Validation of the Slovenian version of the Montreal Cognitive Assessment Scale as a screening tool for the detection of mild cognitive impairment

Špeh, Andreja (avtor), Kalar, Irena (avtor), Pirtošek, Zvezdan (avtor), Gregorič Kramberger, Milica (avtor)

Objective The Montreal cognitive assessment scale (MoCA) is commonly used for detecting individuals with mild cognitive impairment (MCI). The aim of the present study was to evaluate the validity of the Slovenian MoCA as a screening tool for MCI and to determine the optimal cut-of point to detect MCI in the elderly population. Methods Mini-Mental State Examination (MMSE), MoCA, and neuropsychological testing assessment were conducted on 93 individuals aged ≥ 60 years. MCI was found in 35 individuals with 58 cognitively asymptomatic controls. Cut-of values, sensitivity, and specificity of MoCA were calculated with the receiver operating characteristic curve. Results MCI and healthy individuals did not differ with respect to age and education. Healthy individuals (M = 24.5, SD = 1.7) performed significantly better on MoCA compared to MCI individuals (M = 21.4, SD = 3.2) (p < 0.001). The Cronbach’s α of MoCA as an index of internal consistency was 0.64. MoCA distinguished between healthy controls and MCI individuals with a sensitivity of 77% and specificity of 74%, using a cut-off of 23/24 points. Conclusion The Slovenian version of MoCA demonstrates an optimal cut-of value of 23/24 points for detecting older individuals with MCI. As a screening tool for MCI, its better diagnostic accuracy makes it preferable to using MMSE.

• Jezik: Angleški jezik
• Ključne besede: mild cognitive impairment, MoCA, screening, cognition, elderly
• Vrsta gradiva: Članek v reviji
• Tipologija: 1.01 - Izvirni znanstveni članek
• Organizacija: MF - Medicinska fakulteta
• Status publikacije: Objavljeno
• Različica publikacije: Objavljena publikacija
• Leto izida: 2024
• Št. strani: Str. 543–547
• Številčenje: Vol. 124, iss. 2
• PID: 20.500.12556/RUL-156149
• UDK: 616.853
• ISSN pri članku: 2240-2993
• DOI: 10.1007/s13760-024-02487-z
• COBISS.SI-ID: 189553411
• Datum objave v RUL: 10.05.2024

Gradivo je del revije

• Naslov: Acta neurologica Belgica
• Skrajšan naslov: Acta neurol. Belg.
• Založnik: Springer Nature, Belgian Neurological Society
• ISSN: 2240-2993
• COBISS.SI-ID: 525330713

Licence

• Licenca: CC BY 4.0, Creative Commons Priznanje avtorstva 4.0 Mednarodna
• Povezava: http://creativecommons.org/licenses/by/4.0/deed.sl
• Opis: To je standardna licenca Creative Commons, ki daje uporabnikom največ možnosti za nadaljnjo uporabo dela, pri čemer morajo navesti avtorja.

Sekundarni jezik

• Jezik: Slovenski jezik
• Ključne besede: Montrealska lestvica spoznavnih sposobnosti