P4‐113: Can Brain Training Games Improve Cognition in Peope Over 60?

Ballard, Clive; Corbett, Anne; Clack, Hannah; Owen, Adrian M.

doi:10.1016/j.jalz.2010.08.171

Cited by 6 publications

(8 citation statements)

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“…The index test is the Montreal Cognitive Assessment (MoCA), which is a measure of global cognitive function (Nasreddine 2005). It was originally developed to detect mild cognitive impairment (MCI) but is now frequently used as a screening tool for the dementias (Alzheimer’s Society 2013). The MoCA is scored out of 30 points.…”

Section: Introductionmentioning

confidence: 99%

“…This cut-point is now widely used as the threshold for detecting cognitive impairment and possible dementia. The MoCA is recommended by the Alzheimer’s Society as one of the tests that can be used for detection of dementia in memory clinics in the UK (Alzheimer’s Society 2013).…”

Section: Introductionmentioning

confidence: 99%

“…In the UK, people usually first present to their general practitioner (Figure 1). One or more brief cognitive tests (including the index test) may be administered, and might result in a referral to a memory clinic for specialist diagnosis (Boustani 2003; Alzheimer’s Society 2013; Cordell 2013). However, many people with dementia may not present until later in the disorder and may follow a different pathway to diagnosis, e.g.…”

Section: Introductionmentioning

confidence: 99%

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Montreal Cognitive Assessment for the diagnosis of Alzheimer’s disease and other dementias

Davis

Creavin

Yip

et al. 2015

Cochrane Database of Systematic Reviews

170

171

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The overall quality and quantity of information is insufficient to make recommendations on the clinical utility of MoCA for detecting dementia in different settings. Further studies that do not recruit participants based on diagnoses already present (case-control design) but apply diagnostic tests and reference standards prospectively are required. Methodological clarity could be improved in subsequent DTA studies of MoCA by reporting findings using recommended guidelines (e.g. STARDdem). Thresholds lower than 26 are likely to be more useful for optimal diagnostic accuracy of MoCA in dementia, but this requires confirmation in further studies.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Montreal Cognitive Assessment for the diagnosis of Alzheimer’s disease and other dementias

Davis

Creavin

Yip

et al. 2015

Cochrane Database of Systematic Reviews

170

171

View full text Add to dashboard Cite

show abstract

“…Because of its practicality, high acceptability, and decent psychometric properties [160], the 6-CIT has been used in research and a broad range of settings in clinical practice [161–165]. For use in primary care and hospital setting, the 6-CIT has been recommended as a cognitive screening tool by the Alzheimer's Society and the National Collaborating Centre for Mental Health (UK) [166, 167]. The 6-CIT takes less than 10 minutes to administer and involves three tests of temporal orientation, a short-term memory test and two tests of attention [160].…”

Section: Resultsmentioning

confidence: 99%

Validity of screening instruments for the detection of dementia and mild cognitive impairment in hospital inpatients: A systematic review of diagnostic accuracy studies

et al. 2019

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Introduction As the population ages, Alzheimer's disease and other subtypes of dementia are becoming increasingly prevalent. However, in recent years, diagnosis has often been delayed or not made at all. Thus, improving the rate of diagnosis has become an integral part of national dementia strategies. Although screening for dementia remains controversial, the case is strong for screening for dementia and other forms of cognitive impairment in hospital inpatients. For this reason, the objective of this systematic review was to provide clinicians, who wish to implement screening, an up-to-date choice of cognitive tests with the most extensive evidence base for the use in elective hospital inpatients. Methods For this systematic review, PubMed, PsycINFO and Cochrane Library were searched by using a multi-concept search strategy. The databases were accessed on April 10, 2019. All cross-sectional studies that utilized brief, multi-domain cognitive tests as index test and a reference standard diagnosis of dementia or mild cognitive impairment as comparator were included. Only studies conducted in the hospital setting, sampling from unselected, elective inpatients older than 64 were considered. Results Six studies met the inclusion criteria, with a total of 2112 participants. Diagnostic accuracy data for the Six-Item Cognitive Impairment Test, Cognitive Performance Scale, Clock-Drawing Test, Mini-Mental Status Examination, and Time & Change test were extracted and descriptively analyzed. Clinical and methodological heterogeneity between the studies precluded performing a meta-analysis. Discussion This review found only a small number of instruments and was not able to recommend a single best instrument for use in a hospital setting. Although it was not possible to estimate the pooled operating characteristics, the included description of instrument characteristics, the descriptive analysis of performance measures, and the critical evaluation of the reporting studies may contribute to clinician's choice of the screening instrument that fits best their purpose.

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“…A guide for clinicians from the Alzheimer’s Society 7 recommends the use of the Abbreviated Mental Test Score (<5 minutes), GPCOG (5 minutes), or Mini-Cog (2–4 minutes) as part of the assessment for identifying, dementia in primary care. The authors preference in practice is to use the GPCOG because it assesses recall and visuospatial skills, together with an informant interview, and is brief.…”

Section: So What Should the Busy Gp Do?mentioning

confidence: 99%

Cognitive tests to help diagnose dementia in symptomatic people in primary care and the community

et al. 2018

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P4‐113: Can Brain Training Games Improve Cognition in Peope Over 60?

Cited by 6 publications

References 0 publications

Montreal Cognitive Assessment for the diagnosis of Alzheimer’s disease and other dementias

Montreal Cognitive Assessment for the diagnosis of Alzheimer’s disease and other dementias

Validity of screening instruments for the detection of dementia and mild cognitive impairment in hospital inpatients: A systematic review of diagnostic accuracy studies

Cognitive tests to help diagnose dementia in symptomatic people in primary care and the community

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