Moca cognitive assessment test pdf9/2/2023 ![]() ![]() The study of Pereira-Manrique and Reyes 4 included different cut-off points according to education level. 2 However, some authors have proposed alternative cut-off points, of 21 4 - 6 or 23 points 7 for MCI, and 14 4 or 20 points 6 for mild dementia. ![]() Regarding the use of cut-off points for the diagnosis of cognitive impairment, several studies have used the cut-off point of the original study. In addition, the analysis of the effect of education in developing countries is extremely important due to the high percentage of individuals with a low level of education. 1 Latin America is a region that includes a wide variety of heterogeneous nations and therefore, a standardized assessment instrument is required for each country. In reference to Latin America and the Caribbean, the first publications reported date from 2013, i.e. The first Spanish version of the MoCA (MoCA-S), validated in Spain by Lozano et al., 3 was less effective than its original version for the screening of MCI. In the original validation study, with a cut-off ≥26, the MoCA test achieved a screening sensitivity of 90% and 100% for MCI and mild AD respectively, with a specificity of 87%. Original instructions also observed that one point should be added to the total score in individuals with 12 or fewer years of education. It includes 11 subtests evaluating aspects of attention, executive functions, memory, language, visuoconstructional skills, and orientation. The MoCA test requires approximately 10 to 15 minutes to administer. 2 This test was developed to overcome the limitations of the MMSE in diagnosis and differentiation between AD and MCI. The Montreal Cognitive Assessment (MoCA) test was created as an instrument for the detection of Mild Cognitive Impairment (MCI) and Alzheimer’s disease (AD). The Mini-Mental State Examination (MMSE) has long been the most widely used screening test for cognitive impairment in the clinical setting and the research field. 1 There is a growing need for a brief reliable instrument for detecting dementia in its early stages that can be used in both daily clinical practice and treatment trials. From 2001 to 2040, a 77% increase in the number of people with dementia is expected in Argentina and Chile. 2015 63(12):2550–2554.The prevalence of dementia in Latin America and the Caribbean is 6-6.5/100 adults over 60 years old. The Montreal Cognitive Assessment-Basic: A Screening Tool for Mild Cognitive Impairment in Illiterate and Low-Educated Elderly Adults. Julayanont P, Tangwongchai S, Hemrungrojn S, et al. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. Nasreddine ZS, Phillips NA, Bédirian V, et al. Montreal cognitive assessment in detecting cognitive impairment in Chinese elderly individuals: a population-based study. Montreal Cognitive Assessment: influence of sociodemographic and health variables. Montreal cognitive assessment: validation study for mild cognitive impairment and Alzheimer disease. MoCA-BC is an effective cognitive test to distinguish between NC, MCI, mild and moderate AD among the Chinese elderly with various levels of education.Īlzheimer’s disease Montreal Cognitive Assessment cutoff study mild cognitive impairment.įreitas S, Simões MR, Alves L, Santana I. For discrimination among MCI, mild and moderate AD, the MoCA-BC-T and MoCA-BC-NM had similar performance. For MCI screening, the total score of MoCA-BC (MoCA-BC-T) and MoCA-BC-MIS had similar high sensitivity and specificity. MoCA-BC was an effective cognitive tool to discriminate among NC, MCI, mild and moderate AD in the Chinese elderly across all education groups, implying that it was efficient not only for detecting MCI, but for different severities of AD as well. ![]() Two subtests were calculated from MoCA-BC: the Memory Index Score of MoCA-BC (MoCA-BC-MIS) and the Non-memory Index Score of MoCA-BC (MoCA-BC-NM). There was a total of 1,969 participants: individuals with MCI (n=663), mild (n=345), moderate (n=441) AD, and cognitively NC (n=520) were recruited from the Memory Clinic, Huashan Hospital, Shanghai, China.īaseline MoCA-BC scores were collected from firsthand data. To find out whether the Chinese version of Montreal Cognitive Assessment Basic (MoCA-BC) and its subtests could be applied in discrimination among cognitively normal controls (NC), mild cognitive impairment (MCI), mild and moderate Alzheimer's Disease (AD), and furthermore, to determine the optimal cutoffs most sensitive to distinguish between them. ![]()
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