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International Journal of
            Population Studies                             Validity and reliability of Mini-Mental State Examination in older Chinese




            Table 1. MMSE items and older group descriptive statistics
            MMSE item                                            Mean                       Standard deviation
            Orientation
             Morning, noon, afternoon, and night                  0.99                           0.12
             Month                                                0.95                           0.22
             Mid-autumn festival (month and date)                 0.94                           0.25
             Four seasons                                         0.97                           0.18
             Home – region/village                                0.98                           0.15
            Short/delayed recall/registration
             Registration of desk                                 0.96                           0.20
             Registration of apple                                0.95                           0.22
             Registration of dress                                0.94                           0.24
            Delayed recall
             Recall of desk – repetition                          0.84                           0.37
             Recall of apple – repetition                         0.84                           0.37
             Recall of dress – repetition                         0.80                           0.40
            Calculation
             Calculation – 20-3                                   0.95                           0.21
             Calculation – 20-3-3                                 0.89                           0.32
             Calculation – 20-3-3-3                               0.88                           0.32
             Calculation – 20-3-3-3-3                             0.85                           0.35
             Calculation – 20-3-3-3-3-3                           0.86                           0.35
            Language
             Verbal repetition a sentence                         0.95                           0.21
             Name pen                                             0.99                           0.08
             Name watch                                           0.99                           0.08
            Comprehend instruction
             Instruction 1 – Pick paper with right hand           0.97                           0.16
             Instruction 2 – Fold the paper                       0.97                           0.16
             Instruction 3 – Place paper on the floor             0.98                           0.13
            Visuospatial/drawing
             Draw intersecting pentagons                          0.64                           0.48
            Age
             All (65 and above)                                   80.5                           10.11
             Young-old (65–79)                                    72.2                           4.27
             Old-old (80 and above)                               88.9                           6.85

            were two more likely exploratory factor models, suggested   seven-factor was mainly due to the further breakdown
            by the majority of the fit indicators.             of the  six MMSE items into two constructs  of  language
                                                               and instruction. This led to stating five CFA models
            3.3. CFA                                           with the seven-factor oblique model as the hypothesized
            Based on the theoretical cognitive function classification   model  and  the  rest  as  competing  CFA  models.  The  first
            of MMSE together with the results of EFA, the base   proposed competing CFA was a one-factor model. This
            reference factor model was set to the seven-factor model   model indicated all the 23 MMSE items were formed into
            while the six-factor model was specified as the supporting   a single MMSE construct. The six-factor oblique CFA was
            model. The main difference between the six-factor and   the next proposed competing CFA model. While the fit of


            Volume 8 Issue 1 (2022)                         5                     https://doi.org/10.36922/ijps.v8i1.1285
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