scholarly journals The Modified Mini Mental State (3MS) Test - Development of an Online Training Program

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 992-992
Author(s):  
Tara Rose ◽  
Evelyn Teng ◽  
Chia Ying Chen ◽  
Elyse Manzo ◽  
Katherine Erickson ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Early Detection ◽  
Training Program ◽  
Mental State ◽  
Cognitive Abilities ◽  
Clinical Care ◽  
Online Training ◽  
Cognitive Screening ◽  
General Internal ◽  
Clinical Benefits

Abstract The Modified Mini Mental State (3MS), a screening test for cognitive abilities, can be administered in approximately 10 minutes and has a score range of 0-100. Early detection of cognitive impairment is important for clinical care. An individual’s score change over time can also help assess disease progression and treatment effects. The Web of Science, an online database, reports 1,864 publications using the 3MS, including 412 in the last 5 years. Articles came from 52 countries in 7 continents, with languages in English (98.7%), French (0.5%), Spanish (0.5%), German (0.2%), Czech (0.1%), and Korean (0.1%). The fields that publish with 3MS data included Geriatrics/Gerontology, Neurosciences/Neurology, Psychiatry, Psychology, and General/Internal Medicine. One reason for the popularity of the 3MS is its detailed manual for test administering and scoring; however, to date the manual is available only in print form. Here we present an online training program. It includes detailed directions on administering and scoring, video of a 3MS administration, and post-training tests on a trainee’s competency. This training material also covers clinical benefits of cognitive screening and a comparison of the 3MS with other measures. The 3MS helps clinicians with early detection of cognitive impairment, allowing time to address its underlying and potentially reversible causes, and aids in disease management. This online training program will help ensure accuracy and reduce between-tester variability of the obtained scores in both clinical care and research studies.

Mini-Mental State Examination (MMSE) for the early detection of dementia in people with mild cognitive impairment (MCI)

2021 ◽  
Vol 2021 (7) ◽  
Author(s):  
Ingrid Arevalo-Rodriguez ◽  
Nadja Smailagic ◽  
Marta Roqué-Figuls ◽  
Agustín Ciapponi ◽  
Erick Sanchez-Perez ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Early Detection ◽  
Mental State ◽  
Mini Mental State Examination ◽  
State Examination

scholarly journals Random Forest Model in the Diagnosis of Dementia Patients with Normal Mini-Mental State Examination Scores

2022 ◽  
Vol 12 (1) ◽  
pp. 37
Author(s):  
Jie Wang ◽  
Zhuo Wang ◽  
Ning Liu ◽  
Caiyan Liu ◽  
Chenhui Mao ◽  
...  
Keyword(s):  
Machine Learning ◽  
Cognitive Impairment ◽  
Random Forest ◽  
Mental State ◽  
Mini Mental State Examination ◽  
Machine Learning Algorithms ◽  
Assessment Model ◽  
Test Time ◽  
Cognitive Screening ◽  
State Examination

Background: Mini-Mental State Examination (MMSE) is the most widely used tool in cognitive screening. Some individuals with normal MMSE scores have extensive cognitive impairment. Systematic neuropsychological assessment should be performed in these patients. This study aimed to optimize the systematic neuropsychological test battery (NTB) by machine learning and develop new classification models for distinguishing mild cognitive impairment (MCI) and dementia among individuals with MMSE ≥ 26. Methods: 375 participants with MMSE ≥ 26 were assigned a diagnosis of cognitively unimpaired (CU) (n = 67), MCI (n = 174), or dementia (n = 134). We compared the performance of five machine learning algorithms, including logistic regression, decision tree, SVM, XGBoost, and random forest (RF), in identifying MCI and dementia. Results: RF performed best in identifying MCI and dementia. Six neuropsychological subtests with high-importance features were selected to form a simplified NTB, and the test time was cut in half. The AUC of the RF model was 0.89 for distinguishing MCI from CU, and 0.84 for distinguishing dementia from nondementia. Conclusions: This simplified cognitive assessment model can be useful for the diagnosis of MCI and dementia in patients with normal MMSE. It not only optimizes the content of cognitive evaluation, but also improves diagnosis and reduces missed diagnosis.

Comparison of the Mini-Mental State Examination and Computerized Brief Cognitive Screening Test as Cognitive Screening Tools in Patients with Mild Cognitive Impairment

2021 ◽  
Vol 18 ◽  
Author(s):  
Che-Sheng Chu ◽  
I-Chen Lee ◽  
Chuan-Cheng Hung ◽  
I-Ching Lee ◽  
Chi-Fa Hung ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Normal Control ◽  
Internal Consistency ◽  
Mental State ◽  
Screening Test ◽  
Mini Mental State Examination ◽  
Cognitive Screening ◽  
Validity And Reliability ◽  
State Examination

Background: The aim of this study was to establish the validity and reliability of the Computerized Brief Cognitive Screening Test (CBCog) for early detection of cognitive impairment. Method: One hundred and sixty participants, including community-dwelling and out-patient volunteers (both men and women) aged ≥ 65 years, were enrolled in the study. All participants were screened using the CBCog and Mini-Mental State Examination (MMSE). The internal consistency of the CBCog was analyzed using Cronbach’s α test. Areas under the curves (AUCs) of receiver operating characteristic analyses were used to test the predictive accuracy of the CBCog in detecting mild cognitive impairment (MCI) in order to set an appropriate cutoff point. Results: The CBCog scores were positively correlated with the MMSE scores of patients with MCI-related dementia (r = 0.678, P < .001). The internal consistency of the CBCog (Cronbach’s α) was 0.706. It was found that the CBCog with a cutoff point of 19/20 had a sensitivity of 97.5% and a specificity of 53.7% for the diagnosis of MCI with education level ≥ 6 years. The AUC of the CBCog for discriminating the normal control elderly from patients with MCI (AUC = 0.827, P < 0.001) was larger than that of the MMSE for discriminating the normal control elderly from patients with MCI (AUC= 0.819, P < .001). Conclusion: The CBCog demonstrated to have sufficient validity and reliability to evaluate mild cognitive impairment, especially in highly educated elderly people.

scholarly journals Translating and Adapting the Modified Mini Mental State (3MS) Test for Multiple Cultural Populations

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 994-994
Author(s):  
Tara Rose ◽  
Evelyn Teng ◽  
Helena Chui ◽  
Katherine Erickson ◽  
Chia Ying Chen ◽  
...  
Keyword(s):  
Mental State ◽  
Cognitive Abilities ◽  
Minority Group ◽  
The United States ◽  
Temporal Orientation ◽  
Cognitive Screening ◽  
Cultural Backgrounds ◽  
Test Items ◽  
Healthcare Settings ◽  
Cultural Ecological

Abstract Within healthcare settings, screening of cognitive abilities in older adults is routinely conducted for the detection, early intervention, and management of cognitive impairments. The Modified Mini Mental State (3MS) test takes approximately 10 minutes to administer and has a score range of 0 - 100. It can provide an estimated MMSE score, and has been used in multiple countries since 1987 with approximately 1,900 publications. The United States has many diverse populations with different languages and cultural backgrounds. How to appropriately translate and adapt the original 3MS test in English for each minority group in order to better serve them is an important issue. Cross-cultural assessment involves much more than accurate translation of test items across languages. One needs to know not only the oral and written languages involved, but also the life experiences and circumstances of the target populations. This presentation first covers some general considerations in test translation and adaptation, including attention to cultural, ecological, and language specifics. We shall then present Chinese, Korean, and Hindi 3MS record forms to illustrate the reasons and ways for modification of some of the test items. To accommodate different writing systems, for example, 3MS test versions with an alphabet are different from ones with logographic character representations. Modifications of the 3MS items include those on temporal orientation, spatial orientation, naming, and repetition. In summary, cultural, ecological, and linguistic differences must be taken into account for cognitive screening in order to enhance cross-population comparability and be more inclusive for aging ethnic minorities.

scholarly journals Mini-mental state exam for children (MMC) in children with hemiplegic cerebral palsy

2017 ◽  
Vol 11 (3) ◽  
pp. 287-296 ◽  
Author(s):  
Ricardo Moura ◽  
Peterson Marco Oliveira Andrade ◽  
Patrícia Lemos Bueno Fontes ◽  
Fernanda Oliveira Ferreira ◽  
Larissa de Souza Salvador ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Cognitive Impairment ◽  
Mental State ◽  
Cognitive Abilities ◽  
Mini Mental State Examination ◽  
Cognitive Impairments ◽  
Typical Development ◽  
Moderate Correlation ◽  
Hemiplegic Cerebral Palsy ◽  
State Examination

ABSTRACT Cognitive impairment is frequent in cerebral palsy (CP) and there is a lack of multiprofessional screening instruments. OBJECTIVE: The aim of this study was to investigate the utility of the Mini-Mental State Examination for Children (MMC), an adapted version of the Mini-Mental State Examination, in screening for cognitive impairments in children with CP. METHODS: We assessed 397 Brazilian children, 310 with typical development and 87 with CP (hemiplegic and quadriplegic forms), aged 5-16 years. Association between the MMC and general intelligence was assessed by the Colored Progressive Matrices instrument. RESULTS: Psychometric indexes for the MMC were adequate. ROC analyses revealed effective diagnostic accuracy in all ages assessed. Cut-off values are reported. Major difficulties on the MMC were observed in children with CP, particularly individuals with the quadriplegic form. Moreover, the MMC showed moderate correlation with the intelligence test, and was reliable in discriminating, among clinical cases, those with poorer cognitive abilities. CONCLUSION: The MMC could be useful as a multiprofessional screening instrument for cognitive impairment in children with hemiplegic CP. Results of the MMC in quadriplegic CP children should be interpreted with caution. Diagnosis should be confirmed by further psychological testing.

scholarly journals Online Training Program Improves Providers’ Spiritual Competencies in Mental Health Care

2020 ◽  
Author(s):  
Michelle Pearce ◽  
Kenneth Pargament ◽  
Holly Oxhandler ◽  
Cassandra Vieten ◽  
Serena Wong
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Training Program ◽  
Professional Training ◽  
Graduate Training ◽  
Clinical Care ◽  
Online Training ◽  
Knowledge And Skills ◽  
Spiritual Competency

Background: We designed the online Spiritual Competency Training in Mental Health (SCT-MH) program to train providers across mental health fields in basic religious and spiritual (RS) competencies. The goal was to help address the professional training gap in RS aspects of multicultural diversity and integration. We hypothesized that providers completing the program would demonstrate an increase in attitudes, knowledge, and skills relevant to RS issues in mental health care. Methods: The SCT-MH program, offered online through the edX platform, consists of 8 hours of multi-media content. 169 participants across a broad range of mental health disciplines completed a pre- and post-training survey, which evaluated their spiritual competency using measures assessing their attitudes, knowledge, and skills in the intersection of RS and mental health. We also collected qualitative data to evaluate participants’ levels of satisfaction with the content and format of the program. Results: Participants showed significantly increased spiritual competency in all measures of attitudes, knowledge, and skills following their participation in the course. Participants reported high satisfaction with both the content and the online format of the training program, and a decrease in perceived barriers to integrating RS in practice.Conclusions: These results demonstrate that a brief, novel online training program can help address the current gap between the clinical need and professional requirements for spiritual competency and the general lack of graduate training in this area of multiculturalism. Suggestions for how this program and others like it can be integrated into graduate education and impact clinical care are discussed.

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