The Minimum Data Set 3.0 Cognitive Function Scale

Dados Bibliográficos

ID9101489
AutoresKali S Thomas (0000-0003-3436-2184, Providence College, autor correspondente), David Dosa (0000-0002-1916-983X, Providence College, autor correspondente), Andrea Wysocki (Mathematica Policy Institute, Washington, DC), Vincent Mor (0000-0003-0084-1267, Providence College, autor correspondente)
Ano2017
Volume55
Fascículo9
Páginase68-e72
Data de publicação2017-09-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoMedical Care (JOURNAL)
Identificadores do periódicoISSN: 0025-7079 • E-ISSN: 1537-1948
EditoraOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000000334
PMID25763665
OpenAlexW2088027173
IdiomaEN
Citações recebidas13
Referências citadas14

BACKGROUND: The Minimum Data Set (MDS) 3.0 introduced the Brief Interview for Mental Status (BIMS), a short performance-based cognitive screener for nursing home (NH) residents. Not all residents are able to complete the BIMS and are consequently assessed by staff. We designed a Cognitive Function Scale (CFS) integrating self-report and staff-report data and present evidence of the scale's construct validity. DESIGN: A retrospective cohort study. SUBJECTS: The subjects consisted of 3 cohorts: (1) long-stay NH residents (N=941,077) and (2) new admissions (N=2,066,580) during 2011-2012, and (3) residents with the older MDS 2.0 assessment in 2010 and the newer MDS 3.0 assessment (n=688,511). MEASURES: MDS 3.0 items were used to create a single, integrated 4-category hierarchical CFS that was compared with residents' prior MDS 2.0 Cognitive Performance Scale scores and other concurrent MDS 3.0 measures of construct validity. RESULTS: The new CFS suggests that 28% of the long-stay cohort in 2011-2012 were cognitively intact, 22% were mildly impaired, 33% were moderately impaired, and 17% were severely impaired. For the admission cohort, the CFS noted 56% as cognitively intact, 23% as mildly impaired, 17% as moderately impaired, and 4% as severely impaired. The CFS corresponded closely with residents' prior MDS 2.0 Cognitive Performance Scale scores and with performance of Activities of Daily Living, and nurses' judgments of function and behavior in both the admission and long-stay cohorts. CONCLUSIONS: The new CFS is valuable to researchers as it provides a single, integrated measure of NH residents' cognitive function, regardless of the mode of assessment

Activities of daily living · Cognition · Cohort · Cohort study · Construct validity · Effects of sleep deprivation on cognitive performance · Minimum Data Set · Nursing homes · Physical therapy · Psychiatry · Psychometrics · Scale (ratio) · Clinical Psychology · Dementia and Cognitive Impairment Research · Frailty in Older Adults · Geriatric Care and Nursing Homes · Internal Medicine · Medicine · Nursing · Psychology · Gerontology