ORIGINAL ARTICLE |
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Year : 2015 | Volume
: 63
| Issue : 1 | Page : 63--67 |
Validity of Montreal Cognitive Assessment in Non-English speaking patients with Parkinson's disease
Syam Krishnan1, Sunitha Justus2, Radhamani Meluveettil1, Ramshekhar N Menon2, Sankara P Sarma3, Asha Kishore1
1 Comprehensive Care Center for Movement Disorders, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India 2 Department of Neurology, Cognition and Behavioral Neurology Section, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India 3 Achutha Menon Centre for Health Science Studies (AMCHSS), Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India
Correspondence Address:
Dr. Syam Krishnan Associate Professor of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram - 695 011, Kerala India
 Source of Support: Project Number: 5247 of the Comprehensive
Care Centre for Movement Disorders, Sree Chitra Tirunal Institute for
Medical Sciences and Technology, Thiruvananthapuram, Kerala, India, Conflict of Interest: None  | Check |
DOI: 10.4103/0028-3886.152637
Background: The Montreal Cognitive Assessment is a brief and easy screening tool for accurately testing cognitive dysfunction in Parkinson's disease. We tested its validity for use in non-English (Malayalam) speaking patients with Parkinson's disease.
Materials and Methods: We developed a Malayalam (a south-Indian language) version of Montreal Cognitive Assessment and applied to 70 patients with Parkinson's disease and 60 age- and education-matched healthy controls. Metric properties were assessed, and the scores were compared with the performance in validated Malayalam versions of Mini Mental Status Examination and Addenbrooke's Cognitive Examination.
Results: The Montreal Cognitive Assessment-Malayalam showed good internal consistency and test-retest reliability and its scores correlated with Mini Mental Status Examination (patients: R = 0.70; P < 0.001; healthy controls: R = 0.26; P = 0.04) and Addenbrooke's Cognitive Examination (patients: R = 0.8; P < 0.001; healthy controls: R = 0.52; P < 0.001) scores.
Conclusion: This study establishes the reliability of cross-cultural adaptation of Montreal Cognitive Assessment for assessing cognition in Malayalam-speaking Parkinson's disease patients for early screening and potential future interventions for cognitive dysfunction.
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