It is increasingly important that assessments for dementia do not introduce bias against different cultural/language groups. In this study the authors investigated the usefulness of the Fuld Object-Memory Evaluation (OME) as a culture-fair screen for dementia. Because the OME uses common and familiar household objects, the authors hypothesized that it would retain minimal cultural/language bias, an issue that has been addressed in few other investigations. Results indicate that the OME has a high degree of sensitivity, 95.9%, for mildly impaired Spanish-speaking patients and 95.5% for English-speaking patients diagnosed with mild Alzheimer's disease. The specificity for Spanish-speaking and English-speaking control subjects was 100% and 96.7%, respectively. Sensitivities and specificities were reduced when only one trial of the OME was used. Sensitivity of the OME greatly exceeded that of the Folstein Mini-Mental State Exam in this mildly impaired dementia group. Therefore the OME may serve as a brief, reliable, culture-fair test when screening patients for possible dementia.
Use of the Fuld Object-Memory Evaluation in the Detection of Mild Dementia Among Spanish and English-Speaking Groups.
D. Loewenstein,R. Duara,T. Argüelles,S. Argüelles
Published 1995 in The American journal of geriatric psychiatry
ABSTRACT
PUBLICATION RECORD
- Publication year
1995
- Venue
The American journal of geriatric psychiatry
- Publication date
1995-09-01
- Fields of study
Medicine, Psychology
- Identifiers
- External record
- Source metadata
Semantic Scholar, PubMed
CITATION MAP
EXTRACTION MAP
CLAIMS
CONCEPTS
- control subjects
Participants without dementia who served as the comparison group for specificity estimates.
Aliases: controls, control group
- culture-fair test
A screening test designed to minimize bias from cultural or language differences.
Aliases: culture-fair screening test
- english-speaking patients
Patient participants in the study whose primary language was English.
Aliases: English-speaking group
- folstein mini-mental state exam
A brief cognitive screening instrument used here as a comparison test.
Aliases: Mini-Mental State Exam, MMSE
- fuld object-memory evaluation
A brief memory screening instrument that uses common household objects and recall trials.
Aliases: OME
- mild alzheimer's disease
A mild form of Alzheimer's disease used to characterize the impaired patient group.
Aliases: mild AD
- sensitivity
The proportion of impaired participants correctly identified as positive by the screening test.
- single ome trial
An administration of the Fuld Object-Memory Evaluation using only one trial.
Aliases: one trial of the OME
- spanish-speaking patients
Patient participants in the study whose primary language was Spanish.
Aliases: Spanish-speaking group
- specificity
The proportion of control participants correctly identified as negative by the screening test.
REFERENCES
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