Dementia & neuropsychologia · 2026
Mini-Mental State Examination for telephone use in highly educated and socially active older adults: a descriptive study.
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da Silva Thaís Bento Lima, Dos Santos Gabriela, Ordonez Tiago Nascimento, da Silva Sabrina Aparecida, Fernandes Maria Antônia Antunes, Oliveira Wellington Lourenço, Bacelar Diana Dos Santos, Costa Laydiane Alves, Moreira Ana Paula Bagli, Queiroz Edna Letícia, Siqueira Gabriela Cristina, Chubaci Rosa Yuka Sato, da Silva Henrique Salmazo, Gutierrez Beatriz Aparecida Ozello, Brucki Sonia Maria Dozzi
Аннотация
UNLABELLED: With population aging, the growing concern about cognitive decline and dementias highlights the need for early and accessible cognitive assessment. In this context, a telephone-adapted version of the Mini-Mental State Examination, the Brazilian Telephone Version of the Mini-Mental State Examination (Braztel-MMSE), was developed.
OBJECTIVE: The aim of the study was to compare cognitive performance assessed by the Braztel-MMSE, administered by telephone, with the traditional Mini-Mental State Examination (MMSE), administered in person, in highly educated older adults without diagnosed dementia or depression, and who are socially engaged.
METHODS: This is a descriptive cross-sectional study. The initial sample consisted of 578 older adults who completed the Braztel-MMSE during the screening phase of a clinical trial. Of these, a subsample of 190 older adults completed the traditional MMSE after 18 months. Data were analyzed descriptively and inferentially to compare scores obtained from both instruments.
RESULTS: The results showed a significant correlation between scores on the Braztel-MMSE and the traditional MMSE (Spearman's rho=0.354, p<0.001). Bland-Altman analysis revealed satisfactory agreement between the two cognitive assessment methods, with a mean difference of 0.002 between scores.
CONCLUSION: This study demonstrates that the telephone-administered Braztel-MMSE shows good agreement with the traditional face-to-face MMSE. These findings suggest that the Braztel-MMSE can be a useful and valid tool for cognitive screening in contexts where in-person evaluation is not feasible, including long-term clinical trials.
OBJECTIVE: The aim of the study was to compare cognitive performance assessed by the Braztel-MMSE, administered by telephone, with the traditional Mini-Mental State Examination (MMSE), administered in person, in highly educated older adults without diagnosed dementia or depression, and who are socially engaged.
METHODS: This is a descriptive cross-sectional study. The initial sample consisted of 578 older adults who completed the Braztel-MMSE during the screening phase of a clinical trial. Of these, a subsample of 190 older adults completed the traditional MMSE after 18 months. Data were analyzed descriptively and inferentially to compare scores obtained from both instruments.
RESULTS: The results showed a significant correlation between scores on the Braztel-MMSE and the traditional MMSE (Spearman's rho=0.354, p<0.001). Bland-Altman analysis revealed satisfactory agreement between the two cognitive assessment methods, with a mean difference of 0.002 between scores.
CONCLUSION: This study demonstrates that the telephone-administered Braztel-MMSE shows good agreement with the traditional face-to-face MMSE. These findings suggest that the Braztel-MMSE can be a useful and valid tool for cognitive screening in contexts where in-person evaluation is not feasible, including long-term clinical trials.