Validating the MoCA for triaging 4 91 4.2.2 Measurements Initial assessment Thiswas completedby anold age psychiatrist and included; a laboratory test (table 1), medical and functional history fromanext of kinandan investigationof Instrumental Activities of Daily Living (IADL) completed by a psychiatric nurse practitioner during a home visit. The 15-item Geriatric depression Scale (GDS15) (Yesavage & Sheikh, 1986) and the Global Assessment of Functioning (GAF) (American Psychiatric Association, 2000) were also taken during this time. If this resulted in suspicion or doubt of CI, the patients were referred to the memory clinic. Table 1. Details of the diagnostic tests The Neuropsychological assessment consisted of the following assessments: Full Test Subtest Dutch reading test for adults to estimate premorbid intelligence (“Nederlandse Leestest voor Volwassenen” NLV ), proverbs, Zung 12; Self-rating Depression scale (ZDS), Raven Coloured Progressive Matrices Questionnaire for orientation and personal and non-personal episodic memories “Toutenburger Vragenlijst” Visual Association Test (VAT) 15 words imprinting and recall or recognition Copying of Drawings; Meander of Luria, Complex figure of Rey, House, Cube, Greek cross. D-KEFS | Trail Making Test A and B (TMT) Hooper Visual Organization test (VOT-short version) Calculation, spelling and reading Binet- Bobertag story Fluency- test category (and letter) Groninger Intelligence test (GIT) Clock reading and writing Wechsler Adult Intelligence Scale; WAIS IV (Symbol substitution, Numerical series/ Digit Span, Agreements/ Similarities, Figures; Figure Weights), Wechsler Memory scale IV; WMS IV (numerical series) Behavioral Assessment of the Dysexecutive Syndrome (BADS; Key search test and Zoo-plan test), Laboratory tests consisted of: Full Blood count; Erythrocyte sedimentation rate (ESR); Potassium (K); Sodium (Na); Creatinine (creat); Calcium (Ca); Urea (Ur); Aspartate transaminase (AST); Alanine transaminase (ALT); Gammaglutamyltransferase (yGT); Alkaline phosphatase (ALP); Glucose non-fasting (Glu); Thyroid Stimulating Hormone (TSH); Albumin; Vitamin B1,B12,D; Folic acid; Albumin (Alb); Total protein; Magnesium (Mg); Syphilis Diagnostic test All of the participants were assessed with a MoCA as soon as possible but within 3 months of initial assessment. This was done by a trained psychiatric nurse practitioner at the old age psychiatry clinic independent of the decision to refer to the memory clinic. The MoCA consists of one page that covers the cognitive domains of executive function and; visuospatial abilities, naming, short term memory, attention and working memory,
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