Floor‐effect in the performance of the Spanish‐language MoCA by cognitively unimpaired Peruvian individuals with low educational background
We observed significant differences in the total MoCA score (b = 9.3, 95% CI: 7.7,11, p<0.001) as well as in the memory index (MoCA-MIS, b = 5.9, 95% CI: 4.4, 7.5, p<0.001), executive function (MoCA-EIS, b = 5.0, 95% CI:4.0,6.0 p<0.001), attention (MoCA-AIS, b = 5.5, 95% CI: 4.4, 6.6, p<0.001), and the remaining subscores (Figure 1). Floor effect was detected in memory, executive, language, and visuospatial indices. (Table 1) The more complex items identified were repetition and abstraction tasks (Figure 2) CONCLUSION: Our results shows that MoCA indices can be significantly influenced by education, floor effect is present even in healthy individuals, and certain items need to be reconsidered due to their difficulty in this context.
Authors
- Nilton Custodio (ORCID: https://orcid.org/0000-0002-8025-3272)
- Marco Málaga (ORCID: https://orcid.org/0000-0002-6477-8423)
- Rosa Montesinos (ORCID: https://orcid.org/0000-0002-9342-8756)
- Diego Bustamante‐Paytan (ORCID: https://orcid.org/0000-0002-1073-1961)
- Diego Chambergo‐Michilot (ORCID: https://orcid.org/0000-0002-3904-7514)
- Ismael Luis Calandri (ORCID: https://orcid.org/0000-0002-6983-1430)
- Adrián Noriega de la Colina (ORCID: https://orcid.org/0000-0001-9933-8164)
- Belén Custodio (ORCID: https://orcid.org/0009-0007-1445-7211)
- Katherine Agüero (ORCID: https://orcid.org/0000-0002-1137-1363)
- Graciet Verastegui (ORCID: https://orcid.org/0009-0000-5928-2215)
Institutions
- Montreal Neurological Institute and Hospital (CA)
- Universidad Privada San Juan Bautista (PE)
- Universidad Científica del Sur (PE)
- Fundación para la Lucha contra las Enfermedades Neurológicas de la Infancia (AR)
- Amsterdam Neuroscience (NL)
- Institute of Peruvian Studies (PE)
- Amsterdam University Medical Centers (NL)
Publication Details
- Journal
- Alzheimer s & Dementia
- Published
- 2024-12-01
- DOI
- https://doi.org/10.1002/alz.090704
- Citations
- 1
- Primary Topic
- Dementia and Cognitive Impairment Research
- Type
- article
- Field-Weighted Citation Impact
- 0.39