![]() The test may be administered by anyone who understands and follows the instructions but the website states that only a health professional with expertise in the cognitive field should interpret the results. MoCA is free for use by universities, foundations, health professionals, hospitals, clinics and public health institutes. A score of 26 or above is considered normal. The assessment consists of a 30 point test on a single side of A4 and can be administered in 10min. A comprehensive website provides the test, instructions, normative data, references, frequently asked questions and permissions and updates. The MoCA may be useful in the occupational health setting for detecting MCI or early dementia especially as the workforce ages. The prevalence of MCI in population-based epidemiological studies ranges from 3 to 19% in adults older than 65 years and more than half progress to dementia within 5 years. MCI is a syndrome defined as cognitive decline greater than expected for an individual’s age and education level but that does not interfere not ably with activities of daily life. MMSE scores below 22 would generally be interpreted as at least moderate impairment.Īnother drawback to the MoCA is that it takes longer than the MMSE to administer, such that it "might not fit into a standard office visit very well," the researchers noted.The Montreal Cognitive Assessment (MoCA) was developed by Dr Ziad Nasreddine in Montreal, Canada in 1995 for the detection of mild cognitive impairment (MCI) by health professionals. Ten of the 122 dementia patients in the study had MoCA scores above the researchers' suggested cutoff of 17, but MMSE scores less than 22. The MoCA may have been less useful than the MMSE in patients with overt dementia, Hochstetler and colleagues indicated. Overall, Hochstetler and colleagues characterized the MoCA as more challenging than the MMSE (hence the lower scores in each category). The MoCA also puts more weight on recall and attention-calculation performance, while de-emphasizing language skill.Īmong the three groups in the study, mean MMSE and MoCA scores were as follows: Another use for which the MoCA may be better suited than the MMSE is in detecting the earliest stages of impairment. The researchers said that, combined with a functional test, the MoCA could be helpful in classifying patients in the borderline area between mild impairment and dementia. "These data suggest that the MoCA, using a cutoff of ≥17, may be more useful than the MMSE to detect a range of mild cognitive impairment cases," Hochstetler and colleagues concluded in the poster. Those classifications would be considered more reliable than results from any single test, but may not be practical in many clinical and research settings. ![]() (Citing Lilly company policy, Hochstetler declined to speak on the record with MedPage Today.)Ī similar spread of MoCA scores, ranging from 17 to 30, was seen in 283 individuals identified as healthy controls in ADNI, which uses multiple tests to classify participants. Among the 422 patients classified as mildly impaired, MMSE scores started at 21, whereas MoCA scores ranged from 13 to 30, according to a poster Hochstetler presented at the American Neurological Association annual meeting.
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