Assessing Capacity in the Elderly: Comparing the MoCA with a Novel Computerized Battery of Executive Function
- PMID: 28868068
- PMCID: PMC5567119
- DOI: 10.1159/000478008
Assessing Capacity in the Elderly: Comparing the MoCA with a Novel Computerized Battery of Executive Function
Abstract
Background/aims: Clinicians are increasingly being asked to provide their opinion on the decision-making capacity of older adults, while validated and widely available tools are lacking. We sought to identify an online cognitive screening tool for assessing mental capacity through the measurement of executive function.
Methods: A mixed elderly sample of 45 individuals, aged 65 years and older, were screened with the Montreal Cognitive Assessment (MoCA) and the modified Cambridge Brain Sciences Battery.
Results: Two computerized tests from the Cambridge Brain Sciences Battery were shown to provide information over and above that obtained with a standard cognitive screening tool, correctly sorting the majority of individuals with borderline MoCA scores.
Conclusions: The brief computerized battery should be used in conjunction with standard tests such as the MoCA in order to differentiate cognitively intact from cognitively impaired older adults.
Keywords: Cambridge Brain Sciences Battery; Capacity assessment; Executive function; Montreal Cognitive Assessment.
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References
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- Marson DC, Sawrie SM, Snyder S, McInturff B, Stalvey T, Boothe A, Aldridge T, Chatterjee A, Harrell LE. Assessing financial capacity in patients with Alzheimer disease: a conceptual model and prototype instrument. Arch Neurol. 2000;57:877–884. - PubMed
-
- Folstein MF, Folstein SE, McHugh PR. “Mini-mental state.” A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12:189–198. - PubMed
-
- Nasreddine ZS, Phillips NA, Bédirian V, Charbonneau S, Whitehead V, Collin I, Cummings JL, Chertkow H. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc. 2005;53:695–699. - PubMed
-
- Frost M, Lawson S, Jacoby R. Testamentary Capacity: Law, Practice, and Medicine. Oxford: Oxford University Press; 2015.
-
- Smith T, Gildeh N, Holmes C. The Montreal Cognitive Assessment: validity and utility in a memory clinic setting. Can J Psychiatry. 2007;52:329–332. - PubMed
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