Abstract
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 assess-ment. 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 administra-tion; 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 use-ful for screening of MCI, especially when clinic visits are not feasible.
Original language | English (US) |
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Article number | e12144 |
Journal | Alzheimer's and Dementia: Diagnosis, Assessment and Disease Monitoring |
Volume | 13 |
Issue number | 1 |
DOIs | |
State | Published - 2021 |
Keywords
- Cognitive screening scales
- Equivalence testing
- Mild cognitive impairment
- Montreal Cognitive Assessment
- Neuropsychology
- Remote assessment
- Telephone screening
ASJC Scopus subject areas
- Clinical Neurology
- Psychiatry and Mental health