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- Publisher Website: 10.1093/arclin/acz086
- Scopus: eid_2-s2.0-85105761215
- PMID: 31942599
- WOS: WOS:000667754500008
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Article: Accuracy of the Montreal Cognitive Assessment in Detecting Mild Cognitive Impairment and Dementia in the Rural African Population
Title | Accuracy of the Montreal Cognitive Assessment in Detecting Mild Cognitive Impairment and Dementia in the Rural African Population |
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Authors | |
Keywords | dementia mild cognitive impairment MoCA Tanzania |
Issue Date | 2020 |
Publisher | Pergamon. The Journal's web site is located at http://www.elsevier.com/locate/archclinneuro |
Citation | Archives of Clinical Neuropsychology, 2020, Epub 2020-01-13 How to Cite? |
Abstract | Objective:
The incidence of dementia in the sub-Saharan Africa is rising. However, screening tools for cognitive decline that fits their linguistic and cultural context are lacking. The aim of this study was to determine the accuracy of the Kiswahili version of Montreal Cognitive Assessment (K-MoCA) to detect mild cognitive impairment or dementia among older adults in the rural Tanzania.
Methods:
We recruited 259 community-dwelling older adults in Chamwino district, Tanzania. The concurrent validity and discriminatory power of K-MoCA were examined by comparing its score with IDEA cognitive screening and psychiatrist’s diagnosis using DSM-V, respectively. All the questionnaires were administered in face-to-face interview.
Results:
K-MoCA demonstrated acceptable reliability (Cronbach’s alpha = 0.780). Concurrent validity was evident by its significant correlation with the IDEA screening test (Pearson’s r = 0.651, p < 0.001). Using the psychiatrist’s rating as the reference, the optimal cut-off score for MCI and dementia was 19 and 15, respectively, which yielded the sensitivity of 70% and specificity of 60% for MCI, and sensitivity of 72% and specificity of 60% for dementia. Further analysis indicated that education and age influence performance on K-MoCA.
Conclusion:
Overall, the K-MoCA is a reliable and valid tool for measuring cognitive decline. However, its limited discriminatory power for MCI and dementia may be compromised by the cultural irrelevance of some items. |
Persistent Identifier | http://hdl.handle.net/10722/289904 |
ISSN | 2023 Impact Factor: 2.1 2023 SCImago Journal Rankings: 0.755 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Masika, GM | - |
dc.contributor.author | Yu, DSF | - |
dc.contributor.author | Li, PWC | - |
dc.date.accessioned | 2020-10-22T08:19:08Z | - |
dc.date.available | 2020-10-22T08:19:08Z | - |
dc.date.issued | 2020 | - |
dc.identifier.citation | Archives of Clinical Neuropsychology, 2020, Epub 2020-01-13 | - |
dc.identifier.issn | 0887-6177 | - |
dc.identifier.uri | http://hdl.handle.net/10722/289904 | - |
dc.description.abstract | Objective: The incidence of dementia in the sub-Saharan Africa is rising. However, screening tools for cognitive decline that fits their linguistic and cultural context are lacking. The aim of this study was to determine the accuracy of the Kiswahili version of Montreal Cognitive Assessment (K-MoCA) to detect mild cognitive impairment or dementia among older adults in the rural Tanzania. Methods: We recruited 259 community-dwelling older adults in Chamwino district, Tanzania. The concurrent validity and discriminatory power of K-MoCA were examined by comparing its score with IDEA cognitive screening and psychiatrist’s diagnosis using DSM-V, respectively. All the questionnaires were administered in face-to-face interview. Results: K-MoCA demonstrated acceptable reliability (Cronbach’s alpha = 0.780). Concurrent validity was evident by its significant correlation with the IDEA screening test (Pearson’s r = 0.651, p < 0.001). Using the psychiatrist’s rating as the reference, the optimal cut-off score for MCI and dementia was 19 and 15, respectively, which yielded the sensitivity of 70% and specificity of 60% for MCI, and sensitivity of 72% and specificity of 60% for dementia. Further analysis indicated that education and age influence performance on K-MoCA. Conclusion: Overall, the K-MoCA is a reliable and valid tool for measuring cognitive decline. However, its limited discriminatory power for MCI and dementia may be compromised by the cultural irrelevance of some items. | - |
dc.language | eng | - |
dc.publisher | Pergamon. The Journal's web site is located at http://www.elsevier.com/locate/archclinneuro | - |
dc.relation.ispartof | Archives of Clinical Neuropsychology | - |
dc.subject | dementia | - |
dc.subject | mild cognitive impairment | - |
dc.subject | MoCA | - |
dc.subject | Tanzania | - |
dc.title | Accuracy of the Montreal Cognitive Assessment in Detecting Mild Cognitive Impairment and Dementia in the Rural African Population | - |
dc.type | Article | - |
dc.identifier.email | Yu, DSF: dyu1@hku.hk | - |
dc.identifier.email | Li, PWC: pwcli@hku.hk | - |
dc.identifier.authority | Yu, DSF=rp02647 | - |
dc.identifier.authority | Li, PWC=rp02639 | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1093/arclin/acz086 | - |
dc.identifier.pmid | 31942599 | - |
dc.identifier.scopus | eid_2-s2.0-85105761215 | - |
dc.identifier.hkuros | 316794 | - |
dc.identifier.volume | Epub 2020-01-13 | - |
dc.identifier.isi | WOS:000667754500008 | - |
dc.publisher.place | United Kingdom | - |
dc.identifier.issnl | 0887-6177 | - |