MAAS Test Battery

The Maastricht Ageing Study test battery (MAAS) consists of the following tests:

  • Stroop Color Word Test
  • Letter Digit Substitution Test(LDST)
  • Concept Shifting Test (CST)
  • Verbal Learning Test (VLT)

The following video shows the digitalised MAAS tests in Metrisquare DiagnoseIS.

Concept Shifting Test (CST)

The Concept Shifting Test (Van der Elst, van Boxtel, van Breukelen & Jolles, 2006) consists of 5 trials. In the first trial (CST digit) participants are asked to consecutively cancel out numbered circles. The time to complete this trial serves as an index of psychomotor speed and attention. In the second trial (CST letter) participants are asked to cancel out consecutively lettered circles. In the third trial (CST shift) participants are asked to cancel out numbered and lettered circles by alternating between the two sequences. The third trial serves as a measure for cognitive flexibility. In the last two trials participants are asked to cancel out consecutively empty circles. The average time to complete these two trials serves as an index of motor speed.

Stroop Color Word Test

The Stroop Color Word Test (Van der Elst, van Boxtel, van Breukelen & Jolles, 2006) contains three cards, the Word card, the Color card and the Color-Word card. The Word card serves as an index of psychomotor speed and attention. Participants are asked to read out loud a card that contains words of different colors. After the Word card, participants are asked to read out loud a card that contains blocks of different colors (Color card). The Color-Word card is used to assess the ability of a person to suppress a habitual response in favor of a less familiar one (i.e. inhibition). Participants are required to suppress the automatic tendency to read and name only the color of the presented word-colors. Franzen, Tishelman, Sharp and Friedman (1987) found a good test-retest reliability (r= .83 Word card, r= .74 Color card, r= .67 Color-Word card).

Letter Digit Substitution Test (LDST)

The Letter Digit Substitution Test (Van der Elst, Van Boxtel, Van Breukelen, Jolles, 2006) consist of letter-digit pairs followed by a list of letters. Under each letter the participants are instructed to write down the corresponding digit as fast as possible. The LDST is used to assess speed of information processing and is sensitive to brain damage, dementia and age. Houx et al. (2002) found a good test-retest reliability (Pearson’s correlation= .88).

Verbal Learning Test (VLT)

The Verbal Learning Test (Van der Elst, van Boxtel, van Breukelen & Jolles, 2005) serves as a measure for verbal memory. During the task 15 words are presented 5 times to the participants. After each time the participants are immediately asked to name as many words as they can recall. This is a measure for short-term memory. After 20 minutes participants are asked again to recall the words (long-term memory). Finally, participants are presented with 30 words which include the 15 originally presented words. Recognition of the 15 words is assessed. All test-retest correlation coefficients were found to be significant, ranging between r= .36 and .68 (De Sousa Magalhaes, Malloy-Diniz, Hamdan, 2012).

Norms for tablet-based testing

Maastricht University has carried out multiple studies to compare the results of the pencil-and-paper-versions to the digital tablet versions. The research aims to establish whether a digital tablet assessment of cognitive performance obtains the same results as a paper and pencil assessment of these same tasks in a memory clinic patient population. The conclusion is that our digitalized assessments provide the same results as paper and pencil assessments do, as is further explained in this document: DiagnoseIS: A Computerized Form of Cognitive Testing at the Memory Clinic by Sanne Schreurs, Dr. Sven Stapert and Dr. Dymphie In de Braek.

Metrisquare is very grateful to Prof. Dr. R. Ponds and Dr. D. In de Braek for the many years of pleasant cooperation. In the picture shown below, Dr. Dymphie In de Braek presents the MAAS studies at a Metrisquare symposium.

Dymphie In De Braek MAAS Tests