POSTER
An Interactive
Jorge G. Ruiz, MD, FACP
ABSTRACT:
Dementia is the most
common psychiatric disorder in the elderly. In order to provide appropriate
care to older patients, physicians need to assess and monitor the person’s
mental status. The Mini-Mental State Exam (MMSE) is the most widely used
screening measure for cognitive impairment (1). The test has good reliability
and construct validity (2). Although standardized approaches to the
administration and scoring of the MMSE have been published (3 ,4), we have not
found literature regarding training guidelines for the correct administration
and scoring of this tool by health care professionals. Physicians are in good
position to identify those residents with early signs of dementia and the use
of the MMSE may serve to objectively screen for this condition allowing prompt
interventions.
GeriU and the TNH
have developed a learning object module for medical students and nurses on
dementia screening with the Folstein Mini-Mental State Exam. The MMSE module
involves an interactive, multimedia presentation of how to administer and score
each item of the MMSE as well as supplemental information including limitations
of the instrument. The objectives of the MMSE training module for medical
students: 1) Effectively administering and scoring the MMSE; 2) Identifying the
limitations of the MMSE; 3) Knowing what to do with the results of the MMSE;
and 4) Appreciating the importance of the MMSE as a tool to screen for
dementia. The learning object was created with a combination of multimedia
software including Macromedia Director and Flash MX. We are developing a new
version with Macromedia Authorware 7.
Specifically:
·
Assess the impact of
training with the Interactive MMSE learning object on medical students and
nurses’ knowledge of the use of the MMSE for dementia screening
·
Assess the impact of
training with the module, and training in a preceptor-led workshop, on skill
performance
·
Collect feedback on
medical student’ impressions of and satisfaction with the interactive MMSE
learning object.
This learning object
will be used to teach medical students and nurses how to administer and score
the MMSE as part of a geriatrics clerkship. We will present initial data on the
multilevel evaluation of the MMSE.
1. Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for
grading the cognitive state of patients for the clinician. J Psychiatr Res. Nov
1975;12(3):189-198.
2.
Tombaugh TN, McIntyre
NJ. The mini-mental state examination: a comprehensive review. J Am Geriatr
Soc. Sep 1992;40(9):922-935.
3.
Molloy DW, Standish
TI. A guide to the standardized Mini-Mental State Examination. Int Psychogeriatr.
1997;9 Suppl 1:87-94; discussion 143-150.
4.
Vertesi A, Lever JA,
Molloy DW, et al. Standardized Mini-Mental State Examination. Use and
interpretation. Can Fam Physician. Oct 2001;47:2018-2023.
BENEFIT TO PARTICIPANTS ATTENDING SESSION:
Discuss the impact of
training with an Interactive MMSE learning object on medical students and
nurses’ knowledge and skills to perform dementia screening.
Discuss methods to
assess the competency to perform the MMSE after using an interactive learning
object.
|
Jorge G. Ruiz, MD,
FACP Assistant Professor
of Clinical Medicine Director, Geriatrics Fellowship Program Division of
Gerontology and Geriatric Medicine Director GeriU, The
Online Geriatrics University University of Miami
School of Medicine VAMC GRECC 1201 NW 16th St
(11GRC) Rm. NH207 Miami, Florida
33125 Phone: (305)
575-3388 Fax: (305) 575-3365 Website: http://www.geriu.org/ |
CO-AUTHORS: Alan Katz, MD Michael Smith, MS Julie Malphurs, PhD Rose Van Zuilen,
PhD Axel Juan, MD Michael J Mintzer,
MD VAMC GRECC 1201 NW 16th St
(11GRC) Rm. NH207 Miami, Florida
33125 Phone: (305)
575-3388 Fax: (305) 575-3365 Email:
MSmith@mjhha.org julie.malphurs@med.va.gov RZuilen@med.miami.edu axel.juan@worldnet.att.net michael.mintzer@med.va.gov |