Evidence map›Paper›PMID 30003138›Full record

ArticleAlzheimer's & dementia (Amsterdam, Netherlands)2018

Underdiagnosis of mild cognitive impairment: A consequence of ignoring practice effects.

Jeremy A Elman, Amy J Jak, Matthew S Panizzon, Xin M Tu, Tian Chen, Chandra A Reynolds, Daniel E Gustavson, Carol E Franz, Sean N Hatton, Kristen C Jacobson and 5 more

Registry-linked trialAbstract read
In one paragraph

Article in Alzheimer's & dementia (Amsterdam, Netherlands), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07420426 (Instant Message-delivered Personalised Acceptance and Commitment Therapy), which is not on this map. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07420426 narecruitingnot on this mapstarted 2025, after this paper: background citation

Instant Message-delivered Personalised Acceptance and Commitment Therapy (IMPACT) for Neuropsychiatric Symptoms in Persons With Mild Cognitive Impairment: a Mixed Methods Study

TypeinterventionalSponsorThe University of Hong KongRan2025 to 2026Enrolled160ConditionsMild Cognitive Impairment (MCI)Armsautomated instant message-guided neuropsychiatric symptoms management, general mental health management
3 · Its place in the literature

Who cites it

52 citing papers in PubMed.

  1. Trial
  2. Mediators of attachment, frailty, and mild cognitive impairment in older adults.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
    Article
  3. Article
  4. Young adult urbanicity, late midlife neighborhood disadvantage, and cognitive functioning in community-dwelling older men.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026
    Article
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  13. Review
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  18. Concordance Between Logical Memory and Craft Story 21 in Community-Dwelling Older Adults: The Role of Demographic Factors And Cognitive Status.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2023
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Jeremy A ElmanDepartment of Psychiatry, University of California San Diego, La Jolla, CA, USA.
Amy J JakDepartment of Psychiatry, University of California San Diego, La Jolla, CA, USA.
Matthew S PanizzonDepartment of Psychiatry, University of California San Diego, La Jolla, CA, USA.
Xin M TuFamily Medicine and Public Health, University of California San Diego, La Jolla, CA, USA.
Tian ChenDepartment of Mathematics and Statistics, University of Toledo, Toledo, OH, USA.
Chandra A ReynoldsDepartment of Psychology, University of California Riverside, Riverside, CA, USA.
Daniel E GustavsonDepartment of Psychiatry, University of California San Diego, La Jolla, CA, USA.
Carol E FranzDepartment of Psychiatry, University of California San Diego, La Jolla, CA, USA.
Sean N HattonDepartment of Psychiatry, University of California San Diego, La Jolla, CA, USA.
Kristen C JacobsonDepartment of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, IL, USA.
Rosemary ToomeyDepartment of Psychology, Boston University, Boston, MA, USA.
Ruth McKenzieDepartment of Psychology, Boston University, Boston, MA, USA.
Hong XianDepartment of Statistics, St Louis University, St Louis, MO, USA.
Michael J LyonsDepartment of Psychology, Boston University, Boston, MA, USA.
William S KremenDepartment of Psychiatry, University of California San Diego, La Jolla, CA, USA.

Funding

The VETSA Longitudinal Twin Study of Cognition and Aging (VETSA 4)R01AG050595 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ELMAN, JEREMY A, FRANZ, CAROL ELAINE · 2015 to 2024
$28.0M
The VETSA Longitudinal MRI Twin Study of AgingR01AG022381 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KREMEN, WILLIAM S. · 2003 to 2019
$22.3M
The VETSA Longitudinal Twin Study of Cognition and AgingR01AG018384 · NIA · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI LYONS, MICHAEL J. · 2002 to 2012
$9.8M
The VETSA longitudinal twin study of cognition and agingR01AG018386 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KREMEN, WILLIAM S. · 2002 to 2012
$9.7M
The VETSA Longitudinal Twin Study of Cortisol and AgingR01AG022982 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KREMEN, WILLIAM S. · 2004 to 2007
$2.6M
Testosterone-Androgen Receptor Genetics: Role in Cognitive and Biological AgingK08AG047903 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI PANIZZON, MATTHEW S · 2014 to 2017
$452k
Archiving the Vietnam Era Twin Studies of Aging (VETSA): New Uses for Old DataR03AG046413 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FRANZ, CAROL ELAINE · 2013 to 2014
$247k
NIA NIH HHS K08 AG047903NIA NIH HHS R01 AG018384NIA NIH HHS R01 AG018386NIA NIH HHS R01 AG022381NIA NIH HHS R01 AG022982NIA NIH HHS R01 AG050595NIA NIH HHS R03 AG046413
6 · The paper itself

Abstract

introductionLongitudinal testing is necessary to accurately measure cognitive change. However, repeated testing is susceptible to practice effects, which may obscure true cognitive decline and delay detection of mild cognitive impairment (MCI).

methodsWe retested 995 late-middle-aged men in a ∼6-year follow-up of the Vietnam Era Twin Study of Aging. In addition, 170 age-matched replacements were tested for the first time at study wave 2. Group differences were used to calculate practice effects after controlling for attrition effects. MCI diagnoses were generated from practice-adjusted scores.

resultsThere were significant practice effects on most cognitive domains. Conversion to MCI doubled after correcting for practice effects, from 4.5% to 9%. Importantly, practice effects were present although there were declines in uncorrected scores. DISCUSSION: Accounting for practice effects is critical to early detection of MCI. Declines, when lower than expected, can still indicate practice effects. Replacement participants are needed for accurately assessing disease progression.

Indexed as

Cognitive changeLongitudinal testingMild cognitive impairmentPractice effectsRepeat testingSerial testing

Identifiers

PMID30003138
PMCPMC6039708

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.