![]() Second, the MoCA scores of both our online patient groups were lower than controls, demonstrating construct validity. First, we found that the online MoCA scores do not differ from traditional in-person studies, demonstrating convergent validity. We administered the MoCA to English and Hebrew speakers from three different populations: Parkinson’s disease, Cerebellar Ataxia, and healthy controls via video conferencing. Herein, we tested the validity and generalizability of remote administration of the Montreal Cognitive Assessment (MoCA) test. To address these challenges, in the last decade, the utilization of remote testing platforms has demonstrated promising results regarding the feasibility and efficiency of collecting patient data online. Consequently, studies are often based on small sample sizes, are highly time-consuming, and lack diversity. Traditional in-person neuropsychological studies are inherently difficult to conduct because testing requires the recruitment and participation of individuals with neurological conditions. There is a critical need for accessible neuropsychological testing for basic research and translational studies worldwide. 5Movement Disorders Division, Department of Neurology, Tel Aviv Sourasky Medical Center, Tel Aviv-Yafo, Israel.4Department of Neurology and Neurological Sciences, Stanford University, Stanford, CA, United States.3Loyola Stritch School of Medicine, Chicago, IL, United States.2Department of Occupational Therapy, Faculty of Medicine, Tel Aviv University, Tel Aviv-Yafo, Israel.1Center for Accessible Neuropsychology and Sagol School of Neuroscience, Tel Aviv University, Tel Aviv-Yafo, Israel. ![]() doi:10.Sharon Binoy 1,2,3 Leila Monstaser-Kouhsari 4 Penina Ponger 5 William Saban 1,2* Definitions of dementia and predementia states in Alzheimer’s disease and vascular cognitive impairment: Consensus from the Canadian conference on diagnosis of dementia. STARD 2015: An updated list of essential items for reporting diagnostic accuracy studies. Multilingual aphasia examination: Manual of instruction. ![]() War Department, Adjunct General’s Office.īenton, A., & de Hamsher, K. The diagnosis of mild cognitive impairment due to Alzheimer’s disease: Recommendations from the National Institute on Aging–Alzheimer’s Association workgroups on diagnostic guidelines for Alzheimer’s disease. Published by Oxford University Press on behalf of The Gerontological Society of America.Īlbert, M. The BHA has the potential to save practitioners time and decrease unnecessary referrals for a comprehensive assessment to determine the presence of aMCI.Ĭognitive screening Diagnostic accuracy Logistic regression Validity eHealth. The self-administered BHA provides similar detection of aMCI as a clinician-administered screener (MoCA), with fewer participants classified inconclusively. The BHA model classified fewer participants into the inconclusive category and more as negative for aMCI, compared to the MoCA model (Stuart-Maxwell p =. Optimal cut-points resulted in 22% classified positive, 8% negative, and 70% inconclusive (LR results presented within). For the MoCA, digits, abstraction, delayed recall, orientation, and age predicted aMCI (ROC AUC = 0.71 95% CI: 0.61-0.82). ![]() Optimal cut-points resulted in 21% classified as aMCI (positive), 23% negative, and 56% inconclusive. PLR modeling for the BHA indicated Face-Name Association, Spatial Working Memory, and age-predicted aMCI (ROC AUC = 0.76 95% confidence interval : 0.66-0.86). Ninety-one participants met inclusion criteria (51 aMCI, 40 NC). ![]() Diagnostic accuracy was compared using area under the receiver operating characteristic curve (ROC AUC) analyses. Both logistic regression (LR) and penalized logistic regression (PLR) analyses determined BHA and demographic variables predicting aMCI MoCA variables were similarly modeled. Using a cross-sectional design, community-dwelling older adults completed a neuropsychological assessment, were diagnosed as normal cognition (NC) or aMCI, and completed the BHA and MoCA. We compared the diagnostic accuracy of the BHA to the Montreal Cognitive Assessment (MoCA). Our aim was to validate the online Brain Health Assessment (BHA) for detection of amnestic mild cognitive impairment (aMCI) compared to gold-standard neuropsychological assessment. ![]()
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