![]() ![]() ![]() Trail making requires cognitive flexibility generated through the dorsolateral and medial prefrontal cortices. Objective: The Montreal Cognitive Assessment (MoCA) provides an indication of overall cognitive functioning and aims to measure several cognitive domains, such as memory, visuospatial abilities, executive function, attention and concentration, language, fluency, and orientation.At the end of the second trial, inform the subject that (s)he will be asked to recall these words again by saying, “ I will ask you to recall those words again at the end of the test.” Try to remember and tell me as many words as you can, including words you said the first time.” Put a check in the allocated space for each word the subject recalls after the second trial. When the subject indicates that (s)he has finished (has recalled all words), or can recall no more words, read the list a second time with the following instructions: “ I am going to read the same list for a second time. However, when cognitive impairment is suspected, the cognitive assessment can obtain a more detailed analysis by surveying the neuropsychological domains. Psychiatrists often perform cognitive testing during the Mental Status Exam. It doesn’t matter in what order you say them.” Mark a check in the allocated space for each word the subject produces on this first trial. The cognitive assessment is useful to test for cognitive impairmenta deficiency in knowledge, thought process, or judgment. ![]() When I am through, tell me as many words as you can remember. I am going to read a list of words that you will have to remember now and later on. Background: 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 Mini-Mental State Examination (MMSE). Let us know how this access is important for you.Read a list of 5 words at a rate of 1 word per second, giving the following instructions: “ This is a memory test. Many UC-authored scholarly publications are freely available on this site because of the UC's open access policies. These results support potential application of digital cognitive assessment for older adults in LMIC. ConclusionThe BHA has excellent performance characteristics in detecting cognitive impairment including dementia and MCI in a Hispanic population in Cuba and outperformed the MoCA. Concurrent and discriminant validity analyses showed moderate to strong correlations between the BHA tests and standard paper-and-pencil measures in the same domain and weak correlations with standard measures in unrelated domains. ![]() Performance was superior to the MoCA across all diagnostic groups. In discriminating between control and MCI groups only, the BHA tests had an AUC of 0.94 (95% CI: 0.90-0.99) with 0.71 sensitivity at 0.85 specificity. ResultsThe BHA had an AUC of 0.95 (95% CI: 0.91-0.98) in discriminating between controls and cognitively impaired groups (MCI and dementia, combined) with 0.91 sensitivity at 0.85 specificity. The main outcomes included: accuracy of the BHA and the Montreal Cognitive Assessment (MoCA) in discriminating between controls and cognitively impaired groups (MCI and dementia) and correlations between the BHA subtests of memory, executive functions, and visuospatial skills and criterion-standard paper-and-pencil tests in the same domains. MethodsIn this cross-sectional study, 146 participants (cognitively healthy = 53, mild cognitive impairment (MCI) = 46, dementia = 47) were recruited at primary care and tertiary clinics. ObjectiveTo examine the accuracy and validity of the Brain Health Assessment (BHA) in detecting cognitive impairment in a Cuban population. The Montreal Cognitive Assessment (MoCA) is a widespread and concise screening tool for the assessment of cognitive impairment that has had a significant impact. However, it is unclear whether these measures are suitable for application in populations from Low and middle-income countries (LMIC). BackgroundRapid technological advances offer a possibility to develop cost-effective digital cognitive assessment tools. ![]()
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