12 Toolbox Taste Test

NIH Toolbox for Assessment of Neurological and Behavioral Function (NIA)

Attach 12 Toolbox Taste Test

Adult Study Participants (baseline only + 1 retest)

OMB: 0925-0638

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Attachment 12

Toolbox Taste Test

OMB: 0925-XXXX
Expiration Date: XX/XX/XXXX
Name of test: Toolbox Taste Test1
Estimated Time Burden: 5 minutes
Instructions to participant:
Introduction: “Now I am going to test your sense of taste. To do this we will be using a salty flavor
and a flavor found in tonic water.”
“Before the tasting, I am going to ask you to use this scale to rate how weak or strong some
sensations are to you. Some of these sensations are things that you will experience. Some of these
sensations are what you will recall experiencing in the past.”
“This scale ranges from ‘no sensation’ at the bottom to the ‘strongest imaginable sensation of any
kind’ at the top.”
“The top of the scale (Strongest Imaginable Sensation of Any Kind) refers to any kind of
experience, for example sound, brightness of light, even those sensations that might be painful.
“This is how you use this scale.” Demonstrate how the participant can use the mouse pointer on the
scale.

Public reporting burden for this collection of information is estimated to average 2 1/2 hours per response, including the time
for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and
reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a
collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden
estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: NIH, Project
Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-xxxx*) EXP:
(xx/xxxx). Do not return the completed form to this address.

The anchors for the scale are:
Strongest Imaginable Sensation of Any Kind; Very Strong; Strong; Moderate; Weak;
Barely Detectable; No Sensation
The on-screen instructions read:
How to use this scale:
Choose a word on the scale that describes what you experience or what you remember
Make a mark anywhere on the line by clicking on it. For example, if the sensation you experience
is more than “moderate” but not quite “strong”, use the mouse to mark on the line between
moderate and strong.
Move the mark until you think it best represents how you feel. You can do this by dragging the
arrow.
When you are happy with the position of the mark, press the OK button.
The top of the scale, “strongest imaginable sensation of any kind,” refers to any kind of experience
(for example, sound, brightness of light), even those sensations that might be painful.

OMB: 0925-XXXX
Expiration Date: XX/XX/XXXX
“You can use the mouse pointer to choose a word on the scale that describes what you experience
or what you remember. You can click anywhere on the line. For example, if the sensation you
experience is more than ’moderate‘ but not quite ’strong,‘ you can use the mouse pointer to mark
a spot between moderate and strong.”
“Move the mouse pointer until you think it best represents how you feel, and then click on that
spot on the scale. If you would like, you can fine-tune your rating by using the up and down
arrows on the computer keyboard. When you are happy with the position of the mark, click on the
OK button.”
Once the participant has clicked the OK button, say: “Let’s try some examples.”
Practice Trial 1:
Say: “Use this scale to rate the brightness of a well-lit room. How strong or intense is the
brightness to you? When you are finished, click on the OK button.”
Practice Trial 2:
Say: “Please remember the brightness of a dimly lit restaurant, where the only light is from
candles on the table. Would you say the strength or intensity of a dimly lit restaurant is less bright
or brighter than the light in a well-lit room? Use the scale to rate the brightness of a dimly lit
restaurant. When you are finished, click on the OK button.”
Practice Trial 3:
Say: “Now think about the brightest light you have ever seen. Use the scale to rate the intensity or
strength of the brightest light you have ever seen. When you are finished, click on the OK
button.”
NOTE: If a participant has difficulty using the mouse or the keyboard, he/she may orally direct the
examiner where she/he wants the pointer. When this happens, the examiner should say something like
the following to the participant: “You can tell me where you want the pointer and then I will use the
mouse and keyboard to choose for you.”
If a participant asks about the contents of the cups; the examiner can answer that the liquids are a
mixture of salt and water and quinine and water.

OMB: 0925-XXXX
Expiration Date: XX/XX/XXXX
Administration Instructions for Test Items:
There are 4 trials: 1) quinine on the tongue tip and 2) salt on the tongue tip, 3) quinine in the whole
mouth, and 4) salt in the whole mouth. The examiner should have a cup of quinine and a cup of
salt solution available before beginning the test.
Say: “Before we begin, please rinse out your mouth two times with the bottled water and then spit
the rinse water into this container.” Continue: “Now, I am going to ask you to rate the
strength of these tastes. First, I will put some of the solution across the tip of your tongue
and ask for a rating. To begin, I will put on these gloves.”
Step 1: The examiner should put on gloves for the remainder of this measure.
Step 2: Open the cup of quinine solution and say: “Then, I will put this cotton swab into the
solution.”

Step 1

Step 3: Tongue out

Step 2

Step 3: Continue: “Please hold your tongue out like this picture. If you want, you can close your lips
around your tongue.”.

Say: “As shown in these pictures, I am going to start on your left side and gently put some solution
across the tip of your tongue. Please give me the intensity rating right after I apply the taste
and before you put your tongue back into your mouth.” The examiner should carefully and
gently apply the solution in a slow, continuous motion from the left side of the tongue across the
tip and finishing on the right side of the tongue.

Move from left

to middle

to right side

Test Item 1:
Using the cotton swab paint the quinine on the tip of the tongue as described earlier, and say: “Now,
show me the strength or intensity of the taste on the scale you used before. Click the OK
button when you are finished.”
Have the participant rinse out his/her mouth with the bottled water between Items 1 & 2, and say:
“Please rinse out your mouth two times with the bottled water and spit the rinse
water into this container.”
Test Item 2:
Open the container with the salt solution. Using a new cotton swab paint the salt solution on the tip of
the tongue as described earlier, and say: “Now, show me the strength or intensity of the taste
on the scale you used before. Click the OK button when you are finished.”
Have the participant rinse out his/her mouth with the bottled water between Items 2 & 3, and say:
“Please rinse out your mouth two times with the bottled water and spit the rinse
water into this container.”
Test Item 3;
Hand the participant the small cup with quinine and say: “Next, I would like you to sip all of the
solution in this cup. Try not to drink the solution, but hold it and gently move it around in
your mouth until I tell you to spit it out in this container.”

After the participant sips the solution, the examiner should count for three seconds (one-thousand-one,
one-thousand-two, one-thousand-three), and then say: “Spit out the solution in your mouth
and swallow whatever remains. Then, rate the strength or intensity of the taste on the
same scale you used before. Click the OK button when you are finished.”
Have the participant rinse out his/her mouth with the bottled water between Items 3 & 4, and say:
“Please rinse out your mouth two times with the bottled water and spit the rinse
water into this container.”
Test Item 4:
Hand the participant the small cup with the salt solution and say: “Next, I would like you to sip all of
the solution in this cup. Try not to drink the solution, but hold it and gently move it
around in your mouth until I tell you to spit it out in this container.”
After the participant sips the solution, the examiner should count for three seconds (one-thousand-one,
one-thousand-two, one-thousand-three), and then say: “Spit out the solution in your mouth
and swallow whatever remains. Then, rate the strength or intensity of the taste on the
same scale you used before. Click the OK button when you are finished.”
LASTLY: After the last item is administered, give the participants the bottle of water and encourage
them to drink it and/or rinse some more. The examiner should say: “Now that we have
finished, you may drink some more water to clean out your mouth.”
The participant may be offered a candy to help overcome any remaining taste in his or her mouth.
[Note: sugar-free candy may be needed for diabetic participants].


File Typeapplication/pdf
File TitleMicrosoft Word - Attach 12 Toolbox Taste Test
AuthorVitali Ustsinovich
File Modified2011-04-05
File Created2011-04-05

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