Videoconference-based mini mental state examination: a validation study

Francesca Timpano, Fabio Pirrotta, Lilla Bonanno, Silvia Marino, Angela Marra, Placido Bramanti, Pietro Lanzafame

Research output: Contribution to journalArticlepeer-review


BACKGROUND: Neuropsychological testing is a prime criterion of good practice to document cognitive deficits in a rapidly aging population. Telecommunication technologies may overcome limitations related to test administration. We compared performance of the Italian videoconference-based version of the Mini Mental State Examination (VMMSE) with performance of the standard MMSE administered face-to-face (F2F), to validate the Italian version of the 28-item VMMSE.

MATERIALS AND METHODS: To validate the Italian version of the VMMSE, we compared its performance with standard F2F. The sample (n=342) was administered three VMMSEs within 6 weeks after F2F testing. We identified the optimal cutoff through the receiver operating characteristic curve, as well as the VMMSE consistency through inter- and intrarater reliability (Inter/RR and Intra/RR) analysis.

RESULTS: We found high levels of sensitivity and specificity for the optimal VMMSE cutoff identification and an accuracy of 0.96 (95% confidence interval 0.94-0.98). Intra/RR and inter/RR were highly significant.

CONCLUSIONS: This study demonstrates that VMMSE is a valid instrument in clinical and research screening and monitoring of subjects affected by cognitive disorders. This study shows a significant correlation between videoconference assessment and the F2F one, providing an important impetus to expand studies and the knowledge about the usefulness of tele-assistance services. Our findings have important implications for both longitudinal assistance and clinical care of demented patients.

Original languageEnglish
Pages (from-to)931-937
Number of pages7
JournalTelemedicine journal and e-health : the official journal of the American Telemedicine Association
Issue number12
Publication statusPublished - Dec 1 2013

ASJC Scopus subject areas

  • Medicine(all)


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