Validation of the Minimum Data Set Cognitive Performance Scale: Agreement with the Mini-Mental State Examination

Hartmaier, Susan L.; Sloane, Philip D.; Guess, Harry A.; Koch, Gary G.; Mitchell, C. Madeline; Phillips, Charles D.

doi:10.1093/gerona/50a.2.m128

Cited by 467 publications

(377 citation statements)

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“…Additionally, each participant's most recent Minimum Data Set (MDS version 2.0) completed by LTC staff was retrieved to calculate MDS-derived scale scores for cognitive and physical functioning [22][23][24] and history of weight loss (section K, item 3a, ≥5 % in the last 30 days or 10 % in the last 180 days). The MDS-derived Cognitive Performance Scale (CPS) score ranges from 0 (cognitively intact) to 6 (severely impaired) [22]. The MDSderived Activities of Daily Living (ADL) scale score ranges from 0 (rated by staff as independent in each of seven areas) to 28 (rated by staff as completely dependent in all areas) [23].…”

Section: Methodsmentioning

confidence: 99%

A staff training and management intervention in VA long-term care: impact on feeding assistance care quality

Simmons¹,

Durkin²,

Shotwell³

et al. 2013

Behav. Med. Pract. Policy Res.

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Efforts to translate efficacious interventions into longterm care practice have had limited success due to the lack of consideration of key translational intervention components. A multi-faceted intervention was implemented in two veteran affairs facilities to improve feeding assistance care. There were three study phases: baseline, intervention, and follow-up. During each phase, trained research staff conducted standardized observations of 12 meals/participant to assess feeding assistance care quality. The staff received three initial training sessions followed by six consecutive weeks of feedback sessions wherein the observation-based care process measures were shared with the staff. There were significant, but modest, improvements in mealtime feeding assistance care processes, and most of the improvements were maintained during follow-up. A multi-faceted intervention resulted in significant, but modest, improvements in mealtime feeding assistance care quality. Organizational (staff schedules, communication) and environmental (dining location) barriers were identified that interfered with improvement efforts.

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Section: Methodsmentioning

confidence: 99%

A staff training and management intervention in VA long-term care: impact on feeding assistance care quality

Simmons¹,

Durkin²,

Shotwell³

et al. 2013

Behav. Med. Pract. Policy Res.

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“…Number of prescribed medications and new medications were derived by the assessors and included as summary items as part of the RAI 2.0. Our analyses also included four health index measures previously developed and validated for use with the RAI 2.0 tool: (1) the Activities of Daily Living (ADL) self-performance hierarchy scale (range 0-6) [26]; (2) the Changes in Health, End-stage disease and Signs and Symptoms (CHESS) score (range 0-5) [27]; (3) the Cognitive Performance Scale (CPS) score (range 0-6) [28,29]; and (4) the Depression Rating Scale (DRS; range 0-14) [30]. Higher scores are all indicative of more severe impairment.…”

Section: Methodsmentioning

confidence: 99%

Osteoporosis management among residents living in long-term care

et al. 2009

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“…In the current analysis, the usual cutoff of 2 points or more was used to define the presence of cognitive impairment. 12 On the other hand, it aims to map fluctuations and severity of cognitive (dys) functioning by calculating scores ranging from 0 to 6, with higher scores indicating higher cognitive impairment. 11 In a 6-hour training program, the standardized scoring criteria of the interRAI AC manual 23 and the use of the MMSE were explained to four assessors, and fictive cases were discussed.…”

Section: Assessment Of Cognitive Functioningmentioning

confidence: 99%

Convergent Validity of the Cognitive Performance Scale of the interRAI Acute Care and the Mini-Mental State Examination

Wellens

Flamaing

Tournoy

et al. 2013

The American Journal of Geriatric Psychiatry

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Objective: The Cognitive Performance Scale (CPS) is generated from five items of the interRAI/ Minimum Data Set instruments, a comprehensive geriatric assessment method. CPS was initially designed to assess cognition in residential care, where it has shown good psychometric performance. We evaluated the performance of the interRAI Acute Care in identifying cognitive impairment among patients hospitalized on acute geriatric wards. Methods: An observational study was conducted on two geriatric wards. Trained raters independently completed the interRAI Acute Care and the Mini-Mental State Examination (MMSE) in 97 inpatients (85 AE 5 years; 67% female). The level of agreement between CPS and MMSE was explored using comparisons of means, agreement coefficients, and diagnostic accuracy. Results: Cognitive impairment was present in 61% of the participants. Average MMSE scores were significantly different between groups with low CPS scores compared with those with high CPS scores (p <0.05). CPS explained only 48.8% of the variability in MMSE. Agreement in defining cognitively impaired subjects was moderate (percentage observed agreement, 68%; k ¼ 0.41). With MMSE score less than 24 as a gold standard, diagnostic accuracy of CPS was moderate (area under curve ¼ 0.73), with low sensitivity, but excellent specificity. When lowering the MMSE cutoff to less than 18 and focusing on patients with severe cognitive impairment, CPS agreement coefficients and sensitivity increased but specificity decreased. Using education-adjusted MMSE cutoffs did not substantially affect the results. Conclusion: CPS can be used for coarse triage between intact and severe cognitive impairment. Although promising results have been obtained in residential and community settings, our results suggest that CPS fails to differentiate across different levels of cognitive impairment in hospitalized geriatric patients. (Am J Geriatr Psychiatry 2013; 21:636e645)

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Validation of the Minimum Data Set Cognitive Performance Scale: Agreement with the Mini-Mental State Examination

Abstract: The MDS Cognitive Performance Scale, when performed by a trained research nurse using recommended protocols, provides a valid measure of cognitive status in nursing home residents.

Cited by 467 publications

References 23 publications

A staff training and management intervention in VA long-term care: impact on feeding assistance care quality

A staff training and management intervention in VA long-term care: impact on feeding assistance care quality

Osteoporosis management among residents living in long-term care

Convergent Validity of the Cognitive Performance Scale of the interRAI Acute Care and the Mini-Mental State Examination

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