Journal
JOURNAL OF GERIATRIC PSYCHIATRY AND NEUROLOGY
Volume 17, Issue 2, Pages 81-87Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/0891988704264534
Keywords
MMSE; telephone MMSE; psychometrics; Alzheimer's disease; telemedicine
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Funding
- NIA NIH HHS [AG 17824] Funding Source: Medline
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The objective of this study was to assess the convergent validity of a 26-point Telephone Mini-Mental State Examination (MMSE) in a longitudinal cohort of 46 Alzheimer's disease (AD) patients. Paired in-person and telephone MMSE observations were collected within 35 days of each other. The setting was the StanfordNA Alzheimer's Center in Palo Alto, California, and patients' residences. The 30-point Folstein MMSE was administered in-person, and a 26-point telephone version of the MMSE, adapted from the Adult Lifestyles and Function Interview (ALFI)-MMSE. Total scores for the in-person and telephone MMSE versions correlated strongly (Pearson's r =.88, P <.001). Hearing impairment and education level did not significantly affect telephone-based performance. The Telephone MMSE can be used to validly estimate in-person MMSE scores of patients with AD. Use of this practical measure can enhance reassessment if returning to the clinic is difficult or if a change in the patient's medical condition merits a check of mental status by telephone.
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