![]() CDT may be influenced by literacy status and education level (21. Despite the simpler scoring instructions, suboptimal inter and intra-rater reliability for MoCA’s CDT were recently reported(30). Stimmel is a clinical and research neuropsychologist at Einstein and Montefiore Medical Center. The scoring criteria for the CDT in the MoCA has been simplified to decrease scoring complexity, scoring time, and minimize inter rater variability. Their study published online on January 10 in the Journal of the American Geriatrics Society.ĭr. A descriptive observation of the means in Table 1 shows that in most of the age categories, the participants who had 1-9 years education exhibited 0.5 -1.5 points, lower scoring in the MoCA test. ![]() Second, outputs in verbal fluency test were scored incrementally instead of categorically using a single predetermined cut off. They concluded that using lower cut points on the MoCA test may improve the test’s accuracy in identifying cognitive impairment in traditionally underserved, multicultural older individuals. Total score of the MoCA 5-min protocol correlated negatively with age (r-0.36, p<0.001) and positively with years of education (r0.41, p. ![]() The researchers found that the MoCA test’s published cut off scores may be too high, resulting in significant overidentification of cognitive impairment, particularly in Spanish-speaking patients (an overall false positive rate of 79%). A score of 26 or above is considered normal, while a score below 26 may indicate mild cognitive impairment (MCI) or dementia. It is relatively quick to administer, taking approximately 10 to 15 minutes. ![]() The MoCA test results were compared with the participants’ scores on “gold standard” neuropsychological tests. The MoCA test consists of 30 questions that are scored on a maximum of 30 points. To find out, Marnina Stimmel, Ph.D., and her colleagues tested the MoCA on a traditionally underserved and multicultural population of 231 Bronx-based older adults with an average age of 73. However, MoCA results may be influenced by educational, language, and cultural factors, so whether the test works well in diverse populations has not been clear. The Montreal Cognitive Assessment (MoCA) is a commonly used screening test for cognitive impairment in older adults. ![]()
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