Yes, for those with visual impairments we have created a paper test version called the MoCA-Blind. For those with other physical disabilities such as hemiplegia, test scoring can be applied and converted. More information is included in the Training and Certification program.
Yes, the MoCA app was released in May 2017. It is a replica of the paper version. The Visuospatial/ Executive portion of the test may be administered on the screen using an iPad compatible pen or on paper and integrated into the electronic pdf using the camera option. The MoCA app facilitates administration and scoring procedures, test comparison over time, and detection of Mild Cognitive Impairment as it calculates execution time. It is available on iPad and iOS 9.0 and above and available in English and 4 other languages with more to come. The cost for the MoCA app is of 10 USD per month per rater.
Version 8.1 is the most updated version of the MoCA. It contains additional scoring precisions, instructions on how to calculate the Memory Index Score (MIS) (which is a subscore), and revised instruction verbatim for the verbal fluency and abstraction task. For more information on the MIS, please refer to the following article: MoCA-MIS-JAGS
The test retest performance is very good at even one month with no significant learning effect (please see the MoCA validation study in the References section of the MoCA website). The alternative/equivalent versions of the MoCA should be used to decrease possible learning effects when the MoCA is administered repetitively, for example, every 3 months or less.
The test may be scored on 25 and converted back to 30. Example: 21/25 converts back to 30 by performing the following equation: (21×30) ÷ 25. Total converted score is= 25.2 or 25/30 which is considered in the normal range. Please note that this conversion has not been validated.
To insure consistency and accuracy training and certification to administer and score the MoCA Test will become mandatory as of September 1st 2019. You will have one year to complete MoCA’s Official standardised training and certification program . After Sep 1st 2020, access to the test will not be possible if training and certification are not completed. If you need immediate access to the test, you can select I am already certified, then complete your certification before September 1st 2020.
If you wish to continue using the MoCA Test without being officially trained and certified, you will be at increased risk for administration, scoring and interpretation errors which could lead to misdiagnosis and liability.
If the subject has 12 years of education or fewer, a point is added to his/her total score. Note that this number of years does not refer to a particular education level, for example, it does not refer to individuals that have or have not completed high school. The number of years of education must actually be counted starting after kindergarten (kindergarten must not be included in the count). Please note that the maximum score is 30, therefore, if a subject scores 30/30, a point is not added if he/she has 12 years of education or less.
The following ranges may be used to grade severity: 18-25 = mild cognitive impairment, 10-17= moderate cognitive impairment and less than 10= severe cognitive impairment. However, research for these severity ranges has not been established yet.
The cut-off score of 18 is usually considered to separate MCI from AD but there is overlap in the scores since, by definition, AD is determined by the presence of cognitive impairment in addition to loss of autonomy. The average MoCA score for MCI is 22 (range 19-25) and the average MoCA score for Mild AD is 16 (11-21). For more information, please see the Normative Data section of the MoCA website.
The MoCA Blind is scored out of 22 but is converted back to 30. Example: 19/22 converts back to 30 by performing the following equation: (19×30) ÷ 22. The total converted score is 25.9 or 26/30 which is considered in the normal range. Note that this conversion has not been validated. For more information on the MoCA-Blind, please refer to the following article: MoCA-Blind-JAGS