Brief Test of Adult Cognition by Telephone (BTACT) with Stop & Go Switch Task (SGST) Margie E. Lachman, Project Leader Margie Lachman, Project Leader MIDUS IIE. Cognitive Test Battery Manual PatriciaUpdated A.Tun, Tun,Co-Investigator Co Investigator Patricia A. April 2012 Brandeis BrandeisUniversity University MIDUS II Cognitive Test Battery Manual UpdatedJanuary March 2012 Updated 2011 Supported by PO1 AG20166 & RO1 AG17920 Table of Contents 1 9 1p.81 8 1. Brief Test of Adult Cognition by Telephone form p. 1-10 FormAA–template template (For Form B or a Spanish translation of the BTACT, email 18 2. Brief Test of Adultlachman@brandeis.edu.) Cognition by Telephone form B – p. 10 11-19 Margie Lachman: 2. for A Administering 19 26 the BTACT p. 9 13 3. Guidelines BTACT form answer sheet and – p. Scoring 20-27 3. Administration and– Scoring 34 of the Stop and Go Task p. 14 20 4. Options BTACT for form B answer sheet p. 27 28-35 4. about Recording and the BTACT 35and 39 Stop and Go Task p. 21 5. Information Guidelines for Administering and Administering Scoring the BTACT – p. 36-40 5. about Automatic Scoring of of thethe Stop and GoGo Task p. 22 40 46 6. Information Options for Administration and Scoring Stop and Switch Task – p. 41-47 6. Bibliography p. 23 24 7. BTACT Information about Recording and Administering the BTACT and 47 Stop and Go Switch Task – p. 48 8. Information about Automatic Scoring of the Stop and Go Swich Task – p. 48 49 9. BTACT References – p. 49 50 MIDUS II Cognitive Test Battery Brief Test of Adult Cognition by Telephone (BTACT) February 2012 A ForForm Website In this phone interview I will ask you to try and do some exercises that involve remembering and making judgments about words and numbers. Before we begin, I need to tell you a few things. Your participation is completely voluntary. If you prefer not to answer any question, just let me know and we will go on to the next question. The information that you give me will be confidential and used for statistical analysis only. It will be identified only by computer code and at no time will your name or other identifying information be attached to the survey results. Therefore, I won’t be able to give any specific feedback. These tasks are not harmful in any way. The exercises will take about 15 minutes. Do you have any questions about your participation is this study? We will be tape recording the interview today so that we can score the exercises later. Do I have your permission to go ahead with this? (If participant seems distracted, or there is noise or commotion in background such as young children, TV or radio, or other people talking, say “It is important that you are able to concentrate without being distracted while we do these exercises. Would it be better for me to call you back another time?” If so, make an appointment for another time.) First I would like to make sure that you are able to hear me clearly. Please repeat these numbers after me: 2, 8, 3, 6, 9. (If not loud enough, ask person to speak up clearly.) Could you hear me clearly? Now you will hear some words and numbers. Please do not use a paper and pencil for any of the questions. We suggest that you close your eyes while you are doing these to help you concentrate. Some of the questions will be easy for you, and some will be harder. We do not expect anyone to get all of these correct - just do the best you can. 1 WORD LIST RECALL (1.5 minutes on average) Rey Auditory-Verbal Learning Test (Lezak, 1983) I am going to read a list of words. Listen carefully. When I am finished, you are to repeat as many of the words as you can remember. It doesn’t matter in what order you repeat them. Just try to remember as many as you can. I will say each word only one time, and I cannot repeat any words. You will have up to one and a half minutes, and I will not say anything until I tell you that your time is up. Do you have any questions? Are you ready? (Read with one second interval between each word) List of of items items not not included. included Now tell me as many words as you can remember. (Record words recalled correctly by entering the one or two letter code, as well as repetitions of same word and intrusions). If person stops before 1 1/2 minutes is up, say, “There’s still time left, can you think of any more?” Good, now let’s go on. 2 DIGITS BACKWARD (2.5 minutes) (copyrighted test) WAIS III (1997) I am going to say some strings of numbers, and when I am done I would like you to repeat them backwards, in the reverse order from which I said them. So if I said “3, 8”, you would say “8, 3”. Do you understand? The sets will get larger as we go. Items not not included. available. included. Items Good, now let’s go on. 3 CATEGORY FLUENCY (1.5 minutes) Drachman & Leavitt (1972) Now I am going to name a category and you will name things that belong in that category. Let’s practice with the category “fruit”. You could say peach, or pear. Can you think of any other fruits? (wait for 2 correct items). In a moment I will give you another category. When I say begin, you will name all the things from this new category you can think of, as fast as you can. You will have one minute to do this. I will let you know when your time is up. The here. Do you have any questions? Ready? new category is not included here. Begin. (Time for one minute). If person stops before 1 minute is up, say “There’s still more time, can you think of any more?” Good, now let’s go on. 4 STOP AND GO TASK (3-3.5 minutes) Next I am going to see how quickly you can respond to the words RED and GREEN. Every time I say RED you will say STOP, and every time I say GREEN you will say GO. Try to be accurate, but respond as quickly as you can. So when I say RED you will say… And when I say GREEN you will say… Do you have any questions? Let’s begin. This will last about 1 minute. here. Trials not included here Good, now let’s do something different. 5 NUMBER SERIES (2.5 minutes) Salthouse & Prill (1987) In the next exercise I will read you a series of numbers that may get larger or smaller in value. At the end you will try to figure out what the next number would be. So if the numbers were 2,4,6,8,10, the next number would be 12. After I say each number I will pause for as long as you need, and then you should say “okay” when you are ready for me to go on to the next number in the group. So if I said 2, you should say “okay” when you are ready for me to go on to the next number, then I say 4, you say okay, 6, okay, 8, okay, 10, and at the end I will ask you what you think the next number would be. In this case the next number would be 12, as each number has increased by 2. Let’s try one for practice: 35 (okay), 30 (okay), 25 (okay), 20 (okay), 15 (okay) AND the next number would be….???? (The answer should be 10 as each number has decreased by 5). There will be different patterns, and some of these will be harder than others, so just do the best you can. If you are not sure of the answer, it is okay to guess. Do you have any questions? (Pause after each of the first 4 items for okay response; after the last item, say AND the next number is…?). Items not not included included here. here Items Good, let’s move on. 6 30 SECONDS AND COUNTING TASK (30-SACT) (45 seconds) Next, I would like to see how fast you can count You will have half a minute. Do you have any questions? I will let you know when the time is up. Specific instructions instructions not not included. included Specific Begin (Time for 30 seconds) Record final number reached, and number of errors. Good, now one more question. 7 WORD LIST RECALL II (40 seconds on average) List of items not included . Thank you very much for your help. 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[+/%)/41/)*#,(/)\)/,#1&()1,%)1)L1,.]":)1'$)1,%)'+/)#'3&"$%$)#')(L#/34)+,)'+(L#/34) (3+,%() ) ) [".8%,)2%,#%() 6+/1&)'".8%,)+*)#/%.()3+,,%3/);,1'0%)I]e<) ) 513PL1,$)7+"'/#'0) 30 Seconds and Counting task B1(/)'".8%,),%134%$) 6+/1&)'".8%,)+*)%,,+,() 6+/1&)'".8%,)+*)$#0#/():,+$"3%$)#()31&3"&1/%$)1(U) KII)j);'".8%,),%134%$)k)'".8%,)%,,+,(<) ) ) ) ) 13 39 BTACT Stop and Go task: Options and Guidelines for Administration and Scoring !"#$"%&'()*+'',%"-./).012341,5%"'.26%78219,.%-,(%*:1(';1,'.%<9+%#(=1,1.2+-219,%-,(% >39+1,5% % ?-2+131-%#@%":,A%B-+51'%C@%D-34=-,A%C;1.-E'24%F+-3-;9..1A%G%H9:5;-.%I-,%J9;;',%% % !+-,('1.%K,1I'+.12L% % F'E+:-+L%MA%NOOP% % % "4'%!"#$"%2-./).012341,5%2'.2%.49:;(%E'%+'39+('(%<9+%;-2'+%.39+1,5%9<%-33:+-3L% stop and go test should be recorded for later scoring of accuracy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stop and go task occurs in three basic phases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¾! 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M=$'$%)'$%.6#$'"6+%"4&(".+%2"'%)6&"#)&(.9%&=$%4'"8$++%"2%+8"'(.9% *)&$.8($+%(.8*60(.9%&=$%6+$%"2%+8'(4&(.9%*).96)9$+%+68=%)+%X)&O)-5%H44*$% !8'(4&5%KG%!8'(4&5%).0%F(.G)&8=?% % ! ! ! ! 18 26 44 !"#"$%&"'()*)$+,*-.'*&.)$ ! "#$#!%&'(!)*+),)+-#.!&/+01&//*!$&)#.2!3#*!4/!5&'3/22/+!)*!#!*-(4/&!'%!+)%%/&/*$!6#728! stop and go trials can be processed in a number of different ways. 92-#..7:!$;/7!#&/!3'*1.'(/&#$/+!)*$'!3'(5'2)$/!,#&)#4./2!'%!)*$/&/2$:!2-3;!#2!#!(/#*!'&! 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nformation about Recording and Administering the the BTAC T andand thethe Stop andand GoGo Switch BTACT Stop TaskTask Recording audio: There are many programs that can be used to record audio. The one we use here is called Audacity. This is available at http://audacity.sourceforge.net/ to download for free. I would recommend downloading the most recent non-beta version. If you are using a computer that does not have a built-in microphone, there are many different ones available for purchase. A good one is the Labtec pc mic 333, which plugs into the microphone jack and can be mounted to a laptop (comes with adhesive and peel-off backing). It was about ten dollars when we purchased it from Amazon a couple years ago. Administering the stop and go switch task: task: The software we use to run the red-green/Stop Go Switch Task is called stop and go taskand is called DirectRT and is put out by Empirisoft. For information on this software visit the web site: http://www.empirisoft.com/directrt.aspx To see pricing and place your order, see the following link: http://www.empirisoft.com/order.aspx stop and go taskyou once you I can give you all the files that you will need to run the red-green once purchase DirectRT. Here is how to arrange these files on the computer(s) you will use for testing: Create a folder (which you can place on the desktop or wherever is best for you) and name it red-green ortask stoporand go switch you you like will so that youwhat will stop and go whatever youtask, likeor sowhatever that you will know itknow is. Inside thisInside folderofyou place styles.drt filestyles.drt (this is the that what of it is. thiswill folder youthe will place the filefile (this is the file that tells DirectRT what fonts and colors and such to use for the presentation) and the RedGreen version 3 with fixed response stimulus intervals.csv file (this is the file that Inside of this main youfolder shouldyou create another folder runs the program.) red-green program). Inside of folder this main should create another folder named "Stim". The name of this folder has to be exactly that so that the DirectRT software knows where to access the stimuli. Inside of this Stim folder you should place all of the other files (the instructions test files, and the "red3" "green3" "normal2" and "reverse2" sound files). Then when you open up DirectRT and you want to run red-green, the task, click on the File menu and then click "Select and run input file." Browse your computer until you find the RedGreen version 3 with fixed response stimulus intervals.csv file, and select that one. Then when the little window pops up, enter your participant ID number and click OK and then you are off and running. If you have any questions about this or have any trouble, feel free to call or email me (leea@brandeis.edu or 781.736.3245) and I will help you the best I can. For issues relating to problems with DirectRT, if I can’t help you, they have a support form here: http://support.empirisoft.com/forumdisplay.php?f=3 or you can email service@empirisoft.com. My experience has been that it is quite slow getting a response, so make sure to test the program out long before you need to start running participants. 21 29 48 47 and go task Automatic scoring of the stop red-green We are able to do automatic presentation and scoring of the stop red-green byby using and go using the software DirectRT in conjunction with a microphone attached to your computer and the speaker phone function of a land line telephone (we have stayed away from cell phones so far because there is a sometimes a minor to significant delay, which would affect reaction times). The software presents each pre-recorded “red” or “green” stimulus through the speakers of the computer. When the participant responds “stop” or “go,” the computer microphone picks this up (assuming your voice response settings in DirectRT are adjusted properly1). The software automatically moves on to the next trial and plays the next stimulus word 1000 milliseconds after the onset of the participant’s vocal response. Reaction times are recorded by the software and output into an Excel spreadsheet. This spreadsheet can be found in the Data folder of your project, and the reaction time is in the column labeled “RT.” This represents the length of time from the end of the stimulus word “red” or “green” until the onset of the participant’s vocal response. If one wishes to consider the reaction time from the beginning of the stimulus word, one must add 350 milliseconds to the RT in order account for the length of the “red” or “green” stimulus. These reaction times can be manipulated by using a macro or other similar procedure to put them in a format that can easily transferred to Excel or other statistical package. 1 In DirectRT click on Tools>Voice Response Setup to test the sensitivity of your microphone and adjust to a level low enough that the participant will always be “heard” by the microphone, but not so low that breathing and other random noises will set it off. 22 30 49 48 BTACT Bibliography Agrigoroaei, S., & Lachman, M. E. (2011). Cognitive functioning in midlife and old age: Combined effects of psychosocial and behavioral factors. The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 66B(S1), i130–i140. doi:10.1093/geronb/gbr017 Lachman, M. E., Agrigoroaei, S., Murphy, C., & Tun, P. A. (2010). Frequent cognitive activity compensates for education differences in episodic memory. American Journal of Geriatric Psychiatry, 18, 4-10. Lachman, M. E., & Tun, P. A. (2008). Cognitive testing in large-scale surveys: Assessment by telephone. In S. Hofer & D. Alwin (Eds.). Handbook on Cognitive Aging: Interdisciplinary Perspectives (pp. 506-522). Thousand Oaks, CA: SagePublishers. Seeman, T. E., Miller-Martinez, D. M., Merkin, S. S., Lachman, M. E., Tun, P. A., & Karlamangla, A. S. (2011). Histories of social engagement and adult cognition: Midlife in the U.S. study. The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 66B(S1), i141–i152. doi:10.1093/geronb/gbq091 Stawski, R. S., Almeida, D. M., Lachman, M. E., Tun, P. A., Rosnick, C. B., & Seeman, T. (2011). Associations between cognitive function and naturally occurring daily cortisol during middle adulthood: Timing is everything. The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 66B(S1), i71–i81. doi:10.1093/geronb/gbq094 23 Stawski, R. S., Almeida, D. M., Lachman, M. E., Rosnick, D. B., & Tun, P. A. (2010). Fluid cognitive ability is associated with greater exposure and smaller reactions to daily stressors. Psychology and Aging, 25, 330-342. Tun, P. A., & Lachman, M. E. (2006). Telephone assessment of cognitive function in adulthood: The Brief Test of Adult Cognition by Telephone (BTACT). Age and Ageing, 629-632. doi:10.1093/ageing/afl095 Tun, P. A., & Lachman, M. E. (2008). Age differences in reaction time and attention in a national telephone sample of adults: Education, sex, and task complexity matter. Developmental Psychology, 44, 1421-1429. PMCID: PMC2586814. Tun, P. A., & Lachman, M. E. (2010). The association between computer use and cognition across adulthood: Use it so you won’t lose it. Psychology and Aging, 25, 560-568. 24