Question:
In adults with cognitive impairment or memory problems how effective is the MoCA (Montreal Cognitive Assessment) compared to the MMSE (Mini Mental State Examination) in memory management / managing cognitive impairment?
Answer:
Evidence from six diagnostic test accuracy studies indicated
that the MoCA is likely to perform as well as or better than the
MMSE for the diagnosis of cognitive impairment in a variety of
relevant populations. There was also evidence to suggest that the
MoCA could be used with a higher diagnostic threshold to maximise
sensitivity for screening applications.
Evidence from one study, which analysed the association of
individual components of MoCA and MMSE with cognitive impairment,
indicated that there may be potential to develop a brief instrument
which could have better diagnostic performance than either MoCA or
MMSE; further research in this area may be useful.