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

Abstract

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.

Differences in urban and suburban/rural settings regarding care provision and barriers of cancer care for older adults during COVID-19

“…As telemedicine care becomes more widely used, it provides an important opportunity to expand telemedicine care to older, rural patients who live a greater distance from tertiary medical centers, or to those older adults who may have transportation or mobility limitations. Regardless of location, modifications to telemedicine geriatric assessment as well as video visits [61] are important for promoting positive patient outcomes and patient-provider relationships, facilitating clear communication, and observing non-verbal communication [62][63][64][65].…”

Comparison of 6-month outcomes of sepsis versus non-sepsis critically ill patients receiving mechanical ventilation

“…The WHODAS has been validated in the ICU population [ 9 ]. Secondary outcomes included the assessment of the following domains: (a) health status at 3 and 6 months (measured by EQ-5D-5L visual analogue scale [VAS] and utility score) [ 8 ], (b) anxiety and depression at 6 months (measured by the Hospital Anxiety and Depression Scale, HADS) [ 8 , 10 ], (c) return to work at 3 and 6 months (measured by WHODAS), (d) post-traumatic stress disorder at 6 months (measured by the Impact of Event Scale–Revised, IES-R [ranging from 0 to 88]) [ 8 , 11 ]; (e) daily activities at 6 months (measured by the Instrumental Activities of Daily Living, IADL [ranging from 0 to 8]) [ 12 ]; cognitive function at 6 months (measured by the Montreal Cognitive Assessment, MoCA-BLIND [ranging from 0 to 22]) [ 6 , 13 , 14 ]; and (f) financial distress at 3 and 6 months (assessed through a scale from 0 to 10, with 0 as the minimum stress and 10 the maximum). In addition to the assessment of the outcomes on a continuous scale, pre-defined categories were also assessed at 3 and 6 months [ 7 , 8 ].…”

Videoconference version of the Montreal Cognitive Assessment: normative data for Quebec-French people aged 50 years and older

“…However, to date, the MoCA has traditionally been used for in-person testing. In response to the COVID-19 crisis, Klil-Drori and collaborators [7] evaluated the use of a 20-point telephone version of the MoCA to establish a cut-off to determine normal cognitive functioning. The authors established a 17/20 cut-off, yet, they underlined that the Tele-MoCA is not sensitive enough to detect subtle cognitive impairments, such as mild cognitive impairment or dementia at its early stages [6].…”