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Development and validation of the Memory Orientation Screening Test (MOST™): A better screening test for dementia

Authors

Clionsky, Mitchell I., Clionsky, Emilymarie

Journal

American Journal Of Alzheimer's Disease And Other Dementias, Volume: 25, No.: 8, Pages.: 650-656

Year of Publication

2010

Abstract

Objectives: Accurate, economical identification of cognitive impairment would increase dementia detection and improve care of older patients.; Design: Analysis of archival neuropsychological data combined 3-word recall, time orientation, list memory, and clock drawing into the Memory Orientation Screening Test (MOST ™). The MOST was compared with Folstein Mini Mental State Examination (MMSE) and Mini-Cog to detect dementia presence and severity, and convergence with standardized neuropsychological tests. Internal consistency, retest reliabilities, completion likelihood, and time costs were calculated.; Results: The MOST was significantly more sensitive than MMSE or Mini-Cog, twice as accurate as MMSE for identifying mild dementia, better correlated with standardized memory tests, more reliable over time, and minimally related to depression.; Conclusions: The MOST is routinely administered in less than 5 minutes by a medical assistant, more accurately identifies dementia and severity than current screening tests, and emulates longer memory testing, making it valuable for Annual Wellness Visits and many applied clinical settings.;

Bibtex Citation

@article{Clionsky_2010, doi = {10.1177/1533317510386216}, url = {http://dx.doi.org/10.1177/1533317510386216}, year = 2010, month = {dec}, publisher = {{SAGE} Publications}, volume = {25}, number = {8}, pages = {650--656}, author = {M. I. Clionsky and E. Clionsky}, title = {Development and Validation of the Memory Orientation Screening Test ({MOSTTM}): A Better Screening Test for Dementia}, journal = {American Journal of Alzheimer{textquotesingle}s Disease and Other Dementias} }

Keywords

aged, aged, 80 and over, alzheimer disease, cognition disorders, diagnosis, female, humans, male, mass screening, memory disorders, methods, neuropsychological tests, observer variation, orientation, reproducibility of results, standards, statistics & numerical data

Countries of Study

USA

Types of Study

Cohort Study

Type of Interventions

Diagnostic Target Identification

Diagnostic Targets

Cognition testing (inc. task driven tests such as clock drawing)