title: The validity of the Memory Alteration Test and the Test Your Memory test for community-based identification of amnestic mild cognitive impairment.
abstract: This study investigated the validity of two brief cognitive tests (Memory Alteration Test [M@T] and Test Your Memory [TYM] test) for identifying people with aMCI in the community.
  
  
  
  Older people were invited to participate by their general practitioner practice. Eligible participants were assessed for aMCI using an operationalized approach to the Petersen criteria and the M@T and TYM.
  
  
  
  Both tests demonstrated significant ability in discriminating between people with aMCI and controls (AUC = 0.91 for M@T and 0.80 for TYM [P < .001 for both]). M@T performed with higher sensitivity than TYM (85% vs. 63%) and similar specificity (84% vs. 87%). Both tests demonstrated moderate test-retest reliability (κ = ∼0.5) and took <10 minutes to administer.
  
  
  
  M@T and TYM are quick to administer. M@T demonstrated higher diagnostic test accuracy than TYM and could provide an efficient method for identifying aMCI in clinical and research settings.
authors.affiliation: Academic Unit of Elderly Care and Rehabilitation, University of Leeds, Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, United Kingdom; School of Psychology, Faculty of Medicine and Health, University of Leeds, Leeds, United Kingdom. Electronic address: seline.ozer@bthft.nhs.uk.
authors.forename: Seline
authors.initials: S
authors.lastname: Ozer
authors.affiliation: Research Institute for the Care of Older People (RICE), Bath, United Kingdom.
authors.forename: Krist
authors.initials: K
authors.lastname: Noonan
authors.affiliation: School of Psychology, Faculty of Medicine and Health, University of Leeds, Leeds, United Kingdom.
authors.forename: Melanie
authors.initials: M
authors.lastname: Burke
authors.affiliation: Academic Unit of Elderly Care and Rehabilitation, University of Leeds, Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, United Kingdom.
authors.forename: John
authors.initials: J
authors.lastname: Young
authors.affiliation: Academic Unit of Elderly Care and Rehabilitation, University of Leeds, Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, United Kingdom.
authors.forename: Sally
authors.initials: S
authors.lastname: Barber
authors.affiliation: Academic Unit of Elderly Care and Rehabilitation, University of Leeds, Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, United Kingdom.
authors.forename: Anne
authors.initials: A
authors.lastname: Forster
authors.affiliation: Research Institute for the Care of Older People (RICE), Bath, United Kingdom.
authors.forename: Roy
authors.initials: R
authors.lastname: Jones
mesh_terms: D000367:Age Factors; D000368:Aged; D060825:Cognitive Dysfunction / Q000175:diagnosis*; D004522:Educational Status; D005260:Female; D058006:General Practice; D006801:Humans; D007360:Intelligence; D008297:Male; D009483:Neuropsychological Tests; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D012737:Sex Factors; D013997:Time Factors
keywords: Alzheimer's disease; Dementia; Diagnostic test accuracy; Mild cognitive impairment; Neuropsychological assessment; Reliability; Validity