Validation of the Middlesex Elderly Assessment of Mental State (MEAMS) as a cognitive screening test in patients with acquired brain injury in Turkey.

Full Abstract

PURPOSE:
Assessment of cognitive impairment with a valid cognitive screening tool is essential in neurorehabilitation. The aim of this study was to test the reliability and validity of the Turkish-adapted version of the Middlesex Elderly Assessment of Mental State (MEAMS) among acquired brain injury patients in Turkey.

METHODS:
Some 155 patients with acquired brain injury admitted for rehabilitation were assessed by the adapted version of MEAMS at admission and discharge. Reliability was tested by internal consistency, intra-class correlation coefficient (ICC) and person separation index; internal construct validity by Rasch analysis; external construct validity by associations with physical and cognitive disability (FIM); and responsiveness by Effect Size.

RESULTS:
Reliability was found to be good with Cronbach's alpha of 0.82 at both admission and discharge; and likewise an ICC of 0.80. Person separation index was 0.813. Internal construct validity was good by fit of the data to the Rasch model (mean item fit -0.178; SD 1.019). Items were substantially free of differential item functioning. External construct validity was confirmed by expected associations with physical and cognitive disability. Effect size was 0.42 compared with 0.22 for cognitive FIM.

CONCLUSION:
The reliability and validity of the Turkish version of MEAMS as a cognitive impairment screening tool in acquired brain injury has been demonstrated.

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Author information

Author/s: Kutlay, Sehim (S); Kuçukdeveci, Ayse A (AA); Elhan, Atilla H (AH); Yavuzer, Gunes (G); Tennant, Alan (A);

Affiliation: Department of Physical Medicine and Rehabilitation, University of Ankara, School of Medicine, Turkey. skutlay(-atsign-)medicine.ankara.edu.tr

Journal and publication information

Publication Type: Journal Article; Research Support, Non-U.S. Gov't; Validation Studies

Journal: Disability and rehabilitation (Disabil Rehabil), published in England. (Language: eng)

Reference: 2007-Feb; vol 29 (issue 4) : pp 315-21

Dates: Created 2007/03/16; Completed 2007/04/12;

PMID: 17364781, status: MEDLINE (last retrieval date: 12/26/2008)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Adolescent
Adult
Brain Injuries - complications; rehabilitation
Cognition Disorders - diagnosis; etiology
Female
Humans

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