Validation and Optimal Cut-Off Scores of the Bahasa Malaysia Version of the Montreal cognitive assessment (MoCA-BM) for mild cognitive impairment among community dwelling older adults in Malaysia

The goal of this study was to examine the reliability and validity of the Bahasa Malaysia version of the Montreal cognitive assessment (MoCA-BM) and to determine its optimal cut-off score among older adults with mild cognitive impairment (MCI), after adjustments for age, gender, levels of education,...

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Main Authors:	Normah Che Din, Suzana Shahar, Baitil Husna Zulkifli, Rosdinom Razali, Chyn, Ai Vyrn, Azhadi Omar
Format:	Article
Language:	English
Published:	Penerbit Universiti Kebangsaan Malaysia 2016
Online Access:	http://journalarticle.ukm.my/10275/ http://journalarticle.ukm.my/10275/ http://journalarticle.ukm.my/10275/1/06%20%20Normah%20Che%20Din.pdf

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spelling	ukm-102752017-04-06T07:06:16Z http://journalarticle.ukm.my/10275/ Validation and Optimal Cut-Off Scores of the Bahasa Malaysia Version of the Montreal cognitive assessment (MoCA-BM) for mild cognitive impairment among community dwelling older adults in Malaysia Normah Che Din, Suzana Shahar, Baitil Husna Zulkifli, Rosdinom Razali, Chyn, Ai Vyrn Azhadi Omar, The goal of this study was to examine the reliability and validity of the Bahasa Malaysia version of the Montreal cognitive assessment (MoCA-BM) and to determine its optimal cut-off score among older adults with mild cognitive impairment (MCI), after adjustments for age, gender, levels of education, physical functioning and depressive symptoms. A total of 2237 community dwelling older adults aged 60 years and above were randomly selected for the study, excluding those with MMSE score below 14. Instruments administered were the MoCA-BM, the Malay Mini-Mental State Examination (MMMSE), the Rey Auditory Verbal Learning Test (RAVLT), the Digit Span and the Digit Symbol subtests of the Wechsler Adult Intelligence Scale (WAIS), activities of daily living (ADL) and the Geriatric Depression Scale (GDS). MCI were determined using the Petersen’s 2014 criteria as the gold standard. SPSS version 22 was used for reliability and validity analysis and optimal cut-off score detection. Cronbach’s α of the MoCA-BM was 0.691 and concurrent validity was high between MoCA-BM and MMMSE scores (r=0.741). Optimal cut-off point for MoCA-BM to detect MCI among older adults in Malaysia was 17/18, with sensitivity of 68.2% and specificity of 61.3%. Using this cut-off, 38.9% of participants were detected to be at risk of MCI. In conclusion, MoCA-BM is a reliable and valid screening instrument for MCI among Malaysian elderly community. The newly derived optimal cut-off for MCI is much lower than the original MoCA with modest ability to discriminate between normal and MCI older adults in the community. Penerbit Universiti Kebangsaan Malaysia 2016-09 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/10275/1/06%20%20Normah%20Che%20Din.pdf Normah Che Din, and Suzana Shahar, and Baitil Husna Zulkifli, and Rosdinom Razali, and Chyn, Ai Vyrn and Azhadi Omar, (2016) Validation and Optimal Cut-Off Scores of the Bahasa Malaysia Version of the Montreal cognitive assessment (MoCA-BM) for mild cognitive impairment among community dwelling older adults in Malaysia. Sains Malaysiana, 45 (9). pp. 1337-1343. ISSN 0126-6039 http://www.ukm.my/jsm/english_journals/vol45num9_2016/contentsVol45num9_2016.htm
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
language	English
description	The goal of this study was to examine the reliability and validity of the Bahasa Malaysia version of the Montreal cognitive assessment (MoCA-BM) and to determine its optimal cut-off score among older adults with mild cognitive impairment (MCI), after adjustments for age, gender, levels of education, physical functioning and depressive symptoms. A total of 2237 community dwelling older adults aged 60 years and above were randomly selected for the study, excluding those with MMSE score below 14. Instruments administered were the MoCA-BM, the Malay Mini-Mental State Examination (MMMSE), the Rey Auditory Verbal Learning Test (RAVLT), the Digit Span and the Digit Symbol subtests of the Wechsler Adult Intelligence Scale (WAIS), activities of daily living (ADL) and the Geriatric Depression Scale (GDS). MCI were determined using the Petersen’s 2014 criteria as the gold standard. SPSS version 22 was used for reliability and validity analysis and optimal cut-off score detection. Cronbach’s α of the MoCA-BM was 0.691 and concurrent validity was high between MoCA-BM and MMMSE scores (r=0.741). Optimal cut-off point for MoCA-BM to detect MCI among older adults in Malaysia was 17/18, with sensitivity of 68.2% and specificity of 61.3%. Using this cut-off, 38.9% of participants were detected to be at risk of MCI. In conclusion, MoCA-BM is a reliable and valid screening instrument for MCI among Malaysian elderly community. The newly derived optimal cut-off for MCI is much lower than the original MoCA with modest ability to discriminate between normal and MCI older adults in the community.
format	Article
author	Normah Che Din, Suzana Shahar, Baitil Husna Zulkifli, Rosdinom Razali, Chyn, Ai Vyrn Azhadi Omar,
spellingShingle	Normah Che Din, Suzana Shahar, Baitil Husna Zulkifli, Rosdinom Razali, Chyn, Ai Vyrn Azhadi Omar, Validation and Optimal Cut-Off Scores of the Bahasa Malaysia Version of the Montreal cognitive assessment (MoCA-BM) for mild cognitive impairment among community dwelling older adults in Malaysia
author_facet	Normah Che Din, Suzana Shahar, Baitil Husna Zulkifli, Rosdinom Razali, Chyn, Ai Vyrn Azhadi Omar,
author_sort	Normah Che Din,
title	Validation and Optimal Cut-Off Scores of the Bahasa Malaysia Version of the Montreal cognitive assessment (MoCA-BM) for mild cognitive impairment among community dwelling older adults in Malaysia
title_short	Validation and Optimal Cut-Off Scores of the Bahasa Malaysia Version of the Montreal cognitive assessment (MoCA-BM) for mild cognitive impairment among community dwelling older adults in Malaysia
title_full	Validation and Optimal Cut-Off Scores of the Bahasa Malaysia Version of the Montreal cognitive assessment (MoCA-BM) for mild cognitive impairment among community dwelling older adults in Malaysia
title_fullStr	Validation and Optimal Cut-Off Scores of the Bahasa Malaysia Version of the Montreal cognitive assessment (MoCA-BM) for mild cognitive impairment among community dwelling older adults in Malaysia
title_full_unstemmed	Validation and Optimal Cut-Off Scores of the Bahasa Malaysia Version of the Montreal cognitive assessment (MoCA-BM) for mild cognitive impairment among community dwelling older adults in Malaysia
title_sort	validation and optimal cut-off scores of the bahasa malaysia version of the montreal cognitive assessment (moca-bm) for mild cognitive impairment among community dwelling older adults in malaysia
publisher	Penerbit Universiti Kebangsaan Malaysia
publishDate	2016
url	http://journalarticle.ukm.my/10275/ http://journalarticle.ukm.my/10275/ http://journalarticle.ukm.my/10275/1/06%20%20Normah%20Che%20Din.pdf
first_indexed	2023-09-18T19:56:59Z
last_indexed	2023-09-18T19:56:59Z
_version_	1777406594767650816

Validation and Optimal Cut-Off Scores of the Bahasa Malaysia Version of the Montreal cognitive assessment (MoCA-BM) for mild cognitive impairment among community dwelling older adults in Malaysia

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