How Well Does the Brief Interview for Mental Status Identify Risk for Cognition Mediated Functional Impairment in a Community Sample?

Abstract

Objective To determine the adequacy of the Brief Interview for Mental Status (BIMS) compared with other screening tools in identifying individuals with limitations in functional cognition and instrumental activities of daily living (IADL). Design Cross-sectional observational study. Setting Midsized midwestern city. Participants We assessed a convenience sample of community dwelling individuals (N=197) aged 55 years and older who were living independently. Main Outcome Measures Participant scores on the BIMS, Mini-Cog, Menu Task, and Montreal Cognitive Assessment (MoCA) were compared with the Performance Assessment of Self-Care Skills Checkbook Balancing and Shopping tasks (PCST), which are known to predict impairment in complex IADLs associated with a diagnosis of mild cognitive impairment. Multiple logistic regression analyses controlling for participant demographics, as well as sensitivity and specificity, were computed for each screening measure using the PCST as the criterion measure. Results The Mini-Cog, Menu Task, and MoCA identified 25.89%, 32.49%, and 47.21% more individuals, respectively, as impaired than the BIMS. In multiple logistical regression analyses, the BIMS correctly identified 58% of those impaired on the PCST. However, each of the alternate screening measures correctly identified at least 70% of individuals as impaired on the PCST. Conclusions In this community sample, the BIMS was insensitive to subtle impairments with the potential to compromise community living, suggesting that the BIMS may be inappropriate for use outside nursing home settings.

Online awareness is associated with superior performance on assessments of functional cognition

“…This cross-sectional study uses data gathered as part of the Menu Task validation study ( Marks et al, 2020 , 2021a , b ; Al-Heizan et al, 2022 ).…”

Comparison of the Brief Interview for Mental Status (BIMS) and Montreal Cognitive Assessment (MoCA) for identifying cognitive impairments and predicting rehabilitation outcomes in an inpatient rehabilitation facility

“…Relationships with MoCA scores and functional rehabilitation outcomes have been reported for patients with lower extremity amputations 5 and patients with hip fracture 1 . Recently Marks and colleagues (2021) found that the MoCA was more sensitive than the BIMS in predicting impairments in instrumental ADLs (iADLs; including checkbook balancing and shopping tasks) among older community dwellers 26 . Identification of patients who may have difficulty with functional and instrumental ADLs is important in creating a safe home discharge plan for patients and caregivers following an IRF stay.…”