E. Cognitive Exercises

Module E. Cognitive Exercises of MHAS 2012

Start of E. Cognitive Exercises
 
E1A

How would you evaluate your memory nowadays? Would you say it is:

HOW WOULD YOU EVALUATE YOUR MEMORY NOWADAYS? WOULD YOU SAY IT IS:
expand
 
E1B

Compared to the last two years, would you say your memory is?

COMPARED TO THE LAST TWO YEARS, WOULD YOU SAY YOUR MEMORY IS?
expand
 
E2

Do you need reading glasses to read or to see objects on a page?

DO YOU NEED READING GLASSES TO READ OR TO SEE OBJECTS ON A PAGE?
expand
 
If E2=1 »
 
   
 
E3A

INTERVIEWER. CHECK IF THE INFORMANT HAS GLASSES AND ASK HIM TO WEAR THEM. IF THE INFORMANT DOES NOT HAVE GLASSES OR NONE ARE AVAILABLE, OFFER A PAIR OF GLASSES. NOTE IF THE PERSON CAN READ WITH THE GLASSES

INTERVIEWER. CHECK IF THE INFORMANT HAS GLASSES AND ASK HIM TO WEAR THEM. IF THE INFORMANT DOES NOT HAVE GLASSES OR NONE ARE AVAILABLE, OFFER A PAIR OF GLASSES. NOTE IF THE PERSON CAN READ WITH THE GLASSES
expand
   
If E3A=1 or E2=2 »
 
   
 
E3B

INTERVIEWER, READ THE INSTRUCTIONS Now we will show you some words to exercise your reading. Please read the text loudly TAKE THIS MEDICINE ONCE A DAY AFTER LUNCH

INTERVIEWER, READ THE INSTRUCTIONS NOW WE WILL SHOW YOU SOME WORDS TO EXERCISE YOUR READING. PLEASE READ THE TEXT LOUDLY TAKE THIS MEDICINE ONCE A DAY AFTER LUNCH
expand
   
If E3A!=2 »
 
   
 
E4

Do you have difficulties using a pencil?

DO YOU HAVE DIFFICULTIES USING A PENCIL?
expand
   
If E4=1 and E3A!=2 »
 
   
 
E5

What kind of difficulties do you have?

WHAT KIND OF DIFFICULTIES DO YOU HAVE?
expand
   
E6

Spontaneous memory

SPONTANEOUS MEMORY IN THE CASE OF INTERVIEWED COUPLE, ASK THE BIRTH MONTH OF EACH, APPLY LIST "A" TO THE BORN ON THE EARLIEST MONTH IN A CALENDAR, AND LIST "B" TO THE OTHER. IN THE CASE OF UNIQUE INTERVIEW, APPLY LIST "A" IF TODAY IS MONDAY, WEDNESDAY OR FRIDAY. APPLY LIST "B" IF IT'S ANOTHER DAY. INDICATE THE APPLIED LIST
expand
 
If E6!=8 »
 
   
 
E7A

Verbal learning - Test 1 Clearly read the words, one every two seconds, do not repeat words after reading the list. Circle the mentioned words by the informant in test 1. I am going to read a list of words. Listen carefully. When I have finished, you must repeat all the words you can. The order does not matter.

VERBAL LEARNING - TEST 1 CLEARLY READ THE WORDS, ONE EVERY TWO SECONDS, DO NOT REPEAT WORDS AFTER READING THE LIST. CIRCLE THE MENTIONED WORDS BY THE INFORMANT IN TEST 1. I AM GOING TO READ A LIST OF WORDS. LISTEN CAREFULLY. WHEN I HAVE FINISHED, YOU MUST REPEAT ALL THE WORDS YOU CAN. THE ORDER DOES NOT MATTER.
   
 
E7B

Verbal learning - Test 2 After the informant has stopped responding, wait for 15 second and read the list of test 2. Follow the same procedure as test 1 I am going to read the same list again. Once more, when I have stopped, tell me all the words you can, including the ones you said before.

VERBAL LEARNING - TEST 2 AFTER THE INFORMANT HAS STOPPED RESPONDING, WAIT FOR 15 SECOND AND READ THE LIST OF TEST 2. FOLLOW THE SAME PROCEDURE AS TEST 1 I AM GOING TO READ THE SAME LIST AGAIN. ONCE MORE, WHEN I HAVE STOPPED, TELL ME ALL THE WORDS YOU CAN, INCLUDING THE ONES YOU SAID BEFORE.
   
 
E7C

Verbal learning - Test 3 After the informant has stopped responding, wait for 15 second and read the list of test 3. Follow the same procedure as test 1 I am going to read the same list again. Once more, when I have stopped, tell me all the words you can, including the ones you said before.

VERBAL LEARNING - TEST 3 AFTER THE INFORMANT HAS STOPPED RESPONDING, WAIT FOR 15 SECOND AND READ THE LIST OF TEST 3. FOLLOW THE SAME PROCEDURE AS TEST 1 I AM GOING TO READ THE SAME LIST AGAIN. ONCE MORE, WHEN I HAVE STOPPED, TELL ME ALL THE WORDS YOU CAN, INCLUDING THE ONES YOU SAID BEFORE.
   
If E3A!=2 and E4!=8 and E5!=1
 
   
 
E8

Picture 1 Show this sheet vertically oriented to the informant, and instruct: Draw this picture in the space below. Try to draw the picture in order to make it exactly as mine. I will count the time. I will indicate to you when you can start and when you can stop. ALLOW JUST ONE AND A HALF MINUTE (90 SECONDS) TO COPY THE PICTURE

PICTURE 1 SHOW THIS SHEET VERTICALLY ORIENTED TO THE INFORMANT, AND INSTRUCT: DRAW THIS PICTURE IN THE SPACE BELOW. TRY TO DRAW THE PICTURE IN ORDER TO MAKE IT EXACTLY AS MINE. I WILL COUNT THE TIME. I WILL INDICATE TO YOU WHEN YOU CAN START AND WHEN YOU CAN STOP. ALLOW JUST ONE AND A HALF MINUTE (90 SECONDS) TO COPY THE PICTURE
   
E9A

INTERVIEWER, WHEN THE INFORMANT SAYS THE FIRST WORD, START THE TIMER AND WRITE DOWN ALL THE NAMES OF ANIMALS EVEN IF THE INFORMANT REPEATS THEM. TWO SCORES ARE VALID: A) THE NUMBER OF DIFFERENT ANIMALS WITHOUT REPEATING THEM AND B) NUMBER OF REPEATED ANIMALS

INTERVIEWER, WHEN THE INFORMANT SAYS THE FIRST WORD, START THE TIMER AND WRITE DOWN ALL THE NAMES OF ANIMALS EVEN IF THE INFORMANT REPEATS THEM. TWO SCORES ARE VALID: A) THE NUMBER OF DIFFERENT ANIMALS WITHOUT REPEATING THEM AND B) NUMBER OF REPEATED ANIMALS
expand
 
E9B

INTERVIEWER, WHEN THE INFORMANT SAYS THE FIRST WORD, START THE TIMER AND WRITE DOWN ALL THE NAMES OF ANIMALS EVEN IF THE INFORMANT REPEATS THEM. TWO SCORES ARE VALID: A) THE NUMBER OF DIFFERENT ANIMALS WITHOUT REPEATING THEM AND B) NUMBER OF REPEATED ANIMALS

INTERVIEWER, WHEN THE INFORMANT SAYS THE FIRST WORD, START THE TIMER AND WRITE DOWN ALL THE NAMES OF ANIMALS EVEN IF THE INFORMANT REPEATS THEM. TWO SCORES ARE VALID: A) THE NUMBER OF DIFFERENT ANIMALS WITHOUT REPEATING THEM AND B) NUMBER OF REPEATED ANIMALS
expand
 
If E3A!=2 and E4!=8 and E5!=1
 
   
 
E10

Visual route Show the test page horizontally oriented to the informant, in order to have the little point on top of the page, show this page with the designed object E, and instruct to the informant: Please find out the figures that look like this one, in the following page. Find as many figures as you can, and circle around the figure as I am doing it (with a pencil circle an example in the middle of the page) Just circle the figures that are the same as this one. Work as fast as you can, until I say to stop. Start to count the time when the informant circles the first figure, and stop in 60 seconds.

VISUAL ROUTE SHOW THE TEST PAGE HORIZONTALLY ORIENTED TO THE INFORMANT, IN ORDER TO HAVE THE LITTLE POINT ON TOP OF THE PAGE, SHOW THIS PAGE WITH THE DESIGNED OBJECT E, AND INSTRUCT TO THE INFORMANT: PLEASE FIND OUT THE FIGURES THAT LOOK LIKE THIS ONE, IN THE FOLLOWING PAGE. FIND AS MANY FIGURES AS YOU CAN, AND CIRCLE AROUND THE FIGURE AS I AM DOING IT (WITH A PENCIL CIRCLE AN EXAMPLE IN THE MIDDLE OF THE PAGE) JUST CIRCLE THE FIGURES THAT ARE THE SAME AS THIS ONE. WORK AS FAST AS YOU CAN, UNTIL I SAY TO STOP. START TO COUNT THE TIME WHEN THE INFORMANT CIRCLES THE FIRST FIGURE, AND STOP IN 60 SECONDS.
   
E11

Orientation Can you tell me which day is today?

ORIENTATION CAN YOU TELL ME WHICH DAY IS TODAY?
expand
 
E11A

Did the informant correctly identify the day?

DID THE INFORMANT CORRECTLY IDENTIFY THE DAY?
expand
 
E11B

Did the informant correctly identify the month?

DID THE INFORMANT CORRECTLY IDENTIFY THE MONTH?
expand
 
E11C

Did the informant correctly identify the year?

DID THE INFORMANT CORRECTLY IDENTIFY THE YEAR?
expand
 
E12

Numeracy In the following exercise, please count from 20 to 0. Do it as fast as possible. I am going to count the time and I will tell you when you can stop.

NUMERACY IN THE FOLLOWING EXERCISE, PLEASE COUNT FROM 20 TO 0. DO IT AS FAST AS POSSIBLE. I AM GOING TO COUNT THE TIME AND I WILL TELL YOU WHEN YOU CAN STOP.
 
E12A

First attempt Start the stopwatch when the informant says the first number and stop it when gets to 11, if the first spoken number was 20; or when it gets to 10, if the first spoken number was 19. Mark "correct" if the informant does not have any mistake when counting from 20 to 11 or from 19 to 10. Allow the informant starts again one more time if stops or makes a mistake and wants to start again. Tell him/her that can try again. Mark "wants to start again" if the informant wants to start again. Mark "incorrect" if the informant makes a mistake and does not want to start again.

FIRST ATTEMPT START THE STOPWATCH WHEN THE INFORMANT SAYS THE FIRST NUMBER AND STOP IT WHEN GETS TO 11, IF THE FIRST SPOKEN NUMBER WAS 20; OR WHEN IT GETS TO 10, IF THE FIRST SPOKEN NUMBER WAS 19. MARK "CORRECT" IF THE INFORMANT DOES NOT HAVE ANY MISTAKE WHEN COUNTING FROM 20 TO 11 OR FROM 19 TO 10. ALLOW THE INFORMANT STARTS AGAIN ONE MORE TIME IF STOPS OR MAKES A MISTAKE AND WANTS TO START AGAIN. TELL HIM/HER THAT CAN TRY AGAIN. MARK "WANTS TO START AGAIN" IF THE INFORMANT WANTS TO START AGAIN. MARK "INCORRECT" IF THE INFORMANT MAKES A MISTAKE AND DOES NOT WANT TO START AGAIN.
expand
 
If E12A=3 or E12A=8 »
 
   
 
E12B

Second attempt Let's try again Follow the same instructions as the first attempt

SECOND ATTEMPT LET'S TRY AGAIN FOLLOW THE SAME INSTRUCTIONS AS THE FIRST ATTEMPT
expand
   
 
If E12B!=8 »
 
     
   
E12C

Time Note the number of seconds to get to 10 if subject counts from 19 to 10, or to 11 if subject counts from 20 to 11. Note 60 if took the full minute without getting to 10 (if counts from 19 to 10) or to 11 (if counts from 20 to 11) or if the result of both attempts are incorrect.

TIME NOTE THE NUMBER OF SECONDS TO GET TO 10 IF SUBJECT COUNTS FROM 19 TO 10, OR TO 11 IF SUBJECT COUNTS FROM 20 TO 11. NOTE 60 IF TOOK THE FULL MINUTE WITHOUT GETTING TO 10 (IF COUNTS FROM 19 TO 10) OR TO 11 (IF COUNTS FROM 20 TO 11) OR IF THE RESULT OF BOTH ATTEMPTS ARE INCORRECT.
     
Else
 
   
 
E12C

Time Note the number of seconds to get to 10 if subject counts from 19 to 10, or to 11 if subject counts from 20 to 11. Note 60 if took the full minute without getting to 10 (if counts from 19 to 10) or to 11 (if counts from 20 to 11) or if the result of both attempts are incorrect.

TIME NOTE THE NUMBER OF SECONDS TO GET TO 10 IF SUBJECT COUNTS FROM 19 TO 10, OR TO 11 IF SUBJECT COUNTS FROM 20 TO 11. NOTE 60 IF TOOK THE FULL MINUTE WITHOUT GETTING TO 10 (IF COUNTS FROM 19 TO 10) OR TO 11 (IF COUNTS FROM 20 TO 11) OR IF THE RESULT OF BOTH ATTEMPTS ARE INCORRECT.
   
If E3A!=2 and E4!=8 and E5!=1
 
   
 
E13

Figure Recall Show the next blank page to the informant, vertically oriented and instruct: Please remember the figure that you drew before. Draw it again in this paper. Suggest to the informant that he/she can guess or give a partial answer if he/she seems to be unsure. If the informant draws the design from the visual route, tell the informant: Please draw the other figure that you drew before. Allow just one and a half minute (90 seconds) to draw the figure.

FIGURE RECALL SHOW THE NEXT BLANK PAGE TO THE INFORMANT, VERTICALLY ORIENTED AND INSTRUCT: PLEASE REMEMBER THE FIGURE THAT YOU DREW BEFORE. DRAW IT AGAIN IN THIS PAPER. SUGGEST TO THE INFORMANT THAT HE/SHE CAN GUESS OR GIVE A PARTIAL ANSWER IF HE/SHE SEEMS TO BE UNSURE. IF THE INFORMANT DRAWS THE DESIGN FROM THE VISUAL ROUTE, TELL THE INFORMANT: PLEASE DRAW THE OTHER FIGURE THAT YOU DREW BEFORE. ALLOW JUST ONE AND A HALF MINUTE (90 SECONDS) TO DRAW THE FIGURE.
   
E14

Memory Recall

MEMORY RECALL

DO YOU REMEMBER THE LONG LIST OF WORDS THAT I READ BEFORE? PLEASE TELL ME ALL THE WORDS OF THE LIST THAT
YOU CAN REMEMBER, IN WHATEVER ORDER.
MARK THE ONES THAT THE INFORMANT SAYS.
 
End of E. Cognitive Exercises