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Validity and reliability of two alternate versions of the Montreal Cognitive Assessment (Hong Kong version) for screening of Mild Neurocognitive Disorder

OBJECTIVE: Repeated testing using the Montreal Cognitive Assessment (MoCA) increases risks for practice effects which may bias measurements of cognitive change. The objective of this study is to develop two alternate versions of the MoCA (Hong Kong version; HK-MoCA) and to investigate the validity a...

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Autores principales: Wong, Adrian, Yiu, Stanley, Nasreddine, Ziad, Leung, Kam-tat, Lau, Alexander, Soo, Yannie O. Y., Wong, Lawrence Ka-sing, Mok, Vincent
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965815/
https://www.ncbi.nlm.nih.gov/pubmed/29791452
http://dx.doi.org/10.1371/journal.pone.0196344
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author Wong, Adrian
Yiu, Stanley
Nasreddine, Ziad
Leung, Kam-tat
Lau, Alexander
Soo, Yannie O. Y.
Wong, Lawrence Ka-sing
Mok, Vincent
author_facet Wong, Adrian
Yiu, Stanley
Nasreddine, Ziad
Leung, Kam-tat
Lau, Alexander
Soo, Yannie O. Y.
Wong, Lawrence Ka-sing
Mok, Vincent
author_sort Wong, Adrian
collection PubMed
description OBJECTIVE: Repeated testing using the Montreal Cognitive Assessment (MoCA) increases risks for practice effects which may bias measurements of cognitive change. The objective of this study is to develop two alternate versions of the MoCA (Hong Kong version; HK-MoCA) and to investigate the validity and reliability of the alternate versions in patients with DSM-5 Mild Neurocognitive Disorder (Mild NCD) and cognitively healthy controls. METHODS: Concurrent validity and inter-scale agreement were examined by Pearson correlation of the total scores between the original and alternate versions and the Bland-Altman Method. Criterion validity of the two alternate versions in differentiating patients with Mild NCD was tested using receiver operating characteristic curve (ROC) analysis. One-month test-retest and inter-rater reliability were examined in 20 participants. Internal consistency of the alternate versions was measured by the Cronbach’s α. RESULTS: 30 controls (age 73.4 [4.5] years, 60% female) and 30 patients (age 75.4 [5.5] years, 73% female) with Mild NCD were recruited. Both alternate versions significantly correlated with the original version (r = 0.79–0.87, p<0.001). Mean differences of 0.17 and -0.40 points were found between the total scores of the alternate with the original versions with a consistent level of agreement observed throughout the range of cognitive abilities. Both alternate versions significantly differentiated patients with Mild NCD from healthy controls (area under ROC 0.922 and 0.724, p<0.001) and showed good one-month test-retest reliability (intra-class correlation [ICC] = 0.92 and 0.82) and inter-rater reliability (ICC = 0.99 and 0.87) and high internal consistency (Cronbach α = 0.79 and 0.75). CONCLUSION: The two alternate versions of the HK-MoCA are useful for Mild NCD screening.
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spelling pubmed-59658152018-06-02 Validity and reliability of two alternate versions of the Montreal Cognitive Assessment (Hong Kong version) for screening of Mild Neurocognitive Disorder Wong, Adrian Yiu, Stanley Nasreddine, Ziad Leung, Kam-tat Lau, Alexander Soo, Yannie O. Y. Wong, Lawrence Ka-sing Mok, Vincent PLoS One Research Article OBJECTIVE: Repeated testing using the Montreal Cognitive Assessment (MoCA) increases risks for practice effects which may bias measurements of cognitive change. The objective of this study is to develop two alternate versions of the MoCA (Hong Kong version; HK-MoCA) and to investigate the validity and reliability of the alternate versions in patients with DSM-5 Mild Neurocognitive Disorder (Mild NCD) and cognitively healthy controls. METHODS: Concurrent validity and inter-scale agreement were examined by Pearson correlation of the total scores between the original and alternate versions and the Bland-Altman Method. Criterion validity of the two alternate versions in differentiating patients with Mild NCD was tested using receiver operating characteristic curve (ROC) analysis. One-month test-retest and inter-rater reliability were examined in 20 participants. Internal consistency of the alternate versions was measured by the Cronbach’s α. RESULTS: 30 controls (age 73.4 [4.5] years, 60% female) and 30 patients (age 75.4 [5.5] years, 73% female) with Mild NCD were recruited. Both alternate versions significantly correlated with the original version (r = 0.79–0.87, p<0.001). Mean differences of 0.17 and -0.40 points were found between the total scores of the alternate with the original versions with a consistent level of agreement observed throughout the range of cognitive abilities. Both alternate versions significantly differentiated patients with Mild NCD from healthy controls (area under ROC 0.922 and 0.724, p<0.001) and showed good one-month test-retest reliability (intra-class correlation [ICC] = 0.92 and 0.82) and inter-rater reliability (ICC = 0.99 and 0.87) and high internal consistency (Cronbach α = 0.79 and 0.75). CONCLUSION: The two alternate versions of the HK-MoCA are useful for Mild NCD screening. Public Library of Science 2018-05-23 /pmc/articles/PMC5965815/ /pubmed/29791452 http://dx.doi.org/10.1371/journal.pone.0196344 Text en © 2018 Wong et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Wong, Adrian
Yiu, Stanley
Nasreddine, Ziad
Leung, Kam-tat
Lau, Alexander
Soo, Yannie O. Y.
Wong, Lawrence Ka-sing
Mok, Vincent
Validity and reliability of two alternate versions of the Montreal Cognitive Assessment (Hong Kong version) for screening of Mild Neurocognitive Disorder
title Validity and reliability of two alternate versions of the Montreal Cognitive Assessment (Hong Kong version) for screening of Mild Neurocognitive Disorder
title_full Validity and reliability of two alternate versions of the Montreal Cognitive Assessment (Hong Kong version) for screening of Mild Neurocognitive Disorder
title_fullStr Validity and reliability of two alternate versions of the Montreal Cognitive Assessment (Hong Kong version) for screening of Mild Neurocognitive Disorder
title_full_unstemmed Validity and reliability of two alternate versions of the Montreal Cognitive Assessment (Hong Kong version) for screening of Mild Neurocognitive Disorder
title_short Validity and reliability of two alternate versions of the Montreal Cognitive Assessment (Hong Kong version) for screening of Mild Neurocognitive Disorder
title_sort validity and reliability of two alternate versions of the montreal cognitive assessment (hong kong version) for screening of mild neurocognitive disorder
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965815/
https://www.ncbi.nlm.nih.gov/pubmed/29791452
http://dx.doi.org/10.1371/journal.pone.0196344
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