Using the Mini-Cog©

The Mini-Cog© is a fast and simple screening test to help detect dementia in its early stages.

In just 3 minutes, Mini-Cog© can help doctors and other professional care providers identify possible cognitive impairment in older patients.

This gives people who are starting to show signs of cognitive impairment a better chance for early diagnosis and care. This could make a big difference in their health and quality of life now and later on.

Mini-Cog© is simple to use and can help determine when more in-depth cognitive evaluation is needed.
It’s easy to include in regular wellness exams, primary care visits, other health care settings, and anywhere older adults go to find needed services, such as senior centers and community organizations.

Learning to give the Mini-Cog© takes less than 10 minutes—no special medical knowledge needed.
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Primary Care

The goal of screening for cognitive impairment in primary care is to find patients whose cognitive deficits have gone unnoticed or unrecorded in routine clinical encounters, but may be severe enough to interfere with the patient’s self-care or to affect medical management.

Primary care patients can be routinely screened for cognitive impairment as part of the Medicare Annual Wellness Visit (AWV). This test may also be used to rapidly establish a baseline to compare with future assessments. Medicare (CMS) requires detection of any cognitive impairment as part of the AWV. The Alzheimer’s Association, the Gerontological Society of America, and the National Institute on Aging all support the use of the Mini-Cog© as a valid and reliable tool that can improve detection of cognitive impairment in primary care and prompt decision making regarding the need for more detailed evaluation and follow up.

More examples of how the Mini-Cog© has been used in primary care can be found on the references page of this website.


Community

The Mini-Cog© has been used in various community settings. The test has minimal language content, which reduces cultural and educational bias. It has been translated into several languages and non-English language versions have been created:

Mini-Cog Spanish

Portuguese Mini_Cog_versão_2.0

Mini_CogTM_Chinese

ATTUNE_Mini_CogTM_Malay

Arabic Mini_Cog for Saudi Ministry of Health

More examples of how the Mini-Cog© has been used in the community can be found on the references page of this website.


Other Clinical Settings

The Mini-Cog© has been used in other clinical settings, including in studies related to heart failure, surgery, health literacy, and pharmacy.

More examples of how the Mini-Cog© has been used in other clinical settings can be found on the references page of this website.