Validation in French of the Montreal Cognitive Assessment 5-Minute, a brief cognitive screening test for phone administration - 08/10/21
, S. Duhem b, N. Guerouaou b, S. Djelad c, E. Drumez d, A. Duhamel d, S. Bombois a, Z. Nasreddine e, R. Bordet a, D. Deplanque aBienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
| pages | 8 |
| Iconographies | 3 |
| Vidéos | 0 |
| Autres | 0 |
Abstract |
Background |
The prevalence of cognitive impairment and dementia is high and steadily increasing. Early detection of cognitive decline is crucial since some interventions can reduce the risk of progression to dementia. However, there is a lack of manageable scales for assessing cognitive functions outside specialized consultations. Recently, the MoCA-5min, a short version of the Montreal Cognitive assessment (MoCA), phone-administered, was validated for screening for vascular cognitive impairment. The aim of the present study was to validate the MoCA-5min in French in diverse clinical populations.
Methods |
The Cantonese version of the MoCA-5min was adapted for French language. Healthy volunteers and patients with possible or established cognitive impairment (Alzheimer's disease or related disorders, Parkinson's disease, Huntington's disease, type-2 diabetes) participated in the study. The original MoCA and the MoCA-5min were administered, by phone, with a 30-day interval. Alternate forms were used to reduce learning effects.
Results |
The scores of the original MoCA and MoCA-5min correlated significantly (Spearman rho=0.751, P<0.0001, 95% confidence interval 0.657 to 0.819). Internal consistency was good (Cronbach alpha=0.795). The area under the ROC curve was 0.870 and the optimal cut-off value for separating patients with and without cognitive impairment with the MoCA-5min was≤27 with 87.32% sensitivity and 76.09% specificity. Interrater and test-retest reliability were adequate.
Conclusion |
This study demonstrates that the French version of the MoCA-5min is a valid and reliable scale for detecting cognitive impairment in different clinical populations. It is administrable by phone and thus suitable for remote assessment as well as for large-scale screening and epidemiological studies.
Le texte complet de cet article est disponible en PDF.Keywords : Cognition, Mild cognitive impairment, Dementia, MoCA, Screening test, Remote administration
Abbreviations : MCI, MMSE, MoCA, HC, ADRD, MD, T2-D, IQR, CI, ROC, ICC
Plan
Vol 177 - N° 8
P. 972-979 - octobre 2021 Retour au numéro
Article précédent
- Unusual clinical and topographical midbrain stroke revealed by pure sensory disturbance
- M. Petit, E. Medeiros De Bustos, T. Moulin, L. Tatu, F. Vuillier
- Infections and multiple sclerosis: Recommendations from the French Multiple Sclerosis Society
- C. Papeix, C. Donze, C. Lebrun-Frénay, French Group for Recommendations in Multiple Sclerosis (France4MS), the Société Francophone de la Sclérose En Plaques (SFSEP), Co-Chairs, Group of evaluators Coordinators, Readers, Cotator, Expert readers (voters), C. Papeix, C. Donzé, C. Lebrun-Frénay, D. Laplaud, E. Thouvenot, X. Ayrignac, V. Pourcher-Martinez, H. Zéphir, J. de Seze, L. Michel, C. Bensa, C. Cara-Dalliere, A.M. Guen-noc, O. Casez, A. Maarouf, B. Bourre, A. Kwiatkowski, M. Cohen, E. Maillart, N. Collongues, C. Louapre, G. Androdias, A. Guegen, B. Audoin, G. Mattey, P. Bernady, J.M. Faucheux, P. Labauge, C. Meckies, B. Stankoff, P. Tourniaire, A. Dinh, A.M. Guennoc, F. Durnad-Dubief, S. Wiertlewski, N. Derache, E. Le page, S. Pittion, S. Vukusic, P. Clavelou, O. Heinzlef, R. Colamarino, E. Planque, A. Rico, C. Sheiber nogueira, M. de Seze, J. Ciron, H. Alchaar, D. Bensmail, D. Biotti, P. Branger, B. Brochet, B. Castan, A. Creange, E. Creisson, T. DeBroucker, R. Depaz, X. Douay, C. Dulau, M. Faucher, M. Fournier, A. Fromont, P. Gallien, O. Gout, J. Grimaud, Y. Hervé, A. Kerbrat, L. Kremer, L. Lanotte, L. Magy, A. Mania, A. Maurousset, X. Moisset, A. Montcuquet, T. Moreau, N. Morel, I. Patry, D. Peaureaux, M.C. Pouget, A. Ruet, C. Saint-Val, J.P. Stahl, F. Taithe, P. Tattevin, M. Vaillant, F. Vuoto
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’achat d’article à l’unité est indisponible à l’heure actuelle.
Déjà abonné à cette revue ?