Graphical Instructions for Administration and Scoring the Mini-Cog: Results of a Randomized Clinical Trial

Journal of the American Geriatrics Society
Edlira TamEiran Z Gorodeski

Abstract

To develop a novel set of graphical Mini-Cog instructions designed to aid clinicians previously untrained on the Mini-Cog in accurate administration and scoring and to determine whether use of these graphical instructions improved the speed and accuracy of deployment of this tool. Randomized clinical trial. Testing was conducted in a simulated environment with a mock patient. Registered nurses working in inpatient or outpatient settings at a large academic medical center who had no prior exposure to or training with the Mini-Cog (N=92). Our primary outcome was the composite proportion of nurses who made errors in administration or scoring of the Mini-Cog. None of the nurses in the graphical instruction group and 28 (61%) in the standardized instructions group (15 (33%) made administration errors, 22 (48%) made scoring errors) made errors. Nurses randomly assigned to the graphical group were able to read (median 36 vs 54 seconds, P<.001), administer (46 vs 62 seconds, P<.001), and score (15 vs 84 seconds, P<.001) the Mini-Cog more quickly than those in the standardized instructions group. Graphical instructions increase the accuracy and speed of test administration in nurses without prior training in Mini-Cog administration. Fur...Continue Reading

References

Dec 13, 2000·International Journal of Geriatric Psychiatry·S BorsonA Dokmak
Sep 27, 2003·Journal of the American Geriatrics Society·Soo BorsonMary Ganguli
Jul 20, 2014·Clinics in Geriatric Medicine·Soo Borson, Joshua Chodosh
Dec 6, 2014·Circulation. Heart Failure·Apurva PatelEiran Z Gorodeski
Sep 1, 2015·Journal of the American Medical Directors Association·John E MorleyBruno Vellas

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