Citation for published article (if previously published)

Wallace, S.E., Donoso Brown, E.V., Simpson, R., D’Acunto, K., Kranjec, A., Rodgers, M., & Agostino, C. (in preparation). Use of a computerized cognitive assessment for people in older adults with and without cognitive impairments.

Primary author school

Rangos School of Health Sciences

Document Type

Supplemental Material


Objective: To investigate older adults’ performance on the paper and electronic Montreal Cognitive Assessment (MoCA). We hypothesized the paper MoCA scores would be significantly higher than electronic MoCA (eMoCA) scores.

Design: Repeated measures and correlational design.

Setting: General community and university clinic.

Participants: A convenience sample of 40 adults over 65 years of age living in the community.

Interventions: Participants completed the eMoCA and paper MoCA in a randomized order during a single session. Participants reported their touchscreen experience and comfort, and indicated their administration modality preferences.

Main Outcome Measures: The primary outcome measures were Paper MoCA and eMoCA total and subscale scores. Secondary outcome measures included participants reported touchscreen experience and comfort, as well as post administration preferences.

Results: A moderate statistically significant correlation was found between performance on the eMoCA and the paper MoCA across all participants. Analysis comparing first administration modality only (eMoCA versus paper MoCA) found that there was not a statistically significant difference in total scores, however there was a statistically significant difference for the visuospatial/executive subscale, which required the test taker to physically interact with either the paper or the tablet. Across all subjects, there was a statistically significant correlation between experience with touchscreen devices and performance on the eMoCA, but not between modality preference and performance.

Conclusion: Modality of administration can impact performance on assessments of cognition. Clinicians should consider the amount of experience with touchscreens prior to deciding which modality to use with a client.


© The Authors