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Validation of a 26-Point Telephone Version of the Mini-Mental State Examination

Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, lnewkirk{at}stanford.edu

Janise M. Kim, BA

Veterans Affairs Palo Alto Health Care System, Palo Alto, CA

Jean M. Thompson, MS

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford University, Palo Alto, CA

Jared R. Tinklenberg, MD

Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford University, Palo Alto, CA

Jerome A. Yesavage, MD

Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford University, Palo Alto, CA

Joy L. Taylor, PhD

Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford University, Palo Alto, CA, joyt{at}stanford.edu

The objective of this study was to assess the convergent validity of a 26-point Telephone Mini-Mental State Examination (MMSE) in a longitudinal cohort of 46 Alzheimer’s disease (AD) patients. Paired in-person and telephone MMSE observations were collected within 35 days of each other. The setting was the Stanford/VA Alzheimer’s Center in Palo Alto, California, and patients’ residences. The 30-point Folstein MMSE was administered in-person, and a 26-point telephone version of the MMSE, adapted from the Adult Lifestyles and Function Interview (ALFI)-MMSE. Total scores for the in-person and telephone MMSE versions correlated strongly (Pearson’s r = .88, P < .001). Hearing impairment and education level did not significantly affect telephone-based performance. The Telephone MMSE can be used to validly estimate in-person MMSE scores of patients with AD. Use of this practical measure can enhance reassessment if returning to the clinic is difficult or if a change in the patient’s medical condition merits a check of mental status by telephone.

Key Words: MMSE • telephone MMSE • psychometrics • Alzheimer’s disease • telemedicine

Journal of Geriatric Psychiatry and Neurology, Vol. 17, No. 2, 81-87 (2004)
DOI: 10.1177/0891988704264534


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