3  Neuropysch

3.1 BTACT

Date Added : 2017-10-01

3.1.0.1 Definition

Brief Test of Adult Cognition by Telephone (BTACT)

The BTACT is a brief (15-20 minute) and reliable telephone-administered test that includes six subtests assessing important areas of cognition. The subtests were selected for inclusion in the BTACT based on their ability to assess a wide range of cognitive abilities (see below) and for their sensitivity to normal age-related changes. Other important features of the subtests include well-established psychometric properties, ease of administration via telephone by lay interviewers, and brief administration time. Two psychometrically equivalent alternate forms are available, and the BTACT is available in English and Spanish. Previous research has demonstrated that in-person and telephone administration of BTACT subtests yield equivalent results (Lachman et al., 2011). The subtests in the BTACT include: Rey Auditory Verbal Learning Test, Digits Backward, Number Series, Animal Fluency, Backward Counting.

Descriptions of subtests included in the Brief Test of Adult Cognition by Telephone BTACT:

  • EPISODIC VERBAL MEMORY (Word List Recall) - Immediate Recall of 15-item word list (RAVLT; 1 trial only) SCORE = Total correct in 60 sec (Optional: repetitions, intrusions, Recall efficiency (total time/#words)) and Delayed Recall of word list (at end of assessment) Score = Total correct (Optional: repetitions, intrusions, Forgetting (Immediate-delayed recall)).

  • WORKING MEMORY (Digits Backward [WAIS-III]) Score = Longest accurately recalled string.

  • EXECUTIVE (Category Animal Fluency) Score = Number correct in 60 seconds, (Optional: repetitions, intrusions).

  • REASONING (Number Series ) Score = Number correct (5 trials of increasing difficulty).

  • REACTION TIME (Backward Counting) Score = Last number reached minus number of errors (reversals, skips, incorrect numbers).

3.1.0.2 Form

[ X ] Form 1
[ X ] Form 2

3.1.0.3 Source

BTACT testing to be administered to participant only

3.1.0.4 Details

See BTACT SOP link below for full administration guidelines.

Form 1

  • If BTACT window closes prior to patient consenting to the TBIMS, clinical judgement should be used to code whether or not BTACT could have been completed at that time (e.g., consult with treating neuropsychologist or other rehab team members). If determined patient would not have been able to complete the BTACT due to cognitive impairment, code as “Not Attempted due to cognitive impairment.” Do not attempt to abstract information from the medical record to make this determination.

  • If a proxy consents to the TBIMS for the participant, all attempts should still be made to complete the BTACT with the participant, even if the participant is not out of PTA.

3.1.0.6 Reference

The Brief Test of Adult Cognition by Telephone (BTACT; Tun & Lachman, 2006)

3.1.0.7 Characteristics

Researchers should evaluate the appropriate “window” for each specific study, and exclude BTACT data collected outside of their preferred window.

3.1.0.8 Training

Please refer to the BTACT Training videos under the Training Manual (found under both Form 1 and Form 2 training modules).

3.1.1 BTACT Total Score

BTACT Total score standardized by age, sex and education
Characteristic ADM
N = 5,196
Year 1
N = 4,415
Year 2
N = 4,213
Year 5
N = 4,203
Year 10
N = 3,753
Year 15
N = 3,172
Year 20
N = 1,945
Year 25
N = 705
Year 30
N = 255
Year 35
N = 39
BTACT Total score standardized by age, sex and education









    N Non-missing 2,472 2,777 2,677 2,764 2,467 2,037 1,213 401 148 17
    Mean (SD) -1.23 (1.03) -0.71 (0.98) -0.64 (0.99) -0.60 (0.96) -0.60 (0.88) -0.60 (0.87) -0.59 (0.84) -0.61 (0.79) -0.74 (0.84) -0.82 (1.23)
    Median (Q1, Q3) -1.07 (-1.99, -0.48) -0.59 (-1.19, -0.05) -0.53 (-1.14, 0.02) -0.49 (-1.09, 0.04) -0.52 (-1.07, -0.01) -0.54 (-1.06, -0.01) -0.56 (-1.06, -0.06) -0.57 (-1.04, -0.11) -0.78 (-1.32, -0.20) -0.58 (-1.64, -0.15)
    Min, Max -3.54, 1.47 -3.54, 2.15 -3.54, 1.95 -3.54, 2.70 -3.54, 1.80 -3.54, 2.16 -3.52, 2.31 -2.82, 1.51 -2.82, 1.81 -3.20, 0.90
    Missing 2,724 1,638 1,536 1,439 1,286 1,135 732 304 107 22

48% of the abstracted people have valid data

64% of the interviewed people have valid data

3.1.2 BTACT Executive Functioning Subscale

BTACT executive functioning subscale
Characteristic ADM
N = 5,196
Year 1
N = 4,415
Year 2
N = 4,213
Year 5
N = 4,203
Year 10
N = 3,753
Year 15
N = 3,172
Year 20
N = 1,945
Year 25
N = 705
Year 30
N = 255
Year 35
N = 39
BTACT executive functioning subscale









    N Non-missing 2,507 2,819 2,715 2,801 2,508 2,075 1,228 403 149 17
    Mean (SD) -1.20 (1.15) -0.64 (1.06) -0.59 (1.07) -0.53 (1.04) -0.51 (0.96) -0.48 (0.95) -0.46 (0.93) -0.51 (0.89) -0.66 (0.91) -0.85 (1.48)
    Median (Q1, Q3) -1.03 (-2.09, -0.36) -0.48 (-1.16, 0.09) -0.45 (-1.13, 0.15) -0.40 (-1.03, 0.18) -0.40 (-1.03, 0.14) -0.41 (-0.99, 0.17) -0.39 (-0.97, 0.14) -0.43 (-0.99, 0.03) -0.69 (-1.20, -0.06) -0.64 (-1.56, 0.11)
    Min, Max -3.81, 1.75 -3.81, 1.85 -3.81, 2.40 -4.59, 2.45 -3.81, 2.15 -3.81, 1.86 -3.62, 2.08 -2.95, 1.67 -2.95, 1.51 -4.31, 1.06
    Missing 2,689 1,596 1,498 1,402 1,245 1,097 717 302 106 22

48% of the abstracted people have valid data

65% of the interviewed people have valid data

3.1.3 BTACT Episodic Memory Subscale

BTACT episodic memory subscale
Characteristic ADM
N = 5,196
Year 1
N = 4,415
Year 2
N = 4,213
Year 5
N = 4,203
Year 10
N = 3,753
Year 15
N = 3,172
Year 20
N = 1,945
Year 25
N = 705
Year 30
N = 255
Year 35
N = 39
BTACT episodic memory subscale









    N Non-missing 2,551 2,903 2,790 2,868 2,554 2,121 1,265 416 157 18
    Mean (SD) -1.29 (0.94) -0.83 (1.06) -0.76 (1.09) -0.74 (1.06) -0.79 (1.01) -0.83 (0.97) -0.85 (0.95) -0.82 (0.91) -0.92 (0.93) -0.69 (1.31)
    Median (Q1, Q3) -1.29 (-1.97, -0.64) -0.88 (-1.56, -0.18) -0.84 (-1.52, -0.13) -0.83 (-1.46, -0.09) -0.87 (-1.46, -0.20) -0.87 (-1.54, -0.25) -0.87 (-1.49, -0.35) -0.88 (-1.47, -0.22) -1.00 (-1.59, -0.42) -0.86 (-1.65, 0.11)
    Min, Max -3.30, 2.48 -3.30, 3.94 -3.30, 4.16 -3.30, 4.07 -3.05, 3.61 -3.30, 3.62 -3.30, 4.03 -2.55, 3.17 -2.68, 2.90 -2.34, 2.76
    Missing 2,645 1,512 1,423 1,335 1,199 1,051 680 289 98 21

49% of the abstracted people have valid data

66% of the interviewed people have valid data

3.1.4 BTACT Test Completion Scores

Date Added : 2017-10-01

character(0)

BTACT Test Completion Code at Admission
Characteristic N = 5,196
BTACTTCC, n (%)
    Test Administered In Full- Results Valid 1,932 (39)
    Test Attempted But Not Completed (Due To Cognitive/Neurological Reasons) 65 (1.3)
    Test Not Attempted (Due To The Severity Of Cognitive/Neurological Deficits) 504 (10)
    Test Not Attempted (Form 1: Not Admitted In Window/Form 2: Collected Out Of Window) 298 (6.0)
    Test Not Attempted (Not Consented Within Window) 1,216 (25)
    Test Attempted But Not Completed (Due To Non-Neurological Physical Reasons) 9 (0.2)
    Test Not Attempted (Due To Non-Neurologic/ Physical Reasons) 89 (1.8)
    Test Attempted But Not Completed (Non-English Speaking Patient) 3 (<0.1)
    Test Not Attempted (Non-English Speaking Patient) 96 (1.9)
    Test Attempted But Not Completed (Refusal To Continue) 60 (1.2)
    Test Not Attempted (Refusal) 352 (7.1)
    Test Attempted But Not Completed (Logistical Reasons, Other Reasons – Site-Specific) 0 (0)
    Test Not Attempted (Logistical Reasons, Other Reasons – Site-Specific) 278 (5.6)
    Suspect That A Participant Is Writing Down Answers 1 (<0.1)
    Other 29 (0.6)
    Missing 264
BTACT Test Completion Code at Followup
Characteristic N = 22,700
BTACTTCC, n (%)
    Test Administered In Full- Results Valid 13,043 (73)
    Test Attempted But Not Completed (Due To Cognitive/Neurological Reasons) 218 (1.2)
    Test Not Attempted (Due To The Severity Of Cognitive/Neurological Deficits) 950 (5.3)
    Test Not Attempted (Form 1: Not Admitted In Window/Form 2: Collected Out Of Window) 20 (0.1)
    Test Not Attempted (Not Consented Within Window) 0 (0)
    Test Attempted But Not Completed (Due To Non-Neurological Physical Reasons) 62 (0.3)
    Test Not Attempted (Due To Non-Neurologic/ Physical Reasons) 315 (1.8)
    Test Attempted But Not Completed (Non-English Speaking Patient) 14 (<0.1)
    Test Not Attempted (Non-English Speaking Patient) 237 (1.3)
    Test Attempted But Not Completed (Refusal To Continue) 330 (1.8)
    Test Not Attempted (Refusal) 1,593 (8.9)
    Test Attempted But Not Completed (Logistical Reasons, Other Reasons – Site-Specific) 0 (0)
    Test Not Attempted (Logistical Reasons, Other Reasons – Site-Specific) 814 (4.5)
    Suspect That A Participant Is Writing Down Answers 16 (<0.1)
    Other 283 (1.6)
    Missing 4,805

96% of the abstracted people have valid data

79% of the interviewed people have valid data