The 40-item Monell Extended Sniffin’ Sticks Identification Test (MONEX-40)

► Development of a 40-item odor identification test for assessment of odor identification abilities in healthy subjects. ► MONEX-40 is an extension of the well established 16-item Sniffin’ Sticks Identification Test. ► MONEX-40 achieved a significant test–retest and split-half reliability. ► MONEX-40 can be used as a unified test of olfactory abilities in studies assessing pre- and post-experimental manipulation. Most existing olfactory identification (ID) tests have the primary aim of diagnosing clinical olfactory dysfunction, thereby rendering them sub-optimal for experimental settings where the aim is to detect differences in healthy subjects’ odor ID abilities. We have developed an extended version of the olfactory ID subtest of the Sniffin’ Sticks test battery to better assess the variability in ID scores and thereby olfactory abilities of healthy, adult individuals. Twenty-four odorants, corresponding cue labels, and distractor labels were added to the existing 16-item Sniffin’ Sticks ID test to create the 40-item Monell Extended Sniffin’ Sticks Identification Test (MONEX-40). The MONEX-40 was administered to 259 healthy young subjects, of which 72 were retested on an average of 212 days (SD 112 days) later. The added odor items demonstrated good validity, as shown by a significant correlation of the results with the original 16-item ID test. In addition, the MONEX-40 achieved a significant test–retest and split-half reliability. Taken together, these results suggest that the MONEX-40 is a reliable method for experimental assessment of odor ID ability in healthy, young individuals. Moreover, its use of a wider range of odors allows the experimenter to present subsets of the MONEX-40 within the same experiment while maintaining statistical power.