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Mental alternation test: administration mode, age, and practice effects.

Erin McComb1, Holly Tuokko, Paul Brewster

  • 1Centre on Aging, University of Victoria, Victoria, British Columbia, Canada.

Journal of Clinical and Experimental Neuropsychology
|September 25, 2010
PubMed
Summary
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The Mental Alternation Test (MAT) is reliable across different administration modes for older adults. Age influences practice effects, but the MAT effectively measures executive function decline in aging populations.

Area of Science:

  • Neuroscience
  • Gerontology
  • Psychology

Background:

  • Executive function assessment is crucial for understanding cognitive aging.
  • The Mental Alternation Test (MAT) is a brief oral measure of executive function.
  • Evaluating the MAT's psychometric properties in older adults is essential for its clinical and research utility.

Purpose of the Study:

  • To examine the impact of administration mode (in-person vs. telephone) on MAT scores.
  • To investigate the relationship between age, education, and MAT performance.
  • To identify practice effects associated with repeated MAT administration in older adults.

Main Methods:

  • 135 participants aged 65-85 completed the MAT twice.
  • Administration modes included in-person, telephone, and mixed formats.

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  • Statistical analyses assessed differences across modes and correlations with age and education.

    • Main Results:

    • MAT scores showed no significant differences across administration modes.
    • The MAT accurately detected expected age-related declines in executive function.
    • Practice effects were observed and found to be influenced by participant age.
    • The correlation between MAT performance and education level was minimal.

    Conclusions:

    • The MAT is a valid and reliable tool for assessing executive function in older adults, regardless of administration mode.
    • Findings support the MAT's use in research and clinical settings with aging populations.
    • Age-related practice effects should be considered when interpreting repeated MAT administrations.