P3‐153: Could the Montreal Cognitive Assessment (MoCA) be the new “gold standard” in cognitive evaluation in geriatric patients: A clinical comparison

Lerch, Michael K.; Decker-Maruska, Mechthild; Fleck, Stefan; Hannusch, Yvonne

doi:10.1016/j.jalz.2010.05.1651

Cited by 6 publications

(3 citation statements)

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“…Montreal Cognitive Assessment (MoCA) was administered to all participants as it is a recommended brief measure of cognitive impairment for older adults (Lerch et al 2010). Although the original paper reported a cut-off of 26 for mild cognitive impairment (MCI; Nasreddine et al 2005), subsequent research has reported that this cutoff has poor specificity (Luis et al 2009) and a lower cutoff of 22 is recommended for optimal sensitivity (81 %), specificity (77 %), positive predictive value (78 %), and negative predictive value (80 %) (Freitas et al 2013).…”

Section: Methodsmentioning

confidence: 99%

A Comparison of Single-Session Positive Reappraisal, Cognitive Restructuring and Supportive Counselling for Older Adults with Type 2 Diabetes

et al. 2015

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This study compared a single-session intervention of positive reappraisal to cognitive restructuring and supportive counselling to examine whether a brief positive reappraisal intervention could significantly increase positive reappraisal coping and positive emotion and lead to reductions in anxiety and depression. Inclusion criteria were: aged 60 years or older, diagnosed with type 2 diabetes, cognitively intact, and English language proficiency. 81 participants were randomly allocated to a condition and self-report measures of positive reappraisal, emotion, anxiety and depression were compared pre-intervention and at 1-week follow-up. The positive reappraisal intervention led to significantly increased positive reappraisal coping compared to the other two conditions, and significantly higher positive but not negative emotion compared to the control condition. No group differences in anxiety and depression were found. The results indicate that the single-session intervention may be effective for increasing older adults' positive reappraisal coping and specifically their positive emotion when compared to supportive counselling.

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Section: Methodsmentioning

confidence: 99%

A Comparison of Single-Session Positive Reappraisal, Cognitive Restructuring and Supportive Counselling for Older Adults with Type 2 Diabetes

et al. 2015

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“…13 The "Montreal Cognitive assessment (MoCA) Scale" scoring system is developed to improve the chances of early detection of cognitive impairment, and to diagnose dementia more efficiently. [14][15][16] The present study was conducted at a tertiary healthcare institute in a metropolitan city to assess and compare the cognition status using MoCA Scale in hypertensive and normotensive individuals of similar age groups.…”

Section: Introductionmentioning

confidence: 99%

Assessment of cognitive impairment in hypertensive individuals attending a tertiary health-care center in metropolitan city: An analytical study

Gode

Kinge

Jain³

et al. 2023

Asian J Med Sci

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Background: Cognitive impairment is a physiological consequence of ageing. Mostly, after 65 years of age, impairment in the memory and dexterity is common. The various factors for such decline are yet under evaluation. The “Montreal Cognitive Assessment Scale” scoring system is been used in this study. This scale is based on seven domains of cognition. It is developed to improve the chances of early detection of cognitive impairment and it claims to diagnose dementia more efficiently compared to the standard MMSE scale. Aims and Objectives: The present study was conducted to compare the cognition status in hypertensive and normotensive individuals of similar age groups. Materials and Methods: The study participants were the selected patients attending the hypertension (HTN) OPD in Seth GS Medical college and KEM HOSPITAL Parel, Mumbai and among the staff working. Patients with age 30–40 years and blood pressure (BP) <140/90 mm Hg supine position without taking any anti-hypertensive medication. After selection of study subjects, the cognition status was assessed in both groups using the MoCA instrument. The BP was measured in supine posture, after interval of 10 min between each measurement, with the help of Sphygmomanometer. Unpaired “t”-test was applied to test the significance of difference of mean values of MoCA scale. Results: We observed that among hypertensive subjects, comparatively lower MoCA score (mean value: 25.97) was reported. Thirteen (28.88%) study subjects had low MoCA score, whereas 32 (71.11%) hypertensive study subjects had normal MoCA score. Conclusion: Thus, if the HTN is of a longer duration, it may show the poor cognitive performance. However, more such studies are required to know the exact mechanism and to know the critical level of BP which can cause cognitive impairment in long standing cases.

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“…The MoCA was originally developed to detect mild cognitive impairment (MCI) in aging (Nasreddine et al , 2005). It is a quickly administered neuropsychological “paper and pencil” tool for cognitive assessment (approximately 10 min) that proved highly reliable among geriatric patients (Lerch et al , 2010), as well as in other clinical populations (Julayanont et al , 2013). Unlike more classical paper and pencil tools such as the Mini-Mental State Examination, the MoCA is sensitive to dysexecutive syndrome as it contains executive-loaded items (Julayanont et al , 2013).…”

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confidence: 99%

The use of the Montreal Cognitive Assessment (MoCA) to assess cognitive impairment in Prader-Willi syndrome

Chevalère

Laurier

Tauber

et al. 2020

AMHID

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Purpose When a comprehensive neuropsychological assessment cannot be carried out, a quick and discriminant tool of good psychometric properties can be useful to practitioners. The purpose of this paper is to examine the use of the Montreal Cognitive Assessment (MoCA) in patients with Prader–Willi syndrome (PWS) and to test its reliability for cognitive assessment in a population with intellectual disabilities. Design/methodology/approach Thirty-seven adults with PWS took the MoCA. Reliability of the battery was tested using Cronbach’s alphas. The performance of PWS adults in each subtest was then compared to that of a normative population of healthy adults. Findings The MoCA was found to be unreliable in PWS. The subtests analyses indicated that the PWS sample underperformed the normative population of healthy adults on most subtests of the MoCA. A sub-sample aged between 17and 29 years showed normal performance on Naming and Memory, and a sub-sample aged from 30 to 39 years showed similar performance on Language, Memory and Orientation relative to age-matched normative healthy adults. Research limitations/implications Results showed that the current version of the MoCA, if taken as a whole test for cognitive assessment, does not present with adequate psychometric properties, which the authors interpret as reflecting the heterogeneity in PWS cognitive profiles. If used in PWS, the MoCA may however be useful in examining cognitive functions separately using subtest-based comparisons to normative data. Originality/value This research contributes to a better assessment of cognitive profile in PWS and people with learning disabilities by arguing that the use of psychometric tests should depend more on the specificity of the population under evaluation.

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P3‐153: Could the Montreal Cognitive Assessment (MoCA) be the new “gold standard” in cognitive evaluation in geriatric patients: A clinical comparison

Cited by 6 publications

References 0 publications

A Comparison of Single-Session Positive Reappraisal, Cognitive Restructuring and Supportive Counselling for Older Adults with Type 2 Diabetes

A Comparison of Single-Session Positive Reappraisal, Cognitive Restructuring and Supportive Counselling for Older Adults with Type 2 Diabetes

Assessment of cognitive impairment in hypertensive individuals attending a tertiary health-care center in metropolitan city: An analytical study

The use of the Montreal Cognitive Assessment (MoCA) to assess cognitive impairment in Prader-Willi syndrome

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