![]() In recent years, there has been an emerging interest in concentrating the most useful items from the MoCA into a similarly efficacious, but shorter version of MoCA. 15 min), with limited feasibility for use with patients with either low education levels, or with unstable conditions (e.g., frailty, severe attention deficits, and mind-wandering) 4. Although MoCA is primarily designed as a cognitive screening tool, it is still relatively time consuming (taking approx. Recent evidence has demonstrated that the MoCA is, at the present moment, the best screening tool for MCI (pooled sensitivity, 89% pooled specificity, 75%) 2, and that it is also an excellent screening tool for post-stroke cognitive impairment (pooled sensitivity, 81% pooled specificity, 79%) 3. in 1996, and was initially used and validated to detect mild cognitive impairment (MCI) and mild forms of Alzheimer’s disease 1. The Montreal Cognitive Assessment (MoCA) was developed by Nasreddine et al. The Chinese version of the MoCA 5-min protocol can be used as a valid screening for patients with stroke. These three assessments demonstrated equal performance in differentiating patients with stroke from controls. 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. In this study, the Neurobehavioural Cognitive Status Examination (NCSE) was used as an external criterion of cognitive impairment. A total of 54 patients and 27 healthy controls were enrolled in this study. Montreal Cognitive Assessment for the detection of dementia.The 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. Examining the effects of formal education level on the Montreal Cognitive Assessment. Domain-specific accuracy of the Montreal Cognitive Assessment subsections in Parkinson’s disease. Avoiding spectrum bias caused by healthy controls. Diagnostic accuracy of the Montreal Cognitive Assessment (MoCA) for cognitive screening in old age psychiatry: Determining cutoff scores in clinical practice. You can learn more about how we ensure our content is accurate and current by reading our editorial policy. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. ![]() Further research is needed, especially to determine the best score threshold for accurate dementia diagnosis, especially in primary care settings. The authors say that the quality of the studies conducted on this topic wasn’t high enough to strongly recommend using the MoCA test for dementia diagnosis in various healthcare settings. Yet, using this cutoff also led to a significant number of incorrect results, with over 40% of people without dementia being mistakenly identified as having dementia. But other parts, like paying attention and using language, didn’t work as well.Ī 2021 review of seven studies found that, when practitioners used a score of less than 26 as a cutoff, the MoCA correctly detected more than 94% of people with dementia in different situations. The researchers found that some parts of the MoCA, like the executive function section that deals with planning and organization, were good at spotting concerns. ![]() This implies that while the MoCA can identify people needing more tests, it’s not ideal for diagnosing cognitive issues conclusively.Ī 2017 study looked at how well the MoCA works for people with Parkinson’s disease. In addition, when these results were compared to the performance of healthy individuals, the MoCA appeared to be more effective than it is in real clinical settings. Yet researchers note that its reliability for diagnosing these problems was limited. The test was able to confirm a typical ability to think and rule out severe issues like dementia. One study from 2020 assessed the MoCA’s effectiveness in detecting cognitive concerns among older adults in an outpatient mental health clinic. It appears to be particularly effective at identifying cognitive changes in individuals with higher education levels or when mild cognitive changes are the main focus of clinical attention.īut its accuracy can be influenced by factors such as the characteristics of the person being tested and the setting in which the test is administered. The accuracy of the MoCA test may vary depending on the specific context and population being assessed.
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