Validation of the Chinese Version of Montreal Cognitive Assessment Basic for Screening Mild Cognitive Impairment

J Am Geriatr Soc. 2016 Dec;64(12):e285-e290. doi: 10.1111/jgs.14530. Epub 2016 Nov 7.

Abstract

Objectives: To evaluate the effectiveness of the Chinese version of the Montreal Cognitive Assessment Basic (MoCA-BC) as a screening tool for detecting mild cognitive impairment (MCI) in Chinese elderly adults.

Design: Cross-sectional.

Setting: Huashan Hospital, Shanghai, China.

Participants: Individuals with MCI (n = 264) and mild Alzheimer's disease (AD) (n = 160) were recruited from the Memory Clinic, Huashan Hospital; cognitively normal controls were recruited from Jinshan Community, Shanghai, China (n = 280).

Measurements: MoCA-BC scores.

Results: The MoCA-BC had good criterion-related validity (Pearson correlation coefficient MoCA-BC vs MMSE = 0.787) and reliable internal consistency (Cronbach alpha = 0.807). The optimal cutoff scores for MCI screening were 19 for individuals with no more than 6 years of education, 22 for individuals with 7 to 12 years of education, and 24 for individuals with more than 12 years of education. The MoCA-BC was superior to the MMSE for detecting MCI, with optimal sensitivity and specificity across all education groups using the above cutoff scores.

Conclusion: The MoCA-BC is a reliable cognitive screening test across all education levels in Chinese elderly adults, with high acceptance and good reliability.

Keywords: Alzheimer's disease; Mini-Mental State Examination; Montreal Cognitive Assessment; mild cognitive impairment.

Publication types

  • Validation Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • China
  • Cognitive Dysfunction / diagnosis*
  • Cross-Sectional Studies
  • Female
  • Geriatric Assessment / methods*
  • Humans
  • Male
  • Mental Status Schedule
  • Middle Aged
  • Neuropsychological Tests
  • Psychiatric Status Rating Scales
  • Psychometrics
  • Sensitivity and Specificity