O2-04-01: Comparison of Montreal Cognitive Assessment (MoCA) and 3MSE scores in African-Americans

Background. Sparse data limit the interpretation of Montreal Cognitive Assessment (MoCA) scores, particularly in minority populations. Additionally, there are no published data on how MoCA scores compare to the widely used Modified Mini Mental State Examination (3MSE). We provide performance data on the MoCA in a large cohort of African Americans and compare 3MSE and MoCA scores, providing a “crosswalk” for interpreting scores.Methods. Five hundred and thirty African Americans with type 2 diabetes were enrolled in African American-Diabetes Heart Study-MIND, a cross-sectional study of cognition and structural and functional brain imaging. After excluding participants with possible cognitive impairment (n=115), mean (SD) MoCA and 3MSE scores are presented stratified by age and education.Results. Participant mean age was 58.2 years (range: 35-83); 61% were female; and 64.9% had >12 years of education. Mean (SD) 3MSE and MoCA scores were 86.9 (8.2) and 19.8 (3.8), respectively. 93.5% of the cohort had a “positive” screen on the MoCA, scoring <26 (education-adjusted), compared with 47.5% on the 3MSE (cut-point < 88). A 3MSE score of 88 corresponded to a MoCA score of 20 in this population.Conclusion. The present data suggest the need for caution when applying proposed MoCA cutoffs to African Americans.

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Montreal Cognitive Assessment Performance among Community-Dwelling African Americans

Archives of Clinical Neuropsychology ◽

10.1093/arclin/acw095 ◽

2016 ◽

Cited By ~ 3

Author(s):

Heidi C. Rossetti ◽

Laura H. Lacritz ◽

Linda S. Hynan ◽

C. Munro Cullum ◽

Aaron Van Wright ◽

...

Keyword(s):

African Americans ◽

Cognitive Assessment ◽

Community Dwelling ◽

Montreal Cognitive Assessment ◽

Assessment Performance

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A-21Detection of MCI in African Americans Using the Montreal Cognitive Assessment (MoCA)

Archives of Clinical Neuropsychology ◽

10.1093/arclin/acx076.21 ◽

2017 ◽

Vol 32 (6) ◽

pp. 667-765

Author(s):

E Smith ◽

L Hynan ◽

L Lacritz ◽

C Cullum ◽

A Van Wright ◽

...

Keyword(s):

African Americans ◽

Cognitive Assessment ◽

Montreal Cognitive Assessment

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Montreal Cognitive Assessment--Filipino Version

PsycTESTS Dataset ◽

10.1037/t72215-000 ◽

2013 ◽

Cited By ~ 1

Author(s):

Jacqueline C. Dominguez ◽

Mary Grace S. Orquiza ◽

Jennifer R. Soriano ◽

Cely D. Magpantay ◽

Rolando C. Esteban ◽

...

Keyword(s):

Cognitive Assessment ◽

Montreal Cognitive Assessment

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Concurrent validity of the short version of Montreal Cognitive Assessment (MoCA) for patients with stroke

Scientific Reports ◽

10.1038/s41598-021-86615-2 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Yali Feng ◽

Jiaqi Zhang ◽

Yi Zhou ◽

Bo Chen ◽

Ying Yin

Keyword(s):

Neurological Disorders ◽

Cognitive Assessment ◽

Concurrent Validity ◽

Operating Characteristic ◽

Cognitive Impairments ◽

Characteristic Curve ◽

Cognitive Status ◽

Montreal Cognitive Assessment ◽

Short Version ◽

External Criterion

AbstractThe 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. A total of 54 patients and 27 healthy controls were enrolled in this study. In this study, the Neurobehavioural Cognitive Status Examination (NCSE) was used as an external criterion of cognitive impairment. 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. 0.984 for MoCA, P = 0.097). These three assessments demonstrated equal performance in differentiating patients with stroke from controls. The Chinese version of the MoCA 5-min protocol can be used as a valid screening for patients with stroke.

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Evaluation of a Telephone Version for the Montreal Cognitive Assessment: Establishing a Cutoff for Normative Data From a Cross-Sectional Study

Journal of Geriatric Psychiatry and Neurology ◽

10.1177/08919887211002640 ◽

2021 ◽

pp. 089198872110026

Author(s):

Sivan Klil-Drori ◽

Natalie Phillips ◽

Alita Fernandez ◽

Shelley Solomon ◽

Adi J. Klil-Drori ◽

...

Keyword(s):

Cognitive Assessment ◽

Cross Sectional Study ◽

Montreal Cognitive Assessment ◽

Cutoff Score ◽

Cognitive Screening ◽

Cross Sectional ◽

A Prospective Study ◽

Sectional Analysis ◽

State Examination ◽

Normal Cognition

Objective: Compare a telephone version and full version of the Montreal Cognitive Assessment (MoCA). Methods: Cross-sectional analysis of a prospective study. A 20-point telephone version of MoCA (Tele-MoCA) was compared to the Full-MoCA and Mini Mental State Examination. Results: Total of 140 participants enrolled. Mean scores for language were significantly lower with Tele-MoCA than with Full-MoCA (P = .003). Mean Tele-MoCA scores were significantly higher for participants with over 12 years of education (P < .001). Cutoff score of 17 for the Tele-MoCA yielded good specificity (82.2%) and negative predictive value (84.4%), while sensitivity was low (18.2%). Conclusions: Remote screening of cognition with a 20-point Tele-MoCA is as specific for defining normal cognition as the Full-MoCA. This study shows that telephone evaluation is adequate for virtual cognitive screening. Our sample did not allow accurate assessment of sensitivity for Tele-MoCA in detecting MCI or dementia. Further studies with representative populations are needed to establish sensitivity.

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Psychometric Properties of the Persian Montreal Cognitive Assessment in Mild Cognitive Impairment and Alzheimer Disease

Dementia and Geriatric Cognitive Disorders Extra ◽

10.1159/000514673 ◽

2021 ◽

pp. 51-57

Author(s):

Vahid Rashedi ◽

Mahshid Foroughan ◽

Negin Chehrehnegar

Keyword(s):

Cognitive Impairment ◽

Mild Cognitive Impairment ◽

Alzheimer Disease ◽

Psychometric Properties ◽

Cognitive Assessment ◽

Screening Test ◽

Cognitive Status ◽

Montreal Cognitive Assessment ◽

Cutoff Score ◽

Persian Version

Introduction: The Montreal Cognitive Assessment (MoCA) is a cognitive screening test widely used in clinical practice and suited for the detection of Mild Cognitive Impairment (MCI). The aims were to evaluate the psychometric properties of the Persian MoCA as a screening test for mild cognitive dysfunction in Iranian older adults and to assess its accuracy as a screening test for MCI and mild Alzheimer disease (AD). Method: One hundred twenty elderly with a mean age of 73.52 ± 7.46 years participated in this study. Twenty-one subjects had mild AD (MMSE score ≤21), 40 had MCI, and 59 were cognitively healthy controls. All the participants were administered the Mini-Mental State Examination (MMSE) to evaluate their general cognitive status. Also, a battery of comprehensive neuropsychological assessments was administered. Results: The mean score on the Persian version of the MoCA and the MMSE were 19.32 and 25.62 for MCI and 13.71 and 22.14 for AD patients, respectively. Using an optimal cutoff score of 22 the MoCA test detected 86% of MCI subjects, whereas the MMSE with a cutoff score of 26 detected 72% of MCI subjects. In AD patients with a cutoff score of 20, the MoCA had a sensitivity of 94% whereas the MMSE detected 61%. The specificity of the MoCA was 70% and 90% for MCI and AD, respectively. Discussion: The results of this study show that the Persian version of the MoCA is a reliable screening tool for detection of MCI and early stage AD. The MoCA is more sensitive than the MMSE in screening for cognitive impairment, proving it to be superior to MMSE in detecting MCI and mild AD.

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