P1-127: Descriptive performance in functional activities questionnaire and mini-mental state examination according to educational level and functional staging assessment (FAST) in a community-based sample of brazilian oldest old: The pietà study

2015 ◽  
Vol 11 (7S_Part_8) ◽  
pp. P390-P390
Author(s):  
Henrique Cerqueira Guimarães ◽  
Mariana Alves Almeida ◽  
Elisa de Paula França Resende ◽  
Rogério Gomes Beato ◽  
Maira Tonidandel Barbosa ◽  
...  
Keyword(s):  
Mental State ◽  
Educational Level ◽  
Mini Mental State Examination ◽  
Oldest Old ◽  
Community Based ◽  
Functional Activities ◽  
State Examination

scholarly journals Cognitive Abilities Screening: Instrument-Short Form, Mini-Mental State Examination and Functional Activities Questionnaire in the illiterate elderly

2013 ◽  
Vol 7 (4) ◽  
pp. 410-415 ◽  
Author(s):  
Gabriela Pravatta Rezende ◽  
Juliana Cecato ◽  
José Eduardo Martinelli
Keyword(s):  
Correlation Coefficient ◽  
Mental State ◽  
Cognitive Abilities ◽  
Mini Mental State Examination ◽  
Short Form ◽  
Screening Instrument ◽  
Functional Activities ◽  
Brazilian Version ◽  
Diagnosis Of Dementia ◽  
State Examination

ABSTRACT Dementia prevalence is increasing in developing countries due to population aging. Brief tests for assessing cognition and activities of daily living are very useful for the diagnosis of dementia by the clinician. Low education, particularly illiteracy, is a hindrance to the diagnosis of dementia in several regions of the world. Objectives: To compare the Brazilian version of the Cognitive Abilities Screening Instrument-Short Form (CASI-S) with the Mini-Mental State Examination (MMSE) and Pfeffer Functional Activities Questionnaire (PFAQ) for the diagnosis of dementia in illiterate elderly. Methods: A cross-sectional study with illiterate elderly of both genders seen at the outpatient clinics of the Institute of Gerontology and Geriatrics Jundiaí, São Paulo state was performed. Spearman's correlation coefficient was used to correlate CASI-S, MMSE and PFAQ scores. Results: The sample comprised 29 elderly over 57 years old whose mean scores on the CASI-S (scores ranging from 3 to 23) and the MMSE (scores ranging from 2 to 23) were 11.69 and 12.83, respectively. There was a strong significant correlation between the CASI-S and MMSE (r=0.75, p<0.001) and a moderate correlation coefficient that was significant and negative between the PFAQ and CASI-S (r= -0.53 p=0.003),similar to that between the MMSE and PFAQ (r= -0.41 p=0.025). Conclusion: The Brazilian version of the CASI-S demonstrates ease of application and correction in the illiterate elderly, and warrants further studies regarding its applicability for the diagnosis of dementia in populations with a heterogeneous educational background.

scholarly journals Education does not equally influence all the Mini Mental State Examination subscales and items: inferences from a Brazilian community sample

2010 ◽  
Vol 32 (3) ◽  
pp. 223-230 ◽  
Author(s):  
Jerson Laks ◽  
Evandro Silva Freire Coutinho ◽  
Washington Junger ◽  
Heitor Silveira ◽  
Raphael Mouta ◽  
...  
Keyword(s):  
Mental State ◽  
Mini Mental State Examination ◽  
Community Sample ◽  
Community Dwelling ◽  
Delayed Recall ◽  
Functional Activities ◽  
Key Factor ◽  
Z Scores ◽  
The Impact ◽  
State Examination

OBJECTIVE: Mini-Mental State Examination cutoffs have been presented for schooling levels to screen cognitive impairment. However, items may behave differently with regards to education. The objective of this study was to examine the impact of education on MMSE subscales and items. METHOD: Community-dwelling participants aged 65 years or more (n = 990, females = 637, age = 74.1 years, range 65-108) were stratified as illiterate (n = 373), 1-8 (n = 540), 9-12 (n = 63), and more than 12 years of schooling (n = 14) and were screened with MMSE and Pfeffer Functional Activities Questionnaire. To make the Mini-Mental State Examination items comparable, each item was transformed into z scores. Multiple linear regression was used to estimate the effect of schooling on MMSE subs and items controlling for age, sex, and activities of daily life. RESULTS: Temporal and space orientation, attention/calculation, repetition, reading, writing, and drawing scores improved as education increased, but not memory registration, three step command, and naming. Reading and writing displayed the largest coefficients, whereas education exerted no influence on naming and three step command tasks. CONCLUSION: Education does not exert an important effect on naming, three step command, memory registration, and delayed recall. As memory is a key factor for diagnosing dementia, these items could be considered despite education.

Adjusting Mini-Mental State Examination Scores for Age and Educational Level to Screen for Dementia: Correcting Bias or Reducing Validity?

1998 ◽  
Vol 10 (1) ◽  
pp. 43-51 ◽  
Author(s):  
Helena Chmura Kraemer ◽  
Deborah J. Moritz ◽  
Jerome Yesavage
Keyword(s):  
Mental State ◽  
Educational Level ◽  
Mini Mental State Examination ◽  
Decision Procedures ◽  
Screening Procedure ◽  
Educational Levels ◽  
State Examination ◽  
Clinical Populations

The question of whether Mini-Mental State Examination scores should be adjusted for age and educational levels to screen for dementia in clinical populations is reexamined in the results of a recent study supporting adjustment. If the criterion is to identify the most accurate screening procedure for each sociodemographic subgroup, the evidence indicates that the unadjusted scores are preferable. Other criteria might lead to different conclusions. The validities of some of these criteria are questionable because they have the flaw that they are easily satisfied by using random decision procedures.

Educational level differences on the Mini-Mental State: the role of test bias

1988 ◽  
Vol 18 (3) ◽  
pp. 727-731 ◽  
Author(s):  
A. F. Jorm ◽  
R. Scott ◽  
A. S. Henderson ◽  
D. W. K. Kay
Keyword(s):  
Cognitive Impairment ◽  
Elderly People ◽  
Mental State ◽  
Educational Level ◽  
Mini Mental State Examination ◽  
Community Sample ◽  
Test Bias ◽  
Level Difference ◽  
State Examination

SynopsisLess educated elderly people are commonly found to perform more poorly on the Mini-Mental State Examination (MMSE). This educational level difference has been attributed by some research workers to test bias. To assess whether the MMSE is biased against the poorly educated, its validity was assessed separately in the more- and less-educated members of a community sample. No evidence was found to indicate that the test is a biased measure of cognitive impairment.

scholarly journals Reliabilita batérie metód na vyhodnotenie kognitívneho deficitu, depresie a funkčného stavu pacientov s demenciou

TESTFÓRUM ◽  
2015 ◽  
Vol 4 (5) ◽  
pp. 4-19
Author(s):  
Štefan Anderko
Keyword(s):  
Mental State ◽  
Cognitive Deficit ◽  
Mini Mental State Examination ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Geriatric Depression ◽  
Retirement Home ◽  
Functional Activities ◽  
State Examination ◽  
Addenbrooke’S Cognitive Examination

V klinickom výskume sme vzorke pacientov (N = 67) z Domova pro seniory Nopova administrovali viaceré psychodiagnostické metódy s cieľom overiť ich reliabilitu a validitu pri širšom popise demencie. Kognitívny deficit sme zisťovali českými prekladmi testov Addenbrookský Kognitívny Test, Revidovaná Verzia, (ACE-R) a Mini-Mental State Examination (MMSE). Na screening depresie sme použili Škálu Geriatrickej Depresie v jej 15 položkovej českej verzii (GDS-15). Aktivity denného života sme posudzovali českými verziami Dotazníka Sebestačnosti (DAD-CZ) a Dotazníka Funkčného Stavu (FAQ-CZ). Použité metódy sa z psychometrického hľadiska ukázali ako reliabilné nástroje. In clinical research we have administered various psychodiagnostic methods to a sample of patients (N = 67) of Domov pro seniory Nopova (retirement home) with the objective to verify their reliability in context of broader description of dementia. The cognitive deficit was measured using the Czech translations of Addenbrooke’s Cognitive Examination-Revised (ACE-R) and Mini-Mental State Examination (MMSE). For the screening of the depression we used the Geriatric Depression Scale in its 15-item Czech version (GDS-15). The activities of daily living were assessed using the Czech versions of Disability Assessment for Dementia (DAD-CZ) and Functional Activities Questionnaire (FAQ-CZ). The reliability was verified with Cronbach’s alpha. The used methods proved to be reliable tools in psychometric terms.

Predictors of Cognitive Decline in 85-Year-Old Patients Without Cognitive Impairment at Baseline

2013 ◽  
Vol 28 (2) ◽  
pp. 147-153 ◽  
Author(s):  
Francesc Formiga ◽  
Assumpta Ferrer ◽  
David Chivite ◽  
Jesus Alburquerque ◽  
Claudia Olmedo ◽  
...  
Keyword(s):  
Cognitive Decline ◽  
Mini Mental State Examination ◽  
Oldest Old ◽  
Multiple Logistic Regression Analysis ◽  
Community Dwelling ◽  
Multiple Logistic Regression ◽  
Community Based ◽  
Old Patients ◽  
State Examination

Background/Rationale: To determine how many 85-year-old community-dwelling patients with good cognitive performance at baseline maintain this level at 2-year follow-up. Methods: We realized a longitudinal community-based study including 169 inhabitants. Patients who maintained scores >23 on the Spanish version of the Mini-Mental State Examination (MEC) were compared with the rest. Results: A total of 144 individuals (85.2%) were found maintaining a MEC score >23. Under the combined criteria 110 (65%) presented no new cognitive decline. Multiple logistic regression analysis showed that maintaining a MEC score >23 was significantly associated with having a higher MEC score at baseline ( P < .001, odds ratio 1.280, 95% confidence interval 1.104-1.484). Conclusion: Most oldest-old patients with good cognitive function at baseline maintain this level at 2-year follow-up.

The Mini-mental State Examination revisited: ceiling and floor effects after score adjustment for educational level in an aging Mexican population

2009 ◽  
Vol 22 (1) ◽  
pp. 72-81 ◽  
Author(s):  
Francisco Franco-Marina ◽  
Jose Juan García-González ◽  
Fernando Wagner-Echeagaray ◽  
Joseph Gallo ◽  
Oscar Ugalde ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Mental State ◽  
Educational Level ◽  
Mini Mental State Examination ◽  
Community Sample ◽  
Epidemiological Studies ◽  
Cognitive Test ◽  
Ceiling Effects ◽  
Floor Effects ◽  
State Examination

ABSTRACTBackground: The Mini-mental State Examination (MMSE) is the most widely used cognitive test, both in clinical settings and in epidemiological studies. However, correcting its score for education may create ceiling effects when used for poorly educated people and floor effects for those with higher education.Methods: MMSE and a recent cognitive test, the seven minute screen (7MS), were serially administered to a community sample of Mexican elderly. 7MS test scores were equated to MMSE scores. MMSE-equated 7MS differences indicated ceiling or floor effects. An ordinal logistic regression model was fitted to identify predictors of such effects.Results: Poorly educated persons were more prevalent on the side of MMSE ceiling effects. Concentration (serial-sevens), orientation and memory were the three MMSE subscales showing the strongest relationship to MMSE ceiling effects in the multivariate model.Conclusion: Even when MMSE scores are corrected for educational level they still have ceiling and floor effects. These effects should be considered when interpreting data from longitudinal studies of cognitive decline. When an education-adjusted MMSE test is used to screen for cognitive impairment, additional testing may be required to rule out the possibility of mild cognitive impairment.

scholarly journals Prediction equation for the mini-mental state examination: influence of education, age, and sex

2019 ◽  
Vol 26 (1) ◽  
pp. 37-43 ◽  
Author(s):  
Liliane Patrícia de Souza Mendes ◽  
Fernanda Ferreira Malta ◽  
Thaís de Oliveira Ennes ◽  
Giane Amorim Ribeiro-Samora ◽  
Rosângela Corrêa Dias ◽  
...  
Keyword(s):  
Mental State ◽  
Educational Level ◽  
Mini Mental State Examination ◽  
Mmse Score ◽  
Depression Scale ◽  
Multivariate Regression Analysis ◽  
Prediction Equation ◽  
Cross Sectional ◽  
State Examination ◽  
Age And Sex

ABSTRACT The mini-mental state examination (MMSE) is a screening test used worldwide for identifying changes in the scope of cognition. Studies have shown the influence of education, age and sex in the MMSE score. However, in Brazil, the studies consider only one factor to score it. The aim of this study was to establish a prediction equation for the MMSE. An exploratory cross-sectional study was developed and trained researchers examined participants at the community. The volunteers were evaluated by the MMSE and also by the Geriatric Depression Scale (GDS). The MMSE score was the dependent variable. Age, educational level, sex, and GDS score were the independent variables. Multivariate regression analysis was used to determine the model of best prediction value for MMSE scores. A total of 250 participants aged 20-99 years, without cognitive impairment, were assessed. The educational level, age, and sex explained 38% of the total variance of the MMSE score (p<0.0001) and resulted in the following equation: MMSE=23.350+0.265(years of schooling)-0.042(age)+1.323(sex), in which female=1 and male=2. The MMSE scores can be better explained and predicted when educational level, age, and sex are considered. These results enhance the knowledge regarding the variables that influence the MMSE score, as well as provide a way to consider all of them in the test score, providing a better screening of these patients.

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