The Montreal Cognitive Assessment—Basic: A Screening Tool for Mild Cognitive Impairment in Illiterate and Low‐Educated Elderly Adults

Julayanont, Parunyou; Tangwongchai, Sookjaroen; Hemrungrojn, Solaphat; Tunvirachaisakul, Chawit; Phanthumchinda, Kammant; Hongsawat, Juntanee; Suwichanarakul, Panida; Thanasirorat, Saowaluck; Nasreddine, Ziad

doi:10.1111/jgs.13820

Cited by 201 publications

(183 citation statements)

References 19 publications

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“…One study (N=85) in Thailand [53], suggested a cut off of 24/25 in a poorly educated sample. One study (N=152) in Korea [21] suggested a cutoff of 22/23 with a 1 point adjustment for <6 years of education.…”

Section: South East and Southern Asia (Japan Korea Philippines Srimentioning

confidence: 99%

“…One study (N=152) in Korea [21] suggested a cutoff of 22/23 with a 1 point adjustment for <6 years of education. Julayanont et al [53] made an adjustment of 1 point for < 4 years education and an additional 1 point for meeting the illiteracy criteria. All studies displayed high sensitivity and specificity, but these results were based on small samples.…”

Section: South East and Southern Asia (Japan Korea Philippines Srimentioning

confidence: 99%

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Cross-Cultural Applicability of the Montreal Cognitive Assessment (MoCA): A Systematic Review

O’Driscoll

Shaikh

2017

JAD

148

121

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The MoCA is widely used to screen for mild cognitive impairment. While there are many available versions, the cross cultural validity of the assessment has not been explored sufficiently.We aimed to interrogate the validity of the MoCA in a cross-cultural context: in differentiating mild cognitive impairment (MCI) from normal controls (NC); and identifying cut-offs and adjustments for age and education where possible. This review sourced a wide range of studies including case-control studies. In addition, we report findings for differentiating dementias from NC and MCI from dementias, however, these were not considered to be an appropriate use of the MoCA.The subject of the review assumes heterogeneity and therefore meta-analysis/es was not conducted. Quality ratings, forest plots of validated studies (sensitivity and specificity) with covariates (suggested cut-offs, age, education and country) and summary received operating characteristic curve (sROC) are presented.The results showed a wide range in suggested cutoffs for MCI cross culturally, with variability in levels of sensitivity and specificity ranging from low to high. Poor methodological rigour appears to have affected reported accuracy and validity of the MoCA.The review highlights the necessity for cross cultural considerations when using the MoCA, and recognizing it as a screen and not a diagnostic tool. Appropriate cutoffs and point adjustments for education are suggested.2

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Section: South East and Southern Asia (Japan Korea Philippines Srimentioning

confidence: 99%

Section: South East and Southern Asia (Japan Korea Philippines Srimentioning

confidence: 99%

Cross-Cultural Applicability of the Montreal Cognitive Assessment (MoCA): A Systematic Review

O’Driscoll

Shaikh

2017

JAD

148

121

View full text Add to dashboard Cite

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“…Its role is controversial, as some authors had suggested potential risks of overdiagnosis due to too severe norms of the AAN revised criteria [43,44]. Moreover, we recently showed that aviremic patients with ANI do not display the same pattern of immune activation than MND, suggesting that this definition is not stringent and not represent overt disease, or that it is a pre-clinical condition of more severe forms of impairment [34]. However, others have showed that patients with ANI have higher risks to deteriorate over time than unimpaired subjects [45][46][47].…”

Section: Discussionmentioning

confidence: 99%

“…It scores a maximum of 30 points and results below 26 are considered as pathological. In case of education level below high school, 1 point is added to the final score [34] A local battery, suggested by French national guidelines for the management of HAND [35] and named FIMF as abbreviation of 4 sub-tests initials included:…”

Section: Screening Toolsmentioning

confidence: 99%

Evaluation of Three Brief Screening Tests for Older Patients with Mild HIVAssociated Neurocognitive Disorders in the cART Era

Vassallo¹,

Barbaud²,

Fabre³

et al. 2017

J Neurol Neurophysiol

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“…Participants who spoke Mandarin, Spanish, or Tagalog as their native language completed the MoCA in their respective native languages. Participants in the Somali cohort completed a new Somali translation of the MoCA Basic (MoCA-B) that was deemed to be culturally acceptable, and appropriate given participants' lower education levels (Julayanont et al, 2015). Participants who were administered the MoCA-B were also given the forward and backward digit span subtest from the MoCA.…”

Section: Cognitive Tasksmentioning

confidence: 99%

Predictors of Successful Learning in Multilingual Older Adults Acquiring a Majority Language

et al. 2017

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Understanding language learning in later life can elucidate how linguistic experiences and age-specific cognitive skills can be leveraged for language acquisition, providing insight into how lifelong experiences configure our learning capacity. In this study, we examined to what extent acquisition and maintenance of a non-native language (English) is scaffolded by cognitive skills and previous linguistic experiences in older adults; and to what extent these cognitive/linguistic factors predict older learners' success in acquiring novel functional language. We recruited 53 participants who were native speakers of Mandarin, Spanish, Tagalog, and Somali, had continued to learn English as adults, and were currently exposed to majority-English contexts. To identify contributors to participants' English skills, we administered a language history and self-reported proficiency interview, brief cognitive testing, and verbal fluency tasks in L1 and English. We found that digit span and orientation measures were cognitive predictors of English proficiency, while similarity of known languages to English, L1 skills, and English language exposure were linguistic predictors of English skills. To examine participants' ability to maintain language knowledge and to learn new functional English, we also conducted a preliminary longitudinal service-based study in a subset of 19 participants using our Specific-Purpose English Communication System for Seniors (SPECSS) curriculum. In this subset of SPECSS learners, we identified digit span and orientation, but not age, as cognitive predictors of short-term language maintenance. Further, better novel English learning as a result of our curriculum was observed in learners whose other known languages were less similar to English. Findings inform best practices in developing language curricula for older adults, and help generate new hypotheses on preparedness for language learning across the adult lifespan with a possible interaction between cognitive skills and transfer of knowledge from previous languages in multilingual older learners.

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The Montreal Cognitive Assessment—Basic: A Screening Tool for Mild Cognitive Impairment in Illiterate and Low‐Educated Elderly Adults

Abstract: The MoCA-B appears to have excellent validity and addresses an unmet need by accurately screening for MCI in poorly educated older adults regardless of literacy.

Cited by 201 publications

References 19 publications

Cross-Cultural Applicability of the Montreal Cognitive Assessment (MoCA): A Systematic Review

Cross-Cultural Applicability of the Montreal Cognitive Assessment (MoCA): A Systematic Review

Evaluation of Three Brief Screening Tests for Older Patients with Mild HIVAssociated Neurocognitive Disorders in the cART Era

Predictors of Successful Learning in Multilingual Older Adults Acquiring a Majority Language

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