Adaptation and Validation of the Tamil (Sri Lanka) Version of the Montreal Cognitive Assessment (MOCA)

Coonghe, P. A. D.; Fonseka, P; Sivayokan, Sambasivamoorthy; Kesavaraja, A.; Malhotra, Rahul; Østbye, Truls

doi:10.4038/kalyani.v33i1-2.29

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…Singapore is a multi-racial country with a resident population comprising of 74.3% ethnic Chinese, 13,5% Malay and 9% Indians [ 24 ]. In our study MoCA was administered in the patients’ preferred language, either English or in validated translation for Mandarin, Malay or Tamil languages [ 25 – 27 ]. Higher MoCA total scores indicate better cognition function.…”

Section: Methodsmentioning

confidence: 99%

Predictors of cognitive changes in patients with schizophrenia undergoing electroconvulsive therapy

et al. 2023

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Introduction Previous studies on the effects of electroconvulsive therapy (ECT) on cognition in schizophrenia have been inconclusive. This study aimed to identify factors that may predict cognitive improvement or deterioration in patients with schizophrenia after-ECT. Materials & methods Patients with schizophrenia or schizoaffective disorder with predominantly positive psychotic symptoms, who were treated with ECT at the Institute of Mental Health (IMH), Singapore, between January 2016 and January 2018, were assessed. Montreal Cognitive Assessment (MoCA), Brief Psychiatric Rating Scale (BPRS) and Global Assessment of Function (GAF) were performed before and after ECT. Patients with clinically significant improvement, deterioration or no change in MoCA scores were compared on demographics, concurrent clinical treatment and ECT parameters. Results Of the 125 patients analysed, 57 (45.6%), 36 (28.8%) and 32 (25.6%) showed improvements, deterioration and no change in cognition respectively. Age and voluntary admission predicted MoCA deterioration. Lower pre-ECT MoCA and female sex predicted MoCA improvement. Patients showed improvements in GAF, BPRS and BPRS subscale scores on average, except for the MoCA deterioration group, who did not show statistically significant improvement in negative symptom scores. Sensitivity analysis showed that nearly half the patients (48.3%) who were initially unable to complete MoCA pre-ECT were able to complete MoCA post-ECT. Conclusions The majority of patients with schizophrenia demonstrate improved cognition with ECT. Patients with poor cognition pre-ECT are more likely to see improvement post-ECT. Advanced age may be a risk factor for cognitive deterioration. Finally, improvements in cognition may be associated with improvements in negative symptoms.

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Section: Methodsmentioning

confidence: 99%

Predictors of cognitive changes in patients with schizophrenia undergoing electroconvulsive therapy

et al. 2023

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“…In the WHO DAS 2.0 scale, each of the 12 items was scored from 0 to 4, where 0, 1, 2, 3, and 4 represented no, mild, moderate, severe, and extreme/complete difficulty, respectively, in the relevant activity; overall scores were categorized as no disability (0), mild disability (1-4), moderate disability (5)(6)(7)(8)(9), and severe disability [25]. Scores of the MoCA scale were categorized as normal (score ≥ 24) and abnormal (score ≤ 23) [27].…”

Section: Introductionmentioning

confidence: 99%

Depression, Disability, and Cognitive Impairment Among Elders With Medical Illnesses Attending Follow-Up Clinics at a Tertiary Care Hospital in Northern Sri Lanka

Sivayokan¹,

Somasiri²,

Maheswaran³

et al. 2022

Cureus

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Introduction:The rising proportion of the elderly is increasingly affected by non-communicable diseases. Despite an abundance of literature suggesting that elders with medical conditions are more vulnerable to depression, disability, and cognitive impairment, these tend to go unnoticed and unaddressed. This study describes the prevalence and correlates of depression, disability, and cognitive impairment among elders with medical illnesses attending follow-up clinics in a tertiary care hospital in northern Sri Lanka.Methods: This descriptive cross-sectional study was carried out among 122 elders (≥60 years) attending medical clinics at Teaching Hospital Jaffna. Depression, disability, and cognitive impairment were assessed by the 15-item Geriatric Depression Scale, 12-item World Health Organization Disability Assessment Schedule 2.0, and Montreal Cognitive Assessment, respectively. Student's T-Test, ANOVA, and correlation coefficient were used in analyzing data using Statistical Package for Social Sciences 25 (SPSS-v25) (IBM, New York, United States).Results: The mean age of the participants was 68.3 years (SD=5.70); 58 (47.5%) were males and 64 (52.5%) were females. Prevalence of depression was 44.3% (95% CI=35.5-53.1), while disability was 95.9% (95% CI=92.4-99.4) and cognitive impairment was 80.3% (95% CI=73.2-87.4). Depression was significantly associated with gender (p=0.013), marital status (p=0.019), and living arrangement (p<0.001). Cognitive impairment was significantly associated with education level (p=0.045), and disability was associated with education level (p=0.008) and marital status (p=0.027). Among the study participants, only 12 (9.8%) had previously sought professional help for depression, disability, or cognitive impairment.Conclusion: Depression, disability, and cognitive impairment are common among the elderly attending medical clinics in Teaching Hospital Jaffna, and are, in most cases, unaddressed.

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Translation, Culturaladaptation and Validation of Gujarati Version of Montreal Cognitive Assessment (Moca) in Older Adults

Agnani

Bhise²

2023

ijsr

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Context: Mild cognitive impairment (MCI) is a term used to describe a level of decline in cognition which is seen as an intermediate stage between normal ageing and dementia in older adults. The Montreal Cognitive Assessment (MoCA) is a useful screening tool validated for MCI. It has been translated in various languages other than English, including various Indian languages such as Hindi, Malayalam, etc. Aims: For the cognitive screening of Gujarati speaking older adults, the Gujarati version of MoCA is required. The present study, therefore, aimed to develop Gujarati version of the MoCA and investigate its validity and reliability for screening MCI in gujarati speaking older adults. Settings and Design: It is a cross sectional study design. The scale was translated in Gujarati as per suggested guidelines and its psychometric properties were evaluated. Qualitative and quantitative validation through expert review was done and content validity Index (CVI) was calculated. Study participants were 30 older adults. Two estimators of reliability i.e., internal consistency reliability and test retest reliability were evaluated. Statistical analysis and results: The content validity was established through qualitative reviews and with I-CVI of each item on scale more than or equal to 0.78 and SCVI/Ave = 0.93. The scale has good internal consistency, Cronbach's alpha (α) =0.74 and high test-retest reliability, intra class correlation coefcient (ICC) =0.87. Conclusions:The Gujarati translated version of MoCAis a valid and reliable tool for detecting mild cognitive impairment in older adults.

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Adaptation and Validation of the Tamil (Sri Lanka) Version of the Montreal Cognitive Assessment (MOCA)

Cited by 3 publications

References 5 publications

Predictors of cognitive changes in patients with schizophrenia undergoing electroconvulsive therapy

Predictors of cognitive changes in patients with schizophrenia undergoing electroconvulsive therapy

Depression, Disability, and Cognitive Impairment Among Elders With Medical Illnesses Attending Follow-Up Clinics at a Tertiary Care Hospital in Northern Sri Lanka

Translation, Culturaladaptation and Validation of Gujarati Version of Montreal Cognitive Assessment (Moca) in Older Adults

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