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June 21, 2016

SAGE Pen & Paper Alzheimer's Test

VIDEO + ARTICLE:

Problems with memory or thinking? Check out this simple, written exam from Ohio State University Medical Center. Find out what made this outstanding test go viral.



A written Alzheimer's test, developed by Douglas Scharre, MD, of Ohio State University Medical Center, is designed to evaluate every part of a patients brain, from language to memory to problem solving.

The free and simple 15-minute self-administered test to screen for early dementia could help speed diagnosis and treatment of memory disorders, including Alzheimer’s. It could also provide health care providers and caregivers an earlier indication of life-changing events that could lie ahead.

Continued below video...

The handwritten self-assessment, which can take less than 15 minutes to complete, is a reliable tool for evaluating cognitive abilities.

Findings confirming the validity of the tool are reported in the Journal of Neuropsychiatry and Clinical Neurosciences, as well as in the journal Alzheimer Disease and Associated Disorders.

These studies gave such strong verification of the SAGE test that the former study's publication sent the test viral upon its release. That day's sudden surge in demand for the SAGE test was so huge that it crashed the computer servers at Ohio State University.

Dr. Douglas Scharre, a neurologist at the Ohio State University Medical Center, developed the Self-Administered Gerocognitive Examination (SAGE) to help identify individuals with mild thinking and memory impairments at an early stage. The research shows four out of five people (80 percent) with mild thinking and memory (cognitive) issues will be detected by this test, and 95% of people who are normal thinking will have normal SAGE scores.

Scharre, who specializes in treating Alzheimer’s disease, said treatments for Alzheimer’s and dementia are more effective when they are introduced in the earliest stage of the disease.

Unfortunately, he said he often sees patients more than three to four years after the first symptoms of a cognitive impairment began to appear.

Dr. Shcarre said,

“It’s a recurring problem.”

“People don’t come in early enough for a diagnosis, or families generally resist making the appointment because they don’t want confirmation of their worst fears. Whatever the reason, it’s unfortunate because the drugs we’re using now work better the earlier they are started.”

Many of the assessment tools for cognitive disorders being used today, while accurate, have aspects that deter their use. “Seldom are physicians reimbursed for the time and effort it takes to give such tests, or they tie up personnel to physically administer the test,” said Scharre, who advocates the use of routine screening for cognitive disorders in the primary care setting. Other diagnostic tests require the patient to use a computer, which can add heightened anxiety to some older adults who may be infrequent users of technology.

Scharre added,
"The SAGE self-assessment is a practical tool for a busy primary care office.”
The test is available free of charge to healthcare personnel at the following link:

Click here to download
THE SAGE TEST


How to interpret the results: The SAGE Test download page includes a click-to-open section entitled "For Physicians," which has links in English, Spanish and Italian to physician scoring instructions and scoring explanations.

Other Dementia Tests for Download:

RUDAS is an Easier Dementia Test

LINKS TO FREE TEST, VIDEO & INSTRUCTIONS:

A new study shows that the RUDAS Dementia Test is better suited for people with low education levels, cultural barriers, or when one's first language is not English. Learn about RUDAS, a free multicultural alternative.

It only takes a paper, pen and a few minutes to take the test and because it’s self-administered, it doesn’t necessarily take time away from the appointment.

Dr. Scharre said,
“They can take the test in the waiting room while waiting for the doctor.”
Missing six or more points on the 22-point SAGE test usually warrants additional follow-up by the physician. Abnormal results can also prompt an early search for reversible and treatable conditions that may be causing the patient’s thinking and memory impairment. Many conditions besides Alzheimer’s disease, such as strokes and some thyroid conditions, can also impact memory, according to Scharre.

Scharre said there are potential cost savings to using the tests in a primary care setting. He reasons that a person who fares poorly on the self-exam will likely be less compliant taking medications on time, taking them in the proper dosages or following other recommendations such as maintaining healthy diets.

Dr. Scharre pointed out,
“Abnormal test results can serve as an early warning to the patient’s family.”

“The results can be a signal that caregivers may need to begin closer monitoring of the patient to ensure their safety and good health is not compromised and that they are protected from financial predators.”
Results of the new test compare favorably with current standard cognitive assessments that are not self-administered. To validate the exam’s findings and accuracy, Scharre and other researchers at Ohio State evaluated study participants using SAGE, and then evaluated the same subjects with a battery of other established and well-documented assessment tools.

The study involved 254 study participants, 59 years of age or older, who took the SAGE self-assessment. Sixty-three (63) individuals were randomly selected to have a one-day clinical evaluation utilizing a battery of physical, neurological and cognitive tests.

SAGE scores compared favorably with the mini-mental state examination (MMSE), a brief questionnaire test that is commonly used in medicine to screen for cognitive impairments and dementia.

Both tests were able to differentiate clinically defined normal and mild cognitive improvement from subjects with dementia. However, SAGE, but not MMSE, was also able to distinguish between clinically defined normal from the mild cognitive improvement group.

4 comments :

  1. Took the test. How to evaluate my results?

    ReplyDelete
    Replies
    1. Scoring instructions for doctors are at:
      http://medicalcenter.osu.edu/pdfs/sage/sage-scoringinstructions-us.pdf

      A scoring explanation for doctors is at:
      http://medicalcenter.osu.edu/pdfs/sage/sage-infosheet-us.pdf

      Delete
  2. I just tool the test and just wanna say both tests are designed to make differentiate clinically. Cognitive improvement from subjects with dementia. I really enjoyed reading through. Thanks for sharing such test opportunity.

    ReplyDelete
  3. Please there is a cure for dementia and no one knows. This is my husband’s story... My husband was a retired man, he had partial stroke 5 years ago, and then i was still working. His condition got worse and he was hospitalized. After some time of treatment he began to behave abnormal, like someone who has lost memory of event and occurrence. i shared tears the very day i walked to him in the hospital and he could not even recognize me. This is a man that is very playful and highly romantic. Each day i hold him to myself and share tears the more. He was not able to do anything just look at me like a bull dog and do so many abnormal things. Later on doctor brought a recent report and he was diagnosed of dementia this doctor says have no cure that he would die a brainless man. Oh my God i fainted when i heard this. I raised my voice and cry to God to help me from this. So i began to hope and trust God to do miracle. My pastor was a great pillar of encouragement to me. i did all i can to get a cure for him, but none worked out, i spent thousands of USD trying to get a cure for him. But behold a friends doctor came visiting and said to me let’s look if herbal remedy can help him get any better so he gave me people testified of the good works of herbs in their life, so i decided to contact the doctor The first time i emailed him, i got no reply from him, so i decided to call him on the phone. I called him, and told him what he could do was to laugh and said to me that anything the enemy have planned against my husband must fail, he said to me that he have cured CJD and this is similar to what my husband have. After all, he prepared herbs and sent to me, i have to force my husband to take it because before then he was not taking anything from me to eat anymore. but behold sir it was just like a magic gradually my husband begin to get better, better and today sir i am proud to say my husband is totally cured, He cured my husband of this deadly dementia disease and now i keep my promise i made to him before the cure that i will let the entire world know about his herbs if my husband is cured. Sir, now i am overwhelmed. God bless you sir. My husband has the plans to travel to see the doctor facially and say a physical thanks to him in his country, and i will accompany him down to his home in his country to also show my gratitude to him. God bless him in abundant. If you have same problem or have other health issues and want to contact Doctor Iyabiyetayese, here is his email doctoriyabiyetayese@gmail.com or call him on (+2347052619450). God Bless you.

    ReplyDelete

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