Katz Mindy J, Wang Cuiling, Nester Caroline O, Derby Carol A, Zimmerman Molly E, Lipton Richard B, Sliwinski Martin J, Rabin Laura A
Saul R. Korey Department of Neurology Albert Einstein College of Medicine Bronx New York USA.
Department of Epidemiology and Population Health Albert Einstein College of Medicine Bronx New York USA.
Alzheimers Dement (Amst). 2021 Feb 5;13(1):e12144. doi: 10.1002/dad2.12144. eCollection 2021.
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.
迫切需要验证广泛使用的一般认知测量工具的电话版本，如蒙特利尔认知评估量表（电话版蒙特利尔认知评估量表，T-MoCA），用于远程评估。
在爱因斯坦衰老研究中，对一个多样化的社区队列（n = 428；平均年龄 = 78.1岁；66%为女性；54%为非白人），采用等效性检验来检查T-MoCA与相应的面对面蒙特利尔认知评估量表（MoCA）评估之间的一致性。受试者工作特征分析考察了区分轻度认知障碍和正常认知的诊断能力。给出了从T-MoCA转换为MoCA的方法。
教育程度、种族/民族、性别、年龄、自我报告的认知问题以及电话施测困难与两种施测方式均相关；然而，在检查两种方式之间的差异时，这些因素并不显著。T-MoCA的敏感性和特异性（使用尤登指数最佳切点）分别为72%和59%。
T-MoCA表现出足够的心理测量学特性，可用于筛查轻度认知障碍，尤其是在无法进行门诊就诊时。
