{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T11:10:34Z","timestamp":1778670634449,"version":"3.51.4"},"reference-count":39,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T00:00:00Z","timestamp":1771804800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T00:00:00Z","timestamp":1771804800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Alzheimer\u2019s Disease"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>On Reunion Island, literacy rates are estimated to be 62% for the elderly population. Education is a widely recognized protective factor for major neurocognitive disorders (MNCDs), including Alzheimer's disease, however during cognitive assessments by healthcare professionals, it can also act as a barrier.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aims to evaluate the concordance of the scores between the French version of the Mini-Mental State Examination (GRECO-MMSE) and an adapted version to the cultural context and literacy levels of the elderly Reunionese population (MMS-Run).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional, single-center study was conducted at the University Hospital of Reunion Island from April 14, 2023 to April 12, 2024. The GRECO-MMSE and MMS-RUN were performed one day apart to elderly participants who were hospitalized in the Department of Physical Medicine and Rehabilitation (PM&amp;R) and the Department of Geriatrics. Analyses of concordance, correlation and distribution of scores as well as analyses by cognitive domains and by literacy levels (illiterate or literate) were carried out.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among the 61 participants, a discordance between the GRECO-MMSE and MSS-Run was observed (kappa=0.54), especially in the cognitive domains assessing orientation, attention and language (items that benefited most from adaptations). More than half of the participants were self-reported as illiterate (57%), and illiteracy was associated with increased discordance between the two tests.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The MMS-Run could be better suited for MNCD screening in the elderly Reunionese population. A validation study is necessary to determine appropriate threshold scores in the future.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/13872877261418292","type":"journal-article","created":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T05:33:06Z","timestamp":1771911186000},"page":"860-871","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The role of culture and literacy in screening for major neurocognitive disorders for elderly patients on Reunion Island: A cross-sectional study on the concordance between the French Mini-Mental State Examination and an adapted version (MMS-Run)"],"prefix":"10.1177","volume":"110","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-5569-4865","authenticated-orcid":false,"given":"Alexis","family":"Chevy","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Centre Hospitalier Universitaire de La R\u00e9union, Saint Denis, Reunion, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6159-7419","authenticated-orcid":false,"given":"Antoine","family":"Tisseaux","sequence":"additional","affiliation":[{"name":"National institute of Health and Medical Research (INSERM) Center for Clinical Investigation (CIC) 1410 Clinical Epidemiology, Centre Hospitalier Universitaire de La R\u00e9union, Saint Pierre, Reunion Island, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1502-0672","authenticated-orcid":false,"given":"Cyril","family":"Ferdynus","sequence":"additional","affiliation":[{"name":"National institute of Health and Medical Research (INSERM) Center for Clinical Investigation (CIC) 1410 Clinical Epidemiology, Centre Hospitalier Universitaire de La R\u00e9union, Saint Pierre, Reunion Island, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7732-3651","authenticated-orcid":false,"given":"Mirella","family":"Moutouna\u00efck","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Centre Hospitalier Universitaire de La R\u00e9union, Saint Denis, Reunion, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9620-8006","authenticated-orcid":false,"given":"Jean-Marc","family":"Eych\u00e8ne","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, Centre Hospitalier Universitaire de La R\u00e9union, Saint Pierre, Reunion Island, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0887-0250","authenticated-orcid":false,"given":"Elena","family":"Morello","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, Centre Hospitalier Universitaire de La R\u00e9union, Saint Pierre, Reunion Island, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4485-7114","authenticated-orcid":false,"given":"Rosanne","family":"Ufkes","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, Centre Hospitalier Universitaire de La R\u00e9union, Saint Pierre, Reunion Island, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6944-5315","authenticated-orcid":false,"given":"St\u00e9phane","family":"Renaud","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, Centre Hospitalier Universitaire de La R\u00e9union, Saint Denis, Reunion Island, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9759-7709","authenticated-orcid":false,"given":"Jean-Marc","family":"David","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Centre Hospitalier Universitaire de La R\u00e9union, Le Tampon, Reunion Island, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4334-4681","authenticated-orcid":false,"given":"V\u00e9ronique","family":"Martins","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Centre Hospitalier Universitaire de La R\u00e9union, Saint Denis, Reunion, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4310-215X","authenticated-orcid":false,"given":"L\u00e9a","family":"Bruneau","sequence":"additional","affiliation":[{"name":"National institute of Health and Medical Research (INSERM) Center for Clinical Investigation (CIC) 1410 Clinical Epidemiology, Centre Hospitalier Universitaire de La R\u00e9union, Saint Pierre, Reunion Island, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7959-7172","authenticated-orcid":false,"given":"B\u00e9n\u00e9dicte Le","family":"Quang","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Centre Hospitalier Universitaire de La R\u00e9union, Saint Denis, Reunion, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,2,23]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Emmady PD Schoo C and Tadi P. 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