Section 2: Selecting a Brief Cognitive Screen for Older Adults

 

OBJECTIVE: Review the Pros and Cons of five brief cognitive sceening instruments

ACTIVITIES: (all links open in new windows)

a) View the webinar at this URL:

http://mediasite.ouhsc.edu/Mediasite/Play/3918a70fda6e4de4845fd30dbc8a8b421d

b) Experiential Exercise: Download each of these 5 brief cognitive screening instruments and review them, paying attention to which aspects you like and don’t like about each of these instruments.

 

Brief cognitive screening measures that exist in the public domain and can easily be integrated into care settings that serve older adults: You can access these instruments through the VA Intranet http://vaww.mentalhealth.va.gov/mmse.asp, the NIH NIA site http://www.nia.nih.gov/research/cognitive-instrument, or directly on the individual URLs below.
Instrument		URL	NIH NIA Source: Original Source Reference
Abbreviation	Full Name
BOMC	Blessed Orientation- Memory-Concentration Test	http://regionstrauma.org/blogs/sbt.pdf	Katzman R, Brown T, Fuld P, et al. Validation of a short orientation-memory-concentration test of cognitive impairment. Am J Psychiatry 1983;140:734-–9.
Mini-Cog	Mini-Cog	http://www.alz.org/documents_custom/minicog.pdf	Borson S, Scanlan J, Brush M, et al. The mini-cog: a cognitive ‘vital signs’ measure for dementia screening in multi-lingual elderly. Int J Geriatr Psychiatry 2000;15:1021–7.
MoCA	Montreal Cognitive Assessment	http://mocatest.org/	Nasreddine ZS, Phillips NA, Bedirian V, et al. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment J Am Geriatr Soc 2005;53: 695-9.
SLUMS	Saint Louis University Mental Status	http://medschool.slu.edu/agingsuccessfully/pdfsurveys/slumsexam_05.pdf	Tariq SH, Tumosa N, Chibnall JT, et al. Comparison of the Saint Louis University mental status examination and the mini-mental state examination for detecting dementia and mild neurocognitive disorder--a pilot study. Am J Geriatr Psychiatry 2006 Nov;14(11):900-10.
STMS	Short Test of Mental Status	http://paulsarm.com/kokmen.htm	Kokmen E, Naessens JM, Offord KP. A short test of mental status: description and preliminary results. Mayo Clin Proc 1987;62:281-8. PMID: 3561043

 

c) Reflection Question: What are the pros and cons of using each of the brief cognitive screenings?

Answer at this survey link: https://www.surveymonkey.com/s/POGOe_BCS_Q2ProsCons

 

 

 

This website was created with partial funding from the US Dept of Health and Human Services (US DHHS) Health Resources and Services Administration (HRSA):
Geriatric Academic Career Award (GACA) grant # K01HP20519
Oklahoma Geriatric Education Center (OkGEC) grant # UB4HP19197