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Centre for Policy on Ageing | |
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| The utility of the Mini-mental State Examination in guiding assessment of capacity to consent to research | | Author(s) | Paul J P Whelan, Justyna Oleszek, Alastair Macdonald |
| Journal title | International Psychogeriatrics, vol 21, no 2, April 2009 |
| Pages | pp 338-344 |
| Source | http://www.journals.cambridge.org/ipg |
| Keywords | Residents [care homes] ; Rights [elderly] ; Participation ; Research ; Mental health [elderly] ; Assessment procedures for mental patients. |
| Annotation | Previous studies have found the Mini Mental State Examination (MMSE) predictive of capacity to consent to power of attorney and to enter into residential care. The authors aimed to assess the utility of the MMSE in predicting capacity to consent to research in UK care home residents, to determine the optimal cut-point score, and to ascertain which items of the MMSE most predicted capacity. Care home residents (n = 227) who had been recruited into a randomised controlled trial and assessed for capacity to consent were subsequently administered the MMSE and a measure of depression. A receiver operator characteristic (ROC) curve was generated and the maximal MMSE cut-point that best predicted capacity status determined. Multiple regression analyses were conducted to assess the effect of other variables on capacity status. The results showed that the MMSE is predictive of capacity to consent to research and may have a role in guiding researchers in this domain. It should not, however, be used in lieu of a formal capacity assessment as even the optimal cut-point of 13/14 mislabelled 24% of capable subjects as lacking capacity, and 21% of incapable subjects as having capacity. (KJ/RH). |
| Accession Number | CPA-090825235 A |
| Classmark | KX: IKR: TMB: 3A: D: DA:4C |
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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