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Updated: May 28, 2026

The 4 Mountains Test: A Short Test of Spatial Memory with High Sensitivity for the Diagnosis of Pre-dementia Alzheimer's Disease
Published on: October 13, 2016
A naturalistic study of prospective memory function in MCI and dementia
Claire L Thompson1, Julie D Henry, Adrienne Withall
1School of Psychology, University of New South Wales, Sydney, Australia. cthompson@psy.unsw.edu.au
Abstract:
OBJECTIVE. Naturalistic measures of prospective memory (PM) show less age-related decline than laboratory measures. We investigated whether a naturalistic measure of PM differentiates between normal ageing, mild cognitive impairment (MCI), and dementia. METHOD. Ninety-eight older adults agreed to perform a time-based PM task in their everyday lives. RESULTS. Despite a self-selection bias in task acceptance, dementia participants performed more poorly relative to both the MCI and control group. Performance on the naturalistic PM task showed good convergent validity with both a cognitive screening measure and a laboratory PM assessment. CONCLUSIONS. PM difficulties are experienced in the everyday lives of people with dementia and are related to laboratory-based assessments but do not appear to be evident on a naturalistic task for those with MCI.
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