Reliability of a standardized Mini-Mental State Examination compared with the traditional Mini-Mental State Examination

Molloy, D. William; Alemayehu, E; Roberts, Robin S.

doi:10.1097/00002093-199100530-00020

Cited by 455 publications

(255 citation statements)

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“…Cognitive capabilities Cognitive function was measured using the Standardised Mini-Mental State Examination (SMMSE) (Molloy et al 1991), a 30-point cognitive scale which evaluates several different areas of thinking including memory, judgment, calculation, abstraction, language and visual-spatial ability. SMMSE scores range from 0 (lowest cognitive function) to 30 (highest cognitive function).…”

Section: Data Collectionmentioning

confidence: 99%

Health status and 6 years survival of 552 90+ Italian sib-ships recruited within the EU Project GEHA (GEnetics of Healthy Ageing)

Cevenini¹,

Cotichini²,

Stazi³

et al. 2013

AGE

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In a scenario of increasing life expectancy worldwide, it is mandatory to identify the characteristics of a healthy aging phenotype, including survival predictors, and to disentangle those related to environment/ lifestyle versus those related to familiarity/genetics. To this aim we comprehensively characterised a cohort of 1,160 Italian subjects of 90 years and over (90+, mean age 93 years; age range 90-106 years) followed for 6 years survival, belonging to 552 sib-ships (familiar longevity) recruited (2005)(2006)(2007)(2008) within the EU-funded GEHA project in three Italian geographic areas (Northern, Central and Southern Italy) different for urban/rural and socio-economical characteristics. On the whole, the following factors emerged as significant predictors of survival after 90 years of age: absence of cognitive impairment and physical disability, high hand grip strength scores and body mass index (BMI) values, "excellent/good" self-reported health, high haemoglobin and total cholesterol levels and low creatinine levels. These parameters, excluding BMI values, were also significantly associated within sib-ships, suggesting a strong familial/genetic component. Geographical micro-heterogeneity of survival predictors emerged, such as functional and physical status being more important in Southern than in Central and Northern Italy. In conclusion, we identified modifiable survival predictors related to specific domains, whose role and importance vary according to the geographic area considered and which can help in interpreting the genetic results obtained by the GEHA project, whose major aim is the comprehensive evaluation of phenotypic and genetic data.

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Section: Data Collectionmentioning

confidence: 99%

Health status and 6 years survival of 552 90+ Italian sib-ships recruited within the EU Project GEHA (GEnetics of Healthy Ageing)

Cevenini¹,

Cotichini²,

Stazi³

et al. 2013

AGE

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“…Each patient-participant also received a Standardized Mini-Mental Status Examination (SMMSE). 16 The result is a score from 0 to 30. The SMMSE was administered by the research nurse after she completed her ACE assessment.…”

Section: Measurementsmentioning

confidence: 99%

Assessment of patient capacity to consent to treatment

et al. 1999

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OBJECTIVE:To compare results of a specific capacity assessment administered by the treating clinician, and a Standardized Mini-Mental Status Examination (SMMSE), with the results of expert assessments of patient capacity to consent to treatment. DESIGN:Cross-sectional study with independent comparison to expert capacity assessments. SETTING:Inpatient medical wards at an academic secondary and tertiary referral hospital. PARTICIPANTS:One hundred consecutive inpatients facing a decision about a major medical treatment or an invasive medical procedure. Participants either were refusing treatment, or were accepting treatment but were not clearly capable according to the treating clinician. MEASUREMENTS AND MAIN RESULTS:The treating clinician (medical resident or student) conducted a specific capacity assessment on each participant, using a decisional aid called the Aid to Capacity Evaluation. A specific capacity assessment is a semistructured evaluation of the participant's ability to understand relevant information and appreciate reasonably foreseeable consequences with regard to the specific treatment decision. Participants also received a SMMSE administered by a research nurse. Participants then had two independent expert assessments of capacity. If the two expert assessments disagreed, then an independent adjudication panel resolved the disagreement after reviewing videotapes of both expert assessments. Using the two expert assessments and the adjudication panel as the reference standard, we calculated areas under the receiver-operating characteristic curves and likelihood ratios. The areas under the receiveroperating characteristic curves were 0.90 for specific capacity assessment by treating clinician and 0.93 for SMMSE score (2 p ‫؍‬ .48). For the treating clinician's specific capacity assessment, likelihood ratios for detecting incapacity were as follows: definitely incapable, 20 (95% confidence interval [CI] 3.6, 120); probably incapable, 6.1 (95% CI 2.

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“…In addition, all the three studies had consistent eligibility criteria: 18 years or over, able to give informed consent (or a consultee procedure used in accordance with ethical requirements) with a history of a single stroke that resulted in weakness or paralysis of the upper limb, and able to understand English. In all three studies, participants were excluded if they had musculoskeletal impairments of their affected upper limb, and in two of the studies patients were excluded if they had a Mini Mental State Exam score (MMSE) of less than 24 out of 30 [28,30]. Please refer to Figure 1 below for a breakdown of sample participants and the data used for psychometric testing.…”

Section: Methodsmentioning

confidence: 99%

Validity, reliability and ease of use of the disabilities of arm, shoulder and hand questionnaire in adults following stroke

Dalton

Lannin

Laver

et al. 2016

Disability and Rehabilitation

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1 AbstractPurpose: The Disabilities of Arm, Shoulder and Hand (DASH) questionnaire is a patient reported outcome measure for evaluating upper limb function in people with musculoskeletal conditions. While the DASH has good psychometric properties when used with people with musculoskeletal conditions, it has not been tested with adults after stroke.Methods: Data for n=61 adults following stroke (aged 32 to 93 years, 44% male) were analysed to test validity and reliability of the DASH for use with a stroke population. Data Conclusion:The DASH is considered to have acceptable validity when used with adults following stroke. Test-retest reliability was low but further research is needed to establish whether this is a result of condition-related change or the stability of the measure.

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Reliability of a standardized Mini-Mental State Examination compared with the traditional Mini-Mental State Examination

Cited by 455 publications

References 0 publications

Health status and 6 years survival of 552 90+ Italian sib-ships recruited within the EU Project GEHA (GEnetics of Healthy Ageing)

Health status and 6 years survival of 552 90+ Italian sib-ships recruited within the EU Project GEHA (GEnetics of Healthy Ageing)

Assessment of patient capacity to consent to treatment

Validity, reliability and ease of use of the disabilities of arm, shoulder and hand questionnaire in adults following stroke

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