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Victor W Henderson - One of the best experts on this subject based on the ideXlab platform.

T M Mcmillan - One of the best experts on this subject based on the ideXlab platform.

  • accuracy in scoring vignettes using the mini mental state examination and the short orientation memory Concentration Test
    Journal of Geriatric Psychiatry and Neurology, 2010
    Co-Authors: Victoria R Queally, Jonathan Evans, T M Mcmillan
    Abstract:

    Objective: To compare the accuracy in scoring of vignettes of 2 cognitive screening Tests—the Mini Mental State Examination (MMSE) and the Short Orientation Memory Concentration Test (S-OMC). Design: Within group comparison. Setting: Academic institution. Participants: A total of 74 student nurses. Method: Participants received instruction on the scoring of each Test and were then asked to score 6 videotaped clinical vignettes. Main Outcome Measures: Scores allocated by participants on the vignettes for the MMSE and S-OMC. Results: The proportion of participants assigning the correct total score to the vignettes was low (MMSE 53.2%, S-OMC 66.7%), and the difference in accuracy between Tests was significant (P ¼ .005). The total scores that were assigned resulted in misclassification across all 4 caseness cutoffs within each Test (MMSE 0.9%-5.9%; S-OMC 1.4%-2.7%). The differences in correct caseness placement between the 2 Tests were significant only for the moderate impairment cutoff, where the S-OMC achieved greater correct caseness placement. Conclusions: The high proportion of scoring mistakes overall has implications for the use of both the Tests in routine clinical practice but in particular for the MMSE. An increased awareness is needed in clinical settings and among Tests developers, of the likelihood of, and implications arising from, variations in scoring accuracy. In the current study, the S-OMC was scored more accurately than the MMSE.

E Vergis - One of the best experts on this subject based on the ideXlab platform.

  • the short orientation memory Concentration Test a study of its reliability and validity
    Clinical Rehabilitation, 1999
    Co-Authors: Derick T Wade, E Vergis
    Abstract:

    Objective: To establish the limits of intra-observer Test–reTest reliability of the Short Orientation–Memory–Concentration Test (SOMC), and to investigate the relationship of performance on the SOMC with a Test of verbal memory.Design: Each patient was assessed twice by the same assessor over an interval of 3–7 days.Setting: Two specialist rehabilitation units concerned with patients with severe and/or complex disability arising from neurological disease.Subjects: Thirty-eight patients aged 17–63 years, 25 being men, with a variety of neurological diseases. The Barthel Activities of Daily Living Index score ranged from 0 to 20, median 10.5.Measures: The Short Orientation–Memory–Concentration Test, the Barthel Activities of Daily Living Index and the paragraph recall subTest of the Rivermead Behavioural Memory Test (RBMT).Results: There was a slight but statistically significant (p<0.01) improvement in the score of 2 points (out of 28) between the two Test occasions, but this was not related to the interva...

Maribel I Taussig - One of the best experts on this subject based on the ideXlab platform.

Eleanor M Simonsick - One of the best experts on this subject based on the ideXlab platform.

  • equivalence of two screens of cognitive functioning the short portable mental status questionnaire and the orientation memory Concentration Test
    Journal of the American Geriatrics Society, 1998
    Co-Authors: Gerda G Fillenbaum, Lawrence R Landerman, Eleanor M Simonsick
    Abstract:

    OBJECTIVE: To determine the equivalence of two screens of cognitive functioning: the Short Portable Mental Status Questionnaire (SPMSQ) and the Orientation-Memory-Concentration (OMC) Test. DESIGN: The design was cross-sectional and longitudinal. SETTING: Four rural and one urban county in the Piedmont region of North Carolina (n = 3210). PARTICIPANTS: A stratified random cluster sample (n = 3210) of people 68 years of age and older. MEASUREMENTS: SPMSQ and OMC at the fourth wave of the Duke Established Populations for Epidemiologic Studies of the Elderly (EPESE); disability, depression, and death measurements from the fourth through seventh waves of EPESE; demographic characteristics. RESULTS: On the SPMSQ and the OMC (r = .80), 15.3% and 38.4%, respectively, of those Tested were rated cognitively impaired. Poorer scores were associated with older age, black race, and less education. These associations were attenuated on the dichotomized SPMSQ but not on the OMC. Both measures predicted disability and depressive symptomatology currently and 3 years hence and death. CONCLUSIONS: The SPMSQ and OMC, although highly correlated, are not equivalent. Association with race and education are greater for the OMC, whereas an association with age exists for both measures. The milder level of impairment identified by the OMC increases predictive capacity.