Changes in Montreal Cognitive Assessment Scores Over Time

Kamini Krishnan, Heidi Rossetti, Linda S. Hynan, Kirstine Carter, Jed Falkowski, Laura Lacritz, C. Munro Cullum, Myron Weiner

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

This study explored the utility of the Montreal Cognitive Assessment (MoCA) in the detection of cognitive change over time in a community sample (age ranging from 58 to 77 years). The MoCA was administered twice approximately 3.5 years apart (n = 139). Participants were classified as mild cognitive impairment (MCI) or cognitively intact at follow-up based on multidisciplinary consensus. We excluded 33 participants who endorsed cognitive complaints at baseline. The MCI group (n = 53) showed a significant decrease in MoCA scores (M = −1.83, p <.001, d = 0.64). When accounting for age and education, the MCI group showed a decline of 1.7 points, while cognitively intact participants remained stable. Using Reliable Change Indices established by cognitively intact group, 42% of MCI participants demonstrated a decline in MoCA scores. Results suggest that the MoCA can detect cognitive change in MCI over a 3.5-year period and preliminarily supports the utility of the MoCA as a repeatable brief cognitive screening measure.

Original languageEnglish (US)
Pages (from-to)772-777
Number of pages6
JournalAssessment
Volume24
Issue number6
DOIs
StatePublished - Sep 1 2017

Fingerprint

Consensus
Cognitive Dysfunction
Education

Keywords

  • aging
  • cognitive screen
  • longitudinal
  • mild cognitive impairment
  • MoCA

ASJC Scopus subject areas

  • Clinical Psychology
  • Applied Psychology

Cite this

Changes in Montreal Cognitive Assessment Scores Over Time. / Krishnan, Kamini; Rossetti, Heidi; Hynan, Linda S.; Carter, Kirstine; Falkowski, Jed; Lacritz, Laura; Cullum, C. Munro; Weiner, Myron.

In: Assessment, Vol. 24, No. 6, 01.09.2017, p. 772-777.

Research output: Contribution to journalArticle

Krishnan, Kamini ; Rossetti, Heidi ; Hynan, Linda S. ; Carter, Kirstine ; Falkowski, Jed ; Lacritz, Laura ; Cullum, C. Munro ; Weiner, Myron. / Changes in Montreal Cognitive Assessment Scores Over Time. In: Assessment. 2017 ; Vol. 24, No. 6. pp. 772-777.
@article{e359667cfa4d4dff99936e654e5ae2ad,
title = "Changes in Montreal Cognitive Assessment Scores Over Time",
abstract = "This study explored the utility of the Montreal Cognitive Assessment (MoCA) in the detection of cognitive change over time in a community sample (age ranging from 58 to 77 years). The MoCA was administered twice approximately 3.5 years apart (n = 139). Participants were classified as mild cognitive impairment (MCI) or cognitively intact at follow-up based on multidisciplinary consensus. We excluded 33 participants who endorsed cognitive complaints at baseline. The MCI group (n = 53) showed a significant decrease in MoCA scores (M = −1.83, p <.001, d = 0.64). When accounting for age and education, the MCI group showed a decline of 1.7 points, while cognitively intact participants remained stable. Using Reliable Change Indices established by cognitively intact group, 42{\%} of MCI participants demonstrated a decline in MoCA scores. Results suggest that the MoCA can detect cognitive change in MCI over a 3.5-year period and preliminarily supports the utility of the MoCA as a repeatable brief cognitive screening measure.",
keywords = "aging, cognitive screen, longitudinal, mild cognitive impairment, MoCA",
author = "Kamini Krishnan and Heidi Rossetti and Hynan, {Linda S.} and Kirstine Carter and Jed Falkowski and Laura Lacritz and Cullum, {C. Munro} and Myron Weiner",
year = "2017",
month = "9",
day = "1",
doi = "10.1177/1073191116654217",
language = "English (US)",
volume = "24",
pages = "772--777",
journal = "Assessment",
issn = "1073-1911",
publisher = "SAGE Publications Inc.",
number = "6",

}

TY - JOUR

T1 - Changes in Montreal Cognitive Assessment Scores Over Time

AU - Krishnan, Kamini

AU - Rossetti, Heidi

AU - Hynan, Linda S.

AU - Carter, Kirstine

AU - Falkowski, Jed

AU - Lacritz, Laura

AU - Cullum, C. Munro

AU - Weiner, Myron

PY - 2017/9/1

Y1 - 2017/9/1

N2 - This study explored the utility of the Montreal Cognitive Assessment (MoCA) in the detection of cognitive change over time in a community sample (age ranging from 58 to 77 years). The MoCA was administered twice approximately 3.5 years apart (n = 139). Participants were classified as mild cognitive impairment (MCI) or cognitively intact at follow-up based on multidisciplinary consensus. We excluded 33 participants who endorsed cognitive complaints at baseline. The MCI group (n = 53) showed a significant decrease in MoCA scores (M = −1.83, p <.001, d = 0.64). When accounting for age and education, the MCI group showed a decline of 1.7 points, while cognitively intact participants remained stable. Using Reliable Change Indices established by cognitively intact group, 42% of MCI participants demonstrated a decline in MoCA scores. Results suggest that the MoCA can detect cognitive change in MCI over a 3.5-year period and preliminarily supports the utility of the MoCA as a repeatable brief cognitive screening measure.

AB - This study explored the utility of the Montreal Cognitive Assessment (MoCA) in the detection of cognitive change over time in a community sample (age ranging from 58 to 77 years). The MoCA was administered twice approximately 3.5 years apart (n = 139). Participants were classified as mild cognitive impairment (MCI) or cognitively intact at follow-up based on multidisciplinary consensus. We excluded 33 participants who endorsed cognitive complaints at baseline. The MCI group (n = 53) showed a significant decrease in MoCA scores (M = −1.83, p <.001, d = 0.64). When accounting for age and education, the MCI group showed a decline of 1.7 points, while cognitively intact participants remained stable. Using Reliable Change Indices established by cognitively intact group, 42% of MCI participants demonstrated a decline in MoCA scores. Results suggest that the MoCA can detect cognitive change in MCI over a 3.5-year period and preliminarily supports the utility of the MoCA as a repeatable brief cognitive screening measure.

KW - aging

KW - cognitive screen

KW - longitudinal

KW - mild cognitive impairment

KW - MoCA

UR - http://www.scopus.com/inward/record.url?scp=85027058495&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85027058495&partnerID=8YFLogxK

U2 - 10.1177/1073191116654217

DO - 10.1177/1073191116654217

M3 - Article

C2 - 27318033

AN - SCOPUS:85027058495

VL - 24

SP - 772

EP - 777

JO - Assessment

JF - Assessment

SN - 1073-1911

IS - 6

ER -