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Comparison of In‐Person and Telephone Administration of the Mini‐Mental State Examination in the University of Alabama at Birmingham Study of Aging
Author(s) -
Kennedy Richard E.,
Williams Courtney P.,
Sawyer Patricia,
Allman Richard M.,
Crowe Michael
Publication year - 2014
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/jgs.13027
Subject(s) - medicine , gerontology , administration (probate law) , telephone survey , state (computer science) , mini–mental state examination , telephone interview , family medicine , psychiatry , cognitive impairment , cognition , advertising , social science , sociology , algorithm , political science , computer science , law , business
Objectives To validate the Mini‐Mental State Examination ( MMSE ) Telephone ( MMSET ) against the MMSE . Design Cross‐sectional. Setting Homes of community‐dwelling older adults. Participants African‐American and non‐Hispanic white adults aged 75 and older participating in the University of Alabama at Birmingham Study of Aging II , a longitudinal epidemiological study across the state of Alabama ( N = 419). Measurements Cognition, measured using the MMSE , MMSET , and Six‐Item Screener ( SIS ), and function, based on self‐reported difficulty performing instrumental activities of daily living ( IADL s). Correlation and agreement coefficients were used to examine concordance of the MMSE and MMSET ; linear and logistic regressions were used to test associations with clinical outcomes of IADL difficulty and verified diagnoses of dementia. Results The MMSET showed good internal consistency (Cronbach α = 0.845), similar to the full MMSE , and strong correlation with the latter (Spearman ρ = 0.694, P < .001). The MMSET explained a similar proportion of IADL difficulty as the full MMSE (coefficient of variation = 0.201 and 0.189, respectively). The MMSET was also associated with verified dementia diagnoses (area under the receiver operating characteristic curve = 0.73), which was similar to the full MMSE . Conclusion The MMSET is a brief, valid measure of cognition in older adults with psychometric properties similar to that of the full MMSE . Because it can be administered over the telephone, further use in epidemiological studies is promising.