The Montreal Cognitive Assessment, MoCA: A Brief Screening Tool For Mild Cognitive Impairment

Université de Sherbrooke, Шербрук, Quebec, Canada
Journal of the American Geriatrics Society (Impact Factor: 4.22). 05/2005; 53(4):695-9. DOI: 10.1111/j.1532-5415.2005.53221.x
Source: PubMed

ABSTRACT To develop a 10-minute cognitive screening tool (Montreal Cognitive Assessment, MoCA) to assist first-line physicians in detection of mild cognitive impairment (MCI), a clinical state that often progresses to dementia.
Validation study.
A community clinic and an academic center.
Ninety-four patients meeting MCI clinical criteria supported by psychometric measures, 93 patients with mild Alzheimer's disease (AD) (Mini-Mental State Examination (MMSE) score > or =17), and 90 healthy elderly controls (NC).
The MoCA and MMSE were administered to all participants, and sensitivity and specificity of both measures were assessed for detection of MCI and mild AD.
Using a cutoff score 26, the MMSE had a sensitivity of 18% to detect MCI, whereas the MoCA detected 90% of MCI subjects. In the mild AD group, the MMSE had a sensitivity of 78%, whereas the MoCA detected 100%. Specificity was excellent for both MMSE and MoCA (100% and 87%, respectively).
MCI as an entity is evolving and somewhat controversial. The MoCA is a brief cognitive screening tool with high sensitivity and specificity for detecting MCI as currently conceptualized in patients performing in the normal range on the MMSE.

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    • "Global cognitive functioning: Montreal Cognitive Assessment (Nasreddine et al., 2005). The Montreal Cognitive Assessment (MoCA) is a brief measure of global cognitive function originally developed to detect mild cognitive impairment (Nasreddine et al., 2005). It assesses different cognitive domains: attention and concentration , executive functions, memory, language, visuoconstructional skills, conceptual thinking, calculations , and orientation. "
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    • "Widely used neuropsychological screening tests such as the Mini Mental State Examination (MMSE) (Folstein, Folstein, & McHugh, 1975), the Addenbrookes Cognitive Examination Revised (ACE-R) (Mioshi, Dawson, Mitchell, Arnold, & Hodges, 2006), and the Montreal Cognitive Assessment (MoCA) (Nasreddine et al., 2005) use language and culture-bound items that do not translate effectively to a sign language. Linguistic, cultural, and educational differences mean that using interpreters, far from being a solution, actually adds unreliability and error to tests (Hill-Briggs, Dial, Morere, & Joyce, 2007). "
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    • "The total comorbidity score is the sum of all 13 items. Cognitive functioning was assessed with the Montreal Cognitive Assessment (MoCA; Nasreddine et al., 2005), using total scores. The MoCA is a screening tool for mild cognitive impairment. "
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