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© 2023. This work is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

Introduction

We investigated the utility of the Telephone-Montreal Cognitive Assessment (T-MoCA) to track cognition in a diverse sample from the Einstein Aging Study.

Methods

Telephone and in-person MoCA data, collected annually, were used to evaluate longitudinal cognitive performance. Joint models of T-MoCA and in-person MoCA compared changes, variance, and test-retest reliability measured by intraclass correlation coefficient by racial/ethnic group.

Results

There were no significant differences in baseline performance or longitudinal changes across three study waves for both MoCA formats. T-MoCA performance improved over waves 1–3 but declined afterward. Test-retest reliability was lower for the T-MoCA than for the in-person MoCA. In comparison with non-Hispanic Whites, non-Hispanic Blacks and Hispanics performed worse at baseline on both MoCA formats and showed lower correlations between T-MoCA and in-person versions.

Conclusions

The T-MoCA provides valuable information on cognitive change, despite racial/ethnic disparities and practice effects. We discuss implications for health disparity populations.

Highlights

We assessed the comparability of Telephone-Montreal Cognitive Assessment (T-MoCA) and in-person MoCA for tracking cognition.Changes within 3 years in T-MoCA were similar to that for the in-person MoCA.T-MoCA is subject to practice effects and shows difference in performance by race/ethnicity.Test-retest reliability of T-MoCA is lower than that for in-person MoCA.

Details

Title
Tracking cognition with the T-MoCA in a racially/ethnically diverse older adult cohort
Author
Wang, Cuiling 1 ; Nester, Caroline O 2 ; Chang, Katherine 2 ; Rabin, Laura A 3 ; Ezzati, Ali 4 ; Lipton, Richard B 5 ; Katz, Mindy J 4 

 Saul R. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, New York, USA; Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York, USA 
 Department of Psychology, Brooklyn College, City University of New York (CUNY), Brooklyn, New York, USA; Department of Psychology, The Graduate Center, City University of New York (CUNY), New York, New York, USA 
 Saul R. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, New York, USA; Department of Psychology, Brooklyn College, City University of New York (CUNY), Brooklyn, New York, USA; Department of Psychology, The Graduate Center, City University of New York (CUNY), New York, New York, USA 
 Saul R. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, New York, USA 
 Saul R. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, New York, USA; Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York, USA; Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, Bronx, New York, USA 
Section
RESEARCH ARTICLES
Publication year
2023
Publication date
Jan 2023
Publisher
John Wiley & Sons, Inc.
e-ISSN
23528729
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2791909715
Copyright
© 2023. This work is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.