Test Instructions
Overview
The Mini-Cog test combines a three-item recall test with a clock-drawing task (CDT) to screen for cognitive impairment in older adults. It is effective across diverse backgrounds and can detect mild cognitive impairment. The Mini-Cog is faster and less influenced by factors such as ethnicity, language, and education compared to the Mini-Mental State Examination (MMSE).
Administration Instructions
1. Registration
Please complete the provided forms and agree to the research guidelines and privacy policies. Your information will not be shared or distributed.
2. Three-Item Recall
- Read the instructions and try to remember three unrelated words.
- Repeat the words to ensure correct learning.
- You are allowed up to three attempts.
Examples of word lists:
- Version 1: Banana, Sunrise, Chair
- Version 2: Village, Kitchen, Baby
- Version 3: Captain, Garden, Picture
3. Clock-Drawing Test
- Draw the face of a clock on a blank piece of paper or a preprinted circle.
- Place the numbers on the clock face and draw the hands to indicate a specific time (e.g., 10 minutes after 11:00 or 20 minutes after 8:00).
- Ensure no clocks are visible during this task.
- Move to the next step if the clock is not completed within three minutes.
Scoring for the CDT:
- A correct response has all numbers approximately in the correct positions and the hands pointing to the correct time.
- Refusal to draw a clock is scored as abnormal.
4. Recall Test
- Recall the three words from Step 2.
Scoring:
- Word Recall: Score 1 point for each correctly recalled word.
- Clock-Drawing Test:
- Normal: The clock is correctly drawn, and the time is accurately indicated.
- Abnormal: Any deviation from the correct time or misplacement of numbers.
Total Score Interpretation:
- 0 points: Positive for cognitive impairment.
- 1-2 points:
- Abnormal CDT: Positive for cognitive impairment.
- Normal CDT: Negative for cognitive impairment.
- 3 points: Negative screen for dementia (CDT score not needed).
References:
- Borson S, Scanlan J, Brush M, Vitaliano P, Dokmak A. The Mini-Cog: a cognitive "vital signs" measure for dementia screening in multi-lingual elderly. Int J Geriatr Psychiatry. 2000;15(11):1021-1027.
- Borson S, Scanlan JM, Chen P, Ganguli M. The Mini-Cog as a screen for dementia: validation in a population-based sample. J Am Geriatr Soc. 2003;51(10):1451-1454.
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