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Validation of abridged mini-mental state examination scales using population-based data from Sweden and USA

The objective of this study is to validate two abridged versions of the mini-mental state examination (MMSE): one intended for use in face-to-face interviews, and the other developed for telephonic interviews, using data from Sweden and the US to validate the abridged scales against dementia diagnos...

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Autores principales: Ericsson, Malin Christina, Gatz, Margaret, Kåreholt, Ingemar, Parker, Marti G., Fors, Stefan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Netherlands 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5435785/
https://www.ncbi.nlm.nih.gov/pubmed/28579936
http://dx.doi.org/10.1007/s10433-016-0394-z
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author Ericsson, Malin Christina
Gatz, Margaret
Kåreholt, Ingemar
Parker, Marti G.
Fors, Stefan
author_facet Ericsson, Malin Christina
Gatz, Margaret
Kåreholt, Ingemar
Parker, Marti G.
Fors, Stefan
author_sort Ericsson, Malin Christina
collection PubMed
description The objective of this study is to validate two abridged versions of the mini-mental state examination (MMSE): one intended for use in face-to-face interviews, and the other developed for telephonic interviews, using data from Sweden and the US to validate the abridged scales against dementia diagnoses as well as to compare their performance to that of the full MMSE scale. The abridged versions were based on eight domains from the original MMSE scale. The domains included in the MMSE-SF were registration, orientation, delayed recall, attention, and visual spatial ability. In the MMSE-SF-C, the visual spatial ability item was excluded, and instead, one additional orientation item was added. There were 794 participants from the Swedish HARMONY study [mean age 81.8 (4.8); the proportion of cognitively impaired was 51 %] and 576 participants from the US ADAMS study [mean age 83.2 (5.7); the proportion of cognitively impaired was 65 %] where it was possible to compare abridged MMSE scales to dementia diagnoses and to the full MMSE scale. We estimated the sensitivity and specificity levels of the abridged tests, using clinical diagnoses as reference. Analyses with both the HARMONY and the ADAMS data indicated comparable levels of sensitivity and specificity in detecting cognitive impairment for the two abridged scales relative to the full MMSE. Receiver operating characteristic curves indicated that the two abridged scales corresponded well to those of the full MMSE. The two abridged tests have adequate validity and correspond well with the full MMSE. The abridged versions could therefore be alternatives to consider in larger population studies where interview length is restricted, and the respondent burden is high. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s10433-016-0394-z) contains supplementary material, which is available to authorized users.
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spelling pubmed-54357852017-05-31 Validation of abridged mini-mental state examination scales using population-based data from Sweden and USA Ericsson, Malin Christina Gatz, Margaret Kåreholt, Ingemar Parker, Marti G. Fors, Stefan Eur J Ageing Original Investigation The objective of this study is to validate two abridged versions of the mini-mental state examination (MMSE): one intended for use in face-to-face interviews, and the other developed for telephonic interviews, using data from Sweden and the US to validate the abridged scales against dementia diagnoses as well as to compare their performance to that of the full MMSE scale. The abridged versions were based on eight domains from the original MMSE scale. The domains included in the MMSE-SF were registration, orientation, delayed recall, attention, and visual spatial ability. In the MMSE-SF-C, the visual spatial ability item was excluded, and instead, one additional orientation item was added. There were 794 participants from the Swedish HARMONY study [mean age 81.8 (4.8); the proportion of cognitively impaired was 51 %] and 576 participants from the US ADAMS study [mean age 83.2 (5.7); the proportion of cognitively impaired was 65 %] where it was possible to compare abridged MMSE scales to dementia diagnoses and to the full MMSE scale. We estimated the sensitivity and specificity levels of the abridged tests, using clinical diagnoses as reference. Analyses with both the HARMONY and the ADAMS data indicated comparable levels of sensitivity and specificity in detecting cognitive impairment for the two abridged scales relative to the full MMSE. Receiver operating characteristic curves indicated that the two abridged scales corresponded well to those of the full MMSE. The two abridged tests have adequate validity and correspond well with the full MMSE. The abridged versions could therefore be alternatives to consider in larger population studies where interview length is restricted, and the respondent burden is high. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s10433-016-0394-z) contains supplementary material, which is available to authorized users. Springer Netherlands 2016-08-20 /pmc/articles/PMC5435785/ /pubmed/28579936 http://dx.doi.org/10.1007/s10433-016-0394-z Text en © The Author(s) 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Investigation
Ericsson, Malin Christina
Gatz, Margaret
Kåreholt, Ingemar
Parker, Marti G.
Fors, Stefan
Validation of abridged mini-mental state examination scales using population-based data from Sweden and USA
title Validation of abridged mini-mental state examination scales using population-based data from Sweden and USA
title_full Validation of abridged mini-mental state examination scales using population-based data from Sweden and USA
title_fullStr Validation of abridged mini-mental state examination scales using population-based data from Sweden and USA
title_full_unstemmed Validation of abridged mini-mental state examination scales using population-based data from Sweden and USA
title_short Validation of abridged mini-mental state examination scales using population-based data from Sweden and USA
title_sort validation of abridged mini-mental state examination scales using population-based data from sweden and usa
topic Original Investigation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5435785/
https://www.ncbi.nlm.nih.gov/pubmed/28579936
http://dx.doi.org/10.1007/s10433-016-0394-z
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