The BCAT is a multi-domain cognitive instrument that assesses orientation, verbal recall, visual recognition, visual recall, attention, abstraction, language, executive functions, and visuo-spatial processing in adult and older adult populations.
21
15-20 minutes
Initially reviewed by William Mansbach, PhD, Ryan A. Mace, and Kristen M. Clark in 8/2014.
Endorsed by the National Association of Professional Geriatric Care Managers
When time is especially limited, the therapist might choose to administer the short form of the BCAT (BCAT-SF). If the therapist is particularly concerned about IADL skills, he/she may want to administer the Kitchen Picture Test (of practical judgment). Information about both tools, and other information, is available athttps://www.thebcat.com/bcat-test-system.
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Older adults (aged 60+): (Mansbach, MacDougall, & Rosenzweig, 2012)
Community-dwelling: (Mansbach, MacDougall, Clark, & Mace, in press; n = 49; mean age = 69.33 ± 9.27)
Assisted living facilities: (Mansbach et al., 2012)
Assisted living facilities: (Mansbach et al., 2012)
Skilled nursing facilities: (Mansbach, Mace, & Clark, 2014)
Community-dwelling adults: (Mansbach et al., in press)
Assisted living facilities: (Mansbach et al., 2012)
Skilled nursing facilities: (Mansbach, Mace, & Clark, 2014)
Community-dwelling adults: (Mansbach et al., in press)
Assisted living facilities: (Mansbach et al., 2012)
Skilled nursing facilities: (Mansbach, Mace, & Clark, 2014)
Community-dwelling adults: (Mansbach et al., in press)
The tool was developed over an 18-month period. Initially, there were 30 items and nine items were deleted based on feedback from two psychologists trained in neurocognitive assessment. Several of the items were revised to improve their clarity.
Not statistically assessed, however, each item was screened for face validity by two psychologists trained in neurocognitive assessment. The 21 items were pilot tested in various clinical situations.
Not statistically assessed, however, the BCAT may be less sensitive in differentiating between moderate and severe impairment (BCAT < 25)
We recommend using the BCIS when severe cognitive impairment has already been established, or when the patient scores under 25 on the BCAT.
MacDougall, E. E., & Mansbach, W. E. (2013). The Judgment Test of the Neuropsychological Assessment Battery (NAB): psychometric considerations in an assisted-living sample. Clin Neuropsychol, 27(5), 827-839.
MacDougall, E. E., Mansbach, W. E., Clark, K., & Mace, R. A. (2014). The brief cognitive assessment tool (BCAT): cross-validation in a community dwelling older adult sample. Int Psychogeriatr, 1-8.
Mansbach, W. E., MacDougall, E. E., Clark, K. M., & Mace, R. A. (2014). Preliminary investigation of the Kitchen Picture Test (KPT): a new screening test of practical judgment for older adults. Neuropsychol Dev Cogn B Aging Neuropsychol Cogn, 21(6), 674-692.
Mansbach, W. E., MacDougall, E. E., & Rosenzweig, A. S. (2012). The Brief Cognitive Assessment Tool (BCAT): a new test emphasizing contextual memory, executive functions, attentional capacity, and the prediction of instrumental activities of daily living. J Clin Exp Neuropsychol, 34(2), 183-194.
Mansbach, W. E., Mace, R. A., & Clark, K. M. (2014a). Differentiating levels of cognitive functioning: a comparison of the Brief Interview for Mental Status (BIMS) and the Brief Cognitive Assessment Tool (BCAT) in a nursing home sample. Aging Ment Health, 18(7), 921-928.
Mansbach, W. E., Mace, R. A., & Clark, K. M. (2014b). Story recall and word lists: differential and combined utilities in predicting cognitive diagnosis. J Clin Exp Neuropsychol, 36(6), 569-576.
We have reviewed more than 500 instruments for use with a number of diagnoses including stroke, spinal cord injury and traumatic brain injury among several others.