Information-Memory-Concentration Test (ICM)

BioPsychoSocial Assessment Tools for the Elderly - Assessment Summary Sheet

Test: Information-Memory-Concentration Test (ICM)

Year: 1968

Domain: Psychological

Assessment Tool Category: Dementia/Alzheimer’s

Variations/Translations: For use in the United States, “Monarch” is replaced by “president” and “Prime Minister” by “Vice President”. There are also various abbreviations of the ICM.

Setting: Clinical practice and community settings

Method of Delivery: Clinical interview with patient.

Description: ICM gives a quantitative estimate of the degree of intellectual and personality deterioration in senile dementia. ICM uses tests or orientation, remote and recent memory and concentration to identify dementia and severity.

Scoring/Interpretation: Reverse scores range from 0 (no impairment) to 37 (severe impairment) where a positive score is given to each correct answer. Score from 0 to 8 indicate normality/ minimal impairment; 9 to 19 indicate moderate impairment; 20 to 37 indicate severe impairment.

Time to Administer: 10 minutes

Availability: Available in source article (Blessed et al., 1968) and McDowell (2006).

Software: N/A

Website: N/A

Quantitative/Qualitative: Quantitative

Validity (Quantitative): ICM correlated 0.81 with the Clinical Dementia Rating Scale, 0.94 with Mental Status Questionnaire, and -0.83, -0.80,-0.71 with the MMSE (using reverse scoring of ICM).

Reliability (Quantitative): Two to four week test-retest reliability (n=36) was 0.88. The Reliability of this test was compared to the MMSE and gave higher results ranging from 0.89 to 0.82 for the ICM.

References:

McDowell, I. (2006). Measuring Health: A guide to rating scales and questionnaires (3rd Ed.). New York: Oxford University Press.

Blessed, G., Tomlinson, B.E., Roth, M. (1968). The association between quantitative measures of dementia and of senile change in the cerebral grey matter of elderly subjects. Br J Psychiatry; 114, 797-811.

Comments: N/A