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Mild Cognitive ImpairmenteSAGENCT02544074

Validity of the Electronic Self-Administered Gerocognitive Examination (eSAGE)

An observational study of Mild Cognitive Impairment and Dementia, run by Ohio State University at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The Self-Administered Gerocognitive Examination (SAGE) is a valid and reliable cognitive assessment tool used to identify both Mild Cognitive Impairment (MCI) and early dementia. Read more about this study

Who is it for?
Ages 50 years and olderHealthy volunteers can take part
Conditions the study is for
Mild Cognitive Impairment, Dementia
What is being tested?
neuropsychological testing and eSAGE testing
How many people
69 participants
Where
1 siteUnited States
Study dates
Jan 2015to 13 Nov 2024
Phase
Observational
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 50 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Subjects will be recruited from a wide variety of community events including senior centers, health fairs, educational talks to lay public, independent and assisted living facilities, and free memory screens as well as from ambulatory Geriatric or Memory Disorders Clinics. The SAGE cognitive screening tool will be given to all subjects willing to take the test.Participants who complete the SAGE test and meet inclusion and exclusion criteria will be divided into groups based on their initial SAGE scores. Each group will be composed of subjects with the same score. Individuals will be randomly selected from each group and asked to further participate in a one-time clinical evaluation. Addendum: Subjects will be recruited from community events and our clinic and research center.

Who may be able to join

  • Adults over 49 years old of either gender
  • Vision and hearing sufficient for compliance with tests

Who cannot join

  • Diagnosis by a physician of moderate or severe dementia
  • Intellectual disability

Trial locations and contacts

1 site in 1 country.

United States1 site
  • The Ohio State University

    Columbus, Ohio, 43221

Other trials in United States

About this study

The Self-Administered Gerocognitive Examination (SAGE) is a valid and reliable cognitive assessment tool used to identify both Mild Cognitive Impairment (MCI) and early dementia. SAGE's self-administered feature, pen and paper format, and four equivalent interchangeable forms allows it to be given in almost any setting, does not require any staff time to administer and makes it practical to rapidly screen large numbers of individuals in the community or in their home.This trial is being conducted to study the validity of SAGE in a digital format (eSAGE) for cognitive screening.

The investigators will analyze the data to learn the correlations between eSAGE and gold standard neuropsychological testing designed to differentiate normal cognition from MCI and early dementia. The investigators will also find out whether the paper (SAGE) and electronic (eSAGE) versions of SAGE could be used interchangeably or not.

Read more

Addendum:

The eSAGE was previously validated in an earlier stage of this trial. It was initially designed for tablet use and the exact same test has recently been formatted for smartphone use.

This addendum is being conducted to study the validity of the smartphone eSAGE compared to the tablet eSAGE for cognitive screening.

Read the detailed description

Participants will be recruited based on their eSAGE scores and evaluated with neuropsychological testing and medical history to determine their status as normal, mild cognitive impairment, or dementia.

The investigators will analyze the data to learn the correlations between eSAGE and gold standard neuropsychological testing designed to differentiate normal cognition from MCI and early dementia. The investigators will also find out whether the paper (SAGE) and electronic (eSAGE) versions of SAGE could be used interchangeably or not.

Addendum:

Subjects will be scheduled for a one time visit where they will be administered both the tablet eSAGE and the smartphone eSAGE. eSAGE tablet scores will be compared to eSAGE smartphone scores to determine if the two formats are equivalent to each other.

Being tested
neuropsychological testing, eSAGE testing
Medical subject headings
Cognitive Dysfunction, Dementia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • neuropsychological testingBehavioural

    standard neuropsychological testing including brief standardized assessments

  • eSAGE testingBehavioural

    Neuropsychological testing including the eSAGE tablet and eSAGE smartphone

Study groups in NCT02544074
Study groupRoleWhat they receive
eSAGE score of 10Participants who score a 10 on the eSAGE. Interventions include neuropsychological testing.
Receives: Behavioral: neuropsychological testing
eSAGE score of 11Participants who score an 11 on the eSAGE. Interventions include neuropsychological testing.
Receives: Behavioral: neuropsychological testing
eSAGE score of 12Participants who score a 12 on the eSAGE. Interventions include neuropsychological testing.
Receives: Behavioral: neuropsychological testing
eSAGE score of 13Participants who score a 13 on the eSAGE. Interventions include neuropsychological testing.
Receives: Behavioral: neuropsychological testing
eSAGE score of 14Participants who score a 14 on the eSAGE. Interventions include neuropsychological testing.
Receives: Behavioral: neuropsychological testing
eSAGE score of 15Participants who score a 15 on the eSAGE. Interventions include neuropsychological testing.
Receives: Behavioral: neuropsychological testing
eSAGE score of 16Participants who score a 16 on the eSAGE. Interventions include neuropsychological testing.
Receives: Behavioral: neuropsychological testing
eSAGE score of 17Participants who score a 17 on the eSAGE. Interventions include neuropsychological testing.
Receives: Behavioral: neuropsychological testing
eSAGE score of 18Participants who score a 18 on the eSAGE. Interventions include neuropsychological testing.
Receives: Behavioral: neuropsychological testing
eSAGE score of 19Participants who score a 19 on the eSAGE. Interventions include neuropsychological testing.
Receives: Behavioral: neuropsychological testing
eSAGE score of 20Participants who score a 20 on the eSAGE. Interventions include neuropsychological testing.
Receives: Behavioral: neuropsychological testing
eSAGE score of 21Participants who score a 21 on the eSAGE. Interventions include neuropsychological testing.
Receives: Behavioral: neuropsychological testing
eSAGE score of 22Participants who score a 22 on the eSAGE. Interventions include neuropsychological testing.
Receives: Behavioral: neuropsychological testing
eSAGE score of 9Participants who score a 9 on the eSAGE. Interventions include neuropsychological testing.
Receives: Behavioral: neuropsychological testing
eSAGE score of 8Participants who score an 8 on the eSAGE. Interventions include neuropsychological testing.
Receives: Behavioral: neuropsychological testing
eSAGE score of 6Participants who score a 6 on the eSAGE. Interventions include neuropsychological testing.
Receives: Behavioral: neuropsychological testing
eSAGE score of 7Participants who score a 7 on the eSAGE. Interventions include neuropsychological testing.
Receives: Behavioral: neuropsychological testing
eSAGE score of 5Participants who score a 5 on the eSAGE. Interventions include neuropsychological testing.
Receives: Behavioral: neuropsychological testing
eSAGE score of 4Participants who score a 4 on the eSAGE. Interventions include neuropsychological testing.
Receives: Behavioral: neuropsychological testing
eSAGE score of 3Participants who score a 3 on the eSAGE. Interventions include neuropsychological testing.
Receives: Behavioral: neuropsychological testing
eSAGE score of 2Participants who score a 2 on the eSAGE. Interventions include neuropsychological testing.
Receives: Behavioral: neuropsychological testing
Smartphone eSAGE score of 13Participants who score a 13 on the smartphone eSAGE. Interventions include neuropsychological testing.
Receives: Behavioral: eSAGE testing
Smartphone eSAGE score of 14Participants who score a 14 on the smartphone eSAGE. Interventions include neuropsychological testing.
Receives: Behavioral: eSAGE testing
Smartphone eSAGE score of 15Participants who score a 15 on the smartphone eSAGE. Interventions include neuropsychological testing.
Receives: Behavioral: eSAGE testing
Smartphone eSAGE score of 16Participants who score a 16 on the smartphone eSAGE. Interventions include neuropsychological testing.
Receives: Behavioral: eSAGE testing
Smartphone eSAGE score of 17Participants who score a 17 on the smartphone eSAGE. Interventions include neuropsychological testing.
Receives: Behavioral: eSAGE testing
Smartphone eSAGE score of 18Participants who score a 18 on the smartphone eSAGE. Interventions include neuropsychological testing.
Receives: Behavioral: eSAGE testing
Smartphone eSAGE score of 19Participants who score a 19 on the smartphone eSAGE. Interventions include neuropsychological testing.
Receives: Behavioral: eSAGE testing
Smartphone eSAGE score of 20Participants who score a 20 on the smartphone eSAGE. Interventions include neuropsychological testing.
Receives: Behavioral: eSAGE testing
Smartphone eSAGE score of 21Participants who score a 21 on the smartphone eSAGE. Interventions include neuropsychological testing.
Receives: Behavioral: eSAGE testing
Smartphone eSAGE score of 22Participants who score a 22 on the smartphone eSAGE. Interventions include neuropsychological testing.
Receives: Behavioral: eSAGE testing

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. eSAGE Score Compared to the Sum of the Neuropsychological Measures.

    Analysis will consist of comparing the subject's scores on the SAGE in digital format to their neuropsychological test scores. This will be a composite score of the neuropsychological testing scores. The neuropsychological measures include:

    • Boston Naming Test
    • Wisconsin Card Sort Task (WCST)
    • Hopkins Verbal Learning Test (HVLT)
    • FAS verbal fluency task
    • Wechsler Adult Intelligence Scale III (WAIS III) Letter-number and block design subtests

    Associations will be investigated using Spearman correlations.

    Measured: 3 Hours

Secondary outcomes (9)
  1. eSAGE Score Compared to the Paper SAGE Score

    The investigators will compare the subject's scores on the SAGE in digital format to their paper SAGE scores to determine if these two formats are equivalent to each other. Associations will be investigated using Spearman correlations.

    Measured: 3 hours

  2. eSAGE Score Compared to the Mini-Mental State Examination (MMSE) Score

    The investigators will compare the eSAGE scores with the Mini-Mental State Examination (MMSE) scores. Associations will be investigated using Spearman correlations.

    Measured: 3 hours

  3. eSAGE Score Compared to the Montreal Cognitive Assessment (MoCA) Score

    The investigators will compare the eSAGE scores with the Montreal Cognitive Assessment (MoCA) scores. Associations will be investigated using Spearman correlations.

    Measured: 3 hours

  4. eSAGE Score Compared to the Boston Naming Test Score

    The investigators will compare the eSAGE scores to the Boston Naming Test score. The Boston Naming Test consists of 60 pictures of nouns that subjects must try to name. Associations will be investigated using Spearman correlations.

    Measured: 3 hours

  5. eSAGE Score Compared to the Wisconsin Card Sort Task (WCST) Score

    The investigators will compare the eSAGE scores to the Wisconsin Card Sort Task (WCST) perseverative errors scores. Associations will be investigated using Spearman correlations.

    Measured: 3 hours

  6. eSAGE Score Compared to the Hopkins Verbal Learning Test (HVLT) Score

    The investigators will compare the eSAGE scores to the Hopkins Verbal Learning Test (HVLT) total learning scores. Associations will be investigated using Spearman correlations. The investigators will also compare the eSAGE scores to the Hopkins Verbal Learning Test (HVLT) delayed recall scores. Associations will be investigated using Spearman correlations.

    Measured: 3 hours

  7. eSAGE Score Compare to the FAS Verbal Fluency Task Score

    The investigators will compare the eSAGE scores to the FAS Verbal Fluency Task scores. Associations will be investigated using Spearman correlations.

    Measured: 3 hours

  8. eSAGE Score Compared to the Wechsler Adult Intelligence Scale III (WAIS III) Letter-number Score

    The investigators will compare the eSAGE scores to the WAIS III Letter-number scores. The WAIS III Letter-number test asks subjects to recall a series of numbers in increasing order and letters in alphabetical order. Associations will be investigated using Spearman correlations.

    Measured: 3 hours

  9. eSAGE Score Compared to the Wechsler Adult Intelligence Scale III (WAIS III) Block Design Score

    The investigators will compare the eSAGE scores to the WAIS III Block Design scores. The WAIS III Block Design requires the replication of red and white designs using three-dimensional colored blocks. Associations will be investigated using Spearman correlations.

    Measured: 3 hours

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Sep 2015 (estimated)
  2. Study startJan 2015
  3. Primary completion13 Nov 2024
  4. Study completion13 Nov 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Other
Time perspective
Prospective
Enrolment
69 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02544074
Sponsor's protocol ID
2014H0039
Acronym
eSAGE
Status last verified
Mar 2025
First submitted
18 Mar 2015
Last updated
25 Mar 2025
Data monitoring committee
No

Publications

  • Scharre DW, Chang SI, Nagaraja HN, Vrettos NE, Bornstein RA. Digitally translated Self-Administered Gerocognitive Examination (eSAGE): relationship with its validated paper version, neuropsychological evaluations, and clinical assessments. Alzheimers Res Ther. 2017 Jun 27;9(1):44. doi: 10.1186/s13195-017-0269-3.

    PubMed 28655351

Questions about this trial

What is this clinical trial studying?

An observational study of Mild Cognitive Impairment and Dementia, run by Ohio State University at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 25 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 6 Nov 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

eSAGE Score Compared to the Sum of the Neuropsychological Measures. (time frame: 3 Hours). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02544074, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Mar 2025.

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