The CAVIRE has the potential to be an alternative screening modality for cognition in the primary care setting.ĭementia is a syndrome of one’s cognitive function deterioration, leading to increasing difficulties in coping with everyday activities. There was a greater variability in the completion time for the MoCA, most markedly in the oldest group, whereas completion time was less variable for the CAVIRE tasks in all age groups, with most consistency in the 45–54 year-age group.Ĭonclusion: We demonstrate almost equivalent completion times for a VR and a questionnaire-based cognition assessment, with inter-age group variation in VR completion time synonymous to that in conventional screening methods. older, participants completed both the MoCA and CAVIRE tasks in a shorter time. Results: Completion time for CAVIRE as compared to MoCA was significantly ( p < 0.01) shorter, overall (mean difference: 74.9 (SD) seconds) and in each age group. They were assessed using the CAVIRE, comprising 13 segments featuring common everyday activities assessing all six cognitive domains, and the completion time was also recorded through the embedded automated scoring and timing framework. Completion time for the MoCA assessment for each participant was recorded. Methods: A total of 100 participants with a MoCA score of 26 or more were recruited equally into the four 10-year age groups at a primary care clinic in Singapore. CAVIRE (Cognitive Assessment by VIrtual REality), a fully immersive virtual reality system incorporating automated audio-visual instructions and a scoring matrix was developed to assess the six cognitive domains, with potential to maintain consistency in execution of the testing environment and possibly time-saving in busy primary care practice.Īims: This is a feasibility study to compare the completion times of the questionnaire-based Montreal Cognitive Assessment (MoCA) and the CAVIRE in cognitively-healthy Asian adults aged between 35 and 74 years, overall, and in and across each 10-year age group (35–44 45–54 55–64 65–74). Existing questionnaire-based cognitive assessment tools may not comprehensively assess cognitive function and real-time task-performance across all cognitive domains. Introduction: Dementia is increasingly prevalent globally. 8Health Services and Systems Research, Duke-NUS Medical School, Singapore, Singapore.7Centre for Ageing Research and Education, Duke-NUS Medical School, Singapore, Singapore.6Technology Development Centre, Institute of Technical Education College West, Singapore, Singapore.5Centre for Quantitative Medicine, Duke-NUS Medical School, Singapore, Singapore.4Head Office, SingHealth Polyclinics, Singapore, Singapore.

3SingHealth Duke-NUS Family Medicine Academic Clinical Programme, Duke-NUS Medical School, Singapore, Singapore.2Duke-NUS Medical School, Singapore, Singapore.1SingHealth Polyclinics-Outram, SingHealth Polyclinics, Singapore, Singapore.5 Wan Sian Lee 1 Joanne Hui Min Quah 2,3,4 Muthulakshmi Paulpandi 4 Tuan Ann Teh 6 Soon Huat Lim 6 Rahul Malhotra 7,8 Wei Teen Wong 1,2,3* Ngiap Chuan Tan 2,3,4 Jie En Lim 2 John Carson Allen Jr.

Normal moca test score vs age