Validation of the route map recall test for getting lost behavior in Alzheimer's disease patients

Tsui-Ying Wang, Y. C. Kuo, Hui-Ing Ma, Chih Chien Lee, Ming-Chyi Pai

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Getting lost (GL) behavior is among the early symptoms in Alzheimer's disease (AD). Only a few tests, however, have been developed to screen for this symptom. The aim of this study was to develop an instrument, the Route Map Recall Test (RMRT), for the screening of the GL problem in AD patients. We examined the psychometric properties of the RMRT and its clinical utility to predict the GL risk in 23 AD patients and 43 cognitively healthy older adults. The results showed that the RMRT has a sound reliability (test-retest, r = .752, p < .001; Cronbach's α = 0.887, p < .001). The convergent validity was supported by the high correlations with Trail Making Test A and B. With the optimal criteria (93.5/104), the discriminative validity for the diagnosis of AD showed good sensitivity (86%) and specificity (70%), and sensitivity (100%) and specificity (67%) for GL in AD patients. The findings support the RMRT to be a useful tool for clinical screening of AD patients and their GL risk.

Original languageEnglish
Pages (from-to)781-789
Number of pages9
JournalArchives of Clinical Neuropsychology
Volume27
Issue number7
DOIs
Publication statusPublished - 2012 Nov 1

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Alzheimer Disease
Trail Making Test
Sensitivity and Specificity
Psychometrics
Reproducibility of Results

All Science Journal Classification (ASJC) codes

  • Neuropsychology and Physiological Psychology
  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

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abstract = "Getting lost (GL) behavior is among the early symptoms in Alzheimer's disease (AD). Only a few tests, however, have been developed to screen for this symptom. The aim of this study was to develop an instrument, the Route Map Recall Test (RMRT), for the screening of the GL problem in AD patients. We examined the psychometric properties of the RMRT and its clinical utility to predict the GL risk in 23 AD patients and 43 cognitively healthy older adults. The results showed that the RMRT has a sound reliability (test-retest, r = .752, p < .001; Cronbach's α = 0.887, p < .001). The convergent validity was supported by the high correlations with Trail Making Test A and B. With the optimal criteria (93.5/104), the discriminative validity for the diagnosis of AD showed good sensitivity (86{\%}) and specificity (70{\%}), and sensitivity (100{\%}) and specificity (67{\%}) for GL in AD patients. The findings support the RMRT to be a useful tool for clinical screening of AD patients and their GL risk.",
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Validation of the route map recall test for getting lost behavior in Alzheimer's disease patients. / Wang, Tsui-Ying; Kuo, Y. C.; Ma, Hui-Ing; Lee, Chih Chien; Pai, Ming-Chyi.

In: Archives of Clinical Neuropsychology, Vol. 27, No. 7, 01.11.2012, p. 781-789.

Research output: Contribution to journalArticle

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