Departments of Speech-Language Pathology.
Occupational Therapy.
Alzheimer Dis Assoc Disord. 2019 Jul-Sep;33(3):272-278. doi: 10.1097/WAD.0000000000000333.
The objective of this study was to investigate older adults' performance on the paper and electronic Montreal Cognitive Assessment (eMoCA).
Repeated measures and correlational design.
A convenience sample of 40 adults over 65 years of age living in the community.
Participants completed the eMoCA and paper Montreal Cognitive Assessment (MoCA) in a randomized order during 1 session. Participants reported their touchscreen experience and comfort and indicated their modality preferences.
The primary outcome measures were paper MoCA and eMoCA total and subscale scores. Secondary outcome measures included participants' reported touchscreen experience and comfort, as well as post-administration preferences.
A moderate statistically significant correlation was found between eMoCA and paper MoCA performance across all participants. Analysis comparing first administration modality only (eMoCA vs. paper MoCA) found no statistically significant difference in total scores; however, there was a statistically significant difference for the visuospatial/executive subscale, which required physical interaction with paper or the tablet. For this subscale, participants scored lower on the eMoCA versus paper MoCA. There was a statistically significant correlation between experience with touchscreen devices and performance on the eMoCA, but not between modality preference and performance.
Modality of administration can affect performance on cognitive assessments. Clinicians should consider individuals' level of touchscreen experience before selecting administration modality.
本研究旨在调查老年人在纸质和电子蒙特利尔认知评估（eMoCA）上的表现。
重复测量和相关设计。
社区中 40 名 65 岁以上的便利样本。
参与者在一次会议中以随机顺序完成了 eMoCA 和纸质蒙特利尔认知评估（MoCA）。参与者报告了他们的触屏体验和舒适度，并表示了他们的偏好。
主要结果测量是纸质 MoCA 和 eMoCA 的总分和子量表分数。次要结果测量包括参与者报告的触屏体验和舒适度，以及后评估的偏好。
在所有参与者中，eMoCA 和纸质 MoCA 之间发现了中度统计学显著相关。仅比较首次管理模式的分析（eMoCA 与纸质 MoCA）发现总分无统计学显著差异；然而，对于需要与纸质或平板电脑进行物理交互的视觉空间/执行子量表存在统计学显著差异。对于这个子量表，参与者在 eMoCA 上的得分低于纸质 MoCA。触屏设备使用经验与 eMoCA 表现之间存在统计学显著相关性，但偏好与表现之间不存在相关性。
管理模式会影响认知评估的表现。临床医生在选择管理模式之前，应考虑个体的触屏经验水平。
