PMID: 16615712Apr 18, 2006Paper

Assessing cognitive ability in research: use of MMSE with minority populations and elderly adults with low education levels

Journal of Gerontological Nursing
Robin Y WoodWhitney W Pritham

Abstract

The Mini-Mental State Examination (MMSE), originally designed to screen for dementia, is an instrument currently used extensively to assess cognitive status in clinical and community settings. This descriptive study compares standard MMSE scores to MMSE scores adjusted for age and education in a sample of 414 elderly Black and White women living independently in communities. After scores were adjusted, 14 participants (all Black) were moved from categories of mild cognitive impairment to unimpaired cognitive ability. However, even after scores were adjusted for age and education, White elderly adults still had higher mean scores than Black elderly adults (p = .003), suggesting that racial differences may have an effect on MMSE performance independent of age and education. Further research is needed to better understand the interaction of race and culture on MMSE outcomes. Implications are offered for appropriate use of the MMSE considering factors of age, education, and racial differences to guide evidence-based practice by gerontological nurses engaged in work with elderly populations.

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Citations

Jun 12, 2010·Journal of Geriatric Psychiatry and Neurology·Diana MatallanaCarlos A Reyes-Ortiz
Jan 1, 2020·Alzheimer's & Dementia : Translational Research & Clinical Interventions·Kan Z GianattasioMelinda C Power
Sep 29, 2017·Journal of Geriatric Psychiatry and Neurology·Scott A SperlingCarol A Manning
Mar 7, 2018·Journal of General Internal Medicine·Halima AmjadQuincy M Samus
Mar 18, 2011·International Journal of Geriatric Psychiatry·Salman KarimAlistair Burns
Feb 20, 2010·European Archives of Psychiatry and Clinical Neuroscience·Camila MoraesCassio M C Bottino
May 19, 2019·International Journal of Environmental Research and Public Health·Tsui-Wen HsuYung-Po Liaw
Feb 16, 2008·American Journal of Alzheimer's Disease and Other Dementias·H GurvitH Harmanci
Feb 16, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Peter C CoyleGregory E Hicks
Jun 16, 2006·Journal of Gerontological Nursing·Marquis D Foreman

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