Comparison of the Taiwanese versions of the Addenbrooke's Cognitive Examination-III (ACE-III), Mini-Mental State Examination (MMSE), and Montreal Cognitive Assessment (MOCA) for screening mild cognitive impairment among older Taiwanese people

Jhan Yi Lin, Hui Chuan Hsu, Jiun Yi Wang, Wen Chen Ouyang

Research output: Contribution to journalArticle

Abstract

Background: The purpose of this study was to screen for mild cognitive impairment among a sample of older Taiwanese adults with the Addenbrooke's Cognitive Examination-III (ACE-III) Taiwanese version (TACE-III) based on a comparison with Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA). Methods: A total of 145 participants aged 65 or above were enrolled by convenient sampling in the communities. The ACE-III was translated into a Taiwanese version (TACE-III) and modified. The TACE-III, MMSE, and MoCA were compared, and the ROC curve was applied to the suggested cutoff points. Results: When using MMSE and MoCA to validate the ROC curve, the closest cut-off point for TACE-III between the two validations was suggested to be a score of 76.5 to screen for mild cognitive impairment with a sensitivity = 84% and a specificity = 85%. The consistency levels among the cognitive function domains across the 3 scales were also compared. Conclusion: TACE-III is a potentially more useful tool for screening MCI.

Original languageEnglish
Pages (from-to)162-166
Number of pages5
JournalInternational Journal of Gerontology
Volume13
Issue number2
DOIs
Publication statusPublished - Jan 1 2019

Keywords

  • ACE-III
  • Cognitive assessment
  • Mild cognitive impairment (MCI)

ASJC Scopus subject areas

  • Geriatrics and Gerontology

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