Shui Sang Wong1, Kenneth Nai Kuen Fong. 1. Occupational Therapy Department, United Christian Hospital, 130 Hip Wo Street, Kwun Tong, Kowloon, Hong Kong. polyustudentsang@yahoo.com.hk
Abstract
BACKGROUND: The objectives of this study were to examine the reliability and validity of a 26-point telephone version of the Cantonese Mini-mental State Examination (T-CMMSE) for a sample of 65 elderly patients, comprising 31 patients without dementia and 34 patients with dementia, in an acute regional hospital in Hong Kong, and to identify an optimal cut-off score to discriminate between those patients with dementia and those without. METHODS: Participants were rated by using the face-to-face Mini-mental State Examination (MMSE) before inpatient discharge and the T-CMMSE after inpatient discharge, and were rated separately by two raters in two telephone follow-up sessions using the T-CMMSE. RESULTS: The results of the study indicated that the scale had excellent inter-and intra-rater reliabilities. There was substantial agreement between the two versions of the examination (kappa > 0.6-0.8 < or =) for orientation, registration, and recall items. An optimal cut-off score of < or = 16 was suggested for the T-CMMSE to discriminate between those with and without dementia. CONCLUSION: The T-CMMSE can be used in telephone follow-ups as an alternative to the conventional face-to-face version.
BACKGROUND: The objectives of this study were to examine the reliability and validity of a 26-point telephone version of the Cantonese Mini-mental State Examination (T-CMMSE) for a sample of 65 elderly patients, comprising 31 patients without dementia and 34 patients with dementia, in an acute regional hospital in Hong Kong, and to identify an optimal cut-off score to discriminate between those patients with dementia and those without. METHODS:Participants were rated by using the face-to-face Mini-mental State Examination (MMSE) before inpatient discharge and the T-CMMSE after inpatient discharge, and were rated separately by two raters in two telephone follow-up sessions using the T-CMMSE. RESULTS: The results of the study indicated that the scale had excellent inter-and intra-rater reliabilities. There was substantial agreement between the two versions of the examination (kappa > 0.6-0.8 < or =) for orientation, registration, and recall items. An optimal cut-off score of < or = 16 was suggested for the T-CMMSE to discriminate between those with and without dementia. CONCLUSION: The T-CMMSE can be used in telephone follow-ups as an alternative to the conventional face-to-face version.
Authors: Jared R Tinklenberg; Helena C Kraemer; Kristine Yaffe; Ruth O'Hara; John M Ringman; John W Ashford; Jerome A Yesavage; Joy L Taylor Journal: Am J Geriatr Psychiatry Date: 2014-09-28 Impact factor: 4.105
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