Development and Validation of the Memory Orientation Screening Test (MOST™): A Better Screening Test for Dementia

Overview

Journal Am J Alzheimers Dis Other Demen

Publisher Sage Publications

Specialty Neurology

Date 2010 Dec 7

PMID 21131671

Citations 13

Authors

Mitchell I Clionsky

Emilymarie Clionsky

Affiliations

Soon will be listed here.

Abstract

Objectives: Accurate, economical identification of cognitive impairment would increase dementia detection and improve care of older patients.

Design: Analysis of archival neuropsychological data combined 3-word recall, time orientation, list memory, and clock drawing into the Memory Orientation Screening Test (MOST ™). The MOST was compared with Folstein Mini Mental State Examination (MMSE) and Mini-Cog to detect dementia presence and severity, and convergence with standardized neuropsychological tests. Internal consistency, retest reliabilities, completion likelihood, and time costs were calculated.

Results: The MOST was significantly more sensitive than MMSE or Mini-Cog, twice as accurate as MMSE for identifying mild dementia, better correlated with standardized memory tests, more reliable over time, and minimally related to depression.

Conclusions: The MOST is routinely administered in less than 5 minutes by a medical assistant, more accurately identifies dementia and severity than current screening tests, and emulates longer memory testing, making it valuable for Annual Wellness Visits and many applied clinical settings.

Citing Articles

The diagnostic accuracy of the Mini-Cog screening tool for the detection of cognitive impairment-A systematic review and meta-analysis.

Abayomi S, Sritharan P, Yan E, Saripella A, Alhamdah Y, Englesakis M PLoS One. 2024; 19(3):e0298686.

PMID: 38483857 PMC: 10939258. DOI: 10.1371/journal.pone.0298686.

A Mixed Methods Study of Hearing Loss, Communication, and Social Engagement in a Group Care Setting for Older Adults.

Mamo S, Wheeler K, Plano Clark V, Jacelon C Perspect ASHA Spec Interest Groups. 2022; 7(2):592-609.

PMID: 36340585 PMC: 9632268. DOI: 10.1044/2021_persp-21-00218.

Speech Understanding in Modulated Noise and Speech Maskers as a Function of Cognitive Status in Older Adults.

Mamo S, Helfer K Am J Audiol. 2021; 30(3):642-654.

PMID: 34314238 PMC: 8642080. DOI: 10.1044/2021_AJA-20-00177.

Mini-Cog for the detection of dementia within a primary care setting.

Seitz D, Chan C, Newton H, Gill S, Herrmann N, Smailagic N Cochrane Database Syst Rev. 2021; 7:CD011415.

PMID: 34261197 PMC: 8406662. DOI: 10.1002/14651858.CD011415.pub3.

Mini-Cog for the detection of dementia within a secondary care setting.

Chan C, Fage B, K Burton J, Smailagic N, Gill S, Herrmann N Cochrane Database Syst Rev. 2021; 7:CD011414.

PMID: 34260060 PMC: 8278979. DOI: 10.1002/14651858.CD011414.pub3.

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