![]() However, a reliable change cannot be detected for patients with a baseline MoCA of 26 or greater, necessitating a different cognitive assessment tool for these patients. Time since onset of memory problems and post-TT/ELD gait function were the only clinical factors significantly associated with having a reliable change in MoCA after shunt insertion ( p = 0.019 p = 0.03, respectively).Ĭonclusions: In patients with iNPH, clinicians could consider using a threshold of 5 points for determining whether iNPH-symptomatic patients have experienced cognitive benefits from cerebrospinal fluid drainage at an individual level. Among shunted patients, 23.4% improved by at least 5 points on the MoCA from baseline to post-shunt. Compared to patients who did not receive a shunt, patients who received a shunt did not have lower average MoCA at baseline ( p = 0.88) or have better improvement in MoCA scores after the tap test ( p = 0.17). ![]() 10.1% had at least a 5-point increase from baseline to post-TT/ELD. Reliable change thresholds varied across methods from 4 to 7 points for patients outside of this range. Furthermore, a majority of reliable change methods indicated that a 5-point increase in MoCA would be reliable for patients with a baseline MoCA from 14 to 25. Results: All nine of reliable change methods indicated that a 5-point increase in MoCA would be reliable for patients with a baseline MoCA from 16 to 22 (38.4% of patients). Baseline characteristics of patients whose post-shunt MoCA did and did not exceed the reliable change threshold were compared. Reliable change thresholds for MoCA were derived using baseline visit to pre-TT/ELD assessment using nine different methodologies. Patients who were determined to be good candidates for shunts ( N = 71, 31.7%) took another MoCA assessment following shunt insertion. Methods: Patients ( N = 224) presenting with symptoms of iNPH were given a MoCA assessment at their first clinic visit, and also before and after tap test (TT) or extended lumbar drainage (ELD). Furthermore, we aimed to determine the likelihood that shunted patients will demonstrate significant improvement on the MoCA, and to identify possible predictors of this improvement. Objectives: We sought to estimate reliable change thresholds for the Montreal Cognitive Assessment (MoCA) for older adults with suspected Idiopathic Normal Pressure Hydrocephalus (iNPH). 3Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, United States.2Department of Biostatistics, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, United States.1Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, United States.The passing scores for all tests is 220.Eric Wesner 1 * Lacey Etzkorn 2 * Shivani Bakre 2 Jinyu Chen 2 Alexander Davis 1 Yifan Zhang 2 Sevil Yasar 1 Aruna Rao 1 Mark Luciano 3 Jiangxia Wang 2 Abhay Moghekar 1 Graduate alternative certification students must pass this test prior to beginning their program. We advise undergraduates to take this test during the first semester of their teaching Practicum. The Missouri Content Assessment (MOCA) is a required education content examination for state certification. The MoGEA and other Pearson tests may be taken at UMSL's Testing Center. ![]() Elementary MOCA (tests 073 and 074) score of 220 on each subtest. ![]() Equivalency scores that UMSL will accept are as follows: The Science and Social Studies subtest is NOT required by UMSL or the state of Missouri. UMSL requires MoGEA scores of 220 on MoGEA Reading and Math subtests and 193 for Writing. The Missouri General Education Assessment test (MoGEA) is a state general content examination, and a student must demonstrate competency either by passing the test or submitting equivalency scores in order for formal entrance into its Teacher Education Program. ![]()
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