T-MoCA: A valid phone screen for cognitive impairment in diverse community samples.
T-MoCA: A valid phone screen for cognitive impairment in diverse community samples.
复制标题
T-MOCA：有效的手机屏幕，可在不同的社区样本中进行认知障碍。
DOI：
10.1002/dad2.12144
复制
发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Rabin LA
中科院分区：
文献类型：
--
作者：
Katz MJ;Wang C;Nester CO;Derby CA;Zimmerman ME;Lipton RB;Sliwinski MJ;Rabin LA
迫切需要验证广泛使用的一般认知测量的电话版本，例如用于远程评估的蒙特利尔认知评估(T-MoCA)。在爱因斯坦老龄化研究中，使用了等价性测试来检查T-MoCA和相应的面对面MoCA评估之间的一致性。受试者操作特征分析检查了区分轻度认知障碍和正常认知的诊断能力。给出了T-MoCA到MoCA的转换方法。教育、种族/族裔、性别、年龄、自我报告的认知问题和电话管理困难都与这两种管理模式有关；然而，当检查两种模式之间的差异时，这些因素并不显著。T-MoCA的敏感性和特异性分别为72%和59%。T-MoCA具有足够的心理测量学特性，可用于MCI的筛查，尤其是在不能就诊的情况下。
There is an urgent need to validate telephone versions of widely used general cognitive measures, such as the Montreal Cognitive Assessment (T‐MoCA), for remote assessments. In the Einstein Aging Study, a diverse community cohort (n = 428; mean age = 78.1; 66% female; 54% non‐White), equivalence testing was used to examine concordance between the T‐MoCA and the corresponding in‐person MoCA assessment. Receiver operating characteristic analyses examined the diagnostic ability to discriminate between mild cognitive impairment and normal cognition. Conversion methods from T‐MoCA to the MoCA are presented. Education, race/ethnicity, gender, age, self‐reported cognitive concerns, and telephone administration difficulties were associated with both modes of administration; however, when examining the difference between modalities, these factors were not significant. Sensitivity and specificity for the T‐MoCA (using Youden's index optimal cut) were 72% and 59%, respectively. The T‐MoCA demonstrated sufficient psychometric properties to be useful for screening of MCI, especially when clinic visits are not feasible.