Montreal Cognitive Assessment (MoCA) Official web site of the U.S. The MoCA is a brief cognitive screening tool with high sensitivity and specificity for detecting MCI as currently conceptualized in patients performing in the normal range on the MMSE. A three-minute instrument to detect cognitive impairment in older adults. MCI as an entity is evolving and somewhat controversial. Specificity was excellent for both MMSE and MoCA (100% and 87%, respectively). In the mild AD group, the MMSE had a sensitivity of 78%, whereas the MoCA detected 100%. Using a cutoff score 26, the MMSE had a sensitivity of 18% to detect MCI, whereas the MoCA detected 90% of MCI subjects. The MoCA and MMSE were administered to all participants, and sensitivity and specificity of both measures were assessed for detection of MCI and mild AD. Ninety-four patients meeting MCI clinical criteria supported by psychometric measures, 93 patients with mild Alzheimer's disease (AD) (Mini-Mental State Examination (MMSE) score > or =17), and 90 healthy elderly controls (NC). MoCA (Montreal Cognitive Assessment) The MoCA is designed to detect mild cognitive impairment (MCI) but is also highly sensitive to dementia. P1-583 - Montreal Cognitive Assessment MoCA-XpressO: Validation of a Digital Self-administered Cognitive Pre-screening Tool for the General Adult Population. Willmes K (2010) The methodological and statistical foundations of neuropsychological assessment.To develop a 10-minute cognitive screening tool (Montreal Cognitive Assessment, MoCA) to assist first-line physicians in detection of mild cognitive impairment (MCI), a clinical state that often progresses to dementia.Ī community clinic and an academic center. Sensitivity, specificity, and predictive values: foundations, pliabilities, and pitfalls in research and practice. Relationship between the Montreal Cognitive Assessment and Mini-mental State Examination for assessment of mild cognitive impairment in older adults. Trzepacz PT, Hochstetler H, Wang S, Walker B, Saykin AJ. Cognitive tests to detect dementia: a systematic review and meta-analysis. Screens for mild cognitive impairment and Alzheimers disease. Tsoi KK, Chan JY, Hirai HW, Wong SY, Kwok TC. Good follow-up test if abnormalities are. Scoring: total score possible is 30 (like MMSE) 2630 likely normal 2025 possibly mild cognitive impairment or early dementia < 20 suspicious for dementia. Neuropsychological Assessment of Neuropsychiatric and Neuromedical Disorders. Montreal Cognitive Assessment (MoCA) The MoCA is an 11-item test that takes 10 to 15 minutes to administer (Nasreddine et al., 2005). Italian practitioners should consider an adaptive use of region-specific norms for the MoCA.Īdaptive testing Cognitive impairment Cultural differences Item Response Theory Montreal Cognitive Assessment Normative data. Item-level information herewith provided for the Italian MoCA can help interpret its scores by Italian practitioners. Memory items showed high discriminative capability, along with certain items assessing executive functions and orientation. The Montreal Cognitive Assessment (MoCA) is a widespread and concise screening tool for the assessment of cognitive impairment that has had a significant impact. Several items proved to be scarcely sensitive, especially the place item from Orientation and the letter detection task. It assesses different cognitive domains: attention and concentration, executive functions, memory, language, visuoconstructional skills, conceptual thinking, calculations, and orientation. Substantial disagreements with previous ESs classifications were detected. The Montreal Cognitive Assessment (MoCA) was designed as a rapid screening instrument for mild cognitive dysfunction. The Montreal Cognitive Assessment-Filipino Version (MoCA-P Dominguez et al., 2013) was adapted and translated from the original MoCA (Nasreddine et al., 2005), developed to aid clinicians in detecting mild cognitive impairment and early Alzheimers disease. No sex differences were detected when tested along with age and education. Agreement with previous ESs classification was assessed via Cohen's k.Īge and education significantly predicted all MoCA measures except for Orientation, which was related to age only. Normative values were derived by means of the Equivalent Scores (ESs) method, applied to the MoCA and its sub-scales. Item Response Theory (IRT) was adopted to assess item difficulty and discrimination. This study thus aimed at providing: (i) updated, region-specific norms for the Italian MoCA, by also (ii) comparing them to pre-existing ones with higher geographical coverage (iii) information on sensitivity and discriminative capability at the item level.įive hundred and seventy nine healthy individuals from Northern Italy (208 males, 371 females age: 63.4 ± 15, 21-96 education: 11.3 ± 4.6, 1-25) were administered the MoCA. The availability of fine-grained, culture-specific psychometric outcomes can favor the interpretation of scores of the Montreal Cognitive Assessment (MoCA), the most frequently used instrument to screen for mild cognitive dysfunctions in both instrumental and non-instrumental domains.
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