![]() ↑ Feeney J, Savva GM, O’Regan C, King-Kallimanis B, Cronin H, Kenny RA.The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. ↑ 2.0 2.1 2.2 2.3 Nasreddine ZS, Phillips NA, Bédirian V, Charbonneau S, Whitehead V, Collin I, Cummings JL, Chertkow H.A self-administered version, the MoCA Solo App, will be released in 2022.įor more information on MoCA, click here to visit the official website. It has been validated and is comparable to the standard MoCA. It has been translated to over 50 languages which can be found on the official website linked below.ĭigital applications Īt present, the MoCA Duo App is available for use on the Apple App Store and Google Play Store. The convergent validity between MoCA and MMSE was high (r = 0.66, p < 0.001). Sensitivity was excellent (90%) and specificity was good (87%) for mild cognitive impairment. Validity įor content validation, MoCA was compared with the Mini-Mental Status Examination (MMSE), where correlation was found to be high (r = 0.87, p < 0.001). MoCA has good internal consistency (Cronbach's alpha = 0.82). MoCA has high test-retest reliability (ICC = 0.92, p < 0.001). It has hardcoded closed captions.Įvidence Reliability Although MoCA is free-to-use, it has been mandated that clinicians and researchers undergo the MoCA Training and Certification Program offered on the official website.For a detailed description of MoCA, kindly refer the official brochure found here (Login required, Registration is free).A cut-off score of 26 signifies mild cognitive impairment. Memory is assessed by a delayed recall of previous answers.Abstraction is assessed by asking about similarities between objects.Language is assessed using sentence repetition and letter F fluency.Concentration and calculation are assessed using the letter A tapping test, and serial 7 subtractions.Attention is assessed using the digit span (forward and backward).Visuospatial skills and executive function are assessed using the modified trail-making test, copy of the cube, clock drawing test, and naming. It measures cognition under the following domains: visuospatial skills, executive functions, attention, concentration, calculation, language, abstraction, memory, and orientation. It is a clinician-reported measure that takes about 10 minutes to administer. Mild Cognitive Impairment MoCA Montreal Cognitive Assessment cutoff scores diagnostic accuracy.Progressive deterioration of pattern processing ability: progress from mild cognitive impairment to severe AD We recommend the use of this cutoff score going forward. Meta-analysis revealed a cutoff score of 23/30 yielded the best diagnostic accuracy across a range of parameters.Ī MoCA cutoff score of 23, rather than the initially recommended score of 26, lowers the false positive rate and shows overall better diagnostic accuracy. These studies were assessed across a range of cutoff scores to determine the respective sensitivities, specificities, positive and negative predictive accuracies, likelihood ratios for positive and negative results, classification accuracies, and Youden indices. Of the 304 studies identified, nine met inclusion criteria for the meta-analysis. We conducted a systematic review and meta-analysis of the literature to determine the diagnostic accuracy of the MoCA for differentiating healthy cognitive aging from possible MCI. Some studies have indicated that the originally suggested cutoff score of 26/30 leads to an inflated rate of false positives, particularly for those of older age and/or lower education. Several validation studies have been conducted on the MoCA, in a variety of clinical populations. The Montreal Cognitive Assessment (MoCA Nasreddine et al., 2005) is a cognitive screening tool that aims to differentiate healthy cognitive aging from Mild Cognitive Impairment (MCI).
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