Clinical Resources

NUCOG

The NUCOG is a cognitive screening tool first developed in the Neuropsychiatry Unit in 2000. It is a pen-and-paper cognitive screening tool that combines a thorough coverage of major cognitive domains (attention, memory, language, executive and visuospatial function) with relative brevity and ease of use.

Validated in a wide variety of psychiatric, neurologic and general medical populations, NUCOG provides a multidimensional profile of an individual's cognitive status. When integrated with a clinical assessment, this can greatly assist in the diagnosis and management of cognitive disorders and serve as a guide to more in-depth formal neuropsychological testing.

The NUCOG can be used and administered by psychiatrists, psychologists, psychiatric nurses, medical practitioners and other allied health practitioners. It is in widespread use throughout Australia, particularly in psychiatric and neurological settings. It is published in a paper format by ACER Press Ltd and can be accessed at this link.

Why use the NUCOG? The NUCOG provides multidimensional scoring, covers areas of cognitive function that other tools neglect (executive functioning, spatial memory), is portable and straightforward to use with minimal training. The NUCOG is suitable for use in general medical, neurological, psychiatric and geriatric settings.

NUCOG ON IPAD

The NUCOG is now available in a stand-alone format on the iPad. The current version of the NUCOG replaces the need for pencil and paper testing, with subjects able to write directly on the iPad's screen in spatial and written tasks.

Find out more about the iPad NUCOG here, or press the button below to order it directly from iTunes.

If you would like to learn more about the NUCOG (including validation of the tool and its use in specific populations), or if you have specific NUCOG research ideas or plans to use the tool in other populations, reach out to us:

NUCOG research may be found here:

  • Utility and validity of a brief cognitive assessment tool in patients with epileptic and non-epileptic seizures — Read
  • Differential putaminal morphology in Huntington's disease, frontotemporal dementia and Alzheimer's disease — Read
  • We have also shown that NUCOG scores correlate with ocular-motor biomarkers in this disorder, in this paper.
  • Subcortical volumetric reductions in adult Niemann-Pick type C: a cross-sectional study. Am J Neuroradiol, in press.
  • Abel et al. Saccadic eye movement characteristics in adult Niemann-Pick type C disease: relationships with disease severity and brain structural measures.
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CogRisk

The CogRisk: A StructuredCognitive History Tool

The CogRisk is a freely available, validated cognitive assessment tool for informants of a patient with suspected cognitive impairment. Ideally suited for waiting room use, the CogRisk is a two-page questionnaire for informants to complete that captures both current cognitive symptoms and actuarial risk variables for cognitive impairment. It allows not just for an exhaustive cognitive history to be taken highly efficiently, but also facilitates a clinician's greater focus on a particular "flagged" area of cognitive impairment.

The CogRisk takes under ten minutes to complete. One strong indirect benefit we have noticed through its use is it allows family and carers to feel heard about their concerns about an individual's cognitive or behavioural changes, and strongly engages caregivers in the cognitive assessment process. The CogRisk takes less than ten minutes to complete.

VALIDATION OF THE COGRISK

In our original validation paper, we showed that the CogRisk showed strong internal consistency, and correlated strongly with scores on the NUCOG and MMSE. Its sensitivity and specificity for detection of dementia proved to be roughly similar to using the NUCOG, and combining its use with the NUCOG significantly increased its capacity to detect cognitive impairment. The validation paper in PDF format is displayed below.

DOWNLOADING THE COGRISK

The CogRisk is freely available for download. The CogRisk is in a two-page, PDF format and can be printed out for use.

Download the CogRisk here

THOUGHTS ON RESEARCH USING THE COGRISK?

If you have any specific thoughts on using the CogRisk in research or other clinical settings, please contact A/Prof Mark Walterfang or Prof Dennis Velakoulis. We're always keen to support other ideas for clinical research using the CogRisk or other cognitive tools.

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BATCH

The Batch: A Structured Cognitive Assessment Tool For Inpatient/Residential Settings

Developed in concert with occupational therapist Kathryn Miller at the Neuropsychiatry Unit, the BATCH is an observational tool for individuals who may not be able to tolerate or readily undergo formal cognitive testing (due to agitation, language difficulties, or severe mental illness).

Suitable for inpatient psychiatric, aged psychiatry or nursing home settings, the BATCH allows for the rating of an individual's instrumental function to determine their degree of cognitive impairment. In its original study, it was undertaken by nursing staff with an occupational therapist, and is scored by consensus agreement.

VALIDATION OF THE BATCH

In our original validation paper, we showed that the BATCH correlated strongly with cognition as measured by the NUCOG, and a linear regression analysis showed that the greatest determinant of BATCH scores was performance on the NUCOG. It showed a strong capacity to differentiate demented from non-demented patients, and demonstrated that careful behavioural observation can provide a useful proxy of cognitive functioning.

Miller et al. Validity and reliability of the Behavioural Assessment Tool for Cognition and Higher Function (BATCH) in neuropsychiatric patients. Aust NZ J Psychiatry 41: 697-704, 2007.

DOWNLOADING THE BATCH

The BATCH is freely available for download. The BATCH is in a two-page, PDF format and can be printed out for use.

Download the BATCH here.

THOUGHTS ON RESEARCH USING THE BATCH?

If you have any specific thoughts on using the BATCH in research or other clinical settings,, please contact Professor Mark Walterfang or Professor Dennis Velakoulis. We're always keen to support other ideas for clinical research using the CogRisk or other cognitive tools.

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