![]() Must be administered and graded by a healthcare professional, so an appointment with a nurse, doctor, or therapist is required-as opposed to the SAGE and other tests that can be taken at home.ĭoes not provide a diagnosis, so it must be paired with other tests including brain scans and a neurological testing before a diagnosis can be made. Is relatively quick, taking between 10 and 15 minutes to complete. The MoCA is also better than the MMSE at indicating if people with Parkinson’s disease are showing signs of Parkinson’s disease dementia. MoCA has been proven effective for showing early-stage dementia, or mild cognitive impairment (MCI).īetter for Parkinson’s dementia. People who are in the early or mild stages of dementia might be able to score high enough on other tests (including the Mini-Mental State Exam) that the score would indicate no dementia is present. Studies have shown MoCA correctly identifies dementia about 94 percent of the time.īetter for early stages. To detect dementia, its sensitivity was 0. The MoCA test and instructions are only to be accessed through the MoCA website ( It is therefore prohibited to post the MoCA test and/or instructions on a website. Single cutoff score of HK-MoCA differentiated MCI from normal with sensitivity of 0.861 and specificity of 0.723. To request permission, please fill out the form below. The test should be made available free of charge to patients. MoCA© may be used, reproduced, and distributed, WITH prior written permission and Licensing Agreement. ![]() MoCA© may be used, reproduced, and distributed WITHOUT permission. The initial validation study resulted in a suggested cutoff score of 26/30, where scores less than 26/30 suggest cognitive impairment (McPherson & Koltai, 2018 Nasreddine et al., 2005 Rossetti et al., 2011). Ziad Nasreddine in Montreal, Canada, 1996Ĭopyright : Ziad Nasreddine MD, FRCP(C) Neurologist, MoCA Copyright OwnerĬlinical Use : Universities/Foundations/Health Professionals/Hospitals/Clinics/Public Health Institutes: The Montreal Cognitive Assessment (MoCA) is a commonly used cognitive screening test to detect mild cognitive impairment (MCI). Translated to 36 languages and dialectsĪuthor : Dr. Conclusion: The MoCA's ability to discriminate MCI from NC was modest in this Chinese population, because it was far more sensitive to the effect of education than MCI diagnosis.Purpose : Rapid screening instrument for mild cognitive dysfunction.Ĭontent : One-page 30-point test. In multivariate analyses controlling for age and gender, MCI diagnosis was associated with a <1-point decrement in MoCA score (η 2 = 0.010), but lower (1-6 years) and no education was associated with a 3- to 5-point decrement (η 2 = 0.115 and η 2 = 0.162, respectively). Overall, the MoCA's test performance was not better than that of the MMSE. Scoring: One point is allocated if the subject successfully draws the following pattern: 1- A- 2- B- 3- C- 4- D- 5- E, without drawing any lines that cross. The MoCA's test performance was least satisfactory in the highest (>6 years) education group: AUC = 0.50 (p = 0.98), Sn = 0.54, and Sp = 0.51 at a cut-off of 27/28. Spearman’s rank correlation for non-parametric data was used to investigate the associations between the MoCA, the CERAD-NAB, and the MMSE total scores. Results: The MoCA modestly discriminated MCI from NC in both study samples (AUC = 0.63 and 0.65): Sn = 0.64 and Sp = 0.36 at a cut-off of 28/29 in the clinic-based sample, and Sn = 0.65 and Sp = 0.55 at a cut-off of 22/23 in the community-based sample. Sex differences in the MoCA total score were analyzed using the Mann-Whitney U-Test. Method: The MoCA and Mini-Mental State Examination (MMSE) were evaluated in two independent studies (clinic-based sample and community-based sample) of MCI and normal cognition (NC) controls, using receiver operating characteristic curve analyses: area under the curve (AUC), sensitivity (Sn), and specificity (Sp). We evaluated the MoCA's test performance by educational groups among older Singaporean Chinese adults. Background: The Montreal Cognitive Assessment (MoCA) was developed as a screening instrument for mild cognitive impairment (MCI). ![]()
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