Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE)

Professional Reference articles are written by UK doctors and are based on research evidence, UK and European Guidelines. They are designed for health professionals to use, so you may find the language more technical than the condition leaflets.

See also separate Screening for Dementia article.

This informant questionnaire can be very useful in the screening and evaluation of dementia.[1, 2] When combined with cognitive tests such as the Mini Mental State Examination (MMSE), an useful overview is obtained and hence sensitivity and specificity as a screening test can be improved[3]Validity within primary and secondary care settings has been tested.[4, 5]A shortened 16-question form of the IQCODE has also been validated and is shown here.[6]

Each question is scored from 1 (much improved) to 5 (much worse). For the Short IQCODE, a cut-off point (average score) of 3.31/3.38 achieves a balance of sensitivity and specificity.[7]

Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE)
Short Form
Compared with 10 years ago how is this person at:
1. Remembering things about family and friends -
eg, occupations, birthdays, addresses?
2. Remembering things that have happened recently?
3. Recalling conversations a few days later?
4. Remembering his/her address and telephone number?
5. Remembering what day and month it is?
6. Remembering where things are usually kept?
7. Remembering where to find things which have been put in a different place from usual?
8. Knowing how to work familiar machines around the house?
9. Learning to use a new gadget or machine around the house?
10. Learning new things in general?
11. Following a story in a book or on TV?
12. Making decisions on everyday matters?
13. Handling money for shopping?
14. Handling financial matters - eg, the pension, dealing with the bank?
15. Handling other everyday arithmetic problems - 
eg, knowing how much food to buy, knowing how long between visits from family or friends?
16. Using his/her intelligence to understand what's going on and to reason things through?
Average score per question =

Short Form of the Informant Questionnaire on Cognitive Decline in the Elderly (Short IQCODE) by A. F. Jorm, Centre for Mental Health Research, The Australian National University, Canberra, Australia.

Note: as used in published studies, the IQCODE was preceded by questions to the informant on the subject's sociodemographic characteristics and physical health.

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