4/18/2024 0 Comments Moca cognitive assessment normsWorking Memory/Attention/Executive Control This scale consists of Clock Drawing and the Benson Figure Copy. Recognition of whether words appeared in the CERAD list and which one of four complex figures was copied are assessed. The CERAD 10-Word list is presented over three trials.ĭelayed recall of the CERAD Word List and the Benson Figure Copy are assessed after at least 10 min. There are 12 items included: year, month, day, date, season, place/building, floor, city, province, country, Prime Minister, and Premier of the province. The advantages of an electronic application include automatic scoring, automatic point-of-care data collection for potential data entry into a clinical or research registry, a printable summary of results, and graphical representation of percentile performance on each cognitive domain. In addition to the paper version, we developed an electronic application for the iPad and assessed equivalency between the two versions. Our objectives were to obtain normative data on the TorCA and to validate this test for detection of amnestic mild cognitive impairment (aMCI). This was done through the addition of more robust verbal learning and delayed recall, a complex figure copy with delayed recall, semantic knowledge items, a version of Trails A and B, and revision of the subset of language tests. To accomplish this goal, the psychometric properties of the Behavioural Neurology Assessment, a screening test covering a broad spectrum of cognitive functions for diagnosing mild to moderate dementia, were significantly enhanced to detect mild cognitive deficits by development of the Toronto Cognitive Assessment (TorCA). Consequently, given the growing emphasis on early detection of cognitive impairment, there is a need for assessment tools that are intermediate between brief screening tests and neuropsychological batteries, can be administered by physicians as well as any health care professional or trained assistant in any medical setting, and can accurately identify mild cognitive decline. Neuropsychological assessments facilitate better understanding of cognitive performance for diagnosis but are time consuming, resource intensive, and suited for administration only by neuropsychologists-a resource that is often not readily available. Future studies will focus on cross-validating the TorCA for aMCI, and validation for disorders other than aMCI.īrief tests such as the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA) are popular screens for cognitive function. The TorCA can improve resource utilization by identifying patients with aMCI who may not require more resource-intensive neuropsychological assessment. Paper and iPad version scores were equivalent. In an exploratory logistic regression analysis, indices of Immediate Verbal Recall, Delayed Verbal and Visual Recall, Visuospatial Function, and Working Memory/Attention/Executive Control, a subset of the domains assessed by the TorCA, correctly classified 92% of participants (sensitivity 92% specificity 91%). The total score correctly classified 79% of participants (sensitivity 80% specificity 79%). The TorCA provides a stable assessment of multiple cognitive domains. Cognitively normal participants were recruited from both healthy volunteers in the normative study sample and the community. For the validation study, the sample was comprised of participants with aMCI or normal cognition based on neuropsychological assessment. For the normative study, healthy volunteers were recruited from the Rotman Research Institute registry. We obtained normative data on the TorCA ( n = 303), determined test reliability, developed an iPad version, and validated the TorCA against neuropsychological assessment for detecting amnestic mild cognitive impairment (aMCI) ( n = 50/57, aMCI/normal cognition). The Toronto Cognitive Assessment (TorCA) was developed to achieve these goals. Black 1, 4, 9, 17, 20, 25 na1 &Īlzheimer's Research & Therapy volume 10, Article number: 65 ( 2018)Ī need exists for easily administered assessment tools to detect mild cognitive changes that are more comprehensive than screening tests but shorter than a neuropsychological battery and that can be administered by physicians, as well as any health care professional or trained assistant in any medical setting. The Toronto Cognitive Assessment (TorCA): normative data and validation to detect amnestic mild cognitive impairment
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |