Montreal Cognitive Assessment (MoCA) use in general practice for the early detection of cognitive impairment: a feasibility study
Background: GPs can detect cognitive impairment (CI) at a very early stage, allowing early support for people and their caregivers. The early onset of CI is between 50 years and 60 years. Currently, in France, the Mini-Mental State Examination (MMSE) remains the most used screening test, although i...
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| Format: | Article |
| Language: | English |
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Royal College of General Practitioners
2025-04-01
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| Series: | BJGP Open |
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| Online Access: | https://bjgpopen.org/content/9/1/BJGPO.2024.0039 |
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| author | Cassandre Carton Matthieu Calafiore Charles Cauet Nassir Messaadi Marc Bayen David Wyts Wassil Messaadi Teddy Richebe Sabine Bayen |
| author_facet | Cassandre Carton Matthieu Calafiore Charles Cauet Nassir Messaadi Marc Bayen David Wyts Wassil Messaadi Teddy Richebe Sabine Bayen |
| author_sort | Cassandre Carton |
| collection | DOAJ |
| description | Background: GPs can detect cognitive impairment (CI) at a very early stage, allowing early support for people and their caregivers. The early onset of CI is between 50 years and 60 years. Currently, in France, the Mini-Mental State Examination (MMSE) remains the most used screening test, although it has a lower sensitivity and specificity than the Montreal Cognitive Assessment (MoCA) for detecting mild CI, taking an average of 15 minutes to complete. Aim: To investigate the feasibility of the MoCA during routine consultations in general practice for the early detection of CI and to determine prevalence of CI in a primary care setting. Design & setting: A quantitative, prospective feasibility study was carried out in real-life working conditions during routine GP consultations in France. Method: GPs performed MoCA on adults aged ≥50 years, without suspected or confirmed CI. Results: Sixty-one GPs performed 221 MoCA with a mean duration of 8 minutes and detected mild neurocognitive impairment in 62% of patients. Conclusion: The MoCA is feasible and easy to perform during routine consultations in general practice by trained and experienced physicians. |
| format | Article |
| id | doaj-art-2fd0d3d8416c4fc5bc92f7117d9f6eed |
| institution | OA Journals |
| issn | 2398-3795 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Royal College of General Practitioners |
| record_format | Article |
| series | BJGP Open |
| spelling | doaj-art-2fd0d3d8416c4fc5bc92f7117d9f6eed2025-08-20T02:20:16ZengRoyal College of General PractitionersBJGP Open2398-37952025-04-019110.3399/BJGPO.2024.0039Montreal Cognitive Assessment (MoCA) use in general practice for the early detection of cognitive impairment: a feasibility studyCassandre Carton0https://orcid.org/0009-0007-0576-7955Matthieu Calafiore1https://orcid.org/0000-0002-4755-5172Charles Cauet2https://orcid.org/0009-0008-4988-6187Nassir Messaadi3https://orcid.org/0000-0002-3602-7120Marc Bayen4https://orcid.org/0000-0002-9355-3434David Wyts5https://orcid.org/0009-0004-2612-9897Wassil Messaadi6https://orcid.org/0009-0001-8137-8077Teddy Richebe7https://orcid.org/0009-0006-6636-8467Sabine Bayen8https://orcid.org/0000-0002-3334-9394District of General Medicine, Faculty of Medicine, University of Lille, Lille, FranceDistrict of General Medicine, Faculty of Medicine, University of Lille, Lille, FranceDistrict of General Medicine, Faculty of Medicine, University of Lille, Lille, FranceDistrict of General Medicine, Faculty of Medicine, University of Lille, Lille, FranceDistrict of General Medicine, Faculty of Medicine, University of Lille, Lille, FranceDistrict of General Medicine, Faculty of Medicine, University of Lille, Lille, FranceDistrict of General Medicine, Faculty of Medicine, University of Lille, Lille, FranceDistrict of General Medicine, Faculty of Medicine, University of Lille, Lille, FranceDistrict of General Medicine, Faculty of Medicine, University of Lille, Lille, FranceBackground: GPs can detect cognitive impairment (CI) at a very early stage, allowing early support for people and their caregivers. The early onset of CI is between 50 years and 60 years. Currently, in France, the Mini-Mental State Examination (MMSE) remains the most used screening test, although it has a lower sensitivity and specificity than the Montreal Cognitive Assessment (MoCA) for detecting mild CI, taking an average of 15 minutes to complete. Aim: To investigate the feasibility of the MoCA during routine consultations in general practice for the early detection of CI and to determine prevalence of CI in a primary care setting. Design & setting: A quantitative, prospective feasibility study was carried out in real-life working conditions during routine GP consultations in France. Method: GPs performed MoCA on adults aged ≥50 years, without suspected or confirmed CI. Results: Sixty-one GPs performed 221 MoCA with a mean duration of 8 minutes and detected mild neurocognitive impairment in 62% of patients. Conclusion: The MoCA is feasible and easy to perform during routine consultations in general practice by trained and experienced physicians.https://bjgpopen.org/content/9/1/BJGPO.2024.0039screeningconsultation skillsdementiacognitive dysfunctiongeneral practiceprimary healthcare |
| spellingShingle | Cassandre Carton Matthieu Calafiore Charles Cauet Nassir Messaadi Marc Bayen David Wyts Wassil Messaadi Teddy Richebe Sabine Bayen Montreal Cognitive Assessment (MoCA) use in general practice for the early detection of cognitive impairment: a feasibility study BJGP Open screening consultation skills dementia cognitive dysfunction general practice primary healthcare |
| title | Montreal Cognitive Assessment (MoCA) use in general practice for the early detection of cognitive impairment: a feasibility study |
| title_full | Montreal Cognitive Assessment (MoCA) use in general practice for the early detection of cognitive impairment: a feasibility study |
| title_fullStr | Montreal Cognitive Assessment (MoCA) use in general practice for the early detection of cognitive impairment: a feasibility study |
| title_full_unstemmed | Montreal Cognitive Assessment (MoCA) use in general practice for the early detection of cognitive impairment: a feasibility study |
| title_short | Montreal Cognitive Assessment (MoCA) use in general practice for the early detection of cognitive impairment: a feasibility study |
| title_sort | montreal cognitive assessment moca use in general practice for the early detection of cognitive impairment a feasibility study |
| topic | screening consultation skills dementia cognitive dysfunction general practice primary healthcare |
| url | https://bjgpopen.org/content/9/1/BJGPO.2024.0039 |
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