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Comparison of an Electronic and Paper-based Montreal Cognitive Assessment Tool.
- Source :
-
Alzheimer disease and associated disorders [Alzheimer Dis Assoc Disord] 2015 Oct-Dec; Vol. 29 (4), pp. 325-9. - Publication Year :
- 2015
-
Abstract
- This pilot study compared a novel electronic Montreal Cognitive Assessment (eMoCA) tool to the original paper-based MoCA. Potential participants were approached at primary care practices, a geriatric day hospital, and a university campus. Each of the 401 participants were randomly assigned to either the eMoCA (N=182) or MoCA (N=219). Scores were adjusted by self-reported demographic and health information using regression analysis. The difference in average scores (26.21±3.11 for the MoCA group and 24.84±4.21 for the eMoCA group) was found to be statistically significant. Controlling for the effect of potential covariate factors with regression analyses, the adjusted difference is -0.90 (95% confidence interval, -1.45 to -0.35). This difference may be due to factors related to use of the electronic device or software usability. However, the standardized, self-administered eMoCA may offer an opportunity for health systems to screen for early changes in cognitive function in primary care settings and offer greater access to assessment for rural or remote communities. Population-level research may be required to identify whether the score difference between test versions requires a downward adjustment to the eMoCA score taken as indicative of cognitive impairment.
- Subjects :
- Adult
Aged
Aged, 80 and over
Cognitive Dysfunction psychology
Cross-Sectional Studies
Female
Humans
Male
Middle Aged
Nova Scotia epidemiology
Ontario epidemiology
Pilot Projects
Young Adult
Cognition
Cognitive Dysfunction diagnosis
Cognitive Dysfunction epidemiology
Computers, Handheld standards
Neuropsychological Tests standards
Subjects
Details
- Language :
- English
- ISSN :
- 1546-4156
- Volume :
- 29
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Alzheimer disease and associated disorders
- Publication Type :
- Academic Journal
- Accession number :
- 25390882
- Full Text :
- https://doi.org/10.1097/WAD.0000000000000069