The mini cog assessment instrument combines an uncued 3item recall test with a clockdrawing test cdt. Minicog for the diagnosis of alzheimers disease dementia. Points 5 3 no points 1 3 2 2 6 30 copy cube velvet 1 st trial 2nd trial subject has to repeat them in the forward order subject has to repeat them in the backward order. The institute focuses on improving the quality of care provided to older adults by. Minicog or gpcog or mis informant assessment of patient. Shortterm recall is the ability to hold a small amount of information in the mind for a short period of time. The mini mental state exam mmse is a widely used test of cognitive function among the elderly. Improving identification of cognitive impairment in primary care.
Mild cognitive impairment severe cognitive impairment sources. The mini cog had high sensitivity and specificity for. Instructions for the minicog test administration the minicog test is a 3minute instrument to screen for cognitive impairment in older adults in the primary care setting. The minicog versus the minimental state examination and the clock drawing test in daily clinical practice. For shortterm recall, the patient is asked to listen and repeat. The minicog screening tool, from which the vermont minicog was developed, evaluates encoding and shortterm recall threeword recall and visuospatial functioning clock drawing the uvmmc medical home leadership team is working on building a new template for the medicare annual wellness visit.
Minicog was as effective as or better than established screening tests in both an epidemiologic survey in a mainstream sample and a multiethnic, multilingual population comprising many individuals of low socioeconomic status and education level. The mini cog serves as an effective triage tool to identify patients in need of more thorough evaluation. In comparative tests, the mini cog was at least twice as fast as the mini mental state examination. Populationbased norms for the mini mental state examination by age and educational level. Short iqcode, ad8 or gpcog followup during subsequent awv c. The minicog is a simple screening tool that is well accepted and takes up to only 3 minutes to administer.
Sh tariq, n tumosa, jt chibnall, hm perry iii, and je morley. Another brief screen for cognitive impairment is the mini cog. The minimental state exam mmse is a widely used test of cognitive function among the elderly. How accurate is the mini cog as a diagnostic screening test for dementia in a community dwelling elderly population compared with classification with the consortium. It has minimal language content, which reduces cultural and educational bias. Nov 07, 2019 the mini cog has even been adapted to different cultures in countries like thailand, where a study showed that a translated form of the test had good interrater reliability and positive concurrent validity. The minicog serves as an effective triage tool to identify patients in need of more thorough evaluation. Medicog example pdf this completed medicog form is an example assessment that includes scoring. Screening for cognitive impairment in an elderly veteran population. The minicog assessment instrument for dementia source. Cog is a brief cognitive screening test consisting of two components, a delayed, three. Following this, we recommend the following approach.
The mini cog can be administered in about 3 minutes, requires no special equipment, and is relatively uninfluenced by level of education or language variations. The clock drawing component of the test is scored simply. The minicog has even been adapted to different cultures in countries like thailand, where a study showed that a translated form of the test had good interrater reliability and positive concurrent validity. Cog was initially examined in community settings and was designed to provide a relatively brief cognitive screening test that was free of educational and cultural biases. Cognitive assessment toolkit alzheimers association.
The minicog versus the minimental state examination and the. It can be used effectively after brief training in both healthcare and community settings. Therefore, early detection of the disorder and providing appropriate healthcare and management is important, particularly, for the. The minicog cognitive screening test measures shortterm recall and clock drawing. The mini cogtm by itself is not considered a valid tool for this use. In this test you can score up to 30 points by answering a range of questions that test your orientation to time and place, your memory, attention and so on. The mini cog uses a threeitem recall test for memory and a simply scored clockdrawing test cdt. The mini cog combines a 3item recall component with a clock drawing test cdt. The commonest cognitive test used is called the minimental state examination mmse. I am going to say three words that i want you to repeat back to me now and try to remember. Cog for the diagnosis of alzheimers disease dementia.
The principal investigator or project director will provide a general overview on the cognitive assessment instruments e. Activities of daily living adcsadl functional assessment questionnaire faq neuropsychiatric inventory npi global measures. This video depicts the delivery of a minicog cognitive assessment during a doctor visit, as well as a recommendation for a followup visit to further assess the patients cognitive status. We further analyzed errors in clock drawing and categorized errors by categories. This tool can be used to detect cognitive impairment quickly during both routine visits and hospitalizations. The test itself takes about 10 minutes to complete. Mini cog was as effective as or better than established screening tests in both an epidemiologic survey in a mainstream sample and a multiethnic, multilingual population comprising many individuals of low socioeconomic status and education level. The minicog is a simple, effective, easily administered screening tool that can uncover cognitive impairment in its earliest stages. The tool consists of a threeitem recall task and a simple clockdrawing task.
Refer or conduct full dementia evaluation brief assessment s triggers concerns. The minicog is a rapid screening test for alzheimers disease that takes only about three minutes to administer. Nov 04, 2014 this video depicts the delivery of a mini cog cognitive assessment during a doctor visit, as well as a recommendation for a followup visit to further assess the patients cognitive status. The minicog assessment instrument combines an uncued 3item recall test with a clockdrawing test cdt.
Mini cog or gpcog or mis informant assessment of patient. In general participant scoring below educationadjusted cutoff. Refer or conduct full dementia evaluation brief assessments triggers concerns. Cbas quality assurance and improvement strategy assessmentscreening tools the cbas quality assurance and improvement strategy, october 2016 cbas quality strategy recommended the use of standardizedvalidated assessmentscreening tools for specific statusconditions of cbas participants to improve service delivery by. Get patients attention and ask him or her to remember three unrelated words.
Minicog the minicog is a composite of 3item recall and clock drawing. Hartford foundationfunded hartford institute for geriatric nursing at new york university college of nursing. Montreal cognitive assessment moca date month year day place city contour numbers hands 4 or 5 correct subtractions. For more information on the minicog and other geriatric assessment tools and best practices, go to. Unlike other popular alzheimers tests that measure several aspects of cognition, such as the mmse and the moca, the minicog measures only two. Refusal to draw a clock or a clock missing any of these elements is scored abnormal. A practical tool for identification of nutritional status. Two hands are present, one pointing to 11 and one pointing to 2. Brief interview for mental status bims repetition of three words ask resident.
Unlike other popular alzheimers tests that measure several aspects of cognition, such as the mmse and the moca, the mini cog measures only two. Acceptability and results using different versions of the mini cog. The mini cog is a rapid screening test for alzheimers disease that takes only about three minutes to administer. All numbers 112, each only once, are present in the correct order and direction clockwise. The saint louis university mental status slums examination for detecting mild cognitive impairment and dementia is more sensitive than the minimental status examination mmse a pilot study. The minicog takes only three to five minutes to administer and requires minimal training. Please repeat the words after i have said all three. The mini cog takes only three to five minutes to administer and requires minimal training. Pdf minicog thai version, a brief cognitive screening s. Increasing age is the greatest risk factor for alzheimers disease.
Cognitive impairment, such as dementia, has emerged as the leading public health problem among the elderly. Ask patient to repeat the words to ensure the learning was correct. The mini cog is a simple, effective, easily administered screening tool that can uncover cognitive impairment in its earliest stages. Cognitive subscale adascog severe impairment battery sib mini mental state examination mmse ad cooperative study. The minicog can be administered in about 3 minutes, requires no special equipment, and is relatively uninfluenced by level of education or language variations. Borson s, scanlan j, brush m, vitaliano p, dokmak a. Three word recall scoring look directly at person and say, please listen carefully. This blank medicog form includes instructions for proper administration and scoring. The minicog test the test is administered as follows. Conduct brief structured assessment patient assessment. It includes a pre and posttest with answers, background information on medication safety, and examples of the minicog, mts and medicog. There is increased incidence of cognitive impairment with age.
In general participant scoring below educationadjusted cutoff scores on the mmse may be cognitively impaired. Six item cognitive impairment test 6cit 6cit kingshill version 2000, dementia screening tool patients details. In comparative tests, the minicog was at least twice as fast as the minimental state examination. Validation of the mini nutritional assessment shortform mnasf. Figure 1 shows four screenshots of the mobicog app after a user has taken the test. For further assessment of mild cognitive impairment, consider administering the montreal cognitive assessment moca see try this. Clinical assessment methods cognition behavior function ad assessment scale. The minicog test is a 3minute instrument to screen for cognitive impairment in older adults in the primary care setting. As the authors of this paper state, the performance. The mini cog test is a 3minute instrument to screen for cognitive impairment in older adults in the primary care setting. Instruct the patient to listen carefully to and remember three unrelated words and then to repeat the words.