The order of administration of the MoCA XpressO and the digital MoCA Classic test will be determined randomly so that each test will have similar chances of being first, or second. (1) MoCA Clinic and Institute, Greenfield Park, Québec, Canada and (2) Family Medicine Practice, Cornwall, Ontario, Canada Study locations: 2 clinical sites will recruit potentially eligible participants. They must speak English or French and have at least 6 years of formal schooling. There will be an equal number of participants with normal cognition, mild cognitive impairment, and mild AD. Participants in this study will consist of adults age 50 and over, with no restrictions to sex, gender, or ethnicity. Participants will be recruited from the MoCA Memory Clinic and Institute and the Cornwall family practice clinic. Study Sample: the target number of participants is 100. Outcome 2: subjective feedback about user experience for participant (Likert Scale) Hypothesis 2: user experience will be rated high (>=4) on a Likert scale 1-5.ĭemographic information (age, level of education etc.) diagnosis previous MMSE or MoCA score if available frequency of technological use Secondary Objective: explore the users' experience of the MoCA XpressO test through subjective feedback from the participant. Hypothesis 1: There will be a significant correlation between the total scores of the MoCA XpressO and MoCA Classic test. Validity Outcome 1: Correlation between the total score of MoCA XpressO and the total score of the digital MoCA Classic test. Primary Objective: establish validity by comparing the MoCA XpressO vs.

The study's goal is to confirm its performance as a viable screening tool to flag concerns regarding cognition in this population. This study seeks to validate the MoCA XpressO self-administered digital test compared to the MoCA Classic test for adults aged 50+. Language is assessed using a three-item confrontation naming task with low- familiarity animals (3 points), a two-item syntactically complex sentence repetition task (2 points), and the aforementioned fluency task.įinally, orientation to time and place is evaluated (6 points). Multiple aspects of executive functions are assessed using an alternation task adapted from the trail-making B task (1 point), a phonemic fluency task (1 point), and a two-item verbal abstraction task (2 points).Īttention, concentration and working memory are evaluated using a target detection task (1 point), a serial subtraction task (3 points), and a forward and backward digit sequence task (1 point each). Visuospatial abilities are assessed using a clock-drawing task (3 points) and a three-dimensional cube copy (1 point). The short-term memory recall task (5 points) involves two learning trials of five nouns and delayed recall after approximately 5 minutes. The MoCA Classic assesses several cognitive domains. The test and administration instructions are freely accessible at The test is available in over 55 languages and dialects. The MoCA Classic test (version 8.2) is a one-page 30-point test administered in 10 minutes. (The Montreal Cognitive Assessment, MoCA: A Brief Screening Tool for Mild Cognitive Impairment. The MoCA Classic test was first published in 2005 by Nasreddine et al. The test can be administered in an empty office in the clinic, or in the comfort of the patient's home. This test can help individuals assess whether they should have concerns regarding their cognition and should bring these concerns up to their physician. If the long IQCODE is used for screening for dementia, a cutting point of 3.27/3.30 balances sensitivity and specificity. For the short IQCODE, a cutting point of 3.31/3.38 achieves a balance of sensitivity and specificity.The MoCA XpressO is a self-administered medical digital cognitive screening test. A score of 4 means an average of 'a bit worse'. A score of 3 means that the subject is rated on average as 'no change'. The result is a score that ranges from 1 to 5. To score the IQCODE, add up the score for each question and divide by the number of questions. For the long IQCODE, divide by 26.

Information from the IQCODE and the Mini-Mental State Examination can be combined in the DemeGraph to aid in assessing for dementia. A literature review (PDF, 146KB) is available for more information. The questionnaire is filled out by a relative or friend who has known the elderly person for 10 years or more. The Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) screening tool is a short questionnaire designed to assess cognitive decline and dementia in elderly people.

Moca test pdf français