A study of the utility of a computerised version of the MBT in assessing cognition in a population with mixed neuropsychiatric presentations. (360G-Wellcome-206889_Z_17_Z)

This study aims to explore the usefulness of MBTc (computerised version of the months backwards test) at detecting delirium. A major challenge in accurately detecting delirium is the lack of a reliable and convenient tool that can be used in everyday practice (O’Hanlon et al 2013). Despite the ease of use of the verbal Months Backwards Test, there are inconsistencies in how it is administered e.g. how to deal with errors and the use of prompts. A novel computerised version of the months backwards test has been developed at the University of Limerick and its performance has been examined in a population of hospitalised elderly patients and cognitively intact young people. The MBTc test had a high correlation with the verbal version of the test and demonstrated excellent sensitivity for detecting cognitive impairment in elderly patients. It is thought the enhanced standardisation of administration of the computerised version of the test will improve reliability of clinical detection of these symptoms. Participants will also be asked to complete other psychiatry tests e.g. Serial Sevens and WORLD backwards. Patients’ perspectives of the various tests will be sought. The above investigations will form part of a standard Consultation Liaison Psychiatry assessment.