OBJECTIVE The objective of this study was to investigate older adults' performance on the paper and electronic Montreal Cognitive Assessment (eMoCA). DESIGN Repeated measures and correlational design. PARTICIPANTS A convenience sample of 40 adults over 65 years of age living in the community. INTERVENTIONS Participants completed the eMoCA and paper Montreal Cognitive Assessment (MoCA) in a randomized order during 1 session. Participants reported their touchscreen experience and comfort and indicated their 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 eMoCA and paper MoCA performance across all participants. Analysis comparing first administration modality only (eMoCA vs. paper MoCA) found no statistically significant difference in total scores; however, there was a statistically significant difference for the visuospatial/executive subscale, which required physical interaction with paper or the tablet. For this subscale, participants scored lower on the eMoCA versus paper MoCA. 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 affect performance on cognitive assessments. Clinicians should consider individuals' level of touchscreen experience before selecting administration modality.

中文翻译：

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蒙特利尔认知评估的电子版本和纸质版本的比较。

目的本研究的目的是通过纸质和电子蒙特利尔认知评估（eMoCA）研究老年人的表现。设计重复测量和相关设计。参与者居住在社区中的40名65岁以上成年人的便利样本。干预措施参与者在1个疗程中以随机顺序完成了eMoCA和论文蒙特利尔认知评估（MoCA）。参与者报告了他们的触摸屏体验和舒适度，并指出了他们的方式偏好。主要结果指标主要结果指标是纸上MoCA和eMoCA总分和分量表得分。次要结果指标包括参与者报告的触摸屏体验和舒适度，以及给药后偏好。结果在所有参与者中，eMoCA和纸质MoCA表现之间存在中等程度的统计学显着相关性。仅比较第一种给药方式（eMoCA与纸上MoCA）的分析发现，总得分无统计学显着性差异。但是，视觉空间/执行子量表在统计学上有显着差异，需要与纸或平板电脑进行物理交互。对于此分量表，参与者在eMoCA上的得分低于纸上MoCA。触摸屏设备的体验与eMoCA的性能之间在统计学上具有显着的相关性，但模态偏好和性能之间没有显着相关性。结论给药方式会影响认知评估的表现。临床医生应考虑个人的