Assessing normative cut points through differential item functioning analysis: An example from the adaptation of the Middlesex Elderly Assessment of Mental State (MEAMS) for use as a cognitive screening test in Turkey
2006

Validating a Cognitive Screening Test for Turkish Adults

Sample size: 508 publication Evidence: moderate

Author Information

Author(s): Tennant Alan, Küçükdeveci Ayse A, Kutlay Sehim, Elhan Atilla H

Primary Institution: University of Leeds, UK and University of Ankara, Turkey

Hypothesis

Can the Middlesex Elderly Assessment of Mental State (MEAMS) be adapted for the Turkish adult population while maintaining its validity?

Conclusion

The MEAMS provides a valid assessment of cognitive state for the adult Turkish population, with revised cut points that consider age and education.

Supporting Evidence

  • The MEAMS was adapted for the Turkish population to ensure it is suitable for cognitive screening.
  • Rasch analysis confirmed the internal construct validity of the MEAMS for Turkish adults.
  • Adjusted cut points were established to account for differences in age and education.

Takeaway

This study shows that a test for checking how well people think can be used for adults in Turkey, and it has been adjusted to be fair for different ages and education levels.

Methodology

The study involved translating the MEAMS and assessing 350 normal subjects and 158 brain injury patients using ANOVA and Rasch analysis to determine valid pass scores.

Potential Biases

Potential bias due to the educational level of participants, as illiteracy was more common in older age groups.

Limitations

The study may not fully represent all demographic groups in Turkey, particularly those with varying educational backgrounds.

Participant Demographics

350 normal subjects (mean age 45.1, 56% female) and 158 brain injury patients (mean age 58.8, 38% female).

Statistical Information

P-Value

0.012

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/1477-7525-4-18

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