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

研究成果: 雜誌貢獻文章

摘要

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.
原文英語
頁(從 - 到)162-166
頁數5
期刊International Journal of Gerontology
13
發行號2
DOIs
出版狀態已發佈 - 一月 1 2019

指紋

ROC Curve
Cognition
Cognitive Dysfunction

ASJC Scopus subject areas

  • Geriatrics and Gerontology

引用此文

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title = "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",
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.",
keywords = "ACE-III, Cognitive assessment, Mild cognitive impairment (MCI)",
author = "Lin, {Jhan Yi} and Hsu, {Hui Chuan} and Wang, {Jiun Yi} and Ouyang, {Wen Chen}",
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AU - Hsu, Hui Chuan

AU - Wang, Jiun Yi

AU - Ouyang, Wen Chen

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N2 - 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.

AB - 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.

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