Assessment of cognitive functioning is an important component of telephone surveys of health. Previous cognitive telephone batteries have been limited in scope with a primary focus on dementia screening. The Brief Test of Adult Cognition by Telephone (BTACT) assesses multiple dimensions central for effective functioning across adulthood: episodic memory, working memory, reasoning, verbal fluency, and executive function. The BTACT is the first instrument that includes measures of processing speed, reaction time, and task-switching/inhibitory control for use over the telephone. We administered the battery to a national sample (N = 4,268), age 32 to 84 years, from the study of Midlife in the United States (MIDUS) and examined age, education, and sex differences; reliability; and factor structure. We found good evidence for construct validity with a subsample tested in person. Implications of the findings are considered for efficient neuropsychological assessment and monitoring changes in cognitive aging, for clinical and research applications by telephone or in person.
AgrigoroaeiS.LachmanM. E. (2011). Cognitive functioning in midlife and old age: Combined effects of psychosocial and behavioral factors. Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 66B, i130-i140. doi:10.1093/geronb/gbr017
2.
AlwinD. F.HoferS. M. (2011). Health and cognition in aging research. Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 66B, i9-i16. doi:10.1093/geronb/gbr051
3.
AnsteyK. J.LowL.-F.ChristensenH.SachdevP. (2009). Level of cognitive performance as a correlate and predictor of health behaviors that protect against cognitive decline in late life: The path through life study. Intelligence, 37, 600-606. doi:10.1016/j.intell.2008.10.001
4.
BorkowskiJ. G.BentonA. L.SpreenO. (1967). Word fluency and brain damage. Neuropsychologia, 5, 135-140.
5.
BreitlingL. P.WolfM.MüllerH.RaumE.KliegelM. (2010). Large-scale application of a telephone-based test of cognitive functioning in older adults. Dementia and Geriatric Cognitive Disorders, 30, 309-316. doi:10.1159/000319896
6.
BrimO.RyffC.KesslerR. (2004). How healthy are we? A national study of well-being at midlife. Chicago, IL: University of Chicago Press.
7.
CepedaN. J.KramerA. F.Gonzalez de SatherJ. C. M. (2001). Changes in executive control across the life span: Examination of task-switching performance. Developmental Psychology, 37, 715-730. doi:10.1037//0012-1649.37.5.715
8.
CorenS.HakstianA. R. (1992). The development and cross-validation of a self-report inventory to assess pure-tone threshold hearing sensitivity. Journal of Speech & Hearing Research, 35, 921-928.
9.
CullumC. M.WeinerM. F.GehrmannH. R.HynanL. S. (2006). Feasibility of telecognitive assessment in dementia. Assessment, 13, 385-390. doi:10.1177/1073191106289065
10.
DearyI. J.AllerhandM.DerG. (2009). Smarter in middle age, faster in old age: a cross-lagged panel analysis of reaction time and cognitive ability over 13 years in the west of Scotland Twenty-07 Study. Psychology and Aging, 24, 40-47. doi:10.1037/a0014442
11.
DebanneS. M.PattersonM. B.DickR.RiedelT. M.SchnellA.RowlandD. Y. (1997). Validation of a telephone cognitive assessment battery. Journal of the American Geriatric Society, 45, 1352-1359.
12.
FariasS. T.ParkL. K.HarveyD. J.SimonC.ReedB. R.CarmichaelO.MungasD. (2013). Everyday cognition in older adults: Associations with neuropsychological performance and structural brain imaging. Journal of the International Neuropsychological Society, 19, 1-12.
13.
FillenbaumG. G.van BelleG.MorrisJ. C.MohsR. C.MirrAS. S.DavisP. C.. . . HeymanA. (2008). CERAD (Consortium to Establish a Registry for Alzheimer’s Disease): The first 20 years. Alzheimer’s & Dementia, 4, 96-109. doi:10.1016/j.jalz.2007.08.005
14.
FisherR. P.GeiselmanR. E. (1992). Memory-enhancing techniques for investigative interviewing: The cognitive interview. Springfield, IL: Charles C. Thomas.
15.
FolsteinM. F.FolsteinS. E.McHughP. R. (1975). “Mini-Mental State”: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189-198.
16.
GershonR. C.CellaD.FoxN. A.HavlikR. J.HendrieH. C.WagsterM. V. (2010). Assessment of neurological and behavioural function: The NIH Toolbox. Lancet Neurology, 9, 138-139. doi:10.1016/S1474-4422(09)70335-7
17.
HerzogA. R.RodgersW. L. (1998). Cognitive performance measures in survey research on older adults. In SchwarzN.ParkD. C.KnauperB.SudmanS. (Eds.), Cognition, aging and self-reports (pp. 327-340). Philadelphia, PA: Psychology Press.
18.
HerzogA. R.WallaceR. B. (1997). Measures of cognitive functioning in the AHEAD study. Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 52B, S37-S48. doi:10.1093/geronb/52B.Special_Issue.37
19.
HillJ.McVayJ. M.Walter-GinzburgA.MillsC. S.LewisB. E.FillitH. (2005). Validation of a brief screen of cognitive impairment (BSCI) administered by telephone for use in the Medicare population. Disease Management, 8, 223-234. doi:10.1089/dis.2005.8.223
20.
HoferS. M.AlwinD. F. (2008). Handbook of cognitive aging: Interdisciplinary perspectives. Thousand Oaks, CA: Sage.
21.
JuradoM. B.RosselliM. (2007). The elusive nature of executive functions: A review of our current understanding. Neuropsychology Review, 17, 213-233. doi:10.1007/s11065-007-9040-z
22.
KliegelM.MartinM.JägerT. (2007). Development and validation of the cognitive telephone screening instrument (COGTEL) for the assessment of cognitive function across adulthood. Journal of Psychology, 141, 147-170. doi:10.3200/JRLP.141.2.147-172
23.
LachmanM. E.AgrigoroaeiS.MurphyC.TunP. A. (2010). Frequent cognitive activity compensates for education differences in episodic memory. American Journal of Geriatric Psychiatry, 18, 4-10. doi:10.1097/JGP.0b013e3181ab8b62
24.
LachmanM. E.TunP. A. (2008). Cognitive testing in large-scale surveys: Assessment by telephone. In HoferS. M.AlwinD. F. (Eds.), Handbook of cognitive aging: Interdisciplinary perspectives (pp. 506-523). Thousand Oaks, CA: Sage.
25.
LezakM. D. (1995). Neuropsychological assessment (3rd ed.). New York, NY: Oxford University Press.
26.
LezakM. D.HowiesonD. B.LoringD. W. (2004). Neuropsychological assessment (4th ed.). New York, NY: Oxford University Press.
27.
LinF. R.FerrucciL.MetterE. J.AnY.ZondermanA. B.ResnickS. M. (2011). Hearing loss and cognition in the Baltimore Longitudinal Study of Aging. Neuropsychology, 25, 763-770. doi:10.1037/a0024238
28.
Martin-KhanM.WoottonR.GrayL. (2010). A systematic review of the reliability of screening for cognitive impairment in older adults by use of standardised assessment tools administered via the telephone. Journal of Telemedicine and Telecare, 16, 422-428. doi:10.1258/jtt.2010.100209
29.
McArdleJ. J.FisherG. G.KadlecK. M. (2007). Latent variable analyses of age trends of cognition in the Health and Retirement Study, 1992–2004. Psychology and Aging, 22, 525-545. doi:10.1037/0882-7974.22.3.525
30.
MillerL. M. S.LachmanM. E. (2000). Cognitive performance and the role of control beliefs in midlife. Aging, Neuropsychology, and Cognition, 7, 69-85. doi:10.1076/1382-5585(200006)7:2;1-U;FT069
31.
PachanaN. A.AlpassF. M.BlakeyJ. A.LongN. R. (2006). A comparison of the MMSE and the TICS-m in hearing-impaired older adults. Australasian Journal on Ageing, 25, 89-93. doi:10.1111/j.1741-6612.2006.00156.x
32.
RabinL. A.SaykinA. J.WishartH. A.Nutter-UphamK. E.FlashmanL. A.PareN.SantulliR. B. (2007). The memory and aging telephone screen: Development and preliminary validation. Alzheimer’s & Dementia, 3, 109-121. doi:10.1016/j.jalz.2007.02.002
33.
RadlerB. T.RyffC. D. (2010). Who participates? Accounting for longitudinal retention in the MIDUS national study of health and well-being. Journal of Aging and Health, 22, 307-331. doi:10.1177/0898264309358617
34.
RavenJ.RavenJ. C.CourtJ. H. (1991). Manual for Raven’s progressive matrices and vocabulary scales: Section 1. General overview. Oxford, England: Oxford Psychologists Press.
35.
ReitanR. M.WolfsonD.WeddingD.HortonA. M.Jr.WebsterJ. S. (1986). The Halstead-Reitan Neuropsychological Test Battery. In WeddingD.MacNeillH. A. (Eds.), The neuropsychology handbook: Behavioral and clinical perspectives (pp. 134-160). New York, NY: Springer.
36.
ReyA. (1964). The clinical examination in psychology. Paris, France: Presses Universitaries De France.
37.
RoyallD. R.LauterbachE. C.CummingsJ. L.ReeveA.RummansT. A.KauferD. I.. . . CoffeyC. E. (2002). Executive control function: A review of its promise and challenges for clinical research. Journal of Neuropsychiatry and Clinical Neurosciences, 14, 377-405. doi:10.1176/appi.neuropsych.14.4.377
38.
SalthouseT. A. (2001). Structural models of the relations between age and measures of cognitive functioning. Intelligence, 29, 93-115.
39.
SalthouseT. A.KauslerD. H.SaultsJ. S. (1990). Age, self-assessed health status, and cognition. Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 45, P156-P160.
40.
SalthouseT. A.PrillK. A. (1987). Inferences about age impairments in inferential reasoning. Psychology and Aging, 2, 43-51.
41.
SchaieK. W. (1985). Manual for the Schaie-Thurstone Adult Mental Abilities Test (STAMAT). Palo Alto, CA: Consulting Psychologists Press.
42.
SchaieK. W. (1996). Intellectual development in adulthood: The Seattle Longitudinal Study. New York, NY: Cambridge University Press.
43.
SeemanT. E.Miller-MartinezD. M.MerkinS. S.LachmanM. E.TunP. A.KarlamanglaA. S. (2011). Histories of social engagement and adult cognition: Midlife in the U.S. Study. Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 66B, 141-152. doi:10.1093/geronb/gbq091
44.
SeniorA. C.KunikM. E.RhoadesH. M.NovyD. M.WilsonN. L.StanleyM. A. (2007). Utility of telephone asessments in an older adult population. Psychology and Aging, 22, 392-397. doi:10.1037/0882-7974.22.2.392
45.
SheffieldK. M.PeekM. K. (2011). Changes in the prevalence of cognitive impairment among older Americans, 1993–2004: Overall trends and differences by race/ethnicity. American Journal of Epidemiology, 174, 274-283. doi:10.1093/aje/kwr074
46.
SoubeletA.SalthouseT. A. (2011). Correlates of level and change in the Mini-Mental State Examination. Psychological Assessment, 23, 811-818. doi:10.1037/a0023401
47.
SpiroA.IIIBradyC. B. (2008). Integrating health into cognitive aging research and theory: Quo vadis? In HoferS. M.AlwinD. F. (Eds.), Handbook of cognitive aging: Interdisciplinary perspectives (pp. 260-283). Thousand Oaks, CA: Sage.
48.
StawskiR. S.AlmeidaD. M.LachmanM. E.TunP. A.RosnickC. B. (2010). Fluid cognitive ability is associated with greater exposure and smaller reactions to daily stressors. Psychology and Aging, 25, 330-342. doi:10.1037/a0018246
49.
StorandtM. (2008). Cognitive deficits in the early stages of Alzheimer’s Disease. Current Directions in Psychological Science, 17, 198-202. doi:10.1111/j.1467-8721.2008.00574.x
50.
StraussE.ShermanE. M. S.SpreenO. (2006). A compendium of neuropsychological tests: Administration, norms, and commentary (3rd ed.). New York, NY: Oxford University Press.
51.
TombaughT. N.KozakJ.ReesL. (1999). Normative data stratified by age and education for two measures of verbal fluency: FAS and animal naming. Archives of Clinical Neuropsychology, 14, 167-177. doi:10.1016/S0887-6177(97)00095-4
52.
TunP. A.LachmanM. E. (2006). Telephone assessment of cognitive function in adulthood: the Brief Test of Adult Cognition by Telephone (BTACT). Age and Ageing, 35, 629-633. doi:10.1093/ageing/afl095
53.
TunP. A.LachmanM. 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. doi:10.1037/a0012845
54.
TunP. A.LachmanM. 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. doi:10.1037/a001954
55.
TunP. A.Miller-MartinezD.LachmanM. E.SeemanT. (2013). Social strain and executive function: The dark (and light) sides of social engagement. Aging, Neuropsychology, and Cognition, 20, 320-338. doi:10.1080/13825585.2012.707173
56.
VredeveldtA.HitchG. J.BaddeleyA. D. (2011). Eyeclosure helps memory by reducing cognitive load and enhancing visualisation. Memory & Cognition, 39, 1253-1263. doi:10.3758/s13421-011-0098-8
57.
WareJ. E.Jr.SherbourneC. D. (1992). The MOS 36-item Short-Form Health Survey (SF-36): I. Conceptual framework and item selection. Medical Care, 30, 473-483. doi:10.1097/00005650-199206000-00002
58.
WechslerD. (1955). Manual for the Wechsler scale. New York, NY: The Psychological Corporation.
59.
WechslerD. (1997). Wechsler Adult Intelligence Scale-III (WAIS-III) manual. New York, NY: The Psychological Corporation.
60.
WhitbourneS. B.NeupertS. D.LachmanM. E. (2008). Daily physical activity: Relation to everyday memory in adulthood. Journal of Applied Gerontology, 27, 331-349. doi:10.1177/0733464807312175
61.
WhiteR. F.JamesK. E.VasterlingJ. J.LetzR.MaransK.DelaneyR.. . . KraemerH. C. (2003). Neuropsychological screening for cognitive impairment using computer-assisted tasks. Assessment, 10, 86-101. doi:10.1177/1073191102250185
62.
WilsonR. S.LeurgansS.ForoudT.SweetR.Graff RadfordN.MayeuxR.BennettD. A. (2010). Telephone assessment of cognitive function in the Late-Onset Alzheimer’s Disease Family Study. Archives of Neurology, 67, 855-861. doi:10.1001/archneurol.2010.129
63.
WingfieldA.TunP. A.McCoyS. L. (2005). Hearing loss in older adulthood: What it is and how it interacts with cognitive performance. Current Directions in Psychological Science, 14, 144-148. doi:10.1111/j.0963-7214.2005.00356.x
64.
WolfsonC.KirklandS. A.RainaP. S.UniatJ.RobertsK.BergmanH.. . . Szala-MeneokK. (2009). Telephone-administered cognitive tests as tools for the identification of eligible study participants for population-based research in aging. Canadian Journal on Aging, 28, 251-259. doi:10.1017/S0714980809990092
