![]() ![]() In recent years, there has been an emerging interest in concentrating the most useful items from the MoCA into a similarly efficacious, but shorter version of MoCA. 15 min), with limited feasibility for use with patients with either low education levels, or with unstable conditions (e.g., frailty, severe attention deficits, and mind-wandering) 4. Although MoCA is primarily designed as a cognitive screening tool, it is still relatively time consuming (taking approx. Recent evidence has demonstrated that the MoCA is, at the present moment, the best screening tool for MCI (pooled sensitivity, 89% pooled specificity, 75%) 2, and that it is also an excellent screening tool for post-stroke cognitive impairment (pooled sensitivity, 81% pooled specificity, 79%) 3. in 1996, and was initially used and validated to detect mild cognitive impairment (MCI) and mild forms of Alzheimer’s disease 1. The Montreal Cognitive Assessment (MoCA) was developed by Nasreddine et al. The Chinese version of the MoCA 5-min protocol can be used as a valid screening for patients with stroke. These three assessments demonstrated equal performance in differentiating patients with stroke from controls. We found that the 5-min protocol did not differ from the MoCA in differentiating patients with cognitive impairments from those without (area under the receiver operating characteristic curve, AUC, of 0.948 for the MoCA 5-min protocol v.s. In this study, the Neurobehavioural Cognitive Status Examination (NCSE) was used as an external criterion of cognitive impairment. A total of 54 patients and 27 healthy controls were enrolled in this study. 10.The aim of the present study was to examine the concurrent validity of 2 Chinese versions of the short version of the Montreal Cognitive Assessment (MoCA) in patients with stroke, i.e., MoCA 5-minute protocol and National Institute for Neurological Disorders and Stroke and Canadian Stroke Network (NINDS-CSN) 5-minute Protocol. Aging Clinical and Experimental Research, 29(6), 1113–1120. Montreal Cognitive Assessment (MoCA) optimal cut-off scores for people with probable Alzheimer’s disease and with probable cognitive impairment. ![]() The Clinical Neuropsychologist, 25(1), 119–126. Psychometric evaluation of the Montreal Cognitive Assessment (MoCA) in three diverse samples. Misreported schooling, multiple measures and returns to educational qualifications. War Department, Adjutant Generals’ Office.īattistin E, De Nadai M, & Sianesi B (2014). Position statement on use of race as a factor in neuropsychology test norming and performance prediction.Īrmy Individual Test Battery. Relevance 2050 Subcommittee on Use of Race in Neuropsychological test Norming and Performance Prediction. These findings highlight the need for racially stratified population-based norms given the high misclassification of Black participants without such adjustment.Ĭognitive aging MoCA cognitive screening diagnosis and classification disparities race.Īmerican Academy of Clinical Neuropsychology (AACN). We suggest cutoff scores of ≤25/30 be applied to White persons and ≤22/30 for Black persons. Classification statistics are presented.īlack participants were misclassified at a higher rate than White participants when applying the ≤26/30 cutoff score. Our sample was highly educated therefore, we did not observe significant differences in scores when accounting for education across race. In contrast, this criterion correctly classified 40.5% of Black cognitively normal participants and 90.8% of Black MCI participants. Sensitivity and specificity analyses revealed that when using the cutoff score of ≤26/30, the MoCA correctly classified 73.2% of White cognitively normal participants and 83.1% of White MCI participants. Based on NACC's classification, participants were either cognitively normal ( n = 3,650) or MCI ( n = 1,108). Participants were predominately White (82.8%) and female (61.7%) with a mean age of 69.3 years ( SD = 10.3) and education level of 16.3 years ( SD = 2.6). The purpose of this study is to investigate the potential influence of race on MoCA classification cutoff score accuracy.ĭata were obtained from the National Alzheimer's Coordinating Center (NACC) Uniform Data Set and yielded 4,758 total participants. However, previously suggested cutoff scores of 26/30 and above is often criticized and lacks racial diversity. The Montreal Cognitive Assessment (MoCA) is a common cognitive screener for detecting mild cognitive impairment (MCI). ![]()
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