Alzheimer's association recommendations for operationalizing the detection of cognitive impairment during the Medicare annual wellness visit in a primary care setting. Ethnic differences in dementia risk: a systematic review and meta-analysis. Shiekh SI, Cadogan SL, Lin LY, Mathur R, Smeeth L, Warren-Gash C. Dementia prevalence in older adults: variation by race/ethnicity and immigrant status. Moon H, Badana ANS, Hwang SY, Sears JS, Haley WE. Mild cognitive impairment and its management in older people. Global, regional, and national burden of Alzheimer's disease and other dementias, 1990-2016: a systematic analysis for the global burden of disease study 2016. Montreal Cognitive Assessment MoCA cognitive screening dementia screening diverse older adults.Ĭollaborators GBDD. Lower Spanish and English MoCA cutpoints may improve diagnostic accuracy for identifying cognitive impairment in this group, highlighting the need for the creation and validation of accurate cognitive screeners for ethnoculturally and linguistically diverse older adults. ROC analyses identified ≤18.5 as the score to identify MCI or dementia using the English MoCA (65% sensitivity 77% specificity) and ≤16.5 for the Spanish MoCA (64% sensitivity 73% specificity) in this sample of older adults with cognitive concerns.Ĭurrent MoCA cutpoints were inappropriately high in a culturally/linguistically diverse urban setting, leading to a high false-positive rate. The published cutpoint ≤23 for MCI yielded a high false-positive rate (79%). Mean English MoCA average was 18.6 (SD = 4.1) versus Spanish 16.7 (SD = 4.3). Neuropsychological assessment identified 90 as cognitively normal/SCC, average MoCA 19.9 (SD = 4.1), 133 with MCI, average MoCA 16.6 (SD = 3.7), and 8 with dementia, average MoCA 10.6 (SD = 3.1). Spanish normative scores are provided for age and educational level. There were 231 participants, with mean age 73, 72% women, 43% Hispanic 39% Black/African American 113 (49%) completed testing in English and 118 (51%) in Spanish. The Montreal Cognitive Assessment (MoCA) is widely used to screen patients with suspected mild cognitive impairment (MCI). ROC analyses identified optimal MoCA cutpoints for discriminating possible cognitive impairment. One-way ANOVA compared cognitive statuses. MoCA and neuropsychological measures were administered in Spanish or English, and a neuropsychologist determined cognitive status (normal with subjective cognitive concerns, mild cognitive impairment, and dementia). Participants aged ≥65 with cognitive concerns attending outpatient primary care in Bronx, NY, were recruited. We sought to examine the utility and discriminative validity of the Spanish and English MoCA versions to identify cognitive impairment among diverse community-dwelling older adults. The presented norms consider the cognitive domains subscores, consequently improving the comprehension and utility of the results obtained from the MoCA test.Ĭognitive screening mild cognitive impairment montreal cognitive assessment norms psychological assessment.Efficacy and validity of the MoCA for cognitive screening in ethnoculturally and linguistically diverse settings is unclear. The new age groups and more stratified norms comply with the natural changes on the Portuguese population, providing an increase of power and clinical accuracy. The present study contributes to a reliable update of the normative data of MoCA. These results foster the consideration of age and educational level in the development of normative data. The analysis of the relationships between the sociodemographic variables and the MoCA show that age and educational level had a significant effect on MoCA scores, with educational level being the better predictor. All participants completed a neuropsychological assessment battery, in which the MoCA was included. MONTREAL COGNITIVE ASSESSMENT (MOCA) (EVALUACIN COGNITIVA MONTREAL) VISUOESPACIAL / EJECUTIVA Final Comienzo IDENTIFICACIN MEMORIA Lea la lista de palabras, el paciente debe repetirlas. El Montreal Cognitive Assessment (MoCA), test de cribado breve, de simple aplicación, válido y confiable, evalúa el estado cognitivo general, siendo útil en contextos de salud pública. The study sample was composed of 860 cognitively healthy adults, stratified according to verified distribution of the Portuguese population across several sociodemographic variables. El envejecimiento poblacional implica un desafío para los países respecto a prevenir y detectar trastornos neurodegenerativos. After ten years, it became relevant to update the previous Portuguese normative study due to changes in the population and some limitations present in the study itself. The Montreal Cognitive Assessment (MoCA) is a brief cognitive screening instrument that is known for its good psychometric properties and sensitivity to detect mild cognitive impairment (MCI).
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |