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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

