Psychometric Properties of the Persian Adaptation of Mini-Cog Test in Iranian Older Adults

Int J Aging Hum Dev. 2018 Apr;86(3):266-280. doi: 10.1177/0091415017724547. Epub 2017 Aug 31.

Abstract

The aim of this study was to assess the psychometric properties of the Mini-Cog in Iranian older adults. It was a cross-sectional study; 50 older people with dementia and 50 without dementia who matched for age, gender, and education entered the study. The diagnostic and statistical manual of mental disorders criteria for dementia were used as gold standard. A battery of scales included the abbreviated mental test score (AMTS), the Geriatric Depression Scale, and the Mini-Cog was performed. Validity and reliability of the Mini-Cog determined using the Pearson product-moment correlation coefficient (Pearson's r), Cronbach's alpha, and Receiver Operating Characteristic (ROC) curve analysis. The Persian version of Mini-Cog showed a good inter-rater reliability ( K = 0.76, p < .01) and a positive concurrent validity ( r = 0.39, p < .01) with the AMTS. The sensitivity and specificity were 88% and 62.8%, respectively, using the original cutoff point of 2. The findings showed that the Persian version of Mini-Cog have an acceptable sensitivity, specificity, and substantial overall agreement with the AMTS.

Keywords: Mini-Cog; cognitive impairment; older adults; psychometrics; screening.

Publication types

  • Comparative Study
  • Validation Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Dementia / diagnosis*
  • Depression / diagnosis
  • Female
  • Geriatric Assessment
  • Humans
  • Iran
  • Male
  • Mental Status and Dementia Tests / standards*
  • Middle Aged
  • Psychiatric Status Rating Scales
  • Psychometrics
  • ROC Curve
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Translating