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Korean Version of the Mini-Mental State Examination Using Smartphone: A Validation Study
Hae-Yeon Park1, Sung-Soo Jeon1, Jin-Youn Lee2
11 Department of Rehabilitation Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea , Seoul, Korea.
Summary
This study validates smartphone-based remote cognitive assessments for stroke survivors, showing good agreement with in-person evaluations. This technology improves accessibility for post-stroke patients needing cognitive function monitoring.
Area of Science:
- Neurology
- Digital Health
- Gerontology
Background:
- Stroke frequently causes long-term disability.
- Post-stroke patients often face challenges accessing medical facilities for follow-up care.
- Cognitive impairment is a common consequence of stroke, requiring regular assessment.
Purpose of the Study:
- To determine the validity of the Korean version of the Mini-Mental State Examination (MMSE-K) when administered remotely via smartphone.
- To assess the feasibility of mobile videoconferencing for cognitive function follow-up in stroke survivors.
Main Methods:
- Thirty stroke patients (mean age 69.8 years) underwent both face-to-face and remote MMSE-K assessments.
- Remote assessments utilized a smartphone for the patient and a tablet for the examiner via videoconferencing.
- An in-person collaborator also evaluated MMSE-K scores during the remote session.
Main Results:
- High agreement was observed between face-to-face and remote MMSE-K total scores and subscores.
- Remote assessment results correlated well with the in-person collaborator's evaluation.
- Good agreement was found across all MMSE-K domains: orientation, memory, attention/calculation, language, and visuospatial function.
Conclusions:
- Smartphone-based remote assessment is a valid method for evaluating cognitive function in stroke survivors.
- Mobile videoconferencing technology offers a practical solution for accessible post-stroke cognitive care.
- Further research on inter-rater reliability is recommended for widespread clinical adoption.