![]() ![]() While this approach has a high sensitivity and specificity for the detection of dementia, it is time and resource intensive. First, they ubiquitously rely on trained professionals. Standard cognitive assessments are not suited for weekly/monthly cognitive evaluations. In addition, longitudinal monitoring is essential for testing novel interventions designed to reduce or reverse cognitive aging. Longitudinal monitoring of cognitive health can help clinicians assess if an underlying condition is causing cognitive decline and guide timely therapeutic interventions. Many treatable health conditions (e.g., sleep disorders, hypertension, diabetes, heart failure, hypothyroid), deficiencies (e.g., vitamin B12, tryptophan), as well as lack of movement and social interactions can affect memory and thinking. BOCA is available online gratis at Peer Review reports BOCA has the potential to reduce the cost and improve the quality of longitudinal cognitive tracking essential for testing novel interventions designed to reduce or reverse cognitive aging. The effect of the screen size tested by BOCA administration on a large computer screen and re-administration of the BOCA to the same participant on a smartphone was insignificant (β = 0.82, p = 0.17 positive β indicates greater score on a smartphone). The practice effect tested by daily BOCA administration over 10 days was insignificant (β = 0.03, p = 0.68). The study revealed strong ( R = 0.94, p < 0.001) test-retest reliability of the total BOCA score one week after participants’ initial administration. BOCA demonstrated strong correlation with Montreal Cognitive Assessment (MoCA) ( R = 0.90, p < 0.001). The Cronbach’s alpha was 0.87 implying good internal consistency. Test scores were significantly different between patients and controls ( p < 0.001) suggesting good discriminative ability. BOCA was administered to patients with cognitive impairment ( n = 50) and age- and education-matched controls ( n = 50). BOCA evaluates eight cognitive domains: 1) Memory/Immediate Recall, 2) Combinatorial Language Comprehension/Prefrontal Synthesis, 3) Visuospatial Reasoning/Mental rotation, 4) Executive function/Clock Test, 5) Attention, 6) Mental math, 7) Orientation, and 8) Memory/Delayed Recall. BOCA uses randomly selected non-repeating tasks to minimize practice effects. The goal of this project was to validate BOCA. We developed a self-administered 10-min at-home test intended for longitudinal cognitive monitoring, Boston Cognitive Assessment or BOCA. ![]() MoCA also has an app with automatic scoring, storing of results and uploading simple electronic health records.Longitudinal cognitive testing is essential for developing novel preventive interventions for dementia and Alzheimer’s disease however, the few available tools have significant practice effect and depend on an external evaluator. Free MoCA assessment page downloads include variations for hearing or visual impairment, low education level, and telemedicine. The training and certification module is available at. ![]() The certification is free for students, faculty members, and academic researchers. MoCA established the one-hour training and certification to help healthcare providers, professional associations and organizations increase test administration proficiency and limit risks associated with improper scoring, the organization said. MoCA said more than 500 peer-reviewed studies have shown its test to be more sensitive and accurate than other commonly used assessments, including the Mini-Mental State Exam (MMSE). The test, which usually takes about 10 minutes to complete, is available in paper and digital formats and is widely used in clinical, research, and senior care settings across the globe. “Research has shown additional training to be helpful in reducing common administration errors and improving standardization, which limits risks for clinicians and patients, and improves quality of care.” “Our goal has always been to offer the most advanced screening tools for the earliest detection of cognitive disorders,” MoCA test inventor and neurologist Dr. Online training and certification is available for the 30-question Montreal Cognitive Assessment (MoCA) used to detect the earliest stages of Alzheimer’s and other cognitive disorders. ![]()
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