Gilad Tamar, Algon Avigail Lithwick, Vakil Eli, Kitany Sabaa, Gharra Raghad, Higaze Reem, Leavitt Victoria M, Saban William
Center for Accessible Neuropsychology, Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel.
Department of Occupational Therapy, Gray Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv, Israel.
NPJ Digit Med. 2025 Jun 20;8(1):379. doi: 10.1038/s41746-025-01787-9.
Traditional in-person neuropsychological tests remain inaccessible and not adapted to individuals in remote geographical locations and linguistically diverse populations. We aimed to make neuropsychological tests more accessible and adapted to diverse populations by leveraging the internet. We examined the feasibility, discriminability, and generalizability of the Montreal Cognitive Assessment-video conferencing version (MoCA-VC) across geographically and linguistically diverse populations. We tested 250 participants from 120+ locations in the USA and Israel, using a standardized MoCA-VC protocol in English, Hebrew, or Arabic. Performance followed expected significant trends across language-speaking cohorts: young adults (YA)>older adults (OA)>people with Parkinson's Disease (PwP), confirming discriminative abilities. However, while the YA groups performed similarly across the three language-speaking cohorts, the OA and PwP Arabic-speaking cohorts demonstrated significantly lower scores, indicating limited generalizability. While these findings support MoCA-VC's feasibility and discriminability, they underscore the need to adapt online cognitive assessments across geographical locations and languages, ensuring greater accessibility worldwide.
传统的面对面神经心理学测试仍然难以进行，并且不适用于地理位置偏远和语言多样化的人群。我们旨在通过利用互联网，使神经心理学测试更易于进行，并适用于多样化的人群。我们研究了蒙特利尔认知评估视频会议版本（MoCA-VC）在地理和语言多样化人群中的可行性、区分性和普遍性。我们使用英语、希伯来语或阿拉伯语的标准化MoCA-VC协议，对来自美国和以色列120多个地点的250名参与者进行了测试。各语言群体的表现遵循预期的显著趋势：年轻人（YA）>老年人（OA）>帕金森病患者（PwP），证实了其区分能力。然而，虽然年轻人组在三个语言群体中的表现相似，但讲阿拉伯语的老年人和帕金森病患者群体的得分显著较低，表明普遍性有限。虽然这些发现支持了MoCA-VC的可行性和区分性，但它们强调了需要针对不同地理位置和语言调整在线认知评估，以确保在全球范围内更易于进行。
