![]() Item-level information herewith provided for the Italian MoCA can help interpret its scores by Italian practitioners. Memory items showed high discriminative capability, along with certain items assessing executive functions and orientation. Several items proved to be scarcely sensitive, especially the place item from Orientation and the letter detection task. Substantial disagreements with previous ESs classifications were detected. No sex differences were detected when tested along with age and education. ResultsĪge and education significantly predicted all MoCA measures except for Orientation, which was related to age only. Agreement with previous ESs classification was assessed via Cohen’s k. Normative values were derived by means of the Equivalent Scores (ESs) method, applied to the MoCA and its sub-scales. Item Response Theory (IRT) was adopted to assess item difficulty and discrimination. Methodsįive hundred and seventy nine healthy individuals from Northern Italy (208 males, 371 females age: 63.4 ± 15, 21–96 education: 11.3 ± 4.6, 1–25) were administered the MoCA. This study thus aimed at providing: (i) updated, region-specific norms for the Italian MoCA, by also (ii) comparing them to pre-existing ones with higher geographical coverage (iii) information on sensitivity and discriminative capability at the item level. DOI:10.The availability of fine-grained, culture-specific psychometric outcomes can favor the interpretation of scores of the Montreal Cognitive Assessment (MoCA), the most frequently used instrument to screen for mild cognitive dysfunctions in both instrumental and non-instrumental domains. Relationship between the Montreal Cognitive Assessment and the Mini-Mental State Examination for assessment of mild cognitive impairment in older adults. Trzepacz PT, Hochstetler H, Wang S, Walker B, Saykin AJ, and for the Alzheimer’s Disease Neuroimaging Initiative. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. MoCA references: Nasreddine ZS, Phillips NA, Bedirian V, Charbonneau S, Whitehead V, Collin I et al. Participants are asked a series of questions assessing orientation to time and place, short-term memory, visuospatial ability, executive function, language, and abstraction. The Montreal Cognitive Assessment (MoCA) is a widely used cognitive screening tool. Note: If a participant is physically unable to answer one or more items, the score is imputed as the sum of the nonmissing items*30/(# of items answered). The MMSE form includes the test of spelling WORLD backwards. Participants are asked a series of questions to assess orientation to time and place, recall ability, short-term memory, and arithmetic ability. The initial ten items provide a psychometric measure of orientation. This test provides a global measure of cognitive function useful for descriptive purposes. Short term temporal stability is excellent and scores are highly correlated with those on other scales of severity of dementia. It has previously been used in many epidemiologic studies and is a component of the CERAD protocol. The Mini Mental State Examination (MMSE) is a widely used, 30 item, standardized screening measure of dementia severity. The estimated MMSE score ranges from 0 to 30 and is either the MMSE score or the full MMSE score based on the MoCA score. The MMSE was administered for visits prior to May 2021. The MMSE was replaced by the Montreal Cognitive Assessment (MoCA) in May 2021.
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