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. ., … 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