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Protocol - Executive Function

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Description

The Trail Making Test is an interviewer-administered, two-part test that requires the respondent to organize numerical and alphabetical sequences that are randomly distributed on a piece of paper. The protocol includes instructions for correcting mistakes and instructions for scoring based on speed and accuracy.

Specific Instructions

Whereas the Trail Making Test has two parts (Parts A and B), the PhenX Neurology Working Group recommends that part B be used to measure executive function in adults.

The Trail Making Test is a proprietary, fee-based instrument that is available from Reitan Neuropsychology Lab, Inc.

Availability

Limited Availability

Protocol

Trail Making Test, Part A

The examiner first shows the respondent a sample test that has numbers 1-8 distributed in random order. The examiner demonstrates the task and lets the respondent practice connecting the numbers in increasing order. The examiner then hands the respondent the actual test which has the numbers 1-25 distributed in random order and asks the respondent to connect them in increasing order as fast as possible without raising the pen from the paper. Respondents are scored based on speed and accuracy.

Trail Making Test, Part B

The examiner first shows the respondent a sample test that has numbers 1-4 and letters A-D distributed in random order. The examiner demonstrates the task and lets the respondent practice connecting the numbers to letters (one to A, A to two, etc.) in increasing order. The examiner then hands the respondent the actual test which has the numbers 1-13 and letters A-L distributed in random order and asks the respondent to connect them in increasing order as fast as possible without raising the pen from the paper. Respondents are scored based on speed and accuracy.

Personnel and Training Required

Personnel should be trained by a licensed neuropsychologist or other trained medical professional experienced with the Trail Making test. Additionally, investigators are encouraged to have quality control procedures (such as videotaping sessions, etc.) in place to maintain consistency across examiners.

Equipment Needs

The interviewer will need a copy of the test that includes the cue cards with the sequence of numbers and letters and the scoring instructions.

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Interviewer-administered evaluation

Lifestage

Adolescent, Adult, Senior, Pregnancy

Participants

Participant ages 15 years and older.

Selection Rationale

The Trail Making Test was selected because it is a standard, widely-used, validated protocol.

Language

Chinese, English

Standards
StandardNameIDSource
Logical Observation Identifiers Names and Codes (LOINC) Executive function proto 62778-6 LOINC
Human Phenotype Ontology Cognitive impairment HP:0100543 HPO
Derived Variables

None

Process and Review

Not applicable.

Protocol Name from Source

The Trail Making Test - Adult

Source

Reitan Neuropsychology Lab. The Adult Trail Making Test.

The Trail Making Test is a proprietary instrument and can be obtained through:

Reitan Neuropsychology Lab
POB 66080
Tucson, AZ 85728-6080
USA
Telephone: (520) 577-2970
Fax: (520) 577-2940

General References

None

Protocol ID

131101

Variables
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX131101000000 Protocol 131101 - proprietary. Check DCW for more
contact. show less
N/A
Neurology
Measure Name

Executive Function

Release Date

May 12, 2010

Definition

An interviewer-administered test to measure a respondent’s system of high-level cognitive functions such as abstract thinking, rule acquisition, cognitive flexibility, and goal-oriented behavior.

Purpose

This measure tests a respondent’s total range of function with respect to executive function. It is therefore more specific and sensitive than a measure of global mental status and can be used to assess major problems in executive function as well as minor variations that may be a consequence of normal development and aging.

Keywords

Executive Function, Trail Making Test, Mental Status, Mental State, cognition, dementia, Problem Solving, Alzheimer’s disease, aging, proprietary, Neurology, Behavior Rating Inventory of Executive Function, BRIEF, adolescent, Child, Developmental Delay, Intellectual Delay, Learning Disability, Cognitive Impairment, Attention Deficient Hyperactivity Disorder, ADHD, Attention Disorder, Pervasive Developmental Disorder, sickle cell disease, SCD

Measure Protocols
Protocol ID Protocol Name
131101 Executive Function
131102 Executive Function - Child
Publications

Sapkota, B. R., et al. (2016) Genome-wide association study of 25(OH) Vitamin D concentrations in Punjabi Sikhs: Results of the Asian Indian diabetic heart study. J Steroid Biochem Mol Biol. 2016 April; 158: 149-156. doi: 10.1016/j.jsbmb.2015.12.014