Translation and validation of the audiovisual version of the Montreal cognitive assessment in older adults in Brazil

Abstract

Background The use of a reliable remote cognitive screening test for older adults is crucial for the diagnosis of cognitive impairment. This study aimed to translate and validate the audiovisual Montreal Cognitive Assessment (MoCA)for older adults in Brazil. Methods One hundred and fourteen older adults were recruited from the community and demographic, functional, mood, and cognitive data were collected. Participants were classified into two groups: cognitively healthy or mild cognitive impairment (MCI). Statistical analyses were performed in order to assess the validity of the test and the cutoff score. Results The psychometric properties of the audiovisual MoCA showed good convergent validity. The audiovisual MoCA was represented as a unifactorial adjusted model, the composite reliability value was acceptable and a cutoff point of ≥23 reached adequate sensitivity and specificity at 0.77 and 0.92, respectively. Conclusions The translated audiovisual MoCA is a valid and reliable cognitive screening test that can be administered remotely in older adults in Brazil. The test demonstrated a great ability to discriminate older adults with MCI from cognitively healthy adults. Future studies should focus on validating the audiovisual MoCA using other target population groups in order to expand the use of this remote screening test.

ChatGPT and BCI-VR: a new integrated diagnostic and therapeutic perspective for the accurate diagnosis and personalized treatment of mild cognitive impairment

“…MCI typically involves early-stage changes in cognition that precede more severe neurodegenerative disorders. These changes are often characterized by synaptic dysfunction and abnormal protein accumulations, such as amyloid-beta plaques and tau protein tangles, which affect memory and cognitive functions (Tremblay et al, 2007;Canuet et al, 2015;Gonzales et al, 2018;Yin et al, 2021;Contador et al, 2023;Carvalho et al, 2024).…”