T-MoCA: A valid phone screen for cognitive impairment in diverse community samples

Mindy J. Katz, Cuiling Wang, Caroline O. Nester, Carol A. Derby, Molly E. Zimmerman, Richard B. Lipton, Martin J. Sliwinski, Laura A. Rabin

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: 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. Methods: 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 assess-ment. 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. Results: Education, race/ethnicity, gender, age, self-reported cognitive concerns, and telephone administration difficulties were associated with both modes of administra-tion; 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. Discussion: The T-MoCA demonstrated sufficient psychometric properties to be use-ful for screening of MCI, especially when clinic visits are not feasible.

Original languageEnglish (US)
Article numbere12144
JournalAlzheimer's and Dementia: Diagnosis, Assessment and Disease Monitoring
Volume13
Issue number1
DOIs
StatePublished - 2021

Keywords

  • Cognitive screening scales
  • Equivalence testing
  • Mild cognitive impairment
  • Montreal Cognitive Assessment
  • Neuropsychology
  • Remote assessment
  • Telephone screening

ASJC Scopus subject areas

  • Clinical Neurology
  • Psychiatry and Mental health

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