Validation of a 26-Point Telephone Version of the Mini-Mental State Examination

Abstract

The objective of this study was to assess the convergent validity of a 26-point Telephone Mini-Mental State Examination (MMSE) in a longitudinal cohort of 46 Alzheimer’s disease (AD) patients. Paired in-person and telephone MMSE observations were collected within 35 days of each other. The setting was the Stanford/VA Alzheimer’s Center in Palo Alto, California, and patients’ residences. The 30-point Folstein MMSE was administered in-person, and a 26-point telephone version of the MMSE, adapted from the Adult Lifestyles and Function Interview (ALFI)-MMSE. Total scores for the in-person and telephone MMSE versions correlated strongly (Pearson’s r = .88, P < .001). Hearing impairment and education level did not significantly affect telephone-based performance. The Telephone MMSE can be used to validly estimate in-person MMSE scores of patients with AD. Use of this practical measure can enhance reassessment if returning to the clinic is difficult or if a change in the patient’s medical condition merits a check of mental status by telephone.

Keywords

MMSE telephone MMSE psychometrics Alzheimer’s disease telemedicine

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References

1. Hebert LE , Scherr PA , Bienias JL , et al. Alzheimer disease in the US population: prevalence estimates using the 2000 census. Arch Neurol 2003; 60:1119-1122.

2. Brandt J , Spencer M , Folstein M. The Telephone Interview for Cognitive Status. Neuropsychiatry Neuropsychol Behav Neurol 1988; 1:111-117.

3. Roccaforte WH , Burke WJ , Bayer BL , et al. Validation of a telephone version of the mini-mental state examination. J Am Geriatr Soc 1992; 40:697-702.

4. Kawas C , Karagiozis H , Resau L , et al. Reliability of the Blessed Telephone Information-Memory-Concentration Test. J Geriatr Psychiatry Neurol 1995; 8:238-242.

5. Ferrucci L , Del Lungo I , Guralnik JM , et al.

Is the telephone interview for cognitive status a valid alternative in persons who cannot be evaluated by the Mini Mental State Examination?

Aging (Milano) 1998; 10:332-338.

6. Metitieri T , Geroldi C , Pezzini A , et al. The Itel-MMSE: an Italian telephone version of the Mini-Mental State Examination. Int J Geriatr Psychiatry 2001; 16:166-167.

7. Jarvenpaa T , Rinne JO , Raiha I , et al. Characteristics of two telephone screens for cognitive impairment. Dement Geriatr Cogn Disord 2002; 13:149-155.

8. Folstein MF , Folstein SE , McHugh PR . “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975; 12:189-198.

9. Fischbach R. Early identification of demented persons in the community. In Becker R , Giacobini E (Eds.). Alzheimer’s disease, current research in early diagnosis. New York: Taylor and Francis, 1990:49-74.

10.

10. Tinklenberg J , Brooks JO 3rd , Tanke ED , et al. Factor analysis and preliminary validation of the mini-mental state examination from a longitudinal perspective. Int Psychogeriatr 1990; 2:123-134.

11.

11. McKhann G , Drachman D , Folstein M , et al. Clinical diagnosis of Alzheimer’s disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer’s Disease. Neurology 1984; 34:939-944.

12.

12. Ward HW , Ramsdell JW , Jackson JE , et al. Cognitive function testing in comprehensive geriatric assessment. A comparison of cognitive test performance in residential and clinic settings. J Am Geriatr Soc 1990; 38:1088-1092.

13.

13. Shievitz AL , Tudiver F , Araujo A , et al.

Do elderly people score better on cognitive tests at home?

Can Fam Physician 1998; 44:1652-1656.