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T‐MoCA: A valid phone screen for cognitive impairment in diverse community samples
INTRODUCTION: There is an urgent need to validate telephone versions of widely used general cognitive measures, such as the Montreal Cognitive Assessment (T‐MoCA), for remote assessments. METHODS: In the Einstein Aging Study, a diverse community cohort (n = 428; mean age = 78.1; 66% female; 54% non‐...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7864219/ https://www.ncbi.nlm.nih.gov/pubmed/33598528 http://dx.doi.org/10.1002/dad2.12144 |
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author | Katz, Mindy J. Wang, Cuiling Nester, Caroline O. Derby, Carol A. Zimmerman, Molly E. Lipton, Richard B. Sliwinski, Martin J. Rabin, Laura A. |
author_facet | Katz, Mindy J. Wang, Cuiling Nester, Caroline O. Derby, Carol A. Zimmerman, Molly E. Lipton, Richard B. Sliwinski, Martin J. Rabin, Laura A. |
author_sort | Katz, Mindy J. |
collection | PubMed |
description | INTRODUCTION: There is an urgent need to validate telephone versions of widely used general cognitive measures, such as the Montreal Cognitive Assessment (T‐MoCA), for remote assessments. METHODS: In the Einstein Aging Study, a diverse community cohort (n = 428; mean age = 78.1; 66% female; 54% non‐White), equivalence testing was used to examine concordance between the T‐MoCA and the corresponding in‐person MoCA assessment. Receiver operating characteristic analyses examined the diagnostic ability to discriminate between mild cognitive impairment and normal cognition. Conversion methods from T‐MoCA to the MoCA are presented. RESULTS: Education, race/ethnicity, gender, age, self‐reported cognitive concerns, and telephone administration difficulties were associated with both modes of administration; however, when examining the difference between modalities, these factors were not significant. Sensitivity and specificity for the T‐MoCA (using Youden's index optimal cut) were 72% and 59%, respectively. DISCUSSION: The T‐MoCA demonstrated sufficient psychometric properties to be useful for screening of MCI, especially when clinic visits are not feasible. |
format | Online Article Text |
id | pubmed-7864219 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-78642192021-02-16 T‐MoCA: A valid phone screen for cognitive impairment in diverse community samples Katz, Mindy J. Wang, Cuiling Nester, Caroline O. Derby, Carol A. Zimmerman, Molly E. Lipton, Richard B. Sliwinski, Martin J. Rabin, Laura A. Alzheimers Dement (Amst) Cognitive & Behavioral Assessment INTRODUCTION: There is an urgent need to validate telephone versions of widely used general cognitive measures, such as the Montreal Cognitive Assessment (T‐MoCA), for remote assessments. METHODS: In the Einstein Aging Study, a diverse community cohort (n = 428; mean age = 78.1; 66% female; 54% non‐White), equivalence testing was used to examine concordance between the T‐MoCA and the corresponding in‐person MoCA assessment. Receiver operating characteristic analyses examined the diagnostic ability to discriminate between mild cognitive impairment and normal cognition. Conversion methods from T‐MoCA to the MoCA are presented. RESULTS: Education, race/ethnicity, gender, age, self‐reported cognitive concerns, and telephone administration difficulties were associated with both modes of administration; however, when examining the difference between modalities, these factors were not significant. Sensitivity and specificity for the T‐MoCA (using Youden's index optimal cut) were 72% and 59%, respectively. DISCUSSION: The T‐MoCA demonstrated sufficient psychometric properties to be useful for screening of MCI, especially when clinic visits are not feasible. John Wiley and Sons Inc. 2021-02-05 /pmc/articles/PMC7864219/ /pubmed/33598528 http://dx.doi.org/10.1002/dad2.12144 Text en © 2021 The Authors. Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring published by Wiley Periodicals, LLC on behalf of Alzheimer's Association This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Cognitive & Behavioral Assessment Katz, Mindy J. Wang, Cuiling Nester, Caroline O. Derby, Carol A. Zimmerman, Molly E. Lipton, Richard B. Sliwinski, Martin J. Rabin, Laura A. T‐MoCA: A valid phone screen for cognitive impairment in diverse community samples |
title | T‐MoCA: A valid phone screen for cognitive impairment in diverse community samples |
title_full | T‐MoCA: A valid phone screen for cognitive impairment in diverse community samples |
title_fullStr | T‐MoCA: A valid phone screen for cognitive impairment in diverse community samples |
title_full_unstemmed | T‐MoCA: A valid phone screen for cognitive impairment in diverse community samples |
title_short | T‐MoCA: A valid phone screen for cognitive impairment in diverse community samples |
title_sort | t‐moca: a valid phone screen for cognitive impairment in diverse community samples |
topic | Cognitive & Behavioral Assessment |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7864219/ https://www.ncbi.nlm.nih.gov/pubmed/33598528 http://dx.doi.org/10.1002/dad2.12144 |
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