Centre ÉPIC and Research Center, Montreal Heart Institute, 5055 rue St Zotique Est, Montréal, QC, H1T 1N6, Canada.
Department of Psychology, Université de Montréal, Montréal, Canada.
Aging Clin Exp Res. 2022 Jul;34(7):1627-1633. doi: 10.1007/s40520-022-02092-1. Epub 2022 Feb 18.
The COVID-19 pandemic forced health professionals to rapidly develop and implement telepractice and remote assessments. Recent reviews appear to confirm the validity of a wide range of neuropsychological tests for teleneuropsychology and among these, the Montreal Cognitive Assessment (MoCA), a cognitive screening test widely used in clinical settings. The normative data specific to the context of videoconference administration is essential, particularly that consider sociodemographic characteristics.
This study had for objective to develop French-Quebec normative data for videoconference-administration of the MoCA that consider sociodemographic characteristics.
A total of 230 community-dwelling adults aged 50 years and older taking part in clinical trials completed the MoCA by videoconference. Regression analyses were run with sex, education, and age as predictors of the total MoCA scores, based on previously published norms. As an exploratory analysis, a second regression analysis was also run with cardiovascular disease as a predictor.
Regression analyses revealed that older age and lower education were associated with poorer total MoCA scores, for medium effect size (p < 0.001, R = 0.17). Neither sex nor cardiovascular disease, were significant predictors in our analyses. For clinicians, a regression equation was proposed to calculate Z scores.
This study provides normative data for the MoCA administered via videoconference in Quebec-French individuals aged 50 years and over.
The present normative data will not only allow clinicians to continue to perform assessments remotely in this pandemic period but will also allow them to perform cognitive assessments to patients located in remote areas.
COVID-19 大流行迫使卫生专业人员迅速开发和实施远程实践和远程评估。最近的评论似乎证实了广泛的神经心理学测试在远程神经心理学中的有效性,其中包括蒙特利尔认知评估(MoCA),这是一种在临床环境中广泛使用的认知筛查测试。特定于视频会议管理背景的常模数据至关重要,特别是考虑到社会人口统计学特征的常模数据。
本研究的目的是制定考虑社会人口统计学特征的 MoCA 视频会议管理的法语-魁北克常模数据。
共有 230 名年龄在 50 岁及以上的居住在社区的成年人参加了临床试验,通过视频会议完成了 MoCA。根据先前发表的常模,使用性别、教育程度和年龄作为总 MoCA 分数的预测因子,进行回归分析。作为探索性分析,还进行了第二次回归分析,以心血管疾病为预测因子。
回归分析显示,年龄较大和教育程度较低与总 MoCA 分数较差相关,中等效应大小(p<0.001,R=0.17)。在我们的分析中,性别和心血管疾病均不是显著预测因子。对于临床医生,提出了一个回归方程来计算 Z 分数。
本研究为 50 岁及以上的魁北克法语人群通过视频会议进行的 MoCA 提供了常模数据。
本研究的常模数据不仅将允许临床医生在大流行期间继续远程进行评估,还将允许他们对位于偏远地区的患者进行认知评估。