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. Author manuscript; available in PMC: 2009 Jul 20.
Published in final edited form as: Alzheimers Dement. 2007 Apr;3(2):109–121. doi: 10.1016/j.jalz.2007.02.002

Box 2.

Overview of MATS* informational sections

Basic demographic information
 name, telephone number, address, name of physician/date of last visit
 date of birth, handedness, yrs of education, parents' yrs of education
 profession/occupation, primary language, height, weight
 referral source, factors leading to participation (e.g., concern about memory, helping research)
 name and relation of collateral informant

Current and past medical and psychiatric history
 overview of health concerns, surgeries, neuroimaging, hearing, vision, medications/dosages
 vitamins, nutritional supplements, hypertension, current blood pressure, cholesterol
 cancer (and consequent treatments), neurological diseases, headaches/migraines, respiration
 arthritis, diabetes, sleep, appetite, balance, incontinence
 alcohol, drug, or nicotine use, depression, anxiety, psychosis, learning or attention difficulties
 family medical and psychiatric history (particularly with regard to memory loss)
Pre-MRI metal screen
 metal in body or eyes, pacemaker, aneurysm clip, neurostimulator
 dental braces, non-removable retainer, bone fractures treated with screws, rods, pins
 cochlear, otologic, or ear implant
 tattoos or permanent eye liner, claustrophobia
Description of study
 overview of study goals and assessment techniques (e.g., neuropsychological evaluation, hearing
 test, blood test, hearing test, functional and structural MRI)
 time requirements, stipend
*

MATS = Memory and Aging Telephone Screen