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Centre for Policy on Ageing | |
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| Cross-cultural comparison of the Mini-Mental State Examination in United Kingdom and United States participants with Alzheimer's disease | | Author(s) | Laura E Gibbons, Gerald van Belle, Minhua Yang |
| Journal title | International Journal of Geriatric Psychiatry, vol 17, no 8, August 2002 |
| Pages | pp 723-728 |
| Keywords | Dementia ; Assessment procedures for mental patients ; Cross cultural surveys ; Comparison ; United Kingdom ; United States of America. |
| Annotation | The relative difficulties of items on the the Mini-Mental State Examination (MMSE) were compared in English-speaking Alzheimer's disease (AD) patients aged 75+ in the US (n=401) and the UK (n=139). Item Characteristic Curve analysis (ICC) was used to calculate the relative difficulty of individual MMSE items, adjusted for the remaining MMSE items. Age, gender, education, and severity of disease were evaluated as possible confounders. UK participants found it relatively more difficult to name their county than their US counterparts did to name their state. The relative difficulties of registration and recall, repeating a phrase, and following verbal directions also were significantly higher in UK participants, even after adjustment for other factors. Differences between the cohorts could be explained by translation artefacts in the test items, or by cultural differences in the manifestation of AD. In this study, most, if not all differences can be explained by the former ICC analysis can be used to develop tests that are functionally equivalent, a prerequisite for comparing dementia in different populations. (RH). |
| Accession Number | CPA-020903207 A |
| Classmark | EA: DA:4C: 3KA: 48: 8: 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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