![]() However, MoCA has greater diagnostic accuracy in discriminating between patients with MCI and Alzheimer’s disease and it is recommended as a cognitive screening test for older adults by the Department of Cognitive Neurology and Aging of the Brazilian Academy of Neurology. Among cognitive screening tests, the Mini-Mental State Examination (MMSE) and MoCA are considered the gold standards for detecting cognitive impairment. The Montreal Cognitive Assessment (MoCA) is a neuropsychological tool, widely used by professionals in clinical settings, created as a screening test to detect MCI. Given this therapeutic possibility that has recently been available, it has become increasingly important to have sensitive diagnostic support through tools to detect MCI. ![]() With promising results, both for the delay of cognitive symptoms and the reduction of brain amyloid burden. ĭifferentiating cases of early dementia from MCI is essential, as there are currently studies involving interventions with lecanemab antibodies in cases of cognitive impairment related to Alzheimer’s dementia. This varied data can be explained by the source of subjects as the main factor, where studies with self-selected participants found higher conversion rates to dementia. The conversion rate per year of people with MCI to Alzheimer’s disease varies greatly from 12 to 31% depending on the study. MCI is characterized by the presence of cognitive complaints and cognitive impairment (memory and/or other domains), and preserved functional abilities. Mild cognitive impairment (MCI), also called mild neurocognitive disorder according to DSM 5, is a transitional state between normal aging and dementia. Future studies should focus on validating the audiovisual MoCA using other target population groups in order to expand the use of this remote screening test. The test demonstrated a great ability to discriminate older adults with MCI from cognitively healthy adults. ![]() The translated audiovisual MoCA is a valid and reliable cognitive screening test that can be administered remotely in older adults in Brazil. The audiovisual MoCA was represented as a unifactorial adjusted model, the composite reliability value was acceptable and a cutoff point of ≥23 reached adequate sensitivity and specificity at 0.77 and 0.92, respectively. The psychometric properties of the audiovisual MoCA showed good convergent validity. Statistical analyses were performed in order to assess the validity of the test and the cutoff score. Participants were classified into two groups: cognitively healthy or mild cognitive impairment (MCI). One hundred and fourteen older adults were recruited from the community and demographic, functional, mood, and cognitive data were collected. This study aimed to translate and validate the audiovisual Montreal Cognitive Assessment (MoCA)for older adults in Brazil. ![]() Clinicians should consider individuals' level of touchscreen experience before selecting administration modality.The use of a reliable remote cognitive screening test for older adults is crucial for the diagnosis of cognitive impairment. Modality of administration can affect performance on cognitive assessments. There was a statistically significant correlation between experience with touchscreen devices and performance on the eMoCA, but not between modality preference and performance. For this subscale, participants scored lower on the eMoCA versus paper MoCA. paper MoCA) found no statistically significant difference in total scores however, there was a statistically significant difference for the visuospatial/executive subscale, which required physical interaction with paper or the tablet. Analysis comparing first administration modality only (eMoCA vs. Secondary outcome measures included participants' reported touchscreen experience and comfort, as well as post-administration preferences.Ī moderate statistically significant correlation was found between eMoCA and paper MoCA performance across all participants. The primary outcome measures were paper MoCA and eMoCA total and subscale scores. Participants reported their touchscreen experience and comfort and indicated their modality preferences. Participants completed the eMoCA and paper Montreal Cognitive Assessment (MoCA) in a randomized order during 1 session. Repeated measures and correlational design.Ī convenience sample of 40 adults over 65 years of age living in the community. The objective of this study was to investigate older adults' performance on the paper and electronic Montreal Cognitive Assessment (eMoCA).
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