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A Bahasa Malaysia version of the Montreal Cognitive Assessment: validation in stroke

Published online by Cambridge University Press:  28 January 2014

Ramesh Sahathevan ,
Katijjahbe Mohd Ali ,
Fiona Ellery ,
Noor Farhanis Mohamad ,
Nashrah Hamdan ,
Norlinah Mohd Ibrahim ,
Leonid Churilov  and
Toby B. Cumming
Ramesh Sahathevan
Affiliation:
Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia Stroke Division, Florey Institute of Neuroscience and Mental Health, Melbourne, Australia
Katijjahbe Mohd Ali
Affiliation:
Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
Fiona Ellery
Affiliation:
Stroke Division, Florey Institute of Neuroscience and Mental Health, Melbourne, Australia
Noor Farhanis Mohamad
Affiliation:
Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
Nashrah Hamdan
Affiliation:
Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
Norlinah Mohd Ibrahim
Affiliation:
Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
Leonid Churilov
Affiliation:
Stroke Division, Florey Institute of Neuroscience and Mental Health, Melbourne, Australia Department of Mathematics and Statistics, The University of Melbourne, Melbourne, Australia
Toby B. Cumming*
Affiliation:
Stroke Division, Florey Institute of Neuroscience and Mental Health, Melbourne, Australia
*
Correspondence should be addressed to: Dr Toby Cumming, Stroke Division, Florey Institute of Neuroscience and Mental Health, Melbourne Brain Centre, 245 Burgundy St, Heidelberg, Victoria, 3084, Australia. Phone: +61-3-9035-7152; Fax: +61-3-9496-2251. Email: toby.cumming@florey.edu.au.
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Abstract

Background:

Many stroke research trials do not include assessment of cognitive function. A Very Early Rehabilitation Trial (AVERT) is an international multicenter study that includes the Montreal Cognitive Assessment (MoCA) as an outcome. At the Malaysian AVERT site, completion of the MoCA has been limited by low English proficiency in some participants. We aimed to develop a Bahasa Malaysia (BM) version of the MoCA and to validate it in a stroke population.

Methods:

The original English version of the MoCA was translated into BM and then back-translated to ensure accuracy. Feasibility testing in a group of stroke patients prompted minor changes to the BM MoCA. In the validation phase, a larger group of bilingual stroke patients completed both the original English MoCA and the finalized BM MoCA, with presentation order counter-balanced.

Results:

Forty stroke patients participated, with a mean age of 57.2 (SD = 10.3). Agreement between BM MoCA and English MoCA was strong (intra-class correlation coefficient = 0.81, 95% CI 0.68–0.90). Scores on BM MoCA were slightly higher than scores on English MoCA (median absolute difference = 2.0, IQR 0–3.5), and this difference was present regardless of which version was completed first.

Conclusions:

The existence of a validated BM version of the MoCA will be of major benefit to clinicians and researchers in Malaysia and the wider South-east Asian region, where the Malay language is used by over 200 million people.

Keywords

cerebral vascular diseaseneuropsychological testingcognitive assessmentscreening
Type
Research Article
Information
International Psychogeriatrics , Volume 26 , Issue 5 , May 2014 , pp. 781 - 786
Copyright
Copyright © International Psychogeriatric Association 2014 

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