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Group screening for cognition disorders in elderly persons.

P J Rizzolo1, D Wildman, E J Bentz

  • 1Department of Family Medicine, University of North Carolina, Chapel Hill 27599-7595.

The Journal of the American Board of Family Practice
|May 1, 1991
PubMed
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Screening elderly individuals for cognitive impairment using a modified group-administered Mini-Mental State Examination (MMSE) is a cost-effective method. This approach demonstrates high validity for identifying potential cases of dementia in older adults.

Area of Science:

  • Gerontology
  • Neurology
  • Public Health

Background:

  • Cognitive impairment prevalence increases significantly with age, affecting 10-19% of those 75-85 and 20-47% of those over 85.
  • Early identification of dementia is crucial for timely intervention and management in the elderly population.
  • Group testing offers a more cost-effective approach to dementia screening compared to individual assessments.

Purpose of the Study:

  • To adapt the Folstein Mini-Mental State Examination (MMSE) for group administration.
  • To evaluate the concurrent validity of a group-administered MMSE compared to the standard individual MMSE in an elderly population.

Main Methods:

  • A modified Folstein Mini-Mental State Examination (MMSE) was administered to community-dwelling elderly volunteers in a group setting.

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  • Participants were subsequently tested individually using the standard Folstein MMSE.
  • Concurrent validity was assessed using Pearson correlation and paired t-tests.

    • Main Results:

    • The group-administered MMSE showed a high degree of concurrent validity when compared to the standard individual MMSE.
    • This indicates that the modified group format effectively captures similar cognitive information.

    Conclusions:

    • A group-administered MMSE is a viable and potentially cost-effective tool for preliminary dementia screening in elderly populations.
    • This method can efficiently identify a preliminary sample of cognitively impaired individuals for further evaluation.