Montreal cognitive assessment moca was developed to address some of the limitations of the mmse as a screening tool for mci and cognitive dysfunction in pd nasreddine et al. Introduction the montreal cognitive assessment moca was developed as a brief screening instrument to detect mild cognitive impairment. The montreal cognitive assessment moca is a brief 30question test that takes around 10 to 12 minutes to complete and helps assess people for dementia. The subject must tap with his hand at each letter a. Scores on the moca range from zero to 30, with a score of 26 and higher generally considered normal. The cutoff score of 18 is usually considered to separate mci from ad but there is overlap in the scores since, by definition, ad is determined by the presence of cognitive impairment in addition to loss of autonomy. Mocamontreal cognitive assessment test form mybraintest. The average moca score for mci is 22 range 1925 and the average moca score for mild ad is 16 1121. Investigation of cognitive improvement in alcoholdependent. Cordell cb, borson s, boustani m, chodosh j, reuben d, verghese j, et al. The montreal cognitive assessment moca is a brief screening used to assess cognitive functioning.
The tool measures an array of functions such as language, visuospatial, memory, and attention. 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. Mci is a syndrome defined as cognitive decline greater than expected for an individuals age and education level but that does not interfere not ably with. It was published in 2005 by a group at mcgill university working for several years at memory clinics in montreal. The moca is a brief cognitive screening tool with high sensitivity and speci. This video depicts the administration of the moca cognitive assessment instrument, conducted as a result of the patient failing a minicog. The white house medical team chose the montreal cognitive assessment moca, which was designed as a rapid screening tool for mild cognitive dysfunction. The moca is used for detection of mild cognitive impairment in multiple conditions including mcialzheimers disease, vascular cognitive impairment, parkinson and frontotemporal dementia. Moca test allows healthcare providers to quickly assess a patients cognitive health and accurately make more informed healthcare decisions. Montreal cognitive assessment moca overview for best. The montreal cognitive assessment moca is superior to the minimental state examination mmse for the detection of vascular cognitive impairment after acute stroke. Montreal cognitive assessment moca overview for best practice.
The moca has been described as more sensitive and specific than other screening tools, such as the minimental. Montreal cognitive assessment moca the montreal cognitive assessment moca. It it assesses the domains of attention and concentration, executive functions, memory, language, visuoconstructional skills, conceptual thinking, calculations. It is a simple 10 min paper and pencil test that assesses multiple cognitive domains including memory, language, executive functions, visuospatial skills, calculation, abstraction, attention, concentration, and orientation. Exposure data were recorded with gps loggers and cameras installed in. It takes approximately 20 minutes for a trained healthcare provider to administer the assessment in a quiet private setting to avoid distractions. Please draw a line, going from a number to a letter in ascending order.
Montreal cognitive assessment moca test for dementia. 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. It was created in 1996 by ziad nasreddine in montreal, quebec. This was a pragmatic prospective study of consecutive referrals attending a. Montreal cognitive assessment moca administration and. Montreal cognitive assessment moca date month year day place city contour numbers hands 4 or 5 correct subtractions. When a patient starts to experience memory loss and other forms of cognitive decline, it can be a stressful, uncertain, and trying time for everyone involved, from. The montreal cognitive assessment moca was designed as a rapid screening instrument for mild cognitive dysfunction. Mast, adam gerstenecker, in handbook of assessment in clinical gerontology second edition, 2010. Pdf the validity of thai version of the montreal cognitive. Montreal cognitive assessment, mild cognitive impairment, alzheimers disease, minimental state examination the canadian journal of psychiatry, vol 52, no 5, may 2007 329 objective. The montreal cognitive assessment moca is a cognitive screening instrument developed to detect mild cognitive impairment mci.
The functional activities questionnaire faq was used to obtain participants selfreports indicating cognitive status. A brief screening tool for mild cognitive impairment ziad s. Therefore, it is relevant to evaluate whether the moca test could also be used to assess the changes in cognitive function following alcohol detoxification. It was validated in the setting of mild cognitive impairment, and has subsequently been adopted in numerous other settings clinically. This test does not try to differential between mild, moderate and severe cognitive impairment. It is a simple 10 minute paper and pencil test that assesses. A cdrs also administered the road tests in two study locations in and near roanoke and richmond, virginia. The montreal cognitive assessment moca, developed in canada in 1996, was intended to be a means of accurately detecting levels of cognitive impairment. The montreal cognitive assessment moca is increasingly used by clinicians and researchers as a brief screening measure to assess cognitive impairment. The montreal cognitive assessment moca is a widely used screening assessment for detecting cognitive impairment. This aim of this study was to assess the clinical utility of the montreal cognitive assessment moca as a screening instrument for cognitive impairment in patients referred to a memory clinic, alone and in combination with the minimental state examination mmse. To see the moca being administered to a real patient in a clinic setting, watch the moca. The original english version of the moca for detection of.
All these items, test, instructions and scoring are available in 36. The thai version of montreal cognitive assessment moca 17 was used to assess cognitive function in 8 domains, with the total score of 30. Methods four items examining attention, verbal learning and memory, executive functionslanguage, and orientation were extracted from the moca to form the moca 5minute protocol. Nov 28, 2015 montreal cognitive assessment moca dementia assessment z. All these items, test, instructions, and scoring are available in 53 languages. Montreal cognitive assessment the montreal cognitive assessment moca is a widely used screening assessment for detecting cognitive impairment. Brief methodological reports the montreal cognitive assessment, moca. To learn how to score the moca using sams test as an.
Points montreal cognitive assessment moca version 8. If the client has less than 12 years of formal education, add one point. Montreal cognitive assessment moca in multiple languages. Memoryhealthcheck is a free resource to learn about human memory, the causes of memory loss, online memory loss tests, and steps you can take to improve your memory. Surpassing the limitations of the mmse and proving be a more useful, sensitive and accurate measure, the moca is now recognized as one of the best cognitive screening. This test and administration instructions are freely accessible at. Subject has to repeat them in the backward order 7 4 2. Pdf montreal cognitive assessment 5minute protocol is a.
Evaluacion cognitiva montreal montreal cognitive assessment moca. Jan 28, 2018 instructional webinar on the administration and scoring of the montreal cognitive assessment moca. Screening utility of the montreal cognitive assessment. Moca scores range from 0 to 30 with lower scores indicating decreased cognitive ability. The montreal cognitive assessment moca was designed as a rapid screening inst rument for mild cognitive dysfunction. Some providers repeat patient assessment with an alternate tool e. Montreal cognitive assessment moca dementia assessment z. The assessments in the test attempt to gauge areas of language, visuospatial abilities, memory and recall and abstract thinking, to give a representation of a persons current cognitive ability. Cognitive assessment toolkit alzheimers association. Screening utility of the montreal cognitive assessment moca. The montreal cognitive assessment moca has been designed as a rapid screening instrument to detect mild cognitive impairment mci. We investigated the validity, reliability, and feasibility of the montreal cognitive assessment 5minute protocol moca 5minute protocol administered over the telephone.
The montreal cognitive assessment moca was designed as a rapid screening instrument for mild cognitive. Jul 07, 2017 the moca is used for detection of mild cognitive impairment in multiple conditions including mcialzheimers disease, vascular cognitive impairment, parkinson and frontotemporal dementia. Psychometric evaluation of the montreal cognitive assessment moca in three diverse. The montreal cognitive assessment moca was created in 1996 as a screening tool for mild cognitive dysfunction, including early onset alzheimers.
Nov 28, 2015 moca montreal cognitive assessment test form. To prospectively validate the montreal cognitive assessment moca in a uk memory clinic. Instructional webinar on the administration and scoring of the montreal cognitive assessment moca. It was recently reported that the montreal cognitive assessment moca test is a convenient tool to screen for cognitive impairment in alcohol use disorders. Instruction manual of japanese version of montreal cognitive assessment. Take the montreal cognitive assessment that trump took.
Effects of normative adjustments to the montreal cognitive. It was validated in a group of highly educated elderly the overall mean education years was years to detect mci. It is much more sensitive for picking up mild cognitive. Montreal cognitive assessment an overview sciencedirect.