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  3. /Trail Making Test A

Processing Speed

Trail Making Test A

Capture visual scanning and sequencing speed with a remote-friendly browser version of TMT-A.

2-3 minTimed: desktop or laptop with a mouse or trackpad

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Free to start: 10 free participants per account, then $0.99 per participant for academic research, or any yearly plan. Try it here first, with no account.

Papers, 2021 to 2025
3,944
Evidence grade
A
Registered clinical studies
2,293
How these are counted
1
2
3
4
5
6
7
8
Connect numbers in order
  • Overview
  • Evidence
  • Quality checks
  • Settings
  • Cite
  • Questions

What it measures

Measures processing speed and visual scanning by asking participants to connect numbered circles in ascending order as quickly as possible.

Constructs

  • Visual scanning
  • Processing speed
  • Number sequencing
  • Psychomotor coordination

Research uses

  • Neuropsychological screening
  • Traumatic brain injury assessment
  • Dementia screening (part of standard battery)
  • Psychomotor speed evaluation
  • Pre-surgical cognitive baseline

How the paradigm works

Trail Making Test Part A measures visual scanning and processing speed. Participants must connect 25 numbered circles in ascending order (1-2-3-...25) as quickly as possible by clicking each circle in sequence. The circles are randomly positioned on a canvas.

More about the paradigm

The task was originally developed for the Army Individual Test Battery (1944) and later incorporated into the Halstead-Reitan Neuropsychological Battery. Part A primarily measures psychomotor speed and visual search efficiency with minimal cognitive demand beyond number sequencing.

Completion time is the primary outcome. Errors are tracked but in the computerized version, incorrect clicks are simply rejected (the circle doesn't connect), so errors primarily reflect misclicks rather than sequencing failures. TMT-A serves as the motor-speed baseline against which TMT-B performance is compared to isolate executive function.

Scores

Completion Timems
Total time from first click to connecting the final circle. Primary speed measure.
Lower is better
Completion Time (sec)seconds
Same as completion time, converted to seconds with one decimal place.
Lower is better
Errorscount
Number of incorrect clicks (wrong circle selected).
Lower is better
Total Circlescount
Number of circles in the trail (25 for TMT-A).
Informational

Use and evidence

3,944 papers from 2021 to 2025 name this task in their title or abstract, up 22% compared with 2016 to 2020. That ranks it 5 of 582 test families in our census. The counts cover every version of the task, so the Trail Making Test B page shows the same figures. See the counts for every test.

2021 to 2025, the years gradedEarlier years
Papers per year naming the Trail Making Test A, 2000 to 2025Bar chart. 2021: 708; 2022: 648; 2023: 841; 2024: 803; 2025: 944 papers. Peak year 2025.02505007501,0002000: 92 papers2001: 85 papers2002: 90 papers2003: 102 papers2004: 98 papers2005: 138 papers2006: 208 papers2007: 199 papers2008: 274 papers2009: 273 papers2010: 330 papers2011: 389 papers2012: 421 papers2013: 449 papers2014: 496 papers2015: 595 papers2016: 576 papers2017: 627 papers2018: 646 papers2019: 667 papers2020: 720 papers2021: 708 papers2022: 648 papers2023: 841 papers2024: 803 papers2025: 944 papers200020052010201520202025
Papers per year naming the Trail Making Test A, 2000 to 2025Bar chart. 2021: 708; 2022: 648; 2023: 841; 2024: 803; 2025: 944 papers. Peak year 2025.02505007501,0002000: 92 papers2001: 85 papers2002: 90 papers2003: 102 papers2004: 98 papers2005: 138 papers2006: 208 papers2007: 199 papers2008: 274 papers2009: 273 papers2010: 330 papers2011: 389 papers2012: 421 papers2013: 449 papers2014: 496 papers2015: 595 papers2016: 576 papers2017: 627 papers2018: 646 papers2019: 667 papers2020: 720 papers2021: 708 papers2022: 648 papers2023: 841 papers2024: 803 papers2025: 944 papers200020052010201520202025
Papers per year whose title or abstract names this task (OpenAlex).
Show the numbers
YearPapers
2025944
2024803
2023841
2022648
2021708
2020720
2019667
2018646
2017627
2016576
2015595
2014496
2013449
2012421
2011389
2010330
2009273
2008274
2007199
2006208
2005138
200498
2003102
200290
200185
200092
A

Use grade A

1,000 or more papers from 2021 to 2025.

A

Evidence grade A

At least 25 papers report its test-retest reliability and at least 25 registered clinical studies use it as an outcome.

Papers on test-retest reliability
161
Papers on reliability or validity
1,323
Registered clinical studies using it as an outcome
2,293

See which registered studies use it

Measured on ConductCognition

Pooled across the studies that feed our platform norms, by device group. A figure needs 50 or more people.

No pooled figure yet.

How the grades work

Use: A is 1,000 or more papers from 2021 to 2025, B 300 to 999, C 100 to 299, D 30 to 99 and E fewer than 30. Evidence: A means at least 25 papers report its test-retest reliability and at least 25 registered clinical studies use it as an outcome; B, at least 8 test-retest papers, and either 5 registered clinical studies or 150 reliability or validity papers; C, at least 2 test-retest papers, 30 reliability or validity papers or 3 registered clinical studies; D, little published measurement evidence found. The counts measure use. They include every paper that names the task in its title or abstract. Grades describe the published research on this task, not ConductCognition's version of it.

Source: ConductCognition test census 0.39.0, counted 31 October 2026 from OpenAlex and ClinicalTrials.gov.

Quality checks

Each session is marked valid, needs review or invalid, with the reason, before you see its scores.

Scored row: trailmaking_test. A completion time has no chance level. A trail not finished within 5 minutes is flagged. On a screen shorter than 800 px the percentile is withheld, because the 700 px test area, its instruction line and the progress bar need about 790 px.

Why these rules

There is no correct option to compare with chance, so accuracy is not judged against chance. An unfinished trail is the clinical discontinue result at 300 s, so it is flagged, not invalid. Completion time includes mouse travel; if part of the trail is below the screen edge the participant must scroll during the timed test, which adds time that is not processing speed.

Running this test

Settings you can change

This test runs with fixed settings.

How test settings work

Need a different version of this test?

Devices and languages

  • Timed test: participants need a desktop or laptop with a mouse or trackpad. Participant devices
  • Languages: English, Spanish, French, German, Italian, Portuguese (Brazil), Chinese (Simplified) and Japanese.
  • Available on: Every plan, including the free plan.
  • Recruiting online? See the setup guides for Prolific, Sona Systems, CloudResearch Connect and Qualtrics.

Included in these batteries

Each battery runs this test with others in a fixed order, with standard settings.

  • Language-Minimized Screening Battery8 tests, 30 minutes per participant
  • Older Adult Executive Speed Battery4 tests, 20 minutes per participant

Cite and describe

Methods text, with the standard settings

Participants completed the Trail Making Test A in a web browser (ConductCognition task version 1.0.0, scoring version 1.0.0; Reitan, 1958; Army Individual Test Battery, 1944). The main score was completion time (total time from first click to connecting the final circle).

Paradigm source: Reitan (1958); Army Individual Test Battery (1944).

ConductCognition versions: task version 1.0.0, scoring version 1.0.0. Every export records the versions each session used, for a methods section.

Source papers

  • Tombaugh TN (2004). Trail Making Test A and B: Normative data stratified by age and education. Archives of Clinical Neuropsychology, 19(2):203-214.Paradigm source

Questions

How long does the Trail Making Test A take?

About 2 to 3 minutes, as listed in the test library.

What device does a participant need?

Timed test: participants need a desktop or laptop with a mouse or trackpad. The browser must be Chrome, Edge, Firefox or Safari.

What scores does it produce?

Completion Time, Completion Time (sec), Errors and Total Circles. Each session is also marked valid, needs review or invalid, with the reason.

How widely is the Trail Making Test A used in research?

3,944 papers from 2021 to 2025 name it in their title or abstract, up 22% compared with 2016 to 2020. That ranks it 5 of 582 test families in the ConductCognition test census (use grade A). Source: ConductCognition test census 0.39.0, counted 31 October 2026 from OpenAlex and ClinicalTrials.gov.

How much reliability evidence does the Trail Making Test A have?

In the published research, 161 papers report its test-retest reliability and 2,293 registered clinical studies use it as an outcome (evidence grade A in the ConductCognition test census).

Which languages can participants use?

Participants can take this test in English, Spanish, French, German, Italian, Portuguese (Brazil), Chinese (Simplified) and Japanese. English is on every plan, and the other languages come with yearly plans. Have a native speaker read the machine-translated text before launch.

Is this a clinical test?

No. ConductCognition is for research use only. It runs, scores and exports the test; clinical interpretation is outside the platform.

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