Hilgeman Michelle M, Boozer Eugenia M, Snow A Lynn, Allen Rebecca S, Davis Lori L
Tuscaloosa VA Medical Center, Alabama Research Institute on Aging and the Department of Psychology at The University of Alabama, and The University of Alabama School of Medicine.
Tuscaloosa VA Medical Center and Florida Institute of Technology.
J Rural Soc Sci. 2019 Nov 8;34(2):2-16.
The Montreal Cognitive Assessment (MoCA) is a free, easily accessible screener ideal for rural areas where resources are limited. We examined administration and scoring by Veteran Community Outreach Health Workers (VCOHWs); compared positive screening rates using two cutoff scores; and examined predictors of education-adjusted scores in N = 168 rural military Veterans from the Alabama Veteran Rural Health Initiative. Accuracy of administration (95 percent) and scoring (68 percent) was calculated and recommendations are offered. Higher than expected rates of positive screens were observed (40 percent using 24/30 cutoff) in this relatively young (M = 55 years) community-dwelling sample. Age, education, and race but not subjective health predicted differences in domain and total education-adjusted scores on multivariate and univariate tests. This study advances social science research in rural communities by being the first to: (1) examine MoCA scores in a rural, Deep South U.S. sample; and (2) report fidelity administration data for VCOHWs.
蒙特利尔认知评估量表（MoCA）是一种免费且易于获取的筛查工具，非常适合资源有限的农村地区。我们对退伍军人社区外展卫生工作者（VCOHWs）的施测和评分情况进行了检查；比较了使用两个临界值时的阳性筛查率；并在来自阿拉巴马州退伍军人农村健康倡议的168名农村退伍军人中，研究了教育调整分数的预测因素。计算了施测（95%）和评分（68%）的准确性，并给出了相关建议。在这个相对年轻（平均年龄55岁）的社区居住样本中，观察到阳性筛查率高于预期（使用24/30临界值时为40%）。在多变量和单变量测试中，年龄、教育程度和种族而非主观健康状况可预测各领域及总体教育调整分数的差异。本研究通过首次做到以下两点推动了农村社区的社会科学研究：（1）在美国南部腹地农村样本中研究MoCA分数；（2）报告VCOHWs的施测保真度数据。
