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Minimum Data Set Plus (MDS+) Scores Compared with Scores from Five Rating Scales
Author(s) -
Frederiksen Kirsten,
Tariot Pierre,
Jonghe Erik
Publication year - 1996
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.1996.tb00920.x
Subject(s) - mood , dementia , clinical dementia rating , rating scale , minimum data set , medicine , brief psychiatric rating scale , clinical psychology , cognition , mini–mental state examination , correlation , psychiatry , psychology , cognitive impairment , nursing homes , developmental psychology , nursing , disease , geometry , mathematics , psychosis
OBJECTIVE : To compare mandated Minimum Data Set Plus (MDS+) ratings of behavior, function, mood, communication, and cognition to ratings of these domains using analogous research instruments. DESIGN : Cross‐sectional correlational study of criterion‐related validity. SETTING : Three nursing homes in Rochester, New York. PARTICIPANTS : Fifty‐two nursing home residents. MEASUREMENTS : Nursing home staff completed the MDS+ for each subject. Research scales were completed by trained research clinicians, independently of and blinded to the MDS+ results, using the Mini‐Mental State Exam (MMSE), Brief Psychiatric Rating Scale (BPRS), Dementia Mood Assessment Scale (DMAS), Psychogeriatric Dependency Rating Scale (PGDRS), and Physical Signs and Symptoms Scale (PSMS). RESULTS : MDS+ measures of functional status, cognitive impairment, and communication were highly correlated with comparable research rating scale scores. Pearson correlation between MDS‐functional status and PSMS scores was 0.89, between MDS‐dementia and BPRS Factor 3 (representing cognitive dysfunction) and MMSE scores was 0.85 and 0.77, respectively, and between MDS‐communication and MMSE and PGDRS Item 6 (assessing communication) scores was 0.74 and 0.62, respectively. Behavior and mood scores did not correlate nearly as well with comparable research scale scores. Pearson correlation between MDS‐behavior and PGDRS and BPRS total scores was 0.54 and 0.51, respectively, and between MDS‐mood and BPRS Factor 1 (depression) and DMAS 1–17 subtotal (mood disturbance) scores was 0.20 and 0.20, respectively. CONCLUSION : This preliminary study in a small sample shows marked agreement between three of the five MDS+ components analyzed and comparable research rating scales and confirms that behavior and mood are difficult to assess with simple instruments. J Am Geriatr Soc 44:305–309, 1996 .