![]() ![]() In such situations, subtest and domain norms allow for evaluation of completed subtests. First, sensory and cognitive impairments make many of the oldest-old unable to complete all subtests of in-person screening measures, which makes calculation of the total score and its comparison to normative values impossible. ![]() However, cognitive testing of this age group is challenging. The equivalences of the three cognitive tests (MMSE, MoCA-30, MoCA-22) in the oldest-old will facilitate continuity of cognitive tracking of individuals tested with different tests over time and comparison of the studies that use different cognitive tests.Ĭognitive screening of the oldest-old (age 90 +) has become increasingly important, because this age group has the highest risk of dementia and its projected growth in the coming decades is rapid. Subtest, domain and MoCA-22 norms will aid in evaluation of the oldest-old who cannot complete the MoCA-30 or are tested over the phone. An MMSE score of 27 is equivalent to a MoCA-30 score of 22 and a MoCA-22 score of 16. MoCA-22 total score norms are: mean = 18.3(standard deviation = 2.2). Second, we derived score equivalences for MMSE to MoCA-30 and MoCA-22, and MoCA-30 to MoCA-22 using equipercentile equating method with log-linear smoothing, based on all 157 participants. These norms were derived from 124 participants with a Mini-Mental State Examination (MMSE) ≥ 27. ![]() First, we derived norms for (1) subtests and cognitive domains of the in-person Montreal Cognitive Assessment having a maximum score of 30 (MoCA-30) and (2) the total MoCA-22 score, obtained from the in-person MoCA-30 by summing the subtests that do not require visual input to a maximum score of 22. Methodsĭata on 157 participants of the Center for Healthy Aging Longevity Study aged 90 + were analyzed. To provide norms and score equivalence for commonly used cognitive screening tests for the oldest-old. However, norms and score equivalence for screening tests are lacking for this group. This age group is the fastest growing and has the highest risk of dementia. Stimmel is a clinical and research neuropsychologist at Einstein and Montefiore Medical Center.Cognitive screening is important for the oldest-old (age 90 +). Their study published online on January 10 in the Journal of the American Geriatrics Society.ĭr. They concluded that using lower cut points on the MoCA test may improve the test’s accuracy in identifying cognitive impairment in traditionally underserved, multicultural older individuals. The researchers found that the MoCA test’s published cut off scores may be too high, resulting in significant overidentification of cognitive impairment, particularly in Spanish-speaking patients (an overall false positive rate of 79%). The MoCA test results were compared with the participants’ scores on “gold standard” neuropsychological tests. To find out, Marnina Stimmel, Ph.D., and her colleagues tested the MoCA on a traditionally underserved and multicultural population of 231 Bronx-based older adults with an average age of 73. However, MoCA results may be influenced by educational, language, and cultural factors, so whether the test works well in diverse populations has not been clear. The Montreal Cognitive Assessment (MoCA) is a commonly used screening test for cognitive impairment in older adults. ![]()
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