, from values similar to those in the present study to a cutoff point of 14/15 in a study conducted in Spain with elderly people in the control and AD groups with an average education less than that of those in present study. Other studies that used other versions of the MoCA also proposed cutoff scores inferior to those proposed by Nasreddine et al. This shows the importance of adapting the cutoff point according to the population under study. The excellent accuracy of the MoCA-BR when using the cutoff scores proposed in the present study was in contrast with the low percentage of correct classifications when using the cutoff point proposed by the author of the MoCA (62.4%), which is compatible with the results found in a recent meta-analysis. In turn, the diagnosis of AD was based on the criteria of the National Institute of Neurological and Communicative Disorders and Stroke/Alzheimer’s Disease and Related Disorders Association (NINCDS/ADRA). The MCI diagnosis was defined based on the criteria of Petersen. The occupational therapist who applied the MoCA-BR did not participate in the consensus meeting for selection and classification of the elderly, in an effort to avoid the risk of bias by using the information on the MoCA-BR performance for the definition of a cognitive diagnosis. The exclusion criteria for the AD group were: a diagnosis of mixed dementia (AD associated with another type of dementia), and moderate or advanced stages of dementia evaluated by CDR.Ĭonsidering the inclusion and exclusion criteria in the medical interview, past and current medical histories of the elderly, and the performance of a complete neuropsychological evaluation performed by an experience professional, a team composed of a psychiatrist, a neuropsychologist, and a geriatric doctor classified, following a consensus meeting, the participants selected for the control group, the MCI group, and the AD CDR 1 group. The inclusion criteria for the AD group were: age ≥65 years education ≥4 years a clinical diagnosis of Alzheimer’s disease (AD), supported by neuropsychological tests showing cognitive impairment and a functional evaluation showing a decrease in functionality and mild stage dementia, evaluated through CDR, corresponding to a score equal to 1 using this tool. The exclusion criterion for the MCI group was a diagnosis of dementia. The inclusion criteria of the MCI group were: age ≥65 years education ≥4 years a subjective cognitive complaint, preferably confirmed by an informant an objective cognitive deficit confirmed by a low performance under the level expected on neuropsychological tests normal general cognitive functions and intact or minimally impaired functional activities. The exclusion criteria for the control group were: a diagnosis of dementia a diagnosis of relevant neurological or psychiatric diseases or systematic uncontrolled chronic diseases that have an impact on cognition a history of alcoholism or substance abuse aphasia or a visual, hearing, or motor handicap evidence of loss of autonomy or independence in daily activities regular use of psychotropic drugs and altered performance on neuropsychological tests. Epub 2014 Nov 11.The inclusion criteria for the control group were: age ≥65 years and education ≥4 years. doi: 10.1089/tmj.2019.0134.Ī feasibility study of conducting the Montreal Cognitive Assessment remotely in individuals with movement disordersĪ Abdolahi, MT Bull, KC Darwin… – Health informatics …, 2016 – Iiboshi K, Yoshida K, Yamaoka Y, Eguchi Y, Sato D, Kishimoto M, Funaki K, Mimura M, Kishimoto T. 2019 Dec 9:1357633X19890788.Ī Validation Study of the Remotely Administered Montreal Cognitive Assessment Tool in the Elderly Japanese Population. Here are some references validating the remote administration of the MoCA :Ĭomparing face-to-face and videoconference completion of the Montreal Cognitive Assessment (MoCA) in community-based survivors of stroke.Ĭhapman JE, Cadilhac DA, Gardner B, Ponsford J, Bhalla R, Stolwyk RJ. On that page, select the version (MoCa Audiovisual) and language (MoCA Test Full – Telemed instructions), then choose one of the options listed below, then click on Download Test. To download the modified instructions and audiovisual stimuli files, please log in to your account, click MoCA TEST, choose PAPER. Test and Instructions are now available on the website as well as the initial validation results comparing the 5 min version to the full version.įull version can be administered via Skype, FaceTime, or Teleconference, or any locally approved platform. You can download the Blind version of the MoCA from our website and administer it over the phone. MoCA without the visual elements, scored out of 22. ![]() Here are a few options that have been validated to use for remote testing:
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I have known them since the early 1990's, when I began working at their school. Tomo was a first-year and Keiko a third-year student at Musashino Metropolitan High School, 1 a working-class high school in western Tokyo. Introduction: The "New Working Class" of Urban Japan For a brief outline of the book's arguments, please see Note 1A at the end of the article. This article is a modified and developed version of a chapter from Social Class in Contemporary Japan: Structures, Socialization and Strategies, edited by Ishida Hiroshi and David H. The Making of Japan's New Working Class: "Freeters" and the Progression From Middle School to the Labor Market I've no idea how easy/hard it is for you to mod things, though I think the drugs should be a 3 step thing. You should really focus on that mod you can't have a Caribbean island dictatorship without drugs. 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