Validation of Malay Version of Montreal Cognitive Assessment in Patients with Cognitive Impairment
Clinical Medicine Research
Volume 3, Issue 3, May 2014, Pages: 56-60
Received: Mar. 23, 2014; Accepted: Apr. 15, 2014; Published: Apr. 30, 2014
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Authors
Wee Kooi Cheah, Medical Department, Hospital Taiping, Perak, Malaysia
Hoon Lang Teh, Medical Department, Hospital Kulim, Kedah, Malaysia
Diana Xiao Han Huang, Clinical Research Center, Hospital Pulau Pinang, Penang, Malaysia
Alan Swee Hock Ch’ng, Medical Department, Hospital Seberang Jaya, Penang, Malaysia
Mun Pung Choy, Clinical Research Center, Hospital Taiping, Perak, Malaysia
Ewe Eow Teh, Psychiatry Department, Hospital Pulau Pinang, Penang, Malaysia
Irene Looi, Medical Department, Hospital Seberang Jaya, Penang, Malaysia
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Abstract
Background: Montreal Cognitive Assessment (MoCA) has been shown to be a sensitive tool for cognitive assessment. There are high proportion of Malaysian elderly with limited proficiency in English language. Malay language is a more familiar language across the multiracial population of Malaysia. Objective: The aim of this study is to validate the Malay version of Montreal Cognitive Assessment (MMoCA) in cognitive impairment patients. Methods: Elderly aged 60 years and above were recruited by using convenient sampling method from 4 government hospitals. Subjects were categorized into normal control group versus patients group with cognitive impairment (Alzheimer’s Disease (AD) and Mild Cognitive Impairment (MCI)). All subjects completed MMoCA & MMSE – Malay version, followed by a second assessment, which involved Clinical Dementia Rating (CDR), clinical neurological and psychiatry assessment. Results: Total of 66 subjects was enrolled in the study, 44 were normal control, 14 with AD, 8 with MCI. MMoCA is better than MMSE-Malay in differentiating CDR 0 from CDR > 0. With the cut off point of less than 22, MMoCA has the sensitivity of 0.824 and specificity of 0.818 to detect cognitive impairment. Whereas MMSE-Malay only has sensitivity of 0.765 and specificity of 0.636 with the cut off point of less than 27. Conclusion: The MMoCA is a validated and useful cognitive screening instrument in patients with cognitive impairment.
Keywords
MMSE – Malay: Malay version of Mini Mental State Examination, MMoCA: Malay version of Montreal Cognitive Assessment, CDR: Clinical Dementia Rating,AD: Alzheimer’s Disease, MCI: Mild Cognitive Impairment
To cite this article
Wee Kooi Cheah, Hoon Lang Teh, Diana Xiao Han Huang, Alan Swee Hock Ch’ng, Mun Pung Choy, Ewe Eow Teh, Irene Looi, Validation of Malay Version of Montreal Cognitive Assessment in Patients with Cognitive Impairment, Clinical Medicine Research. Vol. 3, No. 3, 2014, pp. 56-60. doi: 10.11648/j.cmr.20140303.11
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