![]() ![]() It is necessary to use the appropriate tools to characterize the cognitive profiles and identify the subjects at risk of MCI in clinical practice. Conclusion: The MoCA's ability to discriminate MCI from NC was modest in this Chinese population, because it was far more sensitive to the effect of education than MCI diagnosis. Mild cognitive impairment (MCI) is a common and pivotal non-motor symptom in Parkinson’s disease (PD). In multivariate analyses controlling for age and gender, MCI diagnosis was associated with a <1-point decrement in MoCA score (η 2 = 0.010), but lower (1-6 years) and no education was associated with a 3- to 5-point decrement (η 2 = 0.115 and η 2 = 0.162, respectively). Scores obtained in all three versions in MCI and NC groups were assessed for reliability and. Overall, the MoCA's test performance was not better than that of the MMSE. Three MoCA test versions were administered in the French language in random order within one session. The MoCA's test performance was least satisfactory in the highest (>6 years) education group: AUC = 0.50 (p = 0.98), Sn = 0.54, and Sp = 0.51 at a cut-off of 27/28. Results: The MoCA modestly discriminated MCI from NC in both study samples (AUC = 0.63 and 0.65): Sn = 0.64 and Sp = 0.36 at a cut-off of 28/29 in the clinic-based sample, and Sn = 0.65 and Sp = 0.55 at a cut-off of 22/23 in the community-based sample. The Montreal Cognitive Assessment (MoCA) is a sensitive measure used to assess changes in cognitive function. Method: The MoCA and Mini-Mental State Examination (MMSE) were evaluated in two independent studies (clinic-based sample and community-based sample) of MCI and normal cognition (NC) controls, using receiver operating characteristic curve analyses: area under the curve (AUC), sensitivity (Sn), and specificity (Sp). The written words in the three Chinese versions are not identical and in some instances misinterpreted the intention of the original MoCA test item. ![]() We evaluated the MoCA's test performance by educational groups among older Singaporean Chinese adults. We carefully reviewed the instrument and instruction manual of the original MoCA in English, as well as the three Chinese versions developed separately in Beijing, Hong Kong, and Taiwan. Background: The Montreal Cognitive Assessment (MoCA) was developed as a screening instrument for mild cognitive impairment (MCI). ![]()
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