![]() ![]() Score adjustments based on relatively homogeneous populations such as these can be sample specific and may not be generalizable to populations with diverse cultural, linguistic, and socioeconomic backgrounds. No score adjustment was suggested for those with <4 years of education. More recently, in recognition of the necessity for further score correction in individuals with a lower education, the same group recommended a revised correction of +1 point for 10-12 years of education and +2 points for 4-9 years of education. , was derived from a validation sample residing in Montreal with a mean educational level of approximately 12 years. The initial 1-point correction for ≤12 years of education, suggested by Nasreddine et al. Performance on the MoCA has been demonstrated to be dependent on the educational level. ![]() The Montreal Cognitive Assessment (MoCA) is a 10- to 20-min screening test designed to assist clinicians in detecting early or minor cognitive impairment. Overall, the Spanish version of the MoCA maintained adequate psychometric properties in this population. Conclusion: A compensation of 3-4 points was needed for <6 years of education. Cube copying, sentence repetition, delayed recall, and orientation were most sensitive to cognitive impairment due to AD. Results: We found that with progressive compensation added for those with lower education, unexplained residuals decreased and education-residual association moved to zero, suggesting that more compensation was necessary to better adjust MoCA scores in those with a lower educational level. The interval reliability of the MoCA as well as item discrimination and item validity were examined. ![]() Sensitivity and specificity analyses were performed for the raw and each adjusted score. We examined the pattern of diagnosis-adjusted MoCA residuals in relation to education and compared four alternative score adjustments using bootstrap sampling. Methods: We analyzed data from 50 Spanish-speaking participants. The purpose of this study was to identify how to best adjust MoCA scores and to identify MoCA items most sensitive to cognitive decline in incipient Alzheimer's disease (AD) in a Spanish-speaking population with varied levels of education. Background/Aims: Performance on the Montreal Cognitive Assessment (MoCA) has been demonstrated to be dependent on the educational level. ![]()
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