Item and Scale Differential Functioning of the Mini-Mental State Exam Assessed Using the Differential Item and Test Functioning (DFIT) Framework
Bibliographic Data
| ID | 9102929 |
|---|---|
| Authors | Leo S Morales (0000-0002-5724-3404, Los Angeles County Department of Health Services, corresponding author), Claudia Flowers (0000-0001-8968-3888, University of North Carolina at Charlotte), Peter Gutierrez, Peter M Gutierrez (0000-0001-8981-8404, University of California, Los Angeles), Marjorie Kleinman (New York State Psychiatric Institute), Jeanne A Teresi (Hebrew Home) |
| Year | 2006 |
| Volume | 44 |
| Issue | Suppl 3 |
| Pages | S143-S151 |
| Publication date | 2006-11-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/01.mlr.0000245141.70946.29 |
| PMID | 17060821 |
| PMCID | PMC1661831 |
| OpenAlex | W1984870553 |
| Language | EN |
| Citations received | 22 |
| References cited | 15 |
OBJECTIVES: To illustrate the application of the Differential Item and Test Functioning (DFIT) method using English and Spanish versions of the Mini-Mental State Examination (MMSE). SUBJECTS: Study participants were 65 years of age or older and lived in North Manhattan, New York. Of the 1578 study participants who were administered the MMSE 665 completed it in Spanish. MEASURES: : The MMSE contains 20 items that measure the degree of cognitive impairment in the areas of orientation, attention and calculation, registration, recall and language, as well as the ability to follow verbal and written commands. RESEARCH DESIGN: After assessing the dimensionality of the MMSE scale, item response theory person and item parameters were estimated separately for the English and Spanish sample using Samejima's 2-parameter graded response model. Then the DFIT framework was used to assess differential item functioning (DIF) and differential test functioning (DTF). RESULTS: Nine items were found to show DIF; these were items that ask the respondent to name the correct season, day of the month, city, state, and 2 nearby streets, recall 3 objects, repeat the phrase no ifs, no ands, no buts, follow the command, "close your eyes," and the command, "take the paper in your right hand, fold the paper in half with both hands, and put the paper down in your lap." At the scale level, however, the MMSE did not show differential functioning. CONCLUSIONS: Respondents to the English and Spanish versions of the MMSE are comparable on the basis of scale scores. However, assessments based on individual MMSE items may be misleading
Cognition · Cognitive impairment · Cognitive psychology · Differential (mechanical device) · Differential item functioning · Item response theory · Mini–Mental State Examination · Psychiatry · Psychometrics · Recall · Respondent · Scale (ratio) · Test (biology) · Clinical Psychology · Dementia and Cognitive Impairment Research · Psychological Testing and Assessment · Psychology · Psychometric Methodologies and Testing
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| Unique citing works | 22 |
|---|---|
| Citations per year | 1,1 |
| Citation span | 2006 - 2021 (16) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 22 |