Department of Neurology, Baylor Scott and White Health, Temple, TX, USA.
Plummer Movement Disorder Center, BSWH Health, Temple, TX, USA.
Clin Neuropsychol. 2021 Jan;35(1):133-147. doi: 10.1080/13854046.2020.1801848. Epub 2020 Aug 11.
In the current pandemic, tele-screening of neuropsychological status has become a necessity. Instruments developed for telephone screening are not as well validated as traditional neuropsychological measures. Therefore, the current study presents preliminary validation of a telephone version of the Montreal Cognitive Assessment (T-MoCA) in individuals with Parkinson's disease (PD). Twenty-one persons with PD completed the T-MoCA along with a traditional neuropsychological battery. Diagnostic accuracy for the presence of PD-related mild cognitive impairment (MCI) and correlations with traditional neuropsychological measures are reported. Individuals with MCI ( = 9) scored lower than individuals without cognitive impairment (17.56 vs. 19.50; = -2.28, = .03, = -1.00). Diagnostic accuracy for MCI ranged from 76% to 81%, with sensitivity ranging from 0.56 to 0.67 and specificity ranging from 0.92 to 1.00. Correlations of T-MoCA derived scores with traditional neuropsychological measures were quite modest, with the exception of the memory impairment scale. This rapid communication presents preliminary validation of the T-MoCA for use in individuals with PD. Caveats and implications for practical use in the current pandemic are discussed.
在当前的大流行中，神经心理学状态的远程筛查已成为必要。为电话筛查开发的仪器不如传统的神经心理学测量方法得到充分验证。因此，本研究初步验证了帕金森病（PD）患者的电话版蒙特利尔认知评估（T-MoCA）。21 名 PD 患者完成了 T-MoCA 以及传统的神经心理学测试。报告了诊断 PD 相关轻度认知障碍（MCI）的准确性和与传统神经心理学测量的相关性。患有 MCI 的个体（n=9）的得分低于无认知障碍的个体（17.56 与 19.50；t=-2.28，p=0.03，d=-1.00）。MCI 的诊断准确性范围为 76%至 81%，敏感性范围为 0.56 至 0.67，特异性范围为 0.92 至 1.00。T-MoCA 衍生分数与传统神经心理学测量的相关性相当适中，除了记忆障碍量表。本快速通讯初步验证了 T-MoCA 可用于 PD 患者。讨论了在当前大流行中实际使用的注意事项和影响。
