Telephone adaptation of the Modified Mini-Mental State Exam (3MS). The Cache County Study

Maria C. Norton, Jo Ann T Tschanz, Xitao Fan, Brenda L. Plassman, Kathleen A. Welsh-Bohmer, Nancy West, Bonita W. Wyse, John C.S. Breitner

Research output: Contribution to journalArticle

Abstract

Objective: To examine the concurrent validity of a newly developed telephone adaptation of the Modified Mini-Mental State Exam. Background: Longitudinal studies of cognition may be advantaged by availability of assessment instruments that can be used over the telephone, as well as in person. Method: Subjects were 263 noninstitutionalized elderly residents of a rural community in southern Idaho, aged 65 to 93, who had little or no cognitive difficulty. At an average interval of four weeks, we administered the Modified Mini-Mental State Exam (3MS) and the newly adapted Telephone Modified Mini-Mental State Exam (T3MS). Order of administration was randomly assigned. Results: Agreement between scores on the two instruments was good (r = 0.82, P <0.001). When we applied various cutoff scores to the instruments, thereby generating assignments of individuals to 'screen positive' and 'screen negative' groups, the percent agreement in screening results ranged from 80% to 96% as we reduced the cutoff scores from 90 to 74 (100 points possible). Conclusions: At least among subjects without major cognitive syndromes, the Telephone Modified Mini-Mental State Exam provides a reasonable substitute for the more costly in-person 3MS. The telephone instrument should now be tested over a broader range of cognitive abilities in order to assess its validity in more impaired subjects, e.g., by studying an institutionalized sample.

Original languageEnglish (US)
Pages (from-to)270-276
Number of pages7
JournalNeuropsychiatry, Neuropsychology and Behavioral Neurology
Volume12
Issue number4
StatePublished - Oct 1999

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Telephone
Aptitude
Rural Population
Cognition
Longitudinal Studies

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology
  • Psychiatry and Mental health
  • Psychology(all)

Cite this

Norton, M. C., Tschanz, J. A. T., Fan, X., Plassman, B. L., Welsh-Bohmer, K. A., West, N., ... Breitner, J. C. S. (1999). Telephone adaptation of the Modified Mini-Mental State Exam (3MS). The Cache County Study. Neuropsychiatry, Neuropsychology and Behavioral Neurology, 12(4), 270-276.

Telephone adaptation of the Modified Mini-Mental State Exam (3MS). The Cache County Study. / Norton, Maria C.; Tschanz, Jo Ann T; Fan, Xitao; Plassman, Brenda L.; Welsh-Bohmer, Kathleen A.; West, Nancy; Wyse, Bonita W.; Breitner, John C.S.

In: Neuropsychiatry, Neuropsychology and Behavioral Neurology, Vol. 12, No. 4, 10.1999, p. 270-276.

Research output: Contribution to journalArticle

Norton, MC, Tschanz, JAT, Fan, X, Plassman, BL, Welsh-Bohmer, KA, West, N, Wyse, BW & Breitner, JCS 1999, 'Telephone adaptation of the Modified Mini-Mental State Exam (3MS). The Cache County Study', Neuropsychiatry, Neuropsychology and Behavioral Neurology, vol. 12, no. 4, pp. 270-276.
Norton MC, Tschanz JAT, Fan X, Plassman BL, Welsh-Bohmer KA, West N et al. Telephone adaptation of the Modified Mini-Mental State Exam (3MS). The Cache County Study. Neuropsychiatry, Neuropsychology and Behavioral Neurology. 1999 Oct;12(4):270-276.
Norton, Maria C. ; Tschanz, Jo Ann T ; Fan, Xitao ; Plassman, Brenda L. ; Welsh-Bohmer, Kathleen A. ; West, Nancy ; Wyse, Bonita W. ; Breitner, John C.S. / Telephone adaptation of the Modified Mini-Mental State Exam (3MS). The Cache County Study. In: Neuropsychiatry, Neuropsychology and Behavioral Neurology. 1999 ; Vol. 12, No. 4. pp. 270-276.
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