Psychometric reliability, validity, and generalizability of 3MSE scores among American Indian adults: the Strong Heart Study.

Autor:	Suchy-Dicey AM; Huntington Medical Research Institutes, Pasadena, CA, USA.; Washington State University, Elson S Floyd College of Medicine, Seattle, WA, USA., Vo TT; Washington State University, College of Education, Pullman, WA, USA., Oziel K; Washington State University, Elson S Floyd College of Medicine, Seattle, WA, USA., Buchwald DS; Washington State University, Elson S Floyd College of Medicine, Seattle, WA, USA., Nelson LA; Washington State University, College of Nursing, Spokane, WA, USA., Verney SP; University of New Mexico, Albuquerque, NM, USA., French BF; Washington State University, College of Education, Pullman, WA, USA.
Jazyk:	angličtina
Zdroj:	Journal of the International Neuropsychological Society : JINS [J Int Neuropsychol Soc] 2024 Jun; Vol. 30 (5), pp. 454-463. Date of Electronic Publication: 2024 Jan 24.
DOI:	10.1017/S1355617723011438
Abstrakt:	Objective: Modified Mini-Mental State Examination (3MSE) is often used to screen for dementia, but little is known about psychometric validity in American Indians. Methods: We recruited 818 American Indians aged 65-95 for 3MSE examinations in 2010-2013; 403 returned for a repeat examination in 2017-2019. Analyses included standard psychometrics inferences for interpretation, generalizability, and extrapolation: factor analysis; internal consistency-reliability; test-retest score stability; multiple indicator multiple cause structural equation models. Results: This cohort was mean age 73, majority female, mean 12 years education, and majority bilingual. The 4-factor and 2nd-order models fit best, with subfactors for orientation and visuo-construction (OVC), language and executive functioning (LEF), psychomotor and working memory (PMWM), verbal and episodic memory (VEM). Factor structure was supported for both research and clinical interpretation, and factor loadings were moderate to high. Scores were generally consistent over mean 7 years. Younger participants performed better in overall scores, but not in individual factors. Males performed better on OVC and LEF, females better on PMWM. Those with more education performed better on LEF and worse on OVC; the converse was true for bilinguals. All differences were significant, but small. Conclusion: These findings support use of 3MSE for individual interpretation in clinic and research among American Indians, with moderate consistency, stability, reliability over time. Observed extrapolations across age, sex, education, and bilingual groups suggest some important contextual differences may exist.
Databáze:	MEDLINE
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