to have memory weakness.