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Clinical Manifestations.

Edna Letícia de Queiroz Duarte1, Gabriela Dos Santos2, Tiago Nascimento Ordonez2

  • 1Faculty of Medicine of the University of Santo Amaro, São Paulo, São Paulo, Brazil.

Alzheimer'S & Dementia : the Journal of the Alzheimer'S Association
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Summary

The BRAZTEL-MMSE, a telephone-based cognitive screening tool, shows good agreement with the traditional Mini-Mental State Exam (MMSE). This validates its use for assessing older adults

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Area of Science:

  • Gerontology and Cognitive Health
  • Neuroscience and Aging Research
  • Public Health and Geriatric Assessment

Background:

  • Aging populations necessitate accessible cognitive decline and dementia screening.
  • The Mini-Mental State Exam (MMSE) is effective, but mobile/telephone adaptations are needed for specific demographics.
  • Telephone-based cognitive screening, like BRAZTEL-MMSE, offers accessibility for older adults.

Purpose of the Study:

  • To evaluate the BRAZTEL-MMSE as a valid telephone-administered cognitive screening tool.
  • To compare BRAZTEL-MMSE results with the traditional face-to-face Mini-Mental State Exam (MMSE).
  • To assess the utility of BRAZTEL-MMSE for high-educated, socially-engaged older adults.

Main Methods:

  • A descriptive study involving 190 older adults from a larger clinical trial.
  • Participants completed both the BRAZTEL-MMSE via telephone and the traditional MMSE in person.
  • Statistical analysis, including Spearman correlation and Bland-Altman analysis, was performed.

Main Results:

  • A significant positive correlation was observed between BRAZTEL-MMSE and traditional MMSE scores (Spearman's rho = 0.354, p < 0.001).
  • Bland-Altman analysis indicated satisfactory agreement between the two cognitive assessment methods.
  • The mean difference between scores was 8.047 points.

Conclusions:

  • The BRAZTEL-MMSE demonstrates good agreement with the traditional MMSE for cognitive assessment in older adults.
  • This telephone-based tool is a potentially valuable and valid option for cognitive screening.
  • BRAZTEL-MMSE is suitable for situations where in-person assessments are not feasible, such as in long-term clinical trials.