Cognitive Screening of Pakistani Substance-Dependent Male Patients using Montreal Cognitive Assessment Score (MoCA)

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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Validating a Pragmatic Approach to Cognitive Screening in Stroke Prevention Clinics Using the Montreal Cognitive Assessment

Stroke ◽

10.1161/strokeaha.115.011036 ◽

2016 ◽

Vol 47 (3) ◽

pp. 807-813 ◽

Cited By ~ 6

Author(s):

Richard H. Swartz ◽

Megan L. Cayley ◽

Krista L. Lanctôt ◽

Brian J. Murray ◽

Eric E. Smith ◽

...

Keyword(s):

Cognitive Assessment ◽

Stroke Prevention ◽

Montreal Cognitive Assessment ◽

Cognitive Screening ◽

Pragmatic Approach

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Improvement in montreal cognitive assessment score following three-week pain rehabilitation program

AIMS Medical Science ◽

10.3934/medsci.2019.3.201 ◽

2019 ◽

Vol 6 (3) ◽

pp. 201-209

Author(s):

Joann E. Bolton ◽

◽

Elke Lacayo ◽

Svetlana Kurklinsky ◽

Christopher D. Sletten ◽

...

Keyword(s):

Cognitive Assessment ◽

Rehabilitation Program ◽

Montreal Cognitive Assessment ◽

Assessment Score ◽

Score Following

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Validation of the Sinhala Version of the Addenbrooke’s Cognitive Examination-Revised for the Detection of Dementia in Sri Lanka: Comparison with the Mini-Mental Status Examination and the Montreal Cognitive Assessment

Dementia and Geriatric Cognitive Disorders ◽

10.1159/000497743 ◽

2019 ◽

Vol 47 (4-6) ◽

pp. 198-208 ◽

Cited By ~ 1

Author(s):

Vindika Suriyakumara ◽

Srinivasan Srikanth ◽

Ruwani Wijeyekoon ◽

Harsha Gunasekara ◽

Chanaka Muthukuda ◽

...

Keyword(s):

Sri Lanka ◽

Diagnostic Accuracy ◽

Cognitive Assessment ◽

Intraclass Correlation ◽

Screening Tools ◽

Montreal Cognitive Assessment ◽

Cutoff Score ◽

Cognitive Screening ◽

Dementia Prevalence ◽

Addenbrooke’S Cognitive Examination

Background: Sri Lanka is a rapidly aging country, where dementia prevalence will increase significantly in the future. Thus, inexpensive and sensitive cognitive screening tools are crucial. Objectives: To assess the reliability, validity, and diagnostic accuracy of the Sinhalese version of the Addenbrooke’s Cognitive Examination-Revised (ACE-R s). Method: The ACE-R was translated into Sinhala with cultural and linguistic adaptations and administered, together with the Sinhala version of the Montreal Cognitive Assessment (MoCA), to 99 patients with dementia and 93 gender-matched controls. Results: The ACE-R s cutoff score for dementia was 80 (sensitivity 91.9%, specificity 76.3%). The areas under the curve for the ACE-R s, Mini-Mental State Examination (MMSE) and MoCA were 0.90, 0.86, and 0.86, respectively. The ACE-R s had good interrater reliability (intraclass correlation = 0.94), test-retest reliability (intraclass correlation = 0.99), and internal consistency (Cronbach’s α = 0.8442). Conclusions: The ACE-R s is sensitive, specific and reliable to detect dementia in persons aged ≥50 years in a Sinhala-speaking population and its diagnostic accuracy is superior to previously validated tools (MMSE and MoCA).

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Subclinical Cognitive Impairment and Listing for Kidney Transplantation

Clinical Journal of the American Society of Nephrology ◽

10.2215/cjn.11010918 ◽

2019 ◽

Vol 14 (4) ◽

pp. 567-575 ◽

Cited By ~ 10

Author(s):

Aditi Gupta ◽

Robert N. Montgomery ◽

Victor Bedros ◽

John Lesko ◽

Jonathan D. Mahnken ◽

...

Keyword(s):

Cognitive Impairment ◽

Kidney Transplant ◽

Cognitive Assessment ◽

Proportional Hazards Model ◽

Cox Proportional Hazards ◽

Cox Proportional Hazards Model ◽

Montreal Cognitive Assessment ◽

Rank Test ◽

Assessment Score ◽

Lower Likelihood

Background and objectivesCognitive impairment is common in patients with kidney disease and can affect physicians’ perception and/or patients’ ability to complete the pretransplant evaluation. We examined whether cognitive impairment influences the likelihood for transplant listing and whether patients with cognitive impairment take longer to be listed.Design, setting, participants, & measurementsWe conducted a single-center longitudinal cohort study. Patients presenting for their index kidney transplant evaluation were screened for cognitive impairment using the Montreal Cognitive Assessment. A score <26 indicated cognitive impairment. The transplant selection committee was blinded to the scores. Kaplan–Meier analysis assessed time to active listing by level of cognition. A Cox proportional hazards model that included age, sex, race/ethnicity, smoking, coronary artery disease, and diabetes was constructed to evaluate the association between Montreal Cognitive Assessment score and listing for transplant.ResultsIn total, 349 patients who underwent Montreal Cognitive Assessment testing at their initial visit were included in the analysis. Patients with cognitive impairment were more likely to be older, black, and smokers. The time to listing in patients with cognitive impairment was longer than the time to listing in those with no cognitive impairment (median time, 10.6 versus 6.3 months; log rank test P=0.01). Cognitive impairment was independently associated with a lower likelihood of being listed for transplant (hazard ratio, 0.93 per unit lower Montreal Cognitive Assessment score; 95% confidence interval, 0.88 to 0.99; P=0.02). A lower proportion of patients with cognitive impairment were listed compared with patients without cognitive impairment at 1 month (2% versus 11%), 6 months (17% versus 37%), and 1 year (23% versus 41%), (P<0.001 for all).ConclusionsCognitive impairment is associated with a lower likelihood of being listed for kidney transplant, and is associated with longer time to transplant listing.

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P1508COGNITIVE IMPAIRMENT A RISK FACTOR FOR NON ADHERENCE TO MEDICAL MANAGEMENT AMONG PATIENTS ON MAINTENANCE HEMODIALYSIS

Nephrology Dialysis Transplantation ◽

10.1093/ndt/gfaa142.p1508 ◽

2020 ◽

Vol 35 (Supplement_3) ◽

Author(s):

Larisa Shehaj ◽

Merita Rroji (Molla)

Keyword(s):

Cognitive Assessment ◽

Descriptive Analysis ◽

Strong Association ◽

Montreal Cognitive Assessment ◽

Maintenance Hemodialysis ◽

Medical Adherence ◽

Cognitive Screening ◽

High Prevalence ◽

The Mean ◽

And Gender

Abstract Background and Aims Patients with chronic kidney disease (CKD) are at substantially higher risk for developing cognitive impairment (CI) compared with the general population. Subtle changes can impact engagement with healthcare, comprehension, decision-making, and medication adherence. The Montreal Cognitive Assessment (MoCA) test was reported to represent a suitable cognitive screening tool for hemodialysis patients. Our study aimed to assess the prevalence of CI in CKD patients undergoing hemodialysis, socio-demographic and patient-related variables affecting CI and relationship with medical adherence. Method Out of 65 patients in the HD unit, 58 patients (mean age 59.16±10.61 years old and meantime in therapy 6.93±5.03 years) accepted to participate in the study. The Montreal Cognitive Assessment (MoCA) scale was administered to patients. Patients with a MoCA global score 24/30 were considered cognitively impaired. Descriptive analysis was done for the socio-demographic and clinical variables. Results The mean total MoCA score for all the patients were 22.77679±3.8. Thirty seven patient 63.7% were evaluated with CI where 67.5 % with Mild CI (MCI) and 32.5% with severe CI (SCI) under 20 points). MoCA subscale analysis revealed that the mean score for visuospatial/executive domain and attention were the lowest with 5.38±1.3 /8max and 2.82±1.67/6 max and scores for orientation were the highest 5.94±0.59/6 max. MCI was related to vintage to dialysis (p < .00001) and education years (p<0.05) but not with age (p>0.05) and gender (p>0.05) where severe CI was related to age and comorbidity ( p<0.05 and P<0.01, respectively. We found a strong association between low scores and medical adherence (p<0.001). Conclusion: In hemodialysis, we have a relatively high prevalence of CI and screening for impairment should be considered in all adults with ESRD. Older age, vintage on dialysis, and comorbidity were associated with lower scores. The visuospatial/executive domain and attention were mostly affected. The association between low scores and medical adherence show a high risk for this group of patients.

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Short Montreal Cognitive Assessment

Journal of Geriatric Psychiatry and Neurology ◽

10.1177/0891988716673469 ◽

2016 ◽

Vol 30 (2) ◽

pp. 104-108 ◽

Cited By ~ 14

Author(s):

A. J. Larner

Keyword(s):

Cognitive Impairment ◽

Cognitive Assessment ◽

Computerized Adaptive Testing ◽

Montreal Cognitive Assessment ◽

Test Accuracy ◽

Cognitive Screening ◽

Memory Clinic ◽

Subjective Memory ◽

Index Study ◽

Diagnosis Of Dementia

The diagnostic accuracy of the short Montreal Cognitive Assessment (s-MoCA), a cognitive screening instrument recently derived by item response theory and computerized adaptive testing from the original MoCA, for the diagnosis of dementia and mild cognitive impairment (MCI) was assessed in 2 patient cohorts referred to a dedicated memory clinic in order to examine the validity and reproducibility of s-MoCA. Diagnosis used standard clinical diagnostic criteria for dementia and MCI as reference standard (prevalence of cognitive impairment = 0.43 and 0.46 in each cohort, respectively). There were significant differences in s-MoCA test scores for dementia, MCI, and subjective memory impairment ( P ≤ .01), and s-MoCA effect sizes (Cohen d) were medium to large (range: 0.65-1.42) for the diagnosis of dementia and MCI. Using the cut-off for s-MoCA specified in the index study, it proved highly sensitive (>0.9) for diagnosis of dementia but with poor specificity (≤0.25), with moderate sensitivity (≥0.75) and specificity (≥0.60) for diagnosis of MCI. In conclusion, in these pragmatic diagnostic test accuracy studies, s-MoCA proved acceptable and sensitive for the diagnosis of cognitive impairment in a memory clinic setting, with a performance similar to that of the original MoCA.

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MONTREAL COGNITIVE ASSESSMENT VS. ROWLAND UNIVERSAL DEMENTIA ASSESSMENT SCALE FOR COGNITIVE SCREENING

Innovation in Aging ◽

10.1093/geroni/igx004.1667 ◽

2017 ◽

Vol 1 (suppl_1) ◽

pp. 468-468 ◽

Cited By ~ 1

Author(s):

C. Brymer ◽

C. Sider ◽

A. Evans ◽

B.Y. Lee ◽

K. Taneja ◽

...

Keyword(s):

Cognitive Assessment ◽

Assessment Scale ◽

Montreal Cognitive Assessment ◽

Cognitive Screening

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Comparation of the Montreal Cognitive Assessment Score Indonesian Version (MoCA-INA) and the Personal And Social Performance Scale (PSP) Score in Schizophrenic male with Dominant Negative Symptoms and Non-Dominant Negative Symptoms at Mental Hospital Prof. DR. M. Ildrem Medan

International Journal of Scientific and Research Publications (IJSRP) ◽

10.29322/ijsrp.11.02.2021.p11045 ◽

2021 ◽

Vol 11 (2) ◽

pp. 374-378

Author(s):

Huzaipah Bahagia Loebis ◽

Vita Camellia

Keyword(s):

Cognitive Assessment ◽

Mental Hospital ◽

Negative Symptoms ◽

Social Performance ◽

Dominant Negative ◽

Montreal Cognitive Assessment ◽

Assessment Score ◽

Performance Scale

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Converting from the Montreal Cognitive Assessment to the Mini-Mental State Examination-2

PLoS ONE ◽

10.1371/journal.pone.0254055 ◽

2021 ◽

Vol 16 (7) ◽

pp. e0254055

Author(s):

Hwabeen Yang ◽

Daehyuk Yim ◽

Moon Ho Park

Keyword(s):

Mental State ◽

Cognitive Assessment ◽

Mini Mental State Examination ◽

Intraclass Correlation ◽

Montreal Cognitive Assessment ◽

Cognitive Screening ◽

Conversion Table ◽

Linear Smoothing ◽

Log Linear ◽

State Examination

Objective The Montreal Cognitive Assessment (MoCA) and Mini-Mental State Examination-2 (MMSE-2) are useful psychometric tests for cognitive screening. Many clinicians want to predict the MMSE-2 score based on the MoCA score. To facilitate the transition from the MoCA to the MMSE-2, this study developed a conversion method. Methods This study retrospectively examined the relationship between the MoCA and MMSE-2. Overall, 303 participants were evaluated. We produced a conversion table using the equipercentile equating method with log-linear smoothing. Then, we evaluated the reliability and accuracy of this algorithm to convert the MoCA to the MMSE-2. Results MoCA scores were converted to MMSE-2 scores according to a conversion table that achieved a reliability of 0.961 (intraclass correlation). The accuracy of this algorithm was 84.5% within 3 points difference from the raw score. Conclusions This study reports a reliable and easy conversion algorithm for transforming MoCA scores into converted MMSE-2 scores. This method will greatly enhance the utility of existing cognitive data in clinical and research settings.

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