Development of the Story Telling Examination for Early Mild Cognitive Impairment (Pre-Mild Cognitive Impairment) Screening

Dementia and Geriatric Cognitive Disorders

Taranop V.a· Ruangrajitpakorn Y.a· Praputpittaya P.Lippanon K.a· Tharnpipat R.a· Wongpakaran N.b· Wongpakaran T.b· Srisaikaew P.c· Mahakkanukrauh P.c· Varnado P.b· Yang T.d· Peisah C.e

Author affiliations

aFaculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
bDepartment of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
cDepartment of Anatomy, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
dMaster of Science (Mental Health), Graduate School, Chiang Mai University, Chiang Mai, Thailand
eSchool of Psychiatry, Faculty Medicine and Ageing Futures Institute, University of New South Wales, Sydney, NSW, Australia

Dement Geriatr Cogn Disord

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Article / Publication Details

First-Page Preview

Abstract of Research Article

Received: March 29, 2022
Accepted: August 30, 2022
Published online: November 18, 2022

Number of Print Pages: 9
Number of Figures: 3
Number of Tables: 4

ISSN: 1420-8008 (Print)
eISSN: 1421-9824 (Online)

For additional information: https://www.karger.com/DEM

Abstract

Introduction: Cognitive function prior to mild cognitive impairment (MCI) has become a burgeoning interest. Tools used to detect this early period before MCI are being pilot-tested. This study aimed to develop a new test to detect pre-MCI and to examine its content validity and feasibility. Methods: The Story Telling Examination for Early MCI Screening (STEEMS), an audio cognitive test, was developed. It covers ten cognitive domains, e.g., executive function, language fluency, abstract reasoning. Face and content validity were examined by experts in geriatric psychiatry and psychology. The content validity index was 1.00. STEEMS comprised 12 items with 2–4 types of scoring. The tool was further examined in 16 pilot samples for feasibility among healthy participants having no cognitive impairment (Montreal Cognitive Assessment [MoCA] test score ≥25, Mini-Cog ≥3) and no depressive symptoms (Geriatric Depression Scale <6). Results: The 16 healthy older individuals aged 59–73 years, mean age was 65.06 ± 4.07 years, were predominantly males (68.8%). STEEMS scores ranged from 10 to 25, with a mean of 18.38 (SD = 4.2). Thirteen percent obtained 100% correct on the STEEMS, 63% scored 68–92% correct, and 25% scored 40–60% correct. The pre-MCI scores are illustrated by a bell curve’s graphical depiction, suggesting a normal distribution probability distribution. Correlation between STEEMS and MoCA test scores was observed. STEEMS showed to be feasible for early elderly or late adults as being brief and easy to understand. The time spent to administer was predictably less than 7 min. Discussion/Conclusion: STEEMS could potentially serve as a tool for pre-MCI screening. Further study and investigation in a larger population are required.

© 2022 S. Karger AG, Basel

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First-Page Preview

Abstract of Research Article

Received: March 29, 2022
Accepted: August 30, 2022
Published online: November 18, 2022

Number of Print Pages: 9
Number of Figures: 3
Number of Tables: 4

ISSN: 1420-8008 (Print)
eISSN: 1421-9824 (Online)

For additional information: https://www.karger.com/DEM

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