BOCA is available online gratis at Introduction BOCA has the potential to reduce the cost and improve the quality of longitudinal cognitive tracking essential for testing novel interventions designed to reduce or reverse cognitive aging. The practice effect tested by daily BOCA administration over 10 days was insignificant (β=0.03, p=0.74). The study revealed strong (R=0.94, p <0.001) test-retest reliability of the total BOCA score one week after participants’ initial administration. BOCA demonstrated strong correlation with Montreal Cognitive Assessment (MOCA) (R= 0.90, p <0.001). The Cronbach’s alpha was 0.87 implying good internal consistency. Test scores were significantly different between patients and controls (p < 0.001) suggesting good discriminative ability. BOCA was administered to patients with cognitive impairment (n = 50) and age- and education-matched controls (n = 50). BOCA evaluates eight cognitive domains: 1) Memory/Immediate Recall, 2) Language Comprehension/Prefrontal Synthesis, 3) Visuospatial Reasoning / Mental rotation, 4) Executive function / Clock Test, 5) Attention, 6) Mental math, 7) Orientation, and 8) Memory/Delayed Recall. BOCA uses randomly selected non-repeating tasks to minimize practice effects. The goal of this project was to validate BOCA. We developed a self-administered 10-minute at-home test intended for longitudinal cognitive monitoring, Boston Cognitive Assessment or BOCA. Make sure to let your health care provider know about any new problems your loved one has with memory, language, or ability to function in daily life.Longitudinal cognitive testing is essential for developing novel preventive interventions for dementia and Alzheimer’s disease however, the few available tools have significant practice effect and depend on an external evaluator. Your loved one also may be asked to take the MMSE test again in the future to see how memory loss has progressed. These drugs may improve certain symptoms of dementia, but they haven’t been shown to slow or stop the progress of dementia. If your loved one is diagnosed with dementia, he or she may be offered a drug designed to help patients with dementia. These may include assisted living, memory care or a nursing home. You may need to find more care options for your loved one, such as regular in-home care or dementia care options in a residential care community. Your health care professional will let you know what next steps to take, depending on the diagnosis. Your loved one will have to undergo other tests for their diagnosis, including a physical exam, a medical history, brain scans, and possibly other memory tests.Īlthough health care providers use the MMSE often, researchers encourage health care professionals to consider the results along with the patient’s personality, behavior, and how he or she is able to manage at home and with daily life activities. The health care professional will consider this result when determining whether to diagnose your loved one with dementia. If your loved one has a score between 10 and 20 points on the MMSE, he or she may have moderate dementia. ![]() The scores are generally grouped as follows: The MMSE has a maximum score of 30 points. Some test items receive a higher score than others. The total possible score on the test is 30 points. The MMSE asks questions such as, “What is the year?”, “Where are we now?”, “Make up and write a sentence about anything,” and “Spell WORLD backwards.” The MMSE is used to help measure short- and long-term memory, concentration and understanding instructions. The MMSE is not the only test given to find out if someone has dementia, but it is a test that is often used by health care professionals. This person may have Alzheimer’s disease, which is the most common form of dementia. Dementia refers to a decline in mental ability that is severe enough to affect daily life. The Mini-Mental State Examination (MMSE) is a test that health care professionals give to someone who may have dementia.
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