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The 30-point Montreal Cognitive Assessment (MoCA) is used commonly in primary care practices to screen for cognitive impairment. Because the MoCA has been determined to be influenced by education and cultural factors, its developers added a 1-point education correction, but whether that adjustment is sufficient is unclear.
Researchers analyzed results of the MoCA and complete neurocognitive assessments in 231 community-dwelling older adults (age, ≥65) with memory concerns in the Bronx, NY, who were enrolled in a randomized trial of another brief cognitive assessment. Among the study population, 42% identified as Hispanic and 39% as African American; 51% chose to have their MoCA assessments in Spanish. On average, those electing English and S…