Comparison of Montreal Cognitive Assessment in Korean Version for Predicting Mild Cognitive Assessment in 65-Year and Over Individuals

Objectives. The purpose of this study was to compare the validity and reliability of the two Korean versions of the MoCA for individuals aged ≥65 years. Methods. A total of 185 participants aged ≥65 years were included in this cross-sectional study. This study investigated the reliability of the two...

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Main Authors: Chiang-Soon Song, Hye-Sun Lee, Byung-Yoon Chun
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Occupational Therapy International
Online Access:http://dx.doi.org/10.1155/2022/4108434
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author Chiang-Soon Song
Hye-Sun Lee
Byung-Yoon Chun
author_facet Chiang-Soon Song
Hye-Sun Lee
Byung-Yoon Chun
author_sort Chiang-Soon Song
collection DOAJ
description Objectives. The purpose of this study was to compare the validity and reliability of the two Korean versions of the MoCA for individuals aged ≥65 years. Methods. A total of 185 participants aged ≥65 years were included in this cross-sectional study. This study investigated the reliability of the two Korean versions of the MoCA (the MoCA-K and MoCA-K2) by having each participant complete both assessments twice and comparing them to their Korean version of the Mini-Mental State Exam (MMSE-K) scores. The participants either completed the tests in order A (MoCA-K2 before MoCA-K) then B (MoCA-K before MoCA-K2) or vice versa. The tests were then completed in the opposite order. This study conducted all experiments at 3-day intervals. Results. Of the 185 total participants analyzed, 95 indicated cognitive impairment, while 90 had normal in MoCA-K scores; 50 demonstrated cognitive impairment, while 135 had normal in MMSE-K scores; and 101 and 84 participants showed cognitive impairment and normal in MoCA-K2 scores, respectively. Cronbach’s α values were 0.929 for the MoCA-K, 0.774 for the MMSE-K, and 0.919 for the MoCA-K2. The mean scores were 22.37, 25.29, and 21.96 points for the MoCA-K, MMSE-K, and MoCA-K2, respectively. The sensitivity and the specificity of the MoCA-K were 77.0% and 78.0%, respectively, while those of the MoCA-K2 were 68.9% and 80.0%, respectively. Conclusions. These results suggest that both the MoCA-K and MoCA-K2 are suitable and reliable evaluation tools for MCI screening; however, the MoCA-K had better overall sensitivity and specificity.
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spelling doaj-art-dafd703144b54b2f836eb8f2add951262025-02-03T06:04:59ZengWileyOccupational Therapy International1557-07032022-01-01202210.1155/2022/4108434Comparison of Montreal Cognitive Assessment in Korean Version for Predicting Mild Cognitive Assessment in 65-Year and Over IndividualsChiang-Soon Song0Hye-Sun Lee1Byung-Yoon Chun2Department of Occupational TherapyDepartment of Occupational TherapyDepartment of Tax & ManagementObjectives. The purpose of this study was to compare the validity and reliability of the two Korean versions of the MoCA for individuals aged ≥65 years. Methods. A total of 185 participants aged ≥65 years were included in this cross-sectional study. This study investigated the reliability of the two Korean versions of the MoCA (the MoCA-K and MoCA-K2) by having each participant complete both assessments twice and comparing them to their Korean version of the Mini-Mental State Exam (MMSE-K) scores. The participants either completed the tests in order A (MoCA-K2 before MoCA-K) then B (MoCA-K before MoCA-K2) or vice versa. The tests were then completed in the opposite order. This study conducted all experiments at 3-day intervals. Results. Of the 185 total participants analyzed, 95 indicated cognitive impairment, while 90 had normal in MoCA-K scores; 50 demonstrated cognitive impairment, while 135 had normal in MMSE-K scores; and 101 and 84 participants showed cognitive impairment and normal in MoCA-K2 scores, respectively. Cronbach’s α values were 0.929 for the MoCA-K, 0.774 for the MMSE-K, and 0.919 for the MoCA-K2. The mean scores were 22.37, 25.29, and 21.96 points for the MoCA-K, MMSE-K, and MoCA-K2, respectively. The sensitivity and the specificity of the MoCA-K were 77.0% and 78.0%, respectively, while those of the MoCA-K2 were 68.9% and 80.0%, respectively. Conclusions. These results suggest that both the MoCA-K and MoCA-K2 are suitable and reliable evaluation tools for MCI screening; however, the MoCA-K had better overall sensitivity and specificity.http://dx.doi.org/10.1155/2022/4108434
spellingShingle Chiang-Soon Song
Hye-Sun Lee
Byung-Yoon Chun
Comparison of Montreal Cognitive Assessment in Korean Version for Predicting Mild Cognitive Assessment in 65-Year and Over Individuals
Occupational Therapy International
title Comparison of Montreal Cognitive Assessment in Korean Version for Predicting Mild Cognitive Assessment in 65-Year and Over Individuals
title_full Comparison of Montreal Cognitive Assessment in Korean Version for Predicting Mild Cognitive Assessment in 65-Year and Over Individuals
title_fullStr Comparison of Montreal Cognitive Assessment in Korean Version for Predicting Mild Cognitive Assessment in 65-Year and Over Individuals
title_full_unstemmed Comparison of Montreal Cognitive Assessment in Korean Version for Predicting Mild Cognitive Assessment in 65-Year and Over Individuals
title_short Comparison of Montreal Cognitive Assessment in Korean Version for Predicting Mild Cognitive Assessment in 65-Year and Over Individuals
title_sort comparison of montreal cognitive assessment in korean version for predicting mild cognitive assessment in 65 year and over individuals
url http://dx.doi.org/10.1155/2022/4108434
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AT byungyoonchun comparisonofmontrealcognitiveassessmentinkoreanversionforpredictingmildcognitiveassessmentin65yearandoverindividuals