MoCA Talk #23:
From JAMA to GUIDE: A 20-Year Journey Advancing Dementia Care (Malaz Boustani, MD, MPH) - Thu, June 5, 2025, 12:00 PM EDT
XpressO by MoCA is a 5-minute, self-administered digital tool available on smartphones, tablets, and browsers. It evaluates memory, executive function, and processing speed through interactive tasks and is designed to be predictive of MoCA test performance. XpressO can predict with high accuracy (AUC 0.89) is a test taker will fall above or below the MoCA MCI cut-off).
Fast and convenient
Self-administered in just 5 minutes on any device in multiple languages.
Accessible anywhere
Works on smartphones, tablets, and browsers without special hardware.
Validated accuracy
>85% accuracy in predicting MoCA performance (AUC 0.89 for MCI cut-off).
Scalable for clinics, telemedicine and research
Supports large-scale deployment through the XpressO Professional and the MoCA Data Platform.
Both XpressO Public and Professional use color-coded results for clarity:
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Choose the version that’s right for you.
A quick, self-administered checkup to start a conversation about your brain health. Results provide reassurance for those who are well, or guidance to seek further evaluation.
Built for scale, XpressO Professional uses nine validated tasks with automated scoring. Manage testing across groups and access results securely in the MoCA Data Platform.
The MoCA Standard is a brief, validated cognitive screening tool designed to detect mild cognitive impairment across a wide range of etiologies.
Administered in approximately 10 minutes and scored on 30 points, it evaluates key cognitive domains including memory, executive function, attention, language, visuospatial abilities, and orientation.
Multiple equivalent versions are available to minimize practice effects in longitudinal assessments, making it suitable for repeated administration in both clinical and research settings.
MoCA Basic is specifically designed for individuals with low levels of education or limited literacy. Adapted tasks improve accessibility while maintaining sensitivity to mild cognitive impairment.
Validated across diverse international populations, this version addresses an important gap in cognitive screening by enabling accurate assessment regardless of educational background.
MoCA Basic assesses the same core cognitive domains as the standard version. It is scored on 30 points and typically administered in approximately 15 minutes.
MoCA Visual Impairment is adapted for individuals with significant visual limitations. Tasks requiring visual input have been removed or modified to ensure accessibility while preserving diagnostic utility.
This version maintains strong sensitivity for detecting Alzheimer’s disease and other cognitive disorders. It can also be administered by telephone, supporting flexibility in both in-person and remote contexts.
The assessment is scored on 22 points and can be completed in approximately 10 minutes.
MoCA Hearing Impairment is designed for individuals with moderate to severe hearing loss. The assessment uses visual stimuli, including flashcards, to evaluate cognitive function without reliance on auditory input.
It assesses the same domains as the standard MoCA and provides a reliable and accessible alternative for this population.
Scored on 30 points, it is typically administered in approximately 10 minutes and requires no score adjustment in cognitively intact individuals.
MoCA Telephone is a voice-administered adaptation of the MoCA, designed for remote cognitive screening. It is particularly suitable for individuals with visual impairment or in situations where in-person assessment is not feasible.
This version includes elements from the MoCA Blind, with all visually dependent items removed while maintaining strong sensitivity and specificity for cognitive impairment detection.
Scored on 22 points, it can be administered in approximately 10 minutes and is well-suited for clinical follow-up, large-scale studies, and remote care delivery.
MoCA Videoconference enables clinicians and researchers to administer the MoCA remotely using audio-visual technology. Adapted materials support standardized administration of all test components in a virtual environment.
This format preserves the integrity of the assessment while offering flexibility for remote clinical care and research participation. It is a practical solution for expanding access to cognitive screening without compromising reliability.
Instructional resources are available to support proper administration in telemedicine settings.
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MoCA Solo is a next-generation digital tool for tablets that uses a virtual avatar to independently administer the MoCA Test, ensuring optimal standardization.
The MoCA Paper test is the original 30-point pen-and-paper cognitive assessment that revolutionized cognitive screening worldwide.
MoCA Cognitive Health Assessment Index (MoCA CHAI) is a lifestyle assessment tool that evaluates key factors influencing dementia risk, including physical health, emotional well-being, and diet.