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NSHD – Age 68-70 – ACE-III Attention/Orientation Scale

The MRC National Survey of Health of Development (NSHD) assessed their cohort members (CMs) during the study’s age 68-70 sweep using the Addenbrooke’s Cognitive Examination-III (ACE-III): Attention/Orientation Scale.

Details on this measure and the data collected from the CMs are outlined in the table below.

Domain:Verbal orientation
CHC:Q1 - 3: Glr (long term storage and retrieval)
Q4: Counting backwards - Gs (processing speed)
Administration method:Research nurse. Mostly conducted using ACEmobile app, installed on iPad, with prompts to guide interviewer through the process. Pen and paper used where necessary (e.g. drawing tests).
Procedure:Participants were asked to:
i) State the day, date, month, year and season (0 - 5)
ii) State the floor/no., street/hospital, town, county and country (0 - 5)
iii) Repeat the three words 'lemon', 'key' and 'ball' directly after interviewer (0 - 3)
iv) Count backwards from 100 in 7s (0 - 5; stops after 5 subtractions)
Link to questionnaire: (opens in new tab)
Scoring:One point per correct answer (0 - 18)
Item-level variable(s):Not currently available
Total score/derived variable(s):ACESCRAT15x
Descriptives:Raw score
N = 1,786
Range = 5 - 18
Mean = 16.72
SD = 1.85
(click image to enlarge)
Age of participants (months):Mean = 834.14, SD = 2.93, Range = 828 - 848
Other sweep and/or cohort:None
Source:Mathuranath, P. S., Nestor, P. J., Berrios, G. E., Rakowicz, W., & Hodges, J. R. (2000). A brief cognitive test battery to differentiate Alzheimer's disease and frontotemporal dementia. Neurology, 55(11), 1613-1620.
Technical resources:Noone, P. (2015). Addenbrooke's cognitive examination-III. Occupational Medicine, 65(5), 418-420.
Reference examples:James, S. N., Davis, D., O'Hare, C., Sharma, N., John, A., Gaysina, D., ... & Richards, M. (2018). Lifetime affective problems and later-life cognitive state: Over 50 years of follow-up in a British birth cohort study. Journal of Affective Disorders, 241, 348-355.
Matías-Guiu, J. A., Valles-Salgado, M., Rognoni, T., Hamre-Gil, F., Moreno-Ramos, T., & Matías-Guiu, J. (2017). Comparative diagnostic accuracy of the ACE-III, MIS, MMSE, MoCA, and RUDAS for screening of Alzheimer Disease. Dementia and Geriatric Cognitive Disorders, 43(5-6), 237-246.

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This page is part of CLOSER’s ‘A guide to the cognitive measures in five British birth cohort studies’.