Use of the Fuld Object-Memory Evaluation in the Detection of Mild Dementia Among Spanish and English-Speaking Groups

David A. Loewenstein, Ranjan Duara, Trinidad Argüelles, Soledad Argüelles

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It is increasingly important that assessments for dementia do not introduce bias against different cultural/language groups. In this study the authors investigated the usefulness of the Fuld Object-Memory Evaluation (OME) as a culture-fair screen for dementia. Because the OMF uses common and familiar household objects, the authors hypothesized that it would retain minimal cultural/language bias, an issue that has been addressed in few other investigations. Results indicate that the OME has a high degree of sensitivity, 95.9%, for mildly impaired Spanish-speaking patients and 95.5% for English-speaking patients diagnosed with mild Alzheimer's disease. The specificity for Spanish-speaking and English-speaking control subjects was 100% and 96.7%, respectively. Sensitivities and specificities were reduced when only one trial of the OME was used. Sensitivity of the OME greatly exceeded that of the Folstein Mini-Mental State Exam in this mildly impaired dementia group. Therefore the OME may serve as a brief reliable, culture- fair test when screening patients for possible dementia.

Original languageEnglish (US)
Pages (from-to)300-307
Number of pages8
JournalAmerican Journal of Geriatric Psychiatry
Issue number4
StatePublished - Jan 1 1995


ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Psychiatry and Mental health

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