Montreal Cognitive Assessment Performance among Community-Dwelling African Americans

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Abstract

Objective: To report descriptive and normative data for the Montreal Cognitive Assessment (MoCA) in a population-based African American sample.

Method: The MoCA was administered to 1,419 African American participants (mean age 49.89 years, range 18-75, 64% female). After excluding those with subjective cognitive complaints (n = 301), normative data were generated by education and overlapping age ranges (n = 1,118). Pearson correlations and analysis of variance were used to examine the relationship to demographic variables, and frequency of missed items was reviewed.

Results: Total MoCA scores (mean 22.3, SD 3.9) were lower than previously published normative data derived from an elderly Caucasian Canadian population with 80% falling below the suggested cutoff (<26) for impairment. Several MoCA items were missed by a large portion of the sample, including cube drawing (72%), delayed free recall (66% <4/5 words), sentence repetition (63%), and abstraction items (45%).

Conclusion: This is the first study to examine normative performance on the MoCA specific to community-dwelling African Americans. Findings suggest that certain aspects of this measure and previously established cutoff scores may not be well-suited for some populations.

Original languageEnglish (US)
Pages (from-to)238-244
Number of pages7
JournalArchives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists
Volume32
Issue number2
DOIs
StatePublished - Mar 1 2017

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Independent Living
African Americans
Accidental Falls
Population
Analysis of Variance
Demography
Education

Keywords

  • Aging
  • Assessment
  • Mild cognitive impairment
  • Minority
  • Normative studies

ASJC Scopus subject areas

  • Neuropsychology and Physiological Psychology
  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

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title = "Montreal Cognitive Assessment Performance among Community-Dwelling African Americans",
abstract = "Objective: To report descriptive and normative data for the Montreal Cognitive Assessment (MoCA) in a population-based African American sample.Method: The MoCA was administered to 1,419 African American participants (mean age 49.89 years, range 18-75, 64{\%} female). After excluding those with subjective cognitive complaints (n = 301), normative data were generated by education and overlapping age ranges (n = 1,118). Pearson correlations and analysis of variance were used to examine the relationship to demographic variables, and frequency of missed items was reviewed.Results: Total MoCA scores (mean 22.3, SD 3.9) were lower than previously published normative data derived from an elderly Caucasian Canadian population with 80{\%} falling below the suggested cutoff (<26) for impairment. Several MoCA items were missed by a large portion of the sample, including cube drawing (72{\%}), delayed free recall (66{\%} <4/5 words), sentence repetition (63{\%}), and abstraction items (45{\%}).Conclusion: This is the first study to examine normative performance on the MoCA specific to community-dwelling African Americans. Findings suggest that certain aspects of this measure and previously established cutoff scores may not be well-suited for some populations.",
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author = "Rossetti, {Heidi C.} and Lacritz, {Laura H.} and Hynan, {Linda S.} and Cullum, {C. Munro} and {Van Wright}, Aaron and Weiner, {Myron F.}",
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AU - Weiner, Myron F.

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N2 - Objective: To report descriptive and normative data for the Montreal Cognitive Assessment (MoCA) in a population-based African American sample.Method: The MoCA was administered to 1,419 African American participants (mean age 49.89 years, range 18-75, 64% female). After excluding those with subjective cognitive complaints (n = 301), normative data were generated by education and overlapping age ranges (n = 1,118). Pearson correlations and analysis of variance were used to examine the relationship to demographic variables, and frequency of missed items was reviewed.Results: Total MoCA scores (mean 22.3, SD 3.9) were lower than previously published normative data derived from an elderly Caucasian Canadian population with 80% falling below the suggested cutoff (<26) for impairment. Several MoCA items were missed by a large portion of the sample, including cube drawing (72%), delayed free recall (66% <4/5 words), sentence repetition (63%), and abstraction items (45%).Conclusion: This is the first study to examine normative performance on the MoCA specific to community-dwelling African Americans. Findings suggest that certain aspects of this measure and previously established cutoff scores may not be well-suited for some populations.

AB - Objective: To report descriptive and normative data for the Montreal Cognitive Assessment (MoCA) in a population-based African American sample.Method: The MoCA was administered to 1,419 African American participants (mean age 49.89 years, range 18-75, 64% female). After excluding those with subjective cognitive complaints (n = 301), normative data were generated by education and overlapping age ranges (n = 1,118). Pearson correlations and analysis of variance were used to examine the relationship to demographic variables, and frequency of missed items was reviewed.Results: Total MoCA scores (mean 22.3, SD 3.9) were lower than previously published normative data derived from an elderly Caucasian Canadian population with 80% falling below the suggested cutoff (<26) for impairment. Several MoCA items were missed by a large portion of the sample, including cube drawing (72%), delayed free recall (66% <4/5 words), sentence repetition (63%), and abstraction items (45%).Conclusion: This is the first study to examine normative performance on the MoCA specific to community-dwelling African Americans. Findings suggest that certain aspects of this measure and previously established cutoff scores may not be well-suited for some populations.

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