Adapting Bangla Mini-Mental State Examination (MMSE-B) among Healthy Elderly in Bangladesh

Authors

  • Swapon Kumar Ghose Associate Professor of Neurology, Dhaka Medical College and Hospital, Dhaka, Bangladesh
  • Kazi Gias Uddin Ahmed Associate Professor of Neurology, Dhaka Medical College and Hospital, Dhaka, Bangladesh
  • Ahmed Hossian Chowdhury Assistant Professor, Dept. of Neurology, Dhaka Medical College and Hospital, Dhaka, Bangladesh
  • ATM Hasibul Hasan Registrar (Neurology), Dhaka Medical College Hospital, Dhaka, Bangladesh
  • Muhammad Zillur Rahman Khan Assistant Professor of Child and Adolescent Psychiatry, National Institute of Mental Health, Dhaka, Bangladesh
  • ASM Rezaul Karim Senior Consultant (Medicine), Nilphamari Sadar Hospital, Nilphamari, Bangladesh
  • Kanol Saha Assistant Professor, Neurology,Dhaka Medical College & Hospital, Dhaka, Bangladesh
  • Hashmi Sina Assistant Professor, Neurology,Dhaka Medical College & Hospital, Dhaka, Bangladesh
  • - Md Arifuzzaman Assistant Professor, Neurology,Dhaka Medical College & Hospital, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/bjn.v32i2.57446

Keywords:

MMSE-B

Abstract

Background: The aim of our study was to determine whether modified Bangla version (MMSE-B) is as effective as mini mental state examination (MMSE) tool for use in Bangladeshi people.

Methods: This descriptive observational study was carried out in Department of Neurology, DMCH from January 2013 to December 2013. A total 200 healthy adults (patient attendants at the clinic) who met the inclusion criteria, were interviewed using a structured questionnaire containing information on age, sex, residence, educational backgrounds and questions set at MMSE English version (MMSE-E) and modified Bangla version for MMSE-B (Figure-1). MMSE and MMSE-B both were applied in 1:1 ration. The literate people were asked whether they are comfortable to answer in English (MMSE-E) or they would like the translated form and we applied the form of MMSE (MMSE-T) according to their wish. But in other group of people the modified Bangla version (MMSE-B) was used irrespective of level of education.

Result: The mean age at presentation was 58.1±7.8 and 94% were within 50-70 years of age. Male were more common (80, 66) in both the groups and most of them belonging to rural areas. MMSE-B were mostly employed on people having only primary level of education (up to class five, n=80) or no education (n=2), whereas MMSE-E were employed up on people having a level of education higher than class five (n=96). Every question in each item of cognitive domain correlated well (correlation co-efficient range from 0.801- 0.971) except the 7th (correlation co-efficient 0.418) which had higher mean score for MMSE-B than those of MMSE-E (0.90 versus 0.54). The mean score of MMSEB was greater than the mean score of MMSE-E for most of questions except the 1st question that is related to orientation of time. The mean of total score in MMSE-E and MMSE-B were 24.04 and 24.91 respectively with a correlation co-efficient of 0.940.

Conclusion: MMSE-B is adaptable for use in Bangladeshi people irrespective of level of education.

Bangladesh Journal of Neuroscience 2016; Vol. 32 (2): 91-97

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Published

2016-07-31

How to Cite

Ghose, S. K. ., Uddin Ahmed, K. G. ., Chowdhury, A. H. ., Hasan, A. H. ., Rahman Khan, M. Z. ., Karim, A. R. ., Saha, K. ., Sina, H. ., & Md Arifuzzaman, .-. (2016). Adapting Bangla Mini-Mental State Examination (MMSE-B) among Healthy Elderly in Bangladesh. Bangladesh Journal of Neuroscience, 32(2), 91–97. https://doi.org/10.3329/bjn.v32i2.57446

Issue

Vol. 32 No. 2 (2016)

Section

Original Articles