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Author: search.filters.author.Claudia MejíaHas files: No

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    High orientation and low delayed recall in the standardisation of the Spanish version of the Montreal Cognitive Assessment (MoCA) in elders of Peru
    (Cold Spring Harbor Laboratory, 2024-06-17)
    The elderly in Peru face healthcare barriers in detecting cognitive impairment and dementia due to a lack of validated tools. The Montreal Cognitive Assessment (MoCA) effectively detects early dementia, assessing visuo-spatial function, executive function, naming, memory, attention, language, abstraction, and orientation. METHODS This study aims to standardise the Spanish version of the MoCA for the elderly in Lima. The test was administered to 338 elders from three institutions: Municipality of San Miguel District, San José Obrero Polyclinic, and EDMECON. Regression-based normed scores were computed, adjusted for age and education. RESULTS Our results show high orientation scores and low delayed recall, highlighting cognitive strengths and weaknesses in our sample. Age and education significantly influenced cognitive performance, with education as the strongest predictor. DISCUSSION This study offers normative data for the Peruvian elderly, aiding the clinical use of MoCA in Peru. We discuss appropriate cut-off points and cultural sensitivity in the Peruvian context.
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    Normative data of the Spanish version of the Montreal Cognitive Assessment (MoCA) in older individuals from Peru
    (Associação Neurologia Cognitiva e do Comportamento, 2025-01-01)
    The Montreal Cognitive Assessment (MoCA) has proven to be an effective tool for detecting early dementia in older adults. However, in the Latin American region, there are few available norms of the Spanish version. The Peruvian population faces major healthcare barriers to early screening, so it is important to validate this instrument within this population. Objective: To standardise the Spanish version of the MoCA for the older population in Lima, addressing the critical need for culturally and demographically adapted cognitive evaluation tools in Peru. Methods: The test was administered to 338 ambulatory and homebound adults aged 60 to 80 (216 women) from three institutions: San Miguel District Municipality, San José Obrero Polyclinic in Barranco, and EDMECON in Surco. we computed regression-based norms adjusted for age and education. Results: Sex was not a predictor of the total scores of MoCA. Moreover, age (R2=0.12) and education (R2=0.24) significantly influenced cognitive performance, with education being the strongest predictor. A raw score above 18 indicates normal cognitive performance for the total sample. Conclusions: We provided normative data and cutoff scores for older Peruvians, supporting the clinical use of the MoCA in Peru and setting a benchmark for future test standardizations in the region.
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