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Put in all the numbers and set the time to ten past nine. Visuoconstructional Skills (Clock): Administration: Indicate the right third of the space and give the following instructions: Draw a clock. A point is not assigned if any of the above-criteria are not met.
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The horizontal lines must touch the top/bottom of the ovals. The objects at the end must be ovals rather than circles. Drawing must be three-dimensional All lines/ovals are drawn No line is added The horizontal lines are relatively parallel. Scoring: One point is allocated for a correctly executed drawing. Any error that is not immediately self-corrected earns a score of Visuoconstructional Skills (Cylinder): Administration: The examiner gives the following instructions, pointing to the cylinder: Copy this drawing as accurately as you can, in the space below. " Scoring: Allocate one point if the subject successfully draws the following pattern: 1 A- 2- B- 3- C- 4- D- 5- E, without drawing any lines that cross. Begin here and draw a line from 1 then to A then to 2 and so on. Alternating Trail Making: Administration: The examiner instructs the subject: "Please draw a line, going from a number to a letter in ascending order. The total possible score is 30 points a score of 26 or above is considered normal. Time to administer the MoCA is approximately 10 minutes. It assesses different cognitive domains: attention and concentration, executive functions, memory, language, visuoconstructional skills, conceptual thinking, calculations, and orientation. doi: 10.3233/JAD-150986.1 Montreal Cognitive Assessment (MoCA) Version 3 Administration and Scoring Instructions The Montreal Cognitive Assessment (MoCA) was designed as a rapid screening instrument for mild cognitive dysfunction. “Missed” mild cognitive impairment: high false-negative error rate based on conventional diagnostic criteria. Alzheimers Dement (N Y) 2018 4:11–18.Įdmonds EC, Delano-Wood L, Jak AJ, Galasko DR, Salmon DP, Bondi MW, et al.
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Unmasking the benefits of donepezil via psychometrically precise identification of mild cognitive impairment: a secondary analysis of the ADCS vitamin E and donepezil in MCI study. doi: 10.1186/s1319-y.Įdmonds EC, Ard MC, Edland SD, Galasko DR, Salmon DP, Bondi MW. BrainCheck - a very brief tool to detect incipient cognitive decline: optimized case-finding combining patient- and informant-based data. doi: 10.1001/jamainternmed.2017.7299.Įhrensperger MM, Taylor KI, Berres M, Foldi NS, Dellenbach M, Bopp I, et al. Modifiable risk factors and prevention of dementia: what is the latest evidence? JAMA Intern Med. Improving healthcare for people living with dementia: coverage, quality and costs now and in the future. Prince M, Comas-Herrera A, Knapp M, Guerchet M, Karagiannidou M. Using two separate cut-offs for the MoCA combined with scores in an indecisive area enhances the accuracy of cognitive screening.Īrea under curve Cognitive dysfunction Mental status and dementia tests Mini Mental State Examination Montreal Cognitive Assessment Neurocognitive disorders Neuropsychology ROC curve Sensitivity and specificity. Scores between these two cut-offs require further examinations. Introducing two separate cut-offs increased diagnostic accuracies with 92% specificity (23/24 points) and 91% sensitivity (26/27 points). Compared to the original MoCA cut-off, the cut-off of 23/24 points had higher specificity (92% vs 63%), but lower sensitivity (65% vs 86%). Cut-offs were identified based on (a) Youden's index and (b) the 10th percentile of the control group.Ī cut-off of 23/24 on the MoCA had better correct classification rates than the MMSE and the original MoCA cut-off. We aim to revise the cut-off on the German MoCA for its use in clinical routine.ĭata were analyzed from 496 Memory Clinic outpatients (447 individuals with a neurocognitive disorder 49 with cognitive normal findings) and from 283 normal controls. The Montreal Cognitive Assessment (MoCA) has good sensitivity for mild cognitive impairment, but specificity is low when the original cut-off (25/26) is used.