Literature DB >> 19672065

The validity, reliability and clinical utility of the Hong Kong Montreal Cognitive Assessment (HK-MoCA) in patients with cerebral small vessel disease.

Adrian Wong1, Yun Y Xiong, Pauline W L Kwan, Anne Y Y Chan, Wynnie W M Lam, Ki Wang, Winnie C W Chu, David L Nyenhuis, Ziad Nasreddine, Lawrence K S Wong, Vincent C T Mok.   

Abstract

BACKGROUND/AIMS: To evaluate the psychometric properties of the Hong Kong Montreal Cognitive Assessment (HK-MoCA) in patients with cerebral small vessel disease (SVD).
METHODS: 40 SVD patients and 40 matched controls were recruited. Concurrent and criterion validity, inter-rater and test-retest reliability, internal consistency of the HK-MoCA were examined and clinical observations were made.
RESULTS: Performance on the HK-MoCA was significantly predicted by both executive (beta = 0.23, p = 0.013) and non-executive (beta = 0.64, p < 0.001) composite scores. It differentiated SVD patients from controls (area under the curve = 0.81, p < 0.001) with an optimal cutoff at 21/22. Reliability, internal consistency and clinical utility were good.
CONCLUSION: The HK-MoCA is a useful cognitive screening instrument for use in SVD patients. Copyright 2009 S. Karger AG, Basel.

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Year:  2009        PMID: 19672065     DOI: 10.1159/000232589

Source DB:  PubMed          Journal:  Dement Geriatr Cogn Disord        ISSN: 1420-8008            Impact factor:   2.959


  68 in total

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