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Updated: Apr 16, 2026

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Traditional Trail Making Test Modified into Brand-new Assessment Tools: Digital and Walking Trail Making Test
Published on: November 23, 2019
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[Validity and reliability of the "Trail Making Peg" test as a performance measurement for evaluating the cognitive
Takumi Abe1, Takashi Jindo, Yuki Soma
1Master's Program in Physical Education, Health and Sports Sciences, University of Tsukuba.
Nihon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
|March 20, 2015
Summary
The novel Trail Making Peg (TMP) test shows strong validity and reliability for assessing cognitive function. This screening tool effectively detects cognitive decline in older adults.
Area of Science:
- Neuroscience
- Gerontology
- Psychometrics
Background:
- Cognitive decline is a significant concern in aging populations.
- Accurate and reliable screening tools are essential for early detection and intervention.
Purpose of the Study:
- To evaluate the validity and reliability of the new Trail Making Peg (TMP) test.
- To determine the TMP test's efficacy in identifying cognitive decline.
Main Methods:
- 632 community-dwelling older adults participated in validity assessment, and 319 in reliability assessment.
- Cognitive function was measured using five cognitive tests (5-Cog).
- Receiver operating characteristic analysis determined the cutoff point for cognitive decline.
Main Results:
- The TMP test showed significant correlation with 5-Cog scores (r=-0.63).
- The TMP test achieved an area under the curve of 0.855 for discriminating cognitive decline.
- Intraclass correlation coefficient for TMP reliability was 0.746.
Conclusions:
- The Trail Making Peg test demonstrates adequate validity and reliability.
- TMP is a promising screening tool for detecting cognitive decline in older adults.
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