“There's no broad consensus that we should be giving MoCA's to people as part of their wellness examination or general annual physical,” he said.
Search methods We searched MEDLINE, EMBASE, BIOSIS Previews, Science Citation Index, PsycINFO and LILACS databases to August 2012. Abbreviations: MoCA, Montreal cognitive assessment BVMT, brief visuospatial memory test DKEFS, Delis-Kaplan executive function system HVLT, Hopkins verbal learning test. Cognition can be self-monitored over time and serial test. To determine the accuracy of the Montreal Cognitive Assessment (MoCA) for the detection of dementia. Measures included the brief visuospatial memory test. Test taker receives clear and simple report stating low or elevated risk of cognitive decline. To determine the accuracy of the Montreal Cognitive Assessment (MoCA) for the detection of dementia. Desktop, tablet, and smart phone versions are available. It is recommended for use in Acute, Primary, Community and Residential Care. It is used to assess global cognitive status. It is scored out of 30, with a score below 24 suggesting dementia. The Montreal test is not a routine screening test in the same way a colonoscopy or a mammogram are, Honig said. XpressO is a quick and fun digital self-assessment designed for the general public to easily assess cognition on their own device. This test is currently the most widely used cognitive assessment tool. “If you're looking for Alzheimer's, then you'd be reassured to say that there's no signs of that disease,” Nasreddine said, referring to a perfect score on the test. CDT may be influenced by literacy status and education level (21.
Despite the simpler scoring instructions, suboptimal inter and intra-rater reliability for MoCA’s CDT were recently reported(30). The Montreal Cognitive Assessment (MoCA Figure 109.2) 18 is a well-validated, reliable, and freely accessible screening tool for detecting MCI, which has been translated into and validated in 36 languages and dialects including Japanese, Mandarin (Simplified), and Korean. A person with a a high school education in the United States should be able to get 26 to 30, Honig said. The scoring criteria for the CDT in the MoCA has been simplified to decrease scoring complexity, scoring time, and minimize inter rater variability. This is because there are often confounding factors such as the level of education and whether the test is being given in the person’s native language.
He has seen patients with dementia score greater than 26 and he has seen patients without dementia score below 26. Lawrence Honig, a neurologist and one of the directors of the Alzheimer's Disease Research Center at Columbia University, said while the test is a pretty good indicator, it’s not perfect.