It's out!
On February 22, 2024, we launched the MMSE-NR3 (Swedish version) in both digital and paper versions with a webinar together with the creators of SR and NR3 in collaboration with the Swedish Dementia Center (Svenskt Demenscentrum) and the Swedish Association for Cognitive Medicine.
You can now watch the launch event, an open demo of how the digital version works and the legalities surrounding the MMSE-NR3 Swedish version below.
Possible to watch retrospectively
Possible to watch retrospectively
Possible to watch retrospectively
What is MMSE-NR3 (Swedish version)?
The Swedish version of MMSE-NR3 is a Swedish translation of MMSE-NR3, which was developed by Knut Engedahl and Carsten Strobel in 2021. Carsten Strobel is also one of the creators of MMSE-SR, the version of MMSE which has been used in Sweden for a long time.
Since some time now, it's no longer been possible to download MMSE-SR from the Dementia Center's website, and therefore we are very proud to be able to present an alternate version which can be used instead. Our new version has been reviewed by all authors of MMSE-SR and as such provides an accurate alternative.
A diagnosis cannot be made with the results from MMSE-NR3 (Swedish version) alone. For example, there is no information which measures executive function in a satisfactory way. The results should rather be seen as a snapshot of the patient's cognitive function and can provide an indication for further assessment.
According to the recommendations of the National Board of Health and Welfare, healthcare should offer MMSE and the clock test as part of the basic dementia investigation.
Mindmore is recommended in the national care process: Personcentrerat och sammanhållet vårdförlopp Kognitiv svikt vid misstänkt demenssjukdom
Digital version of MMSE-NR3 (Swedish version)
Development of digital version: a clinician-led digital testing
NR3 was developed in 2016 by Carsten Strobel and Knut Engedal and updated in 2021. In an article from 2023, norms have been developed for the paper version of NR3 and can be found here.
The digital version still requires paper and pen to be used for tasks 17, 19 and 20, whereby the version should be seen as a hybrid between digital and analog examination.
Please note that the digital version is not self-administered like Mindmore's other tests, but is administered by clinicians.
The digital version of MMSE-NR3 (Swedish version) has been developed by Mindmore together with Licensed Psychologist Beata Terzis and has also been reviewed by Doctor Anders Wallin and Licensed Psychologist Carsten Strobel, of whom all three were involved in developing the Swedish version MMSE-SR 2012.
The digital version has also been tested by several experienced users to ensure good consistency with the original version regarding administration and correction.
However, there are differences between the digital version and previous versions since a digital environment allows other possibilities than pen and paper when it comes to, for example, support and information for clinicians. The digital version helps the clinician with administration and thus ensures a higher degree of standardization.
No separate validation or norm collection has been carried out on the digital version, which should be taken into account when interpreting the results. However, when using physical stimulus sheets, the administration is identical between the analog and digital versions.
What are the advantages with digital MMSE-NR3 (swedish version)?
Increases standardisation through easier access to rules and assessment options
Help in correcting and gives more support for clinics.
Simplifies clinical documentation through the ability to copy and paste in the journal
Interested in the digital version and how it works?
Frequently asked questions and answers
What are the differences and what development is there in this version? How does NR3 differ from SR?
The differences between MMSE-NR3 (the Swedish version) and MMSE-SR are relatively small, but sufficiently large for them to be legally considered two distinct tests, with MMSE-NR3 standing completely independently from MMSE-SR.
The few changes made to our software have been done to align with MMSE-NR3, and these include: new images, a clearer distraction task, and new instructions. With the creation of a new version, there is also an opportunity to refine and improve some formulations. All changes have been discussed with the creators of MMSE-SR.
Examples of this include clarification of formulations and simplification of the scoring procedure.
What are the differences between the digital and paper version?
The digital version is carried out in the same way as the paper version. The test administrator asks all the questions and records the answers. The tasks that require pen and paper are: comprehension, writing ability, and figure copying. This is because these tasks cannot be effectively performed digitally.
The digital version offers, among other things:
- Automatic selection of a new word list/number series for retesting
- Support and automatic scoring for mental arithmetic
- Examples of answer options
- The ability to display stimulus images via screen
- Automatic summarization of scores
-A simple view of results for direct copying to the medical record
How should I record in SveDem?
In SveDem the total points the patient has recieved on MMSE-NR3 (swedish version) is registered.
This registration is not affected by which test gets used.
Do you have any other questions you want answered? Email us