Comparative accuracies of two common screening instruments for classification of Alzheimer's disease, mild cognitive impairment, and healthy aging. The Montreal cognitive assessment is superior to the mini-mental state examination in detecting patients at higher risk of dementia. ![]() Normative data for the Montreal Cognitive Assessment (MoCA) in a population-based sample. (1) Background: There is a need for a brief assessment of cognitive function, both in patient care and scientific research, for which the Montreal Cognitive Assessment (MoCA) is a psychometrically reliable and valid tool. Journal of the American Geriatrics Society. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. Washington, DC, USA: US Census Bureau 2014. An Aging Nation: The Older Population in the United States. MoCA has been subsequently adopted in clinical settings around the world and is widely used as a scale in academic and non-academic research. The Montreal Cognitive Assessment (MoCA) is known to distinguish patients with Mild Cognitive Impairment (MCI) from the normal population. The present data suggest the need for caution when applying proposed MoCA cutoffs to African Americans. MoCAalso known as Montreal Cognitive Assessment or The MoCA Testwas validated as a highly sensitive tool for early detection of mild cognitive impairment (MCI) in 2000. A 3MSE score of 88 corresponded to a MoCA score of 20 in this population. 93.5% of the cohort had a "positive" screen on the MoCA, scoring <26 (education-adjusted), compared with 47.5% on the 3MSE (cut-point < 88). ![]() Mean (SD) 3MSE and MoCA scores were 86.9 (8.2) and 19.8 (3.8), respectively. Participant mean age was 58.2 years (range: 35-83) 61% were female and 64.9% had >12 years of education. After excluding participants with possible cognitive impairment (n = 115), mean (SD) MoCA and 3MSE scores are presented stratified by age and education. ![]() Five hundred and thirty African Americans with type 2 diabetes were enrolled in African American-Diabetes Heart Study-MIND, a cross-sectional study of cognition and structural and functional brain imaging. We provide performance data on the MoCA in a large cohort of African Americans and compare 3MSE and MoCA scores, providing a "crosswalk" for interpreting scores. The Montreal Cognitive Assessment The Montreal Cognitive Assessment (MoCA Figure 109. Additionally, there are no published data on how MoCA scores compare to the widely used Modified Mini Mental State Examination (3MSE). Sparse data limit the interpretation of Montreal Cognitive Assessment (MoCA) scores, particularly in minority populations.
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