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Centre for Policy on Ageing | |
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| Education bias in the Mini-Mental State Examination | | Author(s) | Richard N Jones, Joseph J Gallo |
| Journal title | International Psychogeriatrics, vol 13, no 3, September 2001 |
| Pages | pp 299-310 |
| Keywords | Educational status [elderly] ; Cognitive processes ; Evaluation ; United States of America. |
| Annotation | Education is correlated with cognitive status assessment, but concern for test bias has led to questions of equivalent construct validity across education groups. The authors replicate Jorm et al's previous line of inquiry (1988), and submitted Mini-Mental State Examination (MMSE) responses to external validation analyses. Subjects were older participants in the Epidemiologic Catchment Area (ECA) study (age 50-98) conducted at Yale, Johns Hopkins, Duke, and Washington Universities, and UCLA. Little evidence for test bias for those with low educational attainment was found. The MMSE displayed significantly higher internal consistency reliability in the low-education group. The MMSE did not predict functional decline over 1 year, or mortality over 13 years differently by level of educational attainment. Evidence for sex bias was found: the MMSE was more highly correlated with both age and activities of daily living (ADL) impairment in women than in men. The MMSE predicted mortality differently according to participant sex. The lack of evidence for bias provides little support to proposals to adjust MMSE scores according to level of education. (RH). |
| Accession Number | CPA-020215202 A |
| Classmark | F:V: DA: 4C: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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