Psychometric Properties of the Trail-Making Test in Dementia Population

https://doi.org/10.22146/jpsi.99403

Rahmadi Maulana Kusuma Wahyudi(1*), Evany Victoriana(2), C.M. Indah Soca R. Kuntari(3), Paulus Anam Ong(4), Augustina Sulastri(5), Gilles van Luijtelaar(6)

(1) Faculty of Psychology, Maranatha Christian University
(2) Faculty of Psychology, Maranatha Christian University
(3) Faculty of Psychology, Maranatha Christian University
(4) Department of Neurology, Hasan Sadikin Hospital
(5) Faculty of Psychology, Soegijapranata Catholic University
(6) Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen || Faculty of Psychology, Maranatha Christian University
(*) Corresponding Author

Abstract


The trail-making test (TMT) is a commonly used executive function test in various populations worldwide. It is also used to assess the dementia population, who experience impairment in executive function. In Indonesia, the psychometric properties of TMT for local populations have been reported to be satisfactory. However, there was a lack of studies on the validity and reliability of the TMT for the dementia population. In this study, we examined the validity and reliability of TMT and established population-specific norms for dementia. We analyzed data from 71 TMT scores and three other neuropsychological tests (DSST, DS test, and MOCA) to examine its psychometric properties. The internal consistency analysis was used to assess the reliability of the TMT, while the generalized structured component analysis (GSCA) was conducted to examine TMT’s validity in assessing executive function. The reliability test indicated that the TMT has high reliability (ω = 0.639), while GSCA revealed that TMT has high construct validity with three other neuropsychological tests (TMT-A=0.72 and TMT-B=0.573). Additionally, this study provides standardized norms of TMT for the dementia population.

Keywords


dementia,;executive functions;psychometric properties;trail making test

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References

American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). https://doi.org/10.1176/appi.books.9780890425787

Ashraf, G. M., & Uddin, M. S. (Eds.). (2022). Current thoughts on dementia. Springer. https://doi.org/10.1007/978-981-16-7606-2

Bezdicek, O., Motak, L., Axelrod, B. N., Preiss, M., Nikolai, T., Vyhnalek, M., Poreh, A., & Ruzicka, E. (2012). Czech version of the Trail Making Test: Normative data and clinical utility. Archives of Clinical Neuropsychology, 27(8), 906–914. https://doi.org/10.1093/arclin/acs084

Bracken, M. R., Mazur-Mosiewicz, A., & Glazek, K. (2019). Trail Making Test: Comparison of paper-and-pencil and electronic versions. Applied Neuropsychology: Adult, 26(6), 522–532. https://doi.org/10.1080/23279095.2018.1460371

Breijyeh, Z., & Karaman, R. (2020). Comprehensive review on Alzheimer’s disease. World Journal of Pharmacy and Pharmaceutical Sciences, 10(7), 1170–1180. https://doi.org/10.20959/wjpps20217-19427

Carson, N., Leach, L., & Murphy, K. J. (2018). A re-examination of Montreal Cognitive Assessment (MoCA) cutoff scores. International Journal of Geriatric Psychiatry, 33(2), 379–388. https://doi.org/10.1002/gps.4756

DeVellis, R. F., & Thorpe, C. T. (2022). Scale development: Theory and applications (5th ed.). SAGE Publications.

Divayana, D. G. H., Adiarta, A., & Gede Sudirtha, I. (2019). Instruments development of Tri Kaya Parisudha-based countenance model in evaluating the blended learning. International Journal of Engineering Pedagogy, 9(5), 55–74. https://doi.org/10.3991/ijep.v9i5.11055

Elkana, O., Eisikovits, O. R., Oren, N., Betzale, V., Giladi, N., & Ash, E. L. (2015). Sensitivity of neuropsychological tests to identify cognitive decline in highly educated elderly individuals: 12 months follow-up. Journal of Alzheimer’s Disease, 49(3), 607–616. https://doi.org/10.3233/JAD-150562

Hwang, H. (2009). Regularized generalized structured component analysis. Psychometrika, 74(3), 517–530. https://doi.org/10.1007/S11336-009-9119-Y

Hwang, H. (2023). GSCA Pro for Windows user’s manual. https://doi.org/10.13140/RG.2.2.28162.61127

Kirova, A. M., Bays, R. B., & Lagalwar, S. (2015). Working memory and executive function decline across normal aging, mild cognitive impairment, and Alzheimer’s disease. BioMed Research International, 2015, Article 748212. https://doi.org/10.1155/2015/748212

Málišová, E., Dančík, D., Heretik, A., Abrahámová, M., Krakovská, S., Brandoburová, P., & Hajdúk, M. (2022). Slovak version of the Trail Making Test: Normative data. Applied Neuropsychology: Adult, 29(6), 1476–1483. https://doi.org/10.1080/23279095.2021.1890596

Mendez, M. F. (2017). Early-onset Alzheimer disease. Neurologic Clinics, 35(2), 263–281. https://doi.org/10.1016/j.ncl.2017.01.005

Nasreddine, Z. S., Phillips, N. A., Bédirian, V., Charbonneau, S., Whitehead, V., Collin, I., Cummings, J. L., & Chertkow, H. (2005). The Montreal Cognitive Assessment, MoCA: A brief screening tool for mild cognitive impairment. Journal of the American Geriatrics Society, 53(4), 695–699. https://doi.org/10.1111/j.1532-5415.2005.53221.x

Ojeda, N., Aretouli, E., Peña, J., & Schretlen, D. J. (2016). Age differences in cognitive performance: A study of cultural differences in historical context. Journal of Neuropsychology, 10(1), 104–115. https://doi.org/10.1111/jnp.12059

Osuka, Y., Kojima, N., Sakurai, R., Watanabe, Y., & Kim, H. (2020). Reliability and construct validity of a novel motor–cognitive dual-task test: A Stepping Trail Making Test. Geriatrics and Gerontology International, 20(4), 291–296. https://doi.org/10.1111/ggi.13878

Price, L. R. (2017). Psychometric methods: Theory into practice. Guilford Publications.

Prince, M. (2015). World Alzheimer Report 2015. Alzheimer's Disease International. https://www.alz.co.uk/research/WorldAlzheimerReport2015.pdf

Reitan, R. M., & Wolfson, D. (2004). The Trail Making Test as an initial screening procedure for neuropsychological impairment in older children. Archives of Clinical Neuropsychology, 19(2), 281–288. https://doi.org/10.1016/S0887-6177(03)00042-8

Seo, E. H., Lee, D. Y., Kim, K. W., Lee, J. H., Jhoo, J. H., Youn, J. C., Choo, I. L. H., Ha, J., & Woo, J. I. (2006). Normative study of the Seoul Neuropsychological Screening Battery. Journal of Clinical Neurology, 2(1), 44–56. https://doi.org/10.3988/jcn.2006.2.1.44

Siciliano, M., Chiorri, C., Battini, V., Sant’Elia, V., Altieri, M., Trojano, L., & Santangelo, G. (201



DOI: https://doi.org/10.22146/jpsi.99403

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