Validation of a Spanish version of the Test Your Memory

Abstract

ObjectiveTo validate a Spanish version of the TYM, a self-administered cognitive screening test designed for the detection of Alzheimer's disease and mild cognitive defect. MethodsA cross-sectional study was conducted in a neurology outpatient clinic. The TYM was administered to individuals of 50 years or more who came to the clinic because of any symptom. Their cognitive state was evaluated regardless of the outcome of TYM. They were categorised into 3 groups: (1) Cognitively normal (739), (2) with mild cognitive impairment (183), (3) with dementia (127). An analysis of items was made and the psychometric properties of the TYM were defined. There was a cross-validation, and the predictive validity of the TYM score, adjusted to the demographic variables, was determined by evaluating their performance in ROC curves. ResultsThe internal consistency, interobserver reliability, short term and long-term test-retest reliability were adequate. The TYM correlated with the MMSE (r=0.779, P<.0001). The cross validation showed consistent results. With the TYM Score adjusted according to the educational level, a sensitivity of 0.86 with a specificity of 0.88 in the cut-off point of ≤40/50 was obtained to identify subjects with cognitive impairment, and a sensitivity of 0.94 with a specificity of 0.89 in the cut-off point of ≤36/50 to identify subjects with dementia. ConclusionsThe TYM is a self-administered global cognitive test, possessing excellent psychometric properties and good predictive validity. It can be used as a cognitive screening test in subjects with 4 years or more of formal education.