montreal cognitive assessment moca cultural bias

#Montreal cognitive assessment moca cultural bias full
#Montreal cognitive assessment moca cultural bias free

Hearing loss often remains undetected ( Ramage-Morin et al., 2019). In a German sample, dementia cases increased by 0.23% with an increasing prevalence of hearing impairment by 1 SD ( Teipel et al., 2015), and an increased risk of cognitive decline was described in case of a bilateral hearing loss with a hazard ratio of 1.43 ( Fritze et al., 2016). By 2050 up to 900 million people will be living with hearing loss ( World Health Organization, 2018) and 152.8 million with dementia ( Nichols, 2022). Hearing loss and dementia are among the most common chronic diseases in older age and frequently co-occur ( World Health Organization, 2020, 2021 McDonough et al., 2021). However, screening test batteries cannot replace a comprehensive cognitive evaluation. The choice of a cut-off range might help to better reflect the difficulty in clinical reality in detecting MCI. In the MCI group, a cut-off range between 22 and 24 points is proposed to increase diagnostic accuracy to a sensitivity and specificity of 97.5 and 90%, respectively.Ĭonclusion: The German MoCA-H seems to be a sensitive screening test for MCI and dementia and should replace commonly used auditory-based cognitive screening tests in older adults. The optimum cut-off for the detection of dementia was ≤21 points with a sensitivity of 96.3% and a specificity of 90%. Results: A mean score of 25.49 (SD = 3.01) points in the German MoCA-H was achieved in cognitively healthy participants, 20.08 (SD = 2.29) in the MCI and 15.80 (SD = 3.85) in the dementia group. Performance cut-offs for normal cognition, MCI and dementia were estimated for the MoCA-H score and z-scores using the English MoCA-H cut-off, the balanced cut-off and the Youden’s Index. Materials and methods: A total of 346 participants aged 60–97 years (M = 77.18, SD = 9.56) were included 160 were cognitively healthy, 79 with MCI and 107 were living with dementia based on the GPCOG and a detailed medical questionnaire as well as a comprehensive examination by a neurologist in case of cognitive impairment. The aim of the present study was to assess the diagnostic accuracy of the German MoCA-H among those with normal cognition, mild cognitive impairment (MCI) and dementia and to determine an appropriate performance cut- off. As the MoCA is known to perform differently across languages, revalidation of the German MoCA-H was necessary. To address the need for a cognitive screening test suitable for people with hearing loss, a visual version of the Montreal-Cognitive-Assessment was developed and recently validated in English (MoCA-H), with good sensitivity and specificity for identifying cases of dementia. Most neurocognitive screening tests are auditory-based, and performance can be affected by hearing loss. 4Centre for Hearing Research (CHEAR), School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, QLD, Australiaīackground: Hearing loss and dementia are highly prevalent in older age and often co-occur.3MoCA Clinic and Institute, Greenfield Park, QC, Canada.2Department of Geriatric Medicine, Marien Hospital Herne, Ruhr University Bochum, Herne, Germany.1Department of Otorhinolaryngology, Head and Neck Surgery, Catholic Hospital Bochum, Ruhr University Bochum, Bochum, Germany.Montreal cognitive assessment (MoCA) (this was the assessment given to President Trump in January 2018).Christiane Völter 1*† Hannah Fricke 1† Sarah Faour 1 Gero Lueg 2 Ziad S.

General Practitioner Assessment of Cognition (GPCOG).

These screening tools used by primary care providers include:

#Montreal cognitive assessment moca cultural bias free

relatively free of educational, language and/or cultural bias.įor a definitive diagnosis of mild cognitive impairment or dementia, individuals who fail any of these tests should be evaluated further or referred to a specialist.easy administration by non-physician staff, and.psychometric equivalence or superiority to the Mini-Mental State Exam (MMSE),.validation in a primary care or community setting,.However, an Alzheimer’s Association expert workgroup identified several instruments suited for use in primary care based on the following:

#Montreal cognitive assessment moca cultural bias full

No one tool is recognized as the best brief assessment to determine if a full dementia evaluation is needed. These cognitive assessment tools are used to identify individuals who may need additional evaluation.Medicare’s annual wellness visit covers detection of possible cognitive impairment and creation of a personalized plan to manage symptoms. One or more exams commonly performed on Individuals with memory concerns or other cognitive complaints, such as personality change, depression, deterioration of chronic disease without explanation, and falls or balance issues.