![]() Journal: Journal of Alzheimer's Disease, vol. ![]() Keywords: Cross-cultural, dementia, mild cognitive impairment, Montreal Cognitive Assessment Journal of Alzheimer’s Disease 58 (2017) 789801 DOI 10. Appropriate cutoffs and point adjustments for education are suggested. The review highlights the necessity for cross-cultural considerations when using the MoCA, and recognizing it as a screen and not a diagnostic tool. Poor methodological rigor appears to have affected reported accuracy and validity of the MoCA. The Montreal Cognitive Assessment (MoCA) is one such test that has been adapted for multiple cultures. The results showed a wide range in suggested cutoffs for MCI cross-culturally, with variability in levels of sensitivity and specificity ranging from low to high. Quality ratings, forest plots of validated studies (sensitivity and specificity) with covariates (suggested cut-offs, age, education and country), and summary receiver operating characteristic curve are presented. The subject of the review assumes heterogeneity and therefore meta-analyses was not conducted. This study was a cross-sectional observational study. In addition, we report findings for differentiating dementias from NC and MCI from dementias, however, these were not considered to be an appropriate use of the MoCA. The Chinese version of the MoCA-B (MOCA-BC), translated with cultural modifications from the original English version, has shown excellent validity and accuracy in screening for MCI in the Chinese elderly. This review sourced a wide range of studies including case-control studies. Differing recommendations have been made regarding its utility in providing a profile of. We aimed to interrogate the validity of the MoCA in a cross-cultural cont ext: in differentiating MCI from normal controls (NC) and identifying cut-offs and adjustments for age and education where possible. The Montreal Cognitive Assessment (MoCA) is a very widely used test for mild cognitive impairment. When the cut-off score was lowered to 23, the sensitivity was 75 and specificity 66.77, while a cut-off of 24 demonstrated a sensitivity of 84.62 and a specificity of 52.53. While there are many available versions, the cross-cultural validity of the assessment has not been explored sufficiently. Using the recommended cut-off score of 26, the MoCA showed high sensitivity (94.23) but low specificity (28.16). Ībstract: The Montreal Cognitive Assessment (MoCA) is widely used to screen for mild cognitive impairment (MCI). | Research Department of Clinical, Educational and Health Psychology, University College London, London, UKĬorrespondence to: Ciarán O’Driscoll, E-mail. | Division of Psychiatry, University College London, London, UK ![]() | Croydon Health Services NHS Trust, London, UK Authors: O’Driscoll, Ciarán a b c * | Shaikh, Madiha a dĪffiliations: North East London NHS Foundation Trust, London, UK
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