Evidence map›Paper›PMID 41034827›Full record

ArticleBMC neurology2025

The validity of computerized Montreal cognitive assessment among aging people living with HIV: A pilot study.

Akarin Hiransuthikul, Thanapoom Taweephol, Netchanok Timachai, Saowaluk Suksawek, Chuleeporn Wongvoranet, Tanakorn Apornpong, Kittithatch Booncharoen, Solaphat Hemrungrojn, Anchalee Avihingsanon

Abstract readValidation Study
In one paragraph

Article in BMC neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Akarin Hiransuthikul *Department of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. akarin.h@chula.ac.th.
Thanapoom Taweephol *Neurological Institute, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, OH, USA.
Netchanok TimachaiHIV-NAT, Thai Red Cross AIDS and Infectious Diseases Research Centre, Bangkok, Thailand.
Saowaluk SuksawekHIV-NAT, Thai Red Cross AIDS and Infectious Diseases Research Centre, Bangkok, Thailand.
Chuleeporn WongvoranetHIV-NAT, Thai Red Cross AIDS and Infectious Diseases Research Centre, Bangkok, Thailand.
Tanakorn ApornpongHIV-NAT, Thai Red Cross AIDS and Infectious Diseases Research Centre, Bangkok, Thailand.
Kittithatch BooncharoenNeurocognitive Unit, Division of Neurology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Solaphat HemrungrojnDepartment of Psychiatry, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Anchalee AvihingsanonHIV-NAT, Thai Red Cross AIDS and Infectious Diseases Research Centre, Bangkok, Thailand.

Funding

Chulalongkorn University's Grants for Development of New Faculty Staff DNS 66_049_30_011_1
6 · The paper itself

Abstract

backgroundAs the population of aging people living with HIV (PWH) increases, many have faced neurocognitive problems. Cognitive assessment plays a crucial role as the initial step in cognitive care of this specific population. We aimed to determine the validity between a traditional paper-based and tablet-based cognitive assessment tool among aging Thai PWH.

methodsPWH aged ≥ 50 years underwent cognitive assessment using the Thai-validated Montreal Cognitive Assessment (MoCA). Participants were randomly assigned to receive either the paper-based MoCA or the tablet-based MoCA (eMoCA) first. Two weeks later, participants returned to complete the alternate version of the MoCA. Pearson correlation was used to determine the strength of the relationship between the paper-based MoCA and the eMoCA scores. Concordance correlation coefficients (CCC) were calculated, and a Bland-Altman plot was employed to determine the level of agreement between the two testing methods. Additionally, MoCA scores were compared between individuals with and without prior touchscreen tablet experience.

resultsAmong 46 participants included in the analysis, 12 (26.1%) had experience using a touchscreen tablet. The score discrepancy between the two MoCA versions ranged from - 8 to 6, with a mean (SD) difference of -1.33 (3.22). The Pearson correlation coefficient between the paper-based MoCA and the eMoCA was r = 0.54 (p = 0.001), with a concordance correlation coefficient of 0.47. The Bland-Altman plot showed 95% limits of agreement between - 7.63 and 4.98. Among participants with prior touchscreen tablet experience, scores between the paper-based MoCA and the eMoCA were comparable. However, those without prior touchscreen experience had significantly lower scores on the eMoCA compared to the paper-based MoCA (mean difference - 1.56, 95% CI -2.72 to -0.40).

conclusionsThe eMoCA demonstrated moderate correlation with the paper-based MoCA, with prior touchscreen tablet experience significantly affecting the validity of the MoCA scores between the two versions. Clinicians should consider individuals' level of touchscreen experience before selecting the administration modality.

Indexed as

AgingHIV InfectionsMental Status and Dementia TestsAgedFemaleHumansMaleMiddle AgedPilot ProjectsReproducibility of ResultsThailandAgingCognitionComputerized toolHIVMontreal cognitive assessment

Identifiers

PMID41034827
PMCPMC12487254

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.