scholarly journals VALIDATION OF THE ALTERNATIVE BRAZILIAN VERSION OF THE MONTREAL COGNITIVE ASSESSMENT (MOCA-BR): PILOT STUDY

2021 ◽  
Author(s):  
Alana Pecorari ◽  
Viviane Zétola ◽  
Valmir Filho ◽  
Paulo Bertolucci ◽  
Carolina Ichi ◽  
...  
Keyword(s):  
Cognitive Assessment ◽  
Montreal Cognitive Assessment ◽  
Healthy Population ◽  
Delayed Recall ◽  
Brazilian Version ◽  
Significant Difference ◽  
Alternative Version ◽  
Good Internal Consistency ◽  
Crosscultural Adaptation ◽  
Prospective Longitudinal

Background: The current version of the Brazilian Montreal Cognitive Assessment (MoCA-BR) did not have a reliable cross-cultural adaptation to Brazil-ian Portuguese. In previous stages of this study, the Alternative Version of the MoCA-BR was developed, with changes in the sections: Memory and Delayed Recall, Language and Naming. Objectives: to verify the influence of crosscultural adaptation on the performance of cognitive tools, and the accuracy of the Alternative Version of the MoCA-BR. Methods: a pilot, prospective, longitudinal and analytical study. Both versions of the test were applied in a randomized and cognitively healthy population, between 18 and 60 years, within a medium interval of 54,56 days between the questionnaires. Results: out of 104 participants, 70 were included (64.3% female, 40.2 years). The alternative version obtained superior performances in the naming domain (p < 0.001), and in the adapted sentence in the language domain (p = 0.003). There was no significant difference in the delayed recall domain. The alternative version showed good internal consistency, with a Cronbach’s alpha of 0.75. The cutoff point suggested by the study is 27 points, with sensitivity and specificity of 91.3% and 79.2%, respectively. Conclusions: Cultural factors affect the accuracy of cognitive tests, and adaptation is essential for their use in different countries.

TRANSCULTURAL ADAPTATION DESIGN OF MONTREAL COGNITIVE ASSESSMENT (MOCA) IN BRAZIL

2021 ◽  
pp. 78-84
Author(s):  
Valmir Vicente Filho ◽  
Carolina Ayumi Ichi ◽  
Paulo Henrique Ferreira Bertolucci ◽  
Mauren Carneiro da Silva Rubert ◽  
Viviane de Hiroki Flumignan Zétola
Keyword(s):  
Cognitive Assessment ◽  
Epidemiological Survey ◽  
Montreal Cognitive Assessment ◽  
Cognitive Screening ◽  
Brazilian Version ◽  
Normal Individuals ◽  
Alternative Version ◽  
Normal Cognitive Function ◽  
Transcultural Adaptation ◽  
Cultural Requirements

Introduction: Montreal Cognitive Assessment (MoCA) is the most common cognitive screening instrument for Mild Cognitive Impairment detection. Although the current Brazilian version (MoCA-BR) has been validated, in clinical practice, it is observed that adults with normal cognitive function, especially those less educated, rarely reaches the maximum score of 30 points on the test. Objective: Introduce a methodology to adjust the Brazilian version according to the Brazilian culture. A cross-se Methods: ctional observational study was conducted with 294 participants. In the Memory section, we used the free listing technique to replace words. In the Naming section, an epidemiological survey of the most pinpointed gures was conducted. Replication of Sentence section was modied based on meetings between researchers and Portuguese teachers uent in English. The alternative version of MoCA-BR was composed by: "az Results: ul" (blue), "braço" (arm), "orquídea" (orchid), "seda" (silk) and “igreja” (church) in Memory Section; giraffe, elephant, and lion in the Naming section; “Eu só sei que é João quem será ajudado hoje” and "O gato sempre se esconde embaixo do sofá quando o cachorro está na sala" in the Replication of Sentence section. Our Conclusions: data reinforce the need to adapt the MoCA-BR. We present an alternative version of MoCA-BR, which contemplates the linguistic and cultural requirements of the transcultural adaptation process. The next step is to apply this version to obtain its validation. We believe that this adaptation may allow a future better applicability of the MoCA-BR, especially in less educated people, without underestimating the scores of cognitively normal individuals

scholarly journals The effect of vitamin D on cognitive functions in young female patients: a prospective controlled study using the Montreal Cognitive Assessment

2019 ◽  
Vol 77 (1) ◽  
pp. 19-24
Author(s):  
Ozlem Balbaloglu ◽  
Nermin Tanık
Keyword(s):  
Vitamin D ◽  
Cognitive Functioning ◽  
Cognitive Assessment ◽  
Young Female ◽  
Montreal Cognitive Assessment ◽  
Controlled Study ◽  
Delayed Recall ◽  
Female Patients ◽  
Vitamin D Levels ◽  
Before And After

ABSTRACT Aim: Our aim was to determine whether there is a relationship between vitamin D [25(OH)D] and cognitive functioning in women with low 25(OH)D levels. Methods: Ninety female patients, 25-45 years of age, who attended our outpatient clinic and had 25(OH)D levels < 30 ng/mL, were included. The Montreal Cognitive Assessment (MoCA) scale was used to determine cognitive functioning; the scale is divided into seven subgroups. Patients were divided into three subgroups according to their 25(OH)D levels. After a three-month period of 25(OH) D replacement, the patients underwent a re-evaluation using the MoCA scale. Results: The total MoCA score before treatment was significantly different from the score after treatment (p < 0.05). Language and delayed recall functions were significantly different before and after treatment (p < 0.05). Conclusion: Vitamin D levels were related to cognitive functioning in our study group.

scholarly journals Memory Performance in Patient with Systemic Lupus Erythematosus Using MoCA-Ina in Hasan Sadikin Genneral Hospital Bandung

2018 ◽  
Vol 9 (1) ◽  
Author(s):  
Safira Anjalia ◽  
Paulus Anam Ong ◽  
Nur Atik ◽  
Laniyati Hamijoyo
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Cognitive Impairment ◽  
Lupus Erythematosus ◽  
Cognitive Assessment ◽  
Memory Impairment ◽  
Montreal Cognitive Assessment ◽  
Systemic Lupus ◽  
Cross Sectional ◽  
Delayed Recall ◽  
Immediate Recall

Background: The involvement of neuropsychiatry is reported in 6% to 91% of Systemic Lupus Erythematosus (SLE) patients. It can cause fatal morbidity and mortality. Memory impairment is one of the most common symptoms of neuropsychiatry involvement. This study aims to find out the performance of memory test in SLE patients using Indonesian version of Montreal Cognitive Assessment (MoCA-Ina).Method: This cross sectional study recruited 30 SLE patients. Cognitive abilities and patient’s memory were examined using Indonesian version of Montreal Cognitive Assessment (MoCA-Ina). Cognitive impairment was determined when total MoCA-Ina score was below 26. For memory evaluation, immediate recall or delayed recall impairment was determined when the patient failed in each memory subtests.Results: The mean of total MoCA-Ina score was 24.97 (SD±3.14). Fifty percent of the SLE patients had cognitive impairment, with the domain involved being delayed recall (86.67%), attention (60%), language (56.67%), abstraction (53.33%), and visuo-spatial/ executive function (36.67%). Most patients (86.67%) could completely repeat immediate recall. Whileonly 4 (13.33%) subjects could repeat delayed recall completely without any clue. Of the 26 SLE patients who failed to recall completely, 24 (92.3%) of them succeeded to recall completely after getting clue(s).Conclusion: Memory impairment is the most frequent cognitive impairment in SLE patients, especially in delayed recall. By using the memory subtests of MoCAIna, more than four fifth of patients with SLE was detected having delayed recall memory impairment and almost all of them could recalled completely after getting clue(s). This findings indicated that the finalstep of memory process retrieval in SLE was interrupted while being encoded, but retention pathway were stillintact.Keywords: Systemic Lupus Erythematous, Memory, MoCA-Ina

scholarly journals Examining Delayed Recall in Cochlear Implant Users Using the Montreal Cognitive Assessment, California Verbal Learning Test, Third Edition, and Item Specific Deficit Approach: Preliminary Results

2021 ◽  
Vol 12 ◽  
Author(s):  
Nadav Brumer ◽  
Elizabeth Elkins ◽  
Jennifer Parada ◽  
Jake Hillyer ◽  
Alexandra Parbery-Clark
Keyword(s):  
Cochlear Implant ◽  
Cognitive Assessment ◽  
Recall Performance ◽  
Verbal Learning ◽  
Montreal Cognitive Assessment ◽  
California Verbal Learning Test ◽  
Scoring Method ◽  
Delayed Recall ◽  
High Performing ◽  
Learning Test

Purpose: Recent studies using the Montreal Cognitive Assessment (MoCA) suggest delayed recall is challenging for cochlear implant (CI) users. To better understand the underlying processes associated with delayed recall in CI users, we administered the MoCA and the California Verbal Learning Test, Third Edition (CVLT-3), which provides a more comprehensive assessment of delayed recall ability.Methods: The MoCA and CVLT-3 were administered to 18 high-performing CI users. For the CVLT-3, both the traditional scoring and a newer scoring method, the Item-Specific Deficit Approach (ISDA), were employed.Results: The original MoCA score and MoCA delayed recall subtest score did not relate to performance on any CVLT-3 measures regardless of scoring metric applied (i.e., traditional or ISDA). Encoding performance for both the CVLT-3 and ISDA were related. Consolidation, which is only distinctly defined by the ISDA, related to CVLT-3 cued delay recall performance but not free delay recall performance. Lastly, ISDA retrieval only related to CVLT-3 measures when modified.Conclusion: Performance on the MoCA and CVLT-3 in a high performing CI patient population were not related. We demonstrate that the ISDA can be successfully applied to CI users for the quantification and characterization of delayed recall ability; however, future work addressing lower performing CI users, and comparing to normal hearing controls is needed to determine the extent of potential translational applications. Our work also indicates that a modified ISDA retrieval score may be beneficial for evaluating CI users although additional work addressing the clinical relevance of this is still needed.

Utility of Montreal Cognitive Assessment in Differentiating Dementia With Lewy Bodies From Alzheimer’s Dementia

2017 ◽  
Vol 32 (8) ◽  
pp. 468-471 ◽  
Author(s):  
Erin Yamamoto ◽  
Lyla Mourany ◽  
Rosemary Colleran ◽  
Christine Whitman ◽  
Babak Tousi
Keyword(s):  
Executive Function ◽  
Cognitive Assessment ◽  
Dementia With Lewy Bodies ◽  
Lewy Bodies ◽  
Montreal Cognitive Assessment ◽  
Delayed Recall ◽  
Clock Drawing ◽  
Recall Memory ◽  
Score Pattern ◽  
Neurodegenerative Dementias

Alzheimer’s disease (AD) and dementia with Lewy bodies (DLB) are the 2 most common neurodegenerative dementias. Identification of patients with DLB is necessary to guide appropriate clinical management and medication trials. Patients with DLB are reported to perform poorly on tasks of visuospatial and executive function, compared to patients with AD who perform poorly on memory tasks. Using the Montreal Cognitive Assessment, we found that patients with DLB (n = 73) had statistically significant lower performance in clock drawing (visuospatial and executive function) and higher performance in delayed recall (memory) subscores compared to patients with AD (n = 57). This score pattern should raise suspicion for a DLB diagnosis at initial evaluation of patients with dementia.

scholarly journals Correlation between the Montreal Cognitive Assessment-Indonesian Version (Moca-INA) and the Mini-Mental State Examination (MMSE) in Elderly

2017 ◽  
Vol 5 (7) ◽  
pp. 915-919 ◽  
Author(s):  
Aldy Safruddin Rambe ◽  
Fasihah Irfani Fitri
Keyword(s):  
Mental State ◽  
Cognitive Assessment ◽  
Mini Mental State Examination ◽  
Pearson Correlation ◽  
Montreal Cognitive Assessment ◽  
Elderly Subjects ◽  
Cognitive Screening ◽  
Cross Sectional ◽  
Significant Difference ◽  
State Examination

BACKGROUND: As the rapid growth of the elderly population and the increased prevalence of Alezheimer’s Disease and related disorders, there is an increasing need for effective cognitive screening. The Mini Mental State Examination (MMSE) is the most frequently used screening test of cognitive impairment because of its convenience. The Montreal Cognitive Assessment-Indonesian Version (MoCA-INA) has been validated and recently been used as a cognitive screening tool.OBJECTIVES: The aim of this study was to compare the MMSE and MoCA-INA scores and to determine the correlation between the MMSE and MoCA-INA scores in elderly.MATERIAL AND METHODS: This was a cross-sectional study including 83 elderly subjects from November 2016 until June 2017. We performed MMSE and MoCA-INA for assessment of cognitive function and the time between each test was at least 30 minutes.RESULTS: The study included 83 subjects which were consisted of 46 (55.4%) males and 37 (44.6%) females. The mean age was 69.19 ± 4.23 ranging from 65 to 79 years old. The average MMSE scores was 24.96 ± 3.38 (range 14 to 30). The average MoCA-INA scores was 21.06 ± 4.56 (range 5 to 30). The Pearson correlation coefficient between the scores was 0.71 (p<0.005). There were no significant differences of both scores based on history of hypertension, diabetes mellitus and previous stroke, but there was a significant difference in MMSE scores based on level of education.CONCLUSION: The MoCA-INA score showed a good correlation with the MMSE score. Both tests showed comparable results but MoCA-INA showed lower average with wider range of scores.

scholarly journals Acuity to Changes in Self-Generated Vocal Pitch in Parkinson's Disease

2020 ◽  
Vol 63 (9) ◽  
pp. 3208-3214
Author(s):  
Defne Abur ◽  
Cara E. Stepp
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Cognitive Assessment ◽  
Auditory Perception ◽  
Pitch Perception ◽  
Montreal Cognitive Assessment ◽  
Significant Difference ◽  
Vocal Pitch ◽  
Perception Of Self ◽  
The Impact

Purpose Given the role of auditory perception in voice production, studies have investigated whether impairments in auditory perception may underlie the noted disruptions in speech in Parkinson's disease (PD). Studies of loudness perception in PD show impairments in the perception of self-generated speech, but not external tones. Studies of pitch perception in PD have only examined external tones, but these studies differed in terms of the interstimulus intervals (ISIs) that were used, did not examine the impact of cognition, and report conflicting results. To clarify pitch perception in PD, this work investigated perception of self-generated vocal pitch, controlling for cognition and ISI. Method A total of 30 individuals with and without PD completed (a) hearing threshold testing, (b) the Montreal Cognitive Assessment, and (c) an adaptive just-noticeable-difference paradigm under two separate ISIs (100 ms and 1,000 ms) to assess acuity to self-generated vocal pitch. Results There was no significant difference in acuity between individuals with and without PD. Both groups demonstrated significantly worse acuity for longer compared to shorter ISIs. Montreal Cognitive Assessment scores were not a significant predictor of acuity. Conclusions The results suggest that acuity to self-generated vocal pitch does not differ between individuals with and without PD.

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