Mild Cognitive Impairment MoCA Montreal Cognitive Assessment cutoff scores diagnostic accuracy. We recommend the use of this cutoff score going forward. Meta-analysis revealed a cutoff score of 23/30 yielded the best diagnostic accuracy across a range of parameters.Ī MoCA cutoff score of 23, rather than the initially recommended score of 26, lowers the false positive rate and shows overall better diagnostic accuracy. Compared to the original MoCA cut-off, the cut-off of 23/24 points had higher specificity (92 vs 63), but lower sensitivity (65 vs 86). These studies were assessed across a range of cutoff scores to determine the respective sensitivities, specificities, positive and negative predictive accuracies, likelihood ratios for positive and negative results, classification accuracies, and Youden indices. Of the 304 studies identified, nine met inclusion criteria for the meta-analysis. We conducted a systematic review and meta-analysis of the literature to determine the diagnostic accuracy of the MoCA for differentiating healthy cognitive aging from possible MCI. Some studies have indicated that the originally suggested cutoff score of 26/30 leads to an inflated rate of false positives, particularly for those of older age and/or lower education. Several validation studies have been conducted on the MoCA, in a variety of clinical populations. The MoCA-BLIND assesses different cognitive domains: attention and concentration, memory, language, conceptual thinking, calculations, and orientation. For MMSE in the above four groups, the cutoff scores to detect MCI were 26.5, 22.5, 28.5 and 26.5, respectively, and the optimal cutoff scores for dementia were 23.5, 19.5, 23.5 and 23.5, respectively. MoCA-BM-blind is a validĪnd reliable screening tool to assess cognitive function among visually impaired older adults.The Montreal Cognitive Assessment (MoCA Nasreddine et al., 2005) is a cognitive screening tool that aims to differentiate healthy cognitive aging from Mild Cognitive Impairment (MCI). Administration and Scoring Instructions The Montreal Cognitive Assessment (MoCA)- BLIND is an adapted version of the original MoCA, a rapid screening instrument for mild cognitive dysfunction. With thisĬut-off, 35.0% visually impaired participants were classified as having cognitive decline. The optimal cutoff for MoCA-BM-blind in detecting cognitive decline was 9 with 86.8% sensitivity and 72.7% specificity. (Cronbach’s alpha: 0.76) and validity (Pearson correlation: r = 0.77) of MoCA-BM-blind were high. Receiver operatingĬharacteristic (ROC) analysis was conducted to determine the optimal cut-off score for MoCA-BM-blind. Cronbach’s alpha and Pearson correlationĬoefficient were used to determine reliability and validity of MoCA-BM-blind, respectively. Monocularly using the Early Treatment Diabetic Retinopathy Study chart. cut-off, it is recommended to administer the remaining ten questions. Scoring 1 point is given if the patient successfully draws the following pattern: 1A2B3C4D5E, without drawing any lines that cross Any error that is not immediately self-corrected (meaning corrected before moving on to the Cube task) earns a score of 0. Of Mini-Mental State Examination for visually impaired (M-MMSE-blind). MoCA-Blind can be administered over the telephone or video technology, in which case it. Cognitive functions were assessed using MoCA-BM-blind and Malay version A total of 220 participants, aged 60 years and above, from Longevity (LRGS TUA) among Malaysian older adults. Participantsįor this study were recruited from the population-based longitudinal study on neuroprotective model for healthy This study aimsto determine the reliability and validity and optimal cut-off scores of the Malay version of MontrealĬognitive Assessment for visually impaired (MoCA-BM-blind) among older adults with cognitive decline. In our study, the optimal cut-off value for 12. Programme of Dietetic, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz 50300, Kuala Lumpur, MalaysiaĪging, Cognition, Montreal Cognitive Assessment, Visual Impairment Abstract The mean 12 points MoCA scores of the controls and MS patients were 11.56 0.67 and 8.06 1.99, respectively. Programme of Health Psychology, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz 50300, Kuala Lumpur, Malaysia Programme of Optometry and Vision Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz 50300, Kuala Lumpur, Malaysia
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