Table of ContentsView AllTable of ContentsWhat Is the SAGE test?How to Take ItHow It WorksWhen to See Your Healthcare ProviderFrequently Asked Questions
Table of ContentsView All
View All
Table of Contents
What Is the SAGE test?
How to Take It
How It Works
When to See Your Healthcare Provider
Frequently Asked Questions
Daly and Newton OJO Images / Getty Images
SAGE is a self-administered test available online. It has been scientifically evaluated in comparison with othercommon dementia testsand has been found to be an accurate tool to identify signs of memory and thinking impairment. While not meant to replace a clinical assessment, the SAGE test can be helpful in identifying cognitive losses earlier, when treatment may be most effective.
The SAGE test contains a series of questions that measure cognitive functioning. There are actually four different tests to choose from, and they are all interchangeable. If you took all four (you only need to take one), you should score essentially the same on each test.
The different options are available to reduce the chances of inaccurate scoring that can result from re-taking the same test too frequently.
SAGE Test Sample QuestionsHere are examples of three questions you might encounter on the SAGE test:You are purchasing $13.45 worth of groceries. How much change would you receive back from a $20 bill?Draw the face of aclockand put in the numbers. Position the hands for 5 minutes after 11 o’clock, On your clock, label the long hand with an “L” and the short hand with an “S.“Write down the names of 12 different animals.
SAGE Test Sample Questions
Here are examples of three questions you might encounter on the SAGE test:You are purchasing $13.45 worth of groceries. How much change would you receive back from a $20 bill?Draw the face of aclockand put in the numbers. Position the hands for 5 minutes after 11 o’clock, On your clock, label the long hand with an “L” and the short hand with an “S.“Write down the names of 12 different animals.
Here are examples of three questions you might encounter on the SAGE test:
Unlike other tests that charge a fee per use or require significant training for those who administer them, the SAGE test is both freely available and user-friendly. It can be taken in as little as 10 to 15 minutes (although there is no time limit).
The SAGE test measures:
There is a maximum score of 22 on the SAGE test. Researchers suggest adding one point to the score when the participant is over the age of 80, and another point if the participant has fewer than 12 years of education.
SAGE ScoringScores of 17 to 22 are within the normal range.Scores of 15 to 16 indicate likelymild cognitive impairment.Scores of 14 and below indicate a more serious cognitive problem.
SAGE Scoring
Scores of 17 to 22 are within the normal range.Scores of 15 to 16 indicate likelymild cognitive impairment.Scores of 14 and below indicate a more serious cognitive problem.
How Accurate Is It?
In terms of accuracy in diagnosing dementia, the SAGE test has higher sensitivity than the MMSE (95% vs. 90%) as well as higher specificity (79% vs. 71%).
Sensitivity refers to a test’s ability to correctly identify a disease, while specificity refers to a test’s ability to correctly identify those without a disease.
Certain conditions may affect the test, such as the language in which it is given or a medical issue like delirium.
After taking the SAGE test at home, it’s important to bring a copy to your healthcare provider for evaluation. While the SAGE test does not diagnose any specific condition, the results can help your healthcare provider know if further evaluation is needed and provide a baseline score to compare with future scores.
Healthcare provider evaluation is recommended for anyone scoring below 17 points on the SAGE test.
Who can take the SAGE test?
Anyone can take the SAGE test free of charge, whenever it’s convenient. The test can be downloaded online.
How many points are possible on the SAGE test?
The highest possible score on the SAGE test is 22. Add one additional point if the person taking the test is 80 or older, and one point if they have fewer than 12 years of education.
What does my SAGE test score mean?
Scores between 17 and 22 are within the normal cognitive range; 15 and 16 suggest likely mild memory or thinking impairments; 14 and below indicate a more severe memory or thinking condition.Healthcare provider evaluation is recommended for anyone scoring below 17.
A Word From Verywell
The SAGE test is a convenient way to assess your cognitive function if you are concerned about your memory,word-finding abilities, or other cognitive skills. However, it’s important to show your healthcare provider your results so that they can be interpreted accurately.
Early detection of cognitive concerns can identify possible reversible causes of forgetfulness and also allows for earlier and hopefully moreeffective treatmentif dementia is present.
6 SourcesVerywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Ohio State University Wexner Medical Center.SAGE: A test to detect signs of Alzehimer’s and dementia.SAGE Advice: Helping Patients Spot AD Earlier. A Q&A with Douglas Scharre, MD.Practical Neurology.Scharre DW, Chang SI, Nagaraja HW, et al.Community cognitive screening using the Self-Administered Gerocognitive Examination (SAGE).J Neuropsychiatry Clin Neurosci. 2014;26(4):369-375. doi:10.1176/appi.neuropsych.13060145Self-Administered Gerocognitive Examination-SAGE Test 1.The Ohio State University Wexner Medical Center.Explanation of SAGE Scoring.Scharre DW, Chang SI, Murden RA, et al.Self-administered gerocognitive examination (SAGE): a brief cognitive assessment Instrument for mild cognitive impairment (MCI) and early dementia.Alzheimer Dis Assoc Disord. 2010;24(1):64-71. doi:10.1097/WAD.0b013e3181b03277
6 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Ohio State University Wexner Medical Center.SAGE: A test to detect signs of Alzehimer’s and dementia.SAGE Advice: Helping Patients Spot AD Earlier. A Q&A with Douglas Scharre, MD.Practical Neurology.Scharre DW, Chang SI, Nagaraja HW, et al.Community cognitive screening using the Self-Administered Gerocognitive Examination (SAGE).J Neuropsychiatry Clin Neurosci. 2014;26(4):369-375. doi:10.1176/appi.neuropsych.13060145Self-Administered Gerocognitive Examination-SAGE Test 1.The Ohio State University Wexner Medical Center.Explanation of SAGE Scoring.Scharre DW, Chang SI, Murden RA, et al.Self-administered gerocognitive examination (SAGE): a brief cognitive assessment Instrument for mild cognitive impairment (MCI) and early dementia.Alzheimer Dis Assoc Disord. 2010;24(1):64-71. doi:10.1097/WAD.0b013e3181b03277
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
Ohio State University Wexner Medical Center.SAGE: A test to detect signs of Alzehimer’s and dementia.SAGE Advice: Helping Patients Spot AD Earlier. A Q&A with Douglas Scharre, MD.Practical Neurology.Scharre DW, Chang SI, Nagaraja HW, et al.Community cognitive screening using the Self-Administered Gerocognitive Examination (SAGE).J Neuropsychiatry Clin Neurosci. 2014;26(4):369-375. doi:10.1176/appi.neuropsych.13060145Self-Administered Gerocognitive Examination-SAGE Test 1.The Ohio State University Wexner Medical Center.Explanation of SAGE Scoring.Scharre DW, Chang SI, Murden RA, et al.Self-administered gerocognitive examination (SAGE): a brief cognitive assessment Instrument for mild cognitive impairment (MCI) and early dementia.Alzheimer Dis Assoc Disord. 2010;24(1):64-71. doi:10.1097/WAD.0b013e3181b03277
Ohio State University Wexner Medical Center.SAGE: A test to detect signs of Alzehimer’s and dementia.
SAGE Advice: Helping Patients Spot AD Earlier. A Q&A with Douglas Scharre, MD.Practical Neurology.
Scharre DW, Chang SI, Nagaraja HW, et al.Community cognitive screening using the Self-Administered Gerocognitive Examination (SAGE).J Neuropsychiatry Clin Neurosci. 2014;26(4):369-375. doi:10.1176/appi.neuropsych.13060145
Self-Administered Gerocognitive Examination-SAGE Test 1.
The Ohio State University Wexner Medical Center.Explanation of SAGE Scoring.
Scharre DW, Chang SI, Murden RA, et al.Self-administered gerocognitive examination (SAGE): a brief cognitive assessment Instrument for mild cognitive impairment (MCI) and early dementia.Alzheimer Dis Assoc Disord. 2010;24(1):64-71. doi:10.1097/WAD.0b013e3181b03277
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