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Centre for Policy on Ageing | |
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| Adapting Mini-Mental State Examination for dementia screening among illiterate or minimally educated elderly Chinese | | Author(s) | Gelin Xu, John Stirling Meyer, Yuanghai Huang |
| Journal title | International Journal of Geriatric Psychiatry, vol 18, no 7, July 2003 |
| Pages | pp 609-616 |
| Keywords | Illiterate elderly ; Dementia ; Screening ; Cognitive processes ; Evaluation ; China. |
| Annotation | Illiteracy is prevalent in the current older Chinese population. In this study, literacy-dependent items of the Mini-Mental State Examination (MMSE) were modified or substituted by equivalent items that are not literacy-dependent. Some items were modified to provide socio-cultural compatibility. After developing it, the Chinese adapted MMSE (CAMSE) was administered to 770 older outpatients from Xijing hospitals in Xi'an, China, of whom 93 were found to be demented and 277 non-demented. Sensitivities and specificities for identifying dementia were evaluated by adjusting for different CAMSE cut-off points: 22 for literates, 20 for illiterates yielded a sensitivity of 83.8% and a specificity of 84.8%. The impact of literacy on CAMSE and individual test items was also evaluated. Results suggest that in the socio-cultural context for China, irrespective of people's literacy literacy skills, CAMSE proved feasible for use in clinical settings for dementia screening. (RH). |
| Accession Number | CPA-030804220 A |
| Classmark | F:VHI: EA: 3V: DA: 4C: 7DC |
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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