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The Montreal Cognitive Assessment (MoCA) in geriatric rehabilitation: psychometric properties and association with rehabilitation outcomes


Sweet, Lisa, Van Adel, Mike, Metcalf, Valerie, Wright, Lisa, Harley, Anne, Leiva, René, Taler, Vanessa


International Psychogeriatrics / IPA, Volume: 23, No.: 10, Pages.: 1582-1591

Year of Publication



Background: Cognitive status has been reported to be an important predictor of rehabilitation outcome. The Montreal Cognitive Assessment (MoCA) was designed to overcome some of the limitations of established cognitive screening tools such as the Mini-Mental State Examination (MMSE). The purpose of this study is to evaluate the psychometric characteristics of the MoCA as a screening tool in a geriatric rehabilitation program and its ability to predict rehabilitation outcome.; Methods: Forty-seven geriatric rehabilitation program patients participated in the study. Assessments of each patient’s functional (Functional Independence Measure) and cognitive status (MMSE and MoCA) were performed. Information on discharge destinations were obtained and rehabilitation efficacy and efficiency scores were calculated.; Results: Significant correlations were found between the MoCA and other cognitive status measures. Cognitive status at admission and successful rehabilitation were also associated. Defining rehabilitation success on the basis of relative functional efficacy (an indicator that includes the patient’s potential for improvement), the sensitivity and specificity of the MoCA were 80% and 30% respectively. The attention subscale of the MoCA was also uniquely predictive of rehabilitation success. The attention subscale (cutoff 5/6) of the MoCA had a sensitivity of 40% and specificity of 90%, as did the MMSE.; Conclusions: As a cognitive screening tool, the MoCA appears to have acceptable psychometric properties. Results suggest that the MoCA can have a considerable advantage over the MMSE in sensitivity and equivalence in specificity using both total and attention scale scores. The MoCA may be a more useful measure for detecting cognitive impairment and predicting rehabilitation outcome in this population.;

Bibtex Citation

@article{Sweet_2011, doi = {10.1017/s1041610211001451}, url = {}, year = 2011, month = {aug}, publisher = {Cambridge University Press ({CUP})}, volume = {23}, number = {10}, pages = {1582--1591}, author = {Lisa Sweet and Mike Van Adel and Valerie Metcalf and Lisa Wright and Anne Harley and Ren{'{e}} Leiva and Vanessa Taler}, title = {The Montreal Cognitive Assessment ({MoCA}) in geriatric rehabilitation: psychometric properties and association with rehabilitation outcomes}, journal = {Int. Psychogeriatr.} }


aged, aged, 80 and over, aging, cognition disorders, female, geriatrics, humans, male, methods, neuropsychological tests, psychology, psychometrics, rehabilitation, sensitivity and specificity, standards, statistics & numerical data, treatment outcome

Countries of Study


Types of Dementia

Mild Cognitive Impairment (MCI)

Types of Study

Instrument development and testing (cross walking of measures, etc.)

Type of Outcomes



Hospital Inpatient Care

Type of Interventions

Diagnostic Target Identification

Risk Factor Modifications

At risk population

Diagnostic Targets

Cognition testing (inc. task driven tests such as clock drawing)