The Montreal Cognitive Assessment (MoCA): updated norms and psychometric insights into adaptive testing from healthy individuals in Northern Italy.
The Montreal Cognitive Assessment (MoCA): updated norms and psychometric insights into adaptive testing from healthy individuals in Northern Italy.
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蒙特利尔认知评估（MOCA）：对意大利北部健康个体的适应性测试的更新规范和心理测量见解。
DOI：
10.1007/s40520-021-01943-7
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发表时间：
2022-03
影响因子：
4
通讯作者：
Bolognini N
中科院分区：
文献类型：
--
作者：
Aiello EN;Gramegna C;Esposito A;Gazzaniga V;Zago S;Difonzo T;Maddaluno O;Appollonio I;Bolognini N
细粒度、特定文化的心理测量结果的可用性有利于对蒙特利尔认知评估 (MoCA) 分数的解释，MoCA 是工具性和非工具性领域中最常用的筛查轻度认知功能障碍的工具。因此，本研究的目的是：(i) 为意大利 MoCA 提供更新的、针对特定地区的规范，同时 (ii) 将它们与具有更高地理覆盖范围的现有规范进行比较； (iii) 关于项目级别的敏感性和区分能力的信息。来自意大利北部的 579 名健康个体（208 名男性，371 名女性；年龄：63.4±15, 21–96；教育程度：11.3±4.6, 1–25）接受了 MoCA 治疗。采用项目反应理论（IRT）来评估项目难度和区分度。标准值通过等效分数 (ES) 方法得出，应用于 MoCA 及其子量表。还计算了平均 ES。通过 Cohen 的 k 评估与之前 ES 分类的一致性。年龄和教育程度显着预测了 MoCA 的所有指标，但方向除外，方向仅与年龄相关。当与年龄和教育程度一起进行测试时，没有发现性别差异。发现与之前的 ES 分类存在重大分歧。事实证明，有几个项目几乎不敏感，尤其是定向和字母检测任务中的地点项目。记忆项目显示出很高的辨别能力，以及评估执行功能和方向的某些项目。此处为意大利 MoCA 提供的项目级信息可以帮助意大利从业者解读其分数。意大利从业者应考虑适应性地使用 MoCA 的地区特定规范。
The availability of fine-grained, culture-specific psychometric outcomes can favor the interpretation of scores of the Montreal Cognitive Assessment (MoCA), the most frequently used instrument to screen for mild cognitive dysfunctions in both instrumental and non-instrumental domains. This study thus aimed at providing: (i) updated, region-specific norms for the Italian MoCA, by also (ii) comparing them to pre-existing ones with higher geographical coverage; (iii) information on sensitivity and discriminative capability at the item level. Five hundred and seventy nine healthy individuals from Northern Italy (208 males, 371 females; age: 63.4 ± 15, 21–96; education: 11.3 ± 4.6, 1–25) were administered the MoCA. Item Response Theory (IRT) was adopted to assess item difficulty and discrimination. Normative values were derived by means of the Equivalent Scores (ESs) method, applied to the MoCA and its sub-scales. Average ESs were also computed. Agreement with previous ESs classification was assessed via Cohen’s k. Age and education significantly predicted all MoCA measures except for Orientation, which was related to age only. No sex differences were detected when tested along with age and education. Substantial disagreements with previous ESs classifications were detected. Several items proved to be scarcely sensitive, especially the place item from Orientation and the letter detection task. Memory items showed high discriminative capability, along with certain items assessing executive functions and orientation. Item-level information herewith provided for the Italian MoCA can help interpret its scores by Italian practitioners. Italian practitioners should consider an adaptive use of region-specific norms for the MoCA.
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影响因子：
2.1
作者：
Ghasemi A;Zahediasl S
通讯作者：
Zahediasl S
DOI：
10.1044/1058-0360(2011/10-0079
发表时间：
2011-08-01
影响因子：
2.6
作者：
Baylor, Carolyn;Hula, William;Yorkston, Kathryn
通讯作者：
Yorkston, Kathryn
影响因子：
4
作者：
Bosco, Andrea;Spano, Giuseppina;Lancioni, Giulio E.
通讯作者：
Lancioni, Giulio E.
影响因子：
7
作者：
Cecato, Juliana Francisco;Martinelli, Jose Eduardo;Aprahamian, Ivan
通讯作者：
Aprahamian, Ivan
影响因子：
3.3
作者：
Brugnolo, A.;De Carli, F.;Girtler, N.
通讯作者：
Girtler, N.