Test Your Memory Test Research Articles

Test Your Memory (TYM) and Test Your Memory for Mild Cognitive Impairment (TYM-MCI): A Review and Update Including Results of Using the TYM Test in a General Neurology Clinic and Using a Telephone Version of the TYM Test.

This paper summarises the current status of two novel short cognitive tests (SCT), known as Test Your Memory (TYM) and Test Your Memory for Mild Cognitive Impairment (TYM-MCI). The history of and recent research on the TYM and TYM-MCI are summarised in applications for Alzheimer’s and non-Alzheimer’s dementia and mild cognitive impairment. The TYM test can be used in a general neurology clinic and can help distinguish patients with Alzheimer’s disease (AD) from those with no neurological cause for their memory complaints. An adapted tele-TYM test administered by telephone to patients produces scores which correlate strongly with the clinic-administered Addenbrookes Cognitive Examination revised (ACE-R) test and can identify patients with dementia. Patients with AD decline on the TYM test at a rate of 3.6–4.1 points/year.

Test Your Memory (TYM test): diagnostic evaluation of patients with non-Alzheimer dementias

Background/aimsTo validate the use of the Test Your Memory (TYM) test in dementias other than Alzheimer’s disease, and to compare the TYM test to two other short cognitive tests.MethodsOne hundred and fifty-seven patients with dementia other than typical Alzheimer’s disease were recruited from a specialist memory clinic. Patients completed the TYM test, the revised Addenbrooke’s Cognitive Examination (ACE-R) and Mini-Mental State Examination (MMSE), plus neurological examination, clinical diagnostics and multi-disciplinary team review. Their TYM scores were compared to age-matched controls and an Alzheimer’s disease cohort.ResultsPatients scored an average of 34.4/50 on the TYM test compared to 46.0/50 in age-matched controls. Using the threshold of 42/50, the TYM test detected 80% of non-Alzheimer dementias. The area under the ROC curve was 0.89 with a PPV of 0.80 and a NPV of 0.84. The TYM test performed better than the ACE-R (using the threshold of 83) which detected 69% of cases and the MMSE (using a threshold of 24) which detected only 27%.ConclusionsThe TYM test is a useful test in the detection of non-Alzheimer dementia. The TYM test performs much better than the MMSE at detecting non-Alzheimer dementias.

Comparison of Test Your Memory and Montreal Cognitive Assessment Measures in Parkinson's Disease.

Background. MoCA is widely used in Parkinson's disease (PD) to assess cognition. The Test Your Memory (TYM) test is a cognitive screening tool that is self-administered. Objectives. We sought to determine (a) the optimal value of TYM to discriminate between PD patients with and without cognitive deficits on MoCA testing, (b) equivalent MoCA and TYM scores, and (c) interrater reliability in TYM testing. Methods. We assessed the discriminant ability of TYM and the equivalence between TYM and MoCA scores and measured the interrater reliability between three raters. Results. Of the 135 subjects that completed both tests, 55% had cognitive impairment according to MoCA. A MoCA score of 25 was equivalent to a TYM score of 43-44. The area under the receiver operator characteristic (ROC) curve for TYM to differentiate between PD-normal and PD-cognitive impairment was 0.82 (95% CI 0.75 to 0.89). The optimal cutoff to distinguish PD-cognitive impairment from PD-normal was ≤45 (sensitivity 90.5%, specificity 59%) thereby correctly classifying 76.3% of patients with PD-cognitive impairment. Interrater agreement was high (0.97) and TYM was completed in under 7 minutes (interquartile range 5.33 to 8.52 minutes). Conclusions. The TYM test is a useful and less resource intensive screening test for cognitive deficits in PD.

Validación en español del test TYM para cribado de demencia en una población argentina

The aim of this study is the validation and identification of cut-off scores for a fast neurocognitive test, called TYM (Test Your Memory) which goal is dementia screening. It was translated and adapted to meet a sample profiles that dwell in Rosario. Results between patients and normal controls matched for age and gender were compared. To establish cut-off points the TYM test was compared against other standardized well-known test (Test de Lobo or MEC, Addenbrook Cognitive Test in Spanish -Revised or ACE-R and -Pfeiffer Test or PFAQ) in two samples of subjects with 50 demented patients and 100 normal controls each one. Patients with dementia completed the TYM with a mean score of 37/50 and controls scored 47/50. Correlation with the other tests was good. A score of

Test Your Memory-test: een mogelijk alternatief voor de MMSE1

Background: Cognitive screening instruments are increasingly used to assess cognitive functioning. Not many instruments are sensitive to distinguish mild cognitive decrements in a population without apparent cognitive disorders. The Test Your Memory-test (TYM) seems promising for this purpose. The aim of this study was to examine the performance of the self-administered TYM and the Mini-Mental State Examination (MMSE) respectively, compared with a comprehensive neuropsychological assessment in a sample of people with modest cognitive decrements.

Test Your Memory (TYM) as a screening instrument in clinical practice – the Polish validation study

Objectives: The Test Your Memory (TYM) test is a short, self-administered screening cognitive instrument designed for the detection of Alzheimer's disease (AD). The study was aimed to examine the Polish version of TYM as a screening instrument in Polish clinical practice. Method: In this study 199 patients were assessed whereas 131 patients with AD and mild cognitive impairments (MCI) and 94 healthy control subjects took part in the final analysis. The sensitivity and specificity of the TYM test were evaluated among the AD group and healthy control group. The TYM test was compared to other neuropsychological tests, such as Mini-Mental State Examination (MMSE), Clock Drawing Test (CDT), DemTect and Verbal Fluency Test (FAS). Results: The average TYM score in healthy control group: 45.4, 40.9 in the MCI patients and 23.4 in AD patients. The Polish version of the TYM test showed good correlation with other neuropsychological instruments among AD patients. Participants aged ≥75 and those with primary education performed significantly worse in TYM. The TYM achieved the best differentiation between AD and the healthy control group for ≤39 cut-off with a sensitivity and specificity of 91% and 90%, respectively. Conclusion: The Polish version of the TYM test is a useful instrument and may be seen as an alternative to the MMSE screening test in clinical practice in patients with dementia. However, the normative data suggested that the age and the level of education of the respondents should be considered as important factors affecting the interpretation of the final score.

Comparing Diagnostic Accuracy of Cognitive Screening Instruments: A Weighted Comparison Approach

Background/Aims: There are many cognitive screening instruments available to clinicians when assessing patients' cognitive function, but the best way to compare the diagnostic utility of these tests is uncertain. One method is to undertake a weighted comparison which takes into account the difference in sensitivity and specificity of two tests, the relative clinical misclassification costs of true- and false-positive diagnosis, and also disease prevalence. Methods: Data were examined from four pragmatic diagnostic accuracy studies from one clinic which compared the Mini-Mental State Examination (MMSE) with the Addenbrooke's Cognitive Examination-Revised (ACE-R), the Montreal Cognitive Assessment (MoCA), the Test Your Memory (TYM) test, and the Mini-Mental Parkinson (MMP), respectively. Results: Weighted comparison calculations suggested a net benefit for ACE-R, MoCA, and MMP compared to MMSE, but a net loss for TYM test compared to MMSE. Conclusion: Routine incorporation of weighted comparison or other similar net benefit measures into diagnostic accuracy studies merits consideration to better inform clinicians of the relative value of cognitive screening instruments.

TEST YOUR MEMORY (TYM) TESTING IN NON-ALZHEIMER DEMENTIAS

The Test Your Memory (TYM) test is a short cognitive test. It is completed by the patient and supervised by a clinic nurse and so takes minimal medical time. It...

021 Exploring the feasibility of using a Singhalese version of the TYM test with Singhalese-speaking people: a descriptive pilot study

BackgroundAn estimated 24 million people suffer from dementia.1 A 50-point English version of the Test Your Memory (TYM) test has been successfully implemented in the detection of Alzheimer's disease.2 This...

Traducción y adaptación al castellano del Cuestionario de Detección de Trastorno Cognitivo Leve

Background and objectivesThe Test Your Memory (TYM) scale is a screening tool, which assesses mild cognitive impairment (MCI). It has shown better psychometric outcomes than the Mini-Mental State Examination (MMSE). We aimed to translate and adjust into Spanish a conceptually equivalent version. Subjects and methodTranslation-back translation method, complemented with qualitative methods, and pilot survey with 42 healthy Spanish people from different group of age to ensure the right comprehension. ResultsWhile translating, 54% of the items presented no difficulty at all; 27%, medium difficulty; 18% high difficulty. Some adaptations were made for cultural, grammatical and conceptual reasons. The pilot survey showed a good comprehension of the test. ConclusionsThe TYM test could be a good choice for detecting MCI in the Spanish population and could resolve the problems caused by the limitations of the MMSE.

Test Your Memory test: diagnostic utility in a memory clinic population

Test Your Memory (TYM) test is a recently described cognitive test instrument designed to be self-administered under medical supervision. The pragmatic role of such self-administered tests in cognitive clinics has not previously been examined. We investigated the diagnostic utility of the TYM as an independent test to differentiate patients with and without dementia at initial clinical diagnostic interview in dedicated memory clinics. TYM was administered to consecutive new patient referrals to two memory clinics independent of other tests [Mini-Mental State Examination (MMSE) and the Addenbrooke's Cognitive Examination-Revised] which were used to establish diagnoses according to standard diagnostic criteria (DSM-IV), and results were compared. In a cohort of 224 patients, 35% fulfilling clinical diagnostic criteria for dementia, TYM proved easy to use and acceptable to patients. Downward adjustment of the TYM test cutoff to ≤30/50, compared to ≤42/50 used in the index study, proved necessary to maximise test accuracy and specificity. Using this revised cutoff, TYM showed comparable diagnostic utility (sensitivity 0.73, specificity 0.88, positive predictive value 0.77, negative predictive value 0.86 and area under receiver operating characteristic curve 0.89) to the MMSE and the Addenbrooke's Cognitive Examination-Revised for the differentiation of cases of dementia from non-dementia. TYM is a useful screening test in the cognitive function clinic setting, with patients who fall below the designated cutoff requiring further investigation to ascertain a cause for their cognitive impairment. Self-administered tests such as TYM may be of particular value in situations where clinician time is limited.