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The Minimum Data Set 3.0 Cognitive Function Scale

Bibliographic Data

ID9101489
AuthorsKali S Thomas (0000-0003-3436-2184, Providence College, corresponding author), David Dosa (0000-0002-1916-983X, Providence College, corresponding author), Andrea Wysocki (Mathematica Policy Institute, Washington, DC), Vincent Mor (0000-0003-0084-1267, Providence College, corresponding author)
Year2017
Volume55
Issue9
Pagese68-e72
Publication date2017-09-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000000334
PMID25763665
OpenAlexW2088027173
LanguageEN
Citations received13
References cited14

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

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Unique citing works13
Citations per year1,18
Citation span2015 - 2025 (11)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 12
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