|Title||T-MoCA: A valid phone screen for cognitive impairment in diverse community samples.|
|Publication Type||Journal Article|
|Year of Publication||2021|
|Authors||Katz, MJ, Wang, C, Nester, CO, Derby, CA, Zimmerman, ME, Lipton, RB, Sliwinski, MJ, Rabin, LA|
|Journal||Alzheimers Dement (Amst)|
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 assessment. 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 administration; 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 useful for screening of MCI, especially when clinic visits are not feasible.
|Alternate Journal||Alzheimers Dement (Amst)|
|PubMed Central ID||PMC7864219|
|Grant List||P01 AG003949 / AG / NIA NIH HHS / United States |
R03 AG046504 / AG / NIA NIH HHS / United States