scholarly journals WLS-ILIAD: New Longitudinal Resource for Cognitive and Dementia Data

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 222-223
Author(s):  
Pamela Herd ◽  
Victoria Williams ◽  
Sanjay Asthana
Keyword(s):  
Recall Test ◽  
Cognitive Testing ◽  
Word Recall ◽  
Cognitive Screening ◽  
Cognitive Domains ◽  
Screening Measure ◽  
Visuospatial Abilities ◽  
Test Digit ◽  
Iq Scores ◽  
Cognitive Screening Measure

Abstract One of the distinctive strengths of WLS is the availability of Henmon-Nelson IQ scores on all participants while in high school, followed by prospective collection of data through cognitive batteries of varying size and sophistication. Launched in 1993, the initial longitudinal cognitive testing included 8 abstract reasoning items followed by the administration of larger cognitive batteries in 2004 and 2011 comprised of a 10-item word recall test, digit ordering task, phonemic and category fluency, as well as repeated and new items from the WAIS-R similarities task first administered in the 1993 survey. In 2018, with R01 funding from NIA, the scope of cognitive testing expanded significantly and includes administration of a phone-based cognitive screening measure, and a comprehensive in-person neuropsychological assessment for individuals identified at risk for dementia targeting a range of cognitive domains, including memory, language, attention, visuospatial abilities, and executive functioning.

Validity and Clinical Utility of Different Clock Drawing Test Scoring Systems in Multiple Forms of Dementia

2018 ◽  
Vol 31 (3) ◽  
pp. 114-122 ◽  
Author(s):  
Diana Duro ◽  
Miguel Tábuas-Pereira ◽  
Sandra Freitas ◽  
Beatriz Santiago ◽  
Maria Amália Botelho ◽  
...  
Keyword(s):  
Clinical Utility ◽  
Lewy Bodies ◽  
Scoring Systems ◽  
Cognitive Screening ◽  
Clock Drawing Test ◽  
Screening Measure ◽  
Clock Drawing ◽  
Drawing Test ◽  
Tertiary Center ◽  
Cognitive Screening Measure

The Clock Drawing Test (CDT) has a known potential for the detection of cognitive impairment in populations with dementia, especially Alzheimer disease (AD). Our aim was to compare the clinical utility of 3 CDT scoring systems (Rouleau, Cahn, and Babins) in several pathologies with cognitive compromise from a tertiary center memory clinic. We selected patients with a clinical diagnosis of mild stage AD, behavioral variant frontotemporal dementia (FTD), vascular dementia (VaD), dementia with Lewy bodies (DLB), and Parkinson disease with dementia (PDD). The results showed significant differences between the several diagnoses with the following pattern of results: AD, DLB < FTD, VaD, PDD. Qualitative analysis of clock drawing errors confirmed the stimulus-bound response as a hallmark of AD, while conceptual deficit was significantly more prevalent in patients with AD and DLB. Our results supported the CDT potential as a cognitive screening measure for mild dementia, particularly sensitive to AD and DLB, especially when we used the Cahn scoring system and its analysis of qualitative errors.

Italian version and normative data of Addenbrooke's Cognitive Examination III

2018 ◽  
Vol 31 (2) ◽  
pp. 241-249 ◽  
Author(s):  
Martina Pigliautile ◽  
Francesca Chiesi ◽  
Franca Stablum ◽  
Sonia Rossetti ◽  
Caterina Primi ◽  
...  
Keyword(s):  
Normative Data ◽  
Linear Regression Analysis ◽  
Italian Population ◽  
Cognitive Screening ◽  
Performance Score ◽  
Italian Version ◽  
Cognitive Domains ◽  
Visuospatial Abilities ◽  
Gender And Education ◽  
Addenbrooke’S Cognitive Examination

ABSTRACTObjectives:Addenbrooke's Cognitive Examination III (ACE-III) is a brief cognitive screening tool to assess five cognitive domains: attention/orientation, verbal fluency, memory, language, and visuospatial abilities. This study aimed to provide normative data (for total score and subscale scores) of the Italian version of ACE-III for gender, age, and education.Methods:A total of 574 healthy Italian participants (mean age 68.70 ± 9.65; mean education 9.15 ± 4.04) were recruited from the community and included in the study. Linear regression analysis was performed to evaluate the effects of age, gender, and education on the ACE-III total performance score.Results:Age and education exerted a significant effect on total and subscale ACE-III scores, whereas gender was on attention/orientation, language, and visuospatial subscale scores. From the derived linear equation, correction grids to adjust raw scores and equivalent scores (ESs) with cut-off values were provided.Conclusions:The present study provided normative data, correction grids, and ESs for ACE-III in an Italian population.

How Does Cochlear Implantation Lead to Improvements on a Cognitive Screening Measure?

2021 ◽  
pp. 1-9
Author(s):  
Kara J. Vasil ◽  
Christin Ray ◽  
Jessica Lewis ◽  
Erin Stefancin ◽  
Terrin N. Tamati ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Speech Perception ◽  
Screening Tools ◽  
Pass Rate ◽  
Cognitive Screening ◽  
Delayed Recall ◽  
Screening Measure ◽  
Test Items ◽  
Improved Performance ◽  
Cognitive Screening Measure

Purpose Cognitive screening tools to identify patients at risk for cognitive deficits are frequently used by clinicians who work with aging populations in hearing health care. Although some studies show improvements in performance on cognitive screening exams when hearing loss intervention is provided in the form of a hearing aid or cochlear implant (CI), it is worth examining whether these improvements are attributable to increased auditory access to test items. This study aimed to examine whether performance and pass rate on a cognitive screening measure, the Montréal Cognitive Assessment (MoCA), improve as a result of CI, whether improved performance on auditory-based test items drives changes in MoCA performance, and whether postoperative MoCA performance relates to post-CI speech perception ability. Method Data were collected in adult CI candidates pre-implantation and 6 months postimplantation to examine the effect of intervention on MoCA performance. Participants were 77 CI users between the ages of 55 and 85 years. Participants completed the MoCA, administered audiovisually, and speech perception testing with monosyllabic (CNC) words at both intervals. Results Compared to 31 participants pre-operatively, 45 participants passed the MoCA postoperatively, which was a significant difference in pass rate. An improvement in MoCA scores could be attributed primarily to improvement in the “Delayed Recall” test domain, which was auditory based. Post-CI MoCA performance was related to post-CI CNC speech perception performance. Conclusions Improved performance and pass rates were demonstrated on the traditional MoCA test of cognitive screening from before to 6 months after CI. Improvements could primarily be attributed to better performance on a delayed recall task dependent on auditory access, and post-CI MoCA scores were related to post-CI speech perception abilities. Further studies are needed to investigate the application of cognitive screening tools in patients receiving hearing loss interventions, and these interventions' impact on patients' real-world functioning.

A new early cognitive screening measure to detect cognitive side-effects of electroconvulsive therapy?

2013 ◽  
Vol 47 (12) ◽  
pp. 1967-1974 ◽  
Author(s):  
Donel M. Martin ◽  
Natalie Katalinic ◽  
Anna Ingram ◽  
Isaac Schweitzer ◽  
Deidre J. Smith ◽  
...  
Keyword(s):  
Side Effects ◽  
Electroconvulsive Therapy ◽  
Cognitive Screening ◽  
Screening Measure ◽  
Cognitive Screening Measure ◽  
Cognitive Side Effects

Limitations for Interpreting Failure on Individual Subtests of the Montreal Cognitive Assessment

2013 ◽  
Vol 26 (1) ◽  
pp. 19-28 ◽  
Author(s):  
Parastoo Moafmashhadi ◽  
Lisa Koski
Keyword(s):  
Cognitive Assessment ◽  
Predictive Accuracy ◽  
Neuropsychological Test ◽  
Montreal Cognitive Assessment ◽  
Cognitive Domain ◽  
Word Recall ◽  
Factor Scores ◽  
Cognitive Screening ◽  
Individual Factor ◽  
Cognitive Domains

Background: The Montreal Cognitive Assessment (MoCA) is sensitive to mild forms of cognitive impairment in geriatric populations and asks questions under the subheadings visuospatial/executive, naming, attention, language, abstraction, delayed recall, and orientation. This study examined the extent to which these subsets of MoCA items evaluate their intended cognitive domains. Methods: Clinical data from 185 geriatric memory clinic outpatients who underwent cognitive screening and subsequent neuropsychological assessment were analyzed. Factor analysis of their neuropsychological test scores identified 5 cognitive domains memory, language, visuospatial ability, attention/processing speed, and cognitive control. Scores on MoCA subtests were examined for their correlations with individual factor scores and for their sensitivity and specificity in predicting impairment within each domain. Results: The MoCA subtest scores correlated significantly but modestly with neuropsychological test factor scores in their corresponding domains, for example, the correlation between 5-word recall and the memory factor was 0.46. However, subtest scores were poor predictors of impaired performance on the tests contributing to each cognitive domain. The best predictive accuracy was seen for the visuospatial/executive subtest that showed fair accuracy at predicting impairment on tests in the visuospatial domain. Other subtests showed unacceptably poor levels of accuracy when predicting impaired scores in their respective domains (60%-67%). Conclusions: In a sample of geriatric outpatients referred for cognitive assessment, performance on individual items and subtests of the MoCA yields insufficient information to draw conclusions about impairment in specific cognitive domains as determined by neuropsychological testing.

The Impact of Subjective and Objective Hearing Loss on Cognition and Memory in Older Adults

2015 ◽  
Vol 20 (2) ◽  
pp. 49-57 ◽  
Author(s):  
Yvonne Rogalski ◽  
Amy Rominger
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Reading Aloud ◽  
Cognitive Testing ◽  
Professional Collaboration ◽  
Cognitive Screening ◽  
Speech Language Pathologist ◽  
Text Passage ◽  
The Impact ◽  
Audiologic Evaluation

For this exploratory cross-disciplinary study, a speech-language pathologist and an audiologist collaborated to investigate the effects of objective and subjective hearing loss on cognition and memory in 11 older adults without hearing loss (OAs), 6 older adults with unaided hearing loss (HLOAs), and 16 young adults (YAs). All participants received cognitive testing and a complete audiologic evaluation including a subjective questionnaire about perceived hearing difficulty. Memory testing involved listening to or reading aloud a text passage then verbally recalling the information. Key findings revealed that objective hearing loss and subjective hearing loss were correlated and both were associated with a cognitive screening test. Potential clinical implications are discussed and include a need for more cross-professional collaboration in assessing older adults with hearing loss.

IPA survey of brief cognitive screening instruments

2006 ◽  
Vol 18 (2) ◽  
pp. 281-294 ◽  
Author(s):  
Kenneth I. Shulman ◽  
Nathan Herrmann ◽  
Henry Brodaty ◽  
Helen Chiu ◽  
Brian Lawlor ◽  
...  
Keyword(s):  
Public Health ◽  
Language Education ◽  
Word Recall ◽  
Screening Instruments ◽  
Cognitive Screening ◽  
Screening Guidelines ◽  
Clock Drawing Test ◽  
Test Characteristics ◽  
Frequency Of Use ◽  
Health Initiatives

Background and objectives: Cognitive screening is a “first step” in detecting dementia and other neuropsychiatric syndromes and hence represents an important public health and clinical initiative. A plethora of cognitive screening instruments has been advocated in recent years, but the extent to which these instruments are used or their effectiveness is not well known. An International Psychogeriatric Association (IPA) survey was designed to determine which cognitive screening instruments were used most frequently by clinicians with special expertise in the neuropsychiatric aspects of old age and also to determine the ones considered most useful by these specialists.Method: Under the auspices of the IPA, the survey was mailed in the fall of 2004 to all IPA members as well as members of the American and Canadian Associations of Geriatric Psychiatry. The survey inquired about demographic information, the frequency of use of cognitive screening instruments, and the value attributed to the cognitive screening instruments. Participants also had an opportunity to provide written commentary.Results: A total of 334 completed surveys were processed. The majority of respondents were geriatric psychiatrists (58%). Of the 20 different instruments that were listed on the survey, only six were selected as “routinely” or “often used” by the survey respondents. These instruments in declining order were: (1) the Folstein Mini-mental State Examination; (2) the Clock Drawing Test; (3) Delayed Word Recall; (4) the Verbal Fluency Test; (5) Similarities; and (6) the Trail Making Test. “Effectiveness” and “ease of administration” were the test characteristics most highly predictive of frequency of use. Open-ended comments highlighted patient factors that continue to provide challenges, including ethnicity/culture, language, education/literacy, and sensory impairment. Respondents concluded that “no single test is adequate.”Conclusions: Psychogeriatricians worldwide routinely use a relatively small number of brief cognitive screening instruments. Further evaluation is necessary as the need increases for cognitive screening guidelines that inform public health initiatives related to dementia and neuropsychiatric syndromes.

scholarly journals Is the Mini-Mental State Examination the best cognitive screening test for less educated people?

2019 ◽  
Vol 77 (5) ◽  
pp. 330-334 ◽  
Author(s):  
Luis Felipe Scarabelot ◽  
Mariane de Moraes Monteiro ◽  
Mauren Carneiro da Silva Rubert ◽  
Viviane de Hiroki Flumignan Zetola
Keyword(s):  
Verbal Fluency ◽  
Mini Mental State Examination ◽  
Recall Test ◽  
Cognitive Screening ◽  
Delayed Recall ◽  
Clock Drawing Test ◽  
Clock Drawing ◽  
Drawing Test ◽  
State Examination ◽  
Fluency Test

ABSTRACT Mini-Mental State Examination (MMSE) results are strongly influenced by educational level. The Brief Cognitive Screening Battery (BCSB) is an alternative assessment tool that provides more accurate results in individuals with less education. Objective: Our aim was to compare the MMSE and BCSB as screening tests. Methods: The MMSE and BCSB were assessed in 112 participants by two evaluators blind to the other test's result. Participants were classified according to their level of education. The influence of education level was analyzed using the Kruskal-Wallis and multiple comparison tests. Results: Scores of the MMSE (p < 0.0001) and the clock-drawing test (p < 0.0001) were influenced by education level but the delayed recall test score was not (p = 0.0804). The verbal fluency test (p = 0.00035) was influenced only by higher educational levels. It took three minutes less to apply the MMSE than to apply the BCSB (p < 0.0001). Conclusions: These findings suggest that the delayed recall test and the verbal fluency test of the BCSB are better than the MMSE and clock-drawing test as tools for evaluating cognition in people with limited education.

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