The Validity, Reliability and Clinical Utility of the Hong Kong Montreal Cognitive Assessment (HK-MoCA) in Patients with Cerebral Small Vessel Disease
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 reli...
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| Veröffentlicht in: | Dementia and geriatric cognitive disorders 2009-01, Vol.28 (1), p.81-87 |
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| creator | Wong, Adrian Xiong, Yun Y. Kwan, Pauline W.L. Chan, Anne Y.Y. Lam, Wynnie W.M. Wang, Ki Chu, Winnie C.W. Nyenhuis, David L. Nasreddine, Ziad Wong, Lawrence K.S. Mok, Vincent C.T. |
| description | 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 (β = 0.23, p = 0.013) and non-executive (β = 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. |
| doi_str_mv | 10.1159/000232589 |
| format | Article |
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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 (β = 0.23, p = 0.013) and non-executive (β = 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.</description><identifier>ISSN: 1420-8008</identifier><identifier>EISSN: 1421-9824</identifier><identifier>DOI: 10.1159/000232589</identifier><identifier>PMID: 19672065</identifier><identifier>CODEN: DGCDFX</identifier><language>eng</language><publisher>Basel, Switzerland: Karger</publisher><subject>Aged ; Aging - psychology ; Biological and medical sciences ; Cerebrovascular Disorders - diagnosis ; Cerebrovascular Disorders - psychology ; Cognition - physiology ; Cognition Disorders - diagnosis ; Cognition Disorders - psychology ; Culture ; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ; Education ; Female ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy ; Humans ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Nervous system (semeiology, syndromes) ; Neurology ; Neuropsychological Tests ; Original Research Article ; Reproducibility of Results ; Sex Characteristics</subject><ispartof>Dementia and geriatric cognitive disorders, 2009-01, Vol.28 (1), p.81-87</ispartof><rights>2009 S. Karger AG, Basel</rights><rights>2009 INIST-CNRS</rights><rights>Copyright 2009 S. Karger AG, Basel.</rights><rights>Copyright (c) 2009 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c392t-d4d22ba1c23d070a8c5f8a1c07bc55a8be7622f85ca63f804dc3b62989bad2c23</citedby><cites>FETCH-LOGICAL-c392t-d4d22ba1c23d070a8c5f8a1c07bc55a8be7622f85ca63f804dc3b62989bad2c23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,2423,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21835484$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19672065$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wong, Adrian</creatorcontrib><creatorcontrib>Xiong, Yun Y.</creatorcontrib><creatorcontrib>Kwan, Pauline W.L.</creatorcontrib><creatorcontrib>Chan, Anne Y.Y.</creatorcontrib><creatorcontrib>Lam, Wynnie W.M.</creatorcontrib><creatorcontrib>Wang, Ki</creatorcontrib><creatorcontrib>Chu, Winnie C.W.</creatorcontrib><creatorcontrib>Nyenhuis, David L.</creatorcontrib><creatorcontrib>Nasreddine, Ziad</creatorcontrib><creatorcontrib>Wong, Lawrence K.S.</creatorcontrib><creatorcontrib>Mok, Vincent C.T.</creatorcontrib><title>The Validity, Reliability and Clinical Utility of the Hong Kong Montreal Cognitive Assessment (HK-MoCA) in Patients with Cerebral Small Vessel Disease</title><title>Dementia and geriatric cognitive disorders</title><addtitle>Dement Geriatr Cogn Disord</addtitle><description>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 (β = 0.23, p = 0.013) and non-executive (β = 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.</description><subject>Aged</subject><subject>Aging - psychology</subject><subject>Biological and medical sciences</subject><subject>Cerebrovascular Disorders - diagnosis</subject><subject>Cerebrovascular Disorders - psychology</subject><subject>Cognition - physiology</subject><subject>Cognition Disorders - diagnosis</subject><subject>Cognition Disorders - psychology</subject><subject>Culture</subject><subject>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</subject><subject>Education</subject><subject>Female</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Neuropsychological Tests</subject><subject>Original Research Article</subject><subject>Reproducibility of Results</subject><subject>Sex Characteristics</subject><issn>1420-8008</issn><issn>1421-9824</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqF0c9rFDEUB_Agiq3Vg3eRICgWHE0yk5nkuIytK21RtO11yGTebNNmkppklf4j_XubdZYWvHjJLz7vPcIXoZeUfKSUy0-EEFYyLuQjtEsrRgspWPX475kUghCxg57FeJlZw2v5FO1QWTeM1HwX3Z5eAD5X1gwm3XzAP8Aa1RubL1i5AbfWOKOVxWdpfvQjTrli6d0KH22WE-9SgCxav3Immd-AFzFCjBO4hN8vj4oT3y72sXH4u0omP0b8x6QL3EKAPuTCn5OyFp_nErD4s4mgIjxHT0ZlI7zY7nvo7PDgtF0Wx9--fG0Xx4UuJUvFUA2M9YpqVg6kIUpoPop8JU2vOVeih6ZmbBRcq7ocBakGXfY1k0L2amC5ag-9m_teB_9rDTF1k4karFUO_Dp2dVNTKRvyX8iIrKhkIsM3_8BLvw4uf6LbZERJQzdj92ekg48xwNhdBzOpcNNR0m0i7e4jzfb1tuG6n2B4kNsMM3i7BSrmqMagnDbx3jEqSl6JKrtXs7tSYQXhAcxz7gDklbDl</recordid><startdate>20090101</startdate><enddate>20090101</enddate><creator>Wong, Adrian</creator><creator>Xiong, Yun Y.</creator><creator>Kwan, Pauline W.L.</creator><creator>Chan, Anne Y.Y.</creator><creator>Lam, Wynnie W.M.</creator><creator>Wang, Ki</creator><creator>Chu, Winnie C.W.</creator><creator>Nyenhuis, David L.</creator><creator>Nasreddine, Ziad</creator><creator>Wong, Lawrence K.S.</creator><creator>Mok, Vincent C.T.</creator><general>Karger</general><general>S. 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Leukodystrophies. Prion diseases</topic><topic>Education</topic><topic>Female</topic><topic>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Neuropsychological Tests</topic><topic>Original Research Article</topic><topic>Reproducibility of Results</topic><topic>Sex Characteristics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wong, Adrian</creatorcontrib><creatorcontrib>Xiong, Yun Y.</creatorcontrib><creatorcontrib>Kwan, Pauline W.L.</creatorcontrib><creatorcontrib>Chan, Anne Y.Y.</creatorcontrib><creatorcontrib>Lam, Wynnie W.M.</creatorcontrib><creatorcontrib>Wang, Ki</creatorcontrib><creatorcontrib>Chu, Winnie C.W.</creatorcontrib><creatorcontrib>Nyenhuis, David L.</creatorcontrib><creatorcontrib>Nasreddine, Ziad</creatorcontrib><creatorcontrib>Wong, Lawrence K.S.</creatorcontrib><creatorcontrib>Mok, Vincent C.T.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Science Database</collection><collection>Social Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Dementia and geriatric cognitive disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wong, Adrian</au><au>Xiong, Yun Y.</au><au>Kwan, Pauline W.L.</au><au>Chan, Anne Y.Y.</au><au>Lam, Wynnie W.M.</au><au>Wang, Ki</au><au>Chu, Winnie C.W.</au><au>Nyenhuis, David L.</au><au>Nasreddine, Ziad</au><au>Wong, Lawrence K.S.</au><au>Mok, Vincent C.T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Validity, Reliability and Clinical Utility of the Hong Kong Montreal Cognitive Assessment (HK-MoCA) in Patients with Cerebral Small Vessel Disease</atitle><jtitle>Dementia and geriatric cognitive disorders</jtitle><addtitle>Dement Geriatr Cogn Disord</addtitle><date>2009-01-01</date><risdate>2009</risdate><volume>28</volume><issue>1</issue><spage>81</spage><epage>87</epage><pages>81-87</pages><issn>1420-8008</issn><eissn>1421-9824</eissn><coden>DGCDFX</coden><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 (β = 0.23, p = 0.013) and non-executive (β = 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.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>19672065</pmid><doi>10.1159/000232589</doi><tpages>7</tpages></addata></record> |
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| subjects | Aged Aging - psychology Biological and medical sciences Cerebrovascular Disorders - diagnosis Cerebrovascular Disorders - psychology Cognition - physiology Cognition Disorders - diagnosis Cognition Disorders - psychology Culture Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases Education Female Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Humans Magnetic Resonance Imaging Male Medical sciences Nervous system (semeiology, syndromes) Neurology Neuropsychological Tests Original Research Article Reproducibility of Results Sex Characteristics |
| title | The Validity, Reliability and Clinical Utility of the Hong Kong Montreal Cognitive Assessment (HK-MoCA) in Patients with Cerebral Small Vessel Disease |
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