- Autori:
-
Quaranta, Davide; L'Abbate, Federica; Pelosi, Annalisa; Arighi, Andrea; Asoni, Gesuina; Bagattini, Chiara; Bessi, Valentina; Bonanni, Laura; Bortoletto, Marta; Bruni, Amalia Cecilia; Cagnin, Annachiara; Cappa, Stefano F; Giubilei, Franco; Guarino, Maria; Iavarone, Alessandro; Isella, Valeria; Luca, Antonina; Monastero, Roberto; Pellegrini, Francesca Ferrari; Perini, Marta; Piccoli, Tommaso; Rainero, Innocenzo; Tedeschi, Gioacchino; Marra, Camillo; Caffarra, Paolo
- Titolo:
-
Itel MMSE: a short phone screening test for cognitive decline. Italian Validation study by the SINdem Neuropsychology Working Group
- Anno:
-
2025
- Tipologia prodotto:
-
Articolo in Rivista
- Tipologia ANVUR:
- Articolo su rivista
- Lingua:
-
Inglese
- Formato:
-
A Stampa
- Referee:
-
Sì
- Nome rivista:
- NEUROLOGICAL SCIENCES
- ISSN Rivista:
- 1590-1874
- N° Volume:
-
46
- Numero o Fascicolo:
-
4
- Intervallo pagine:
-
1617-1627
- Parole chiave:
-
Alzheimer's disease; Cognitive screening; Dementia; ItelMMSE; MCI; Neurospychology
- Breve descrizione dei contenuti:
- Introduction: The Italian telephone-based Mini-Mental State Examination (Itel-MMSE) is considered a very easy tool for screening individuals with dementia, gained importance during COVID-19, but lacks validation and faces a ceiling effect. Aim: In the present study, we conducted a study standardizing and validating it, establishing cut-off values for two versions. Methods: Across 24 Italian sites, 707 healthy individuals (50-89 years, men: 268, women: 439) with diverse educational levels (3-24 years) were recruited. Subjects met criteria for normal conditions investigated through a semi-structured interview covering neurological, psychiatric, general medical, and psychopharmacological history. Two test versions were created to assess test-retest reliability at 45-day intervals. We also enrolled 187 subjects with Mild Cognitive Impairment (MCI) and 181 with Alzheimer's Disease (AD) for validation. The raw scores obtained on both versions of Itel-MMSE were set as dependent variables in linear regression models that included age, education, and gender as independent variables. RESULTS : Mean raw Itel-MMSE1 score was 20.82 (range: 13-22). Multiple linear regression demonstrated significant effects of sociodemographic variables for age and education, establishing a new cut-off ≥ 18.49. Mean raw Itel-MMSE2 score was 20.97 (range: 10-22), with a new cut-off ≥ 18.45. Validation showed high informative values, with areas under the curve (AUCs) for MCI and AD conditions and both versions (Itel-MMSE1: MCI AUC = 0.801, AD AUC = 0.907; Itel-MMSE2: MCI AUC = 0.827, AD AUC = 0.977). Conclusion: The Itel-MMSE proves valuable as a screening method for detecting and monitoring dementia in remote phone screenings, with different cut-offs aiding MCI patient identification in clinical settings.
- Note:
- First published online: 04 December 2024
- Pagina Web:
-
https://doi.org/10.1007/s10072-024-07863-4
- Id prodotto:
-
142939
- Handle IRIS:
-
11562/1146448
- ultima modifica:
-
21 marzo 2025
- Citazione bibliografica:
-
Quaranta, Davide; L'Abbate, Federica; Pelosi, Annalisa; Arighi, Andrea; Asoni, Gesuina; Bagattini, Chiara; Bessi, Valentina; Bonanni, Laura; Bortoletto, Marta; Bruni, Amalia Cecilia; Cagnin, Annachiara; Cappa, Stefano F; Giubilei, Franco; Guarino, Maria; Iavarone, Alessandro; Isella, Valeria; Luca, Antonina; Monastero, Roberto; Pellegrini, Francesca Ferrari; Perini, Marta; Piccoli, Tommaso; Rainero, Innocenzo; Tedeschi, Gioacchino; Marra, Camillo; Caffarra, Paolo,
Itel MMSE: a short phone screening test for cognitive decline. Italian Validation study by the SINdem Neuropsychology Working Group
«NEUROLOGICAL SCIENCES»
, vol.
46
, n.
4
,
2025
,
pp. 1617-1627
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