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The Use of the Modified Telephone Interview for Cognitive Status (TICS-M) in the Detection of Amnestic Mild Cognitive Impairment

Department of Clinical and Health Psychology, University of Florida, Gainesville, Florida, cookse{at}phhp.ufl.edu

Michael Marsiske, PhD

Department of Clinical and Health Psychology, University of Florida, Gainesville, Florida

Karin J. M. McCoy, PhD

Department of Neurosurgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas

Many screening tools for detecting cognitive decline require in-person assessment, which is often not cost-effective or feasible for those with physical limitations. The Modified Telephone Interview for Cognitive Status has been used for screening dementia, but little is known about its usefulness in detecting amnestic mild cognitive impairment. Community-dwelling participants (mean age = 74.9, mean education = 16.1 years) were administered the Modified Telephone Interview for Cognitive Status during initial screening and subsequently given a multidomain neuropsychological battery. Participants were classified by consensus panel as cognitively normal older adult (noMCI, N = 54) or amnestic mild cognitive impairment (N = 17) based on neuropsychological performance and Clinical Dementia Rating Scale interview, but independent of Modified Telephone Interview for Cognitive Status score. There was a significant difference between groups in Modified Telephone Interview for Cognitive Status score (t = 8.04, P < .01, noMCI range 32-43, mean [SD] = 37.4 [2.5], amnestic mild cognitive impairment range 25-37, mean [SD] = 31.2 [3.5]). Discriminant function analysis revealed that TICS-M alone correctly classified 85.9% of participants into their respective diagnostic classification (sensitivity = 82.4%, specificity = 87.0%). Receiver operating characteristics analysis resulted in cutoff score of 34 that optimized sensitivity and specificity of amnestic mild cognitive impairment classification. The Modified Telephone Interview for Cognitive Status is a brief, cost-effective screening measure for identifying those with and without amnestic mild cognitive impairment.

Key Words: mild cognitive impairment • ROC analysis • telephone assessment

Journal of Geriatric Psychiatry and Neurology, Vol. 22, No. 2, 103-109 (2009)
DOI: 10.1177/0891988708328214


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