A reliability of the tele-neuropsychological assessment using the computerized Montreal Cognitive Assessment in community-dwelling older adults

ABSTRACT

Background: The Montreal Cognitive Assessment (MoCA) has been widely used to discriminate individuals with mild cognitive impairment (MCI). As a tele-neuropsychological service has become important due to Coronavirus Disease-19 (COVID-19), computerized neuropsychological assessments delivered by telehealth have recently been developed. However, to date, their reliability is unclear yet. Thus, this study was to investigate the reliability of the tele-neuropsychological assessment using the computerized MoCA (c-MoCA). Method: Thirty-four community-dwelling older adults (age 65-86 years, 17 females) participated in this study. While the primary assessor scored the participant's performance by telehealth, the secondary assessor independently scored the performance by directly observing face-to-face. To establish the inter-rater reliability of the c-MoCA by telehealth, the absolute agreement and the intra-class correlation coefficient (ICC) were analyzed.