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Cognitive Function in Pulmonary Rehabilitation (page 2)

 

PRA OUTCOMES

Montreal Cognitive Assessment

 

Description

Name of Questionnaire Montreal Cognitive Assessment 1
Abbreviation/Alternate Name MoCA©
Description: Early detection of mild cognitive impairment (MCI) 
Developer Ziad Nasreddine https://mocacognition.com 
E-mail info@mocacognition.com 
Cost Training certification US $150.00 if not students, faculty members, academic researchers and publicly operated healthcare institutions. Free after certification/signing disclaimer.
License required Training & certification mandatory for “all clinicians, researchers, health professionals, and workers administering MoCA for clinical or research purposes”.
Self-or rater-administered Self and trained by interviewer in person or by telephone.2 
Time to complete 5 min telephone to 15 min (paper version).
Number of items 30
Domains & categories (#) 6
Name of domains/ categories Attention, orientation, language, verbal memory, visuospatial, and executive function.
Scaling of items 0 to 6 points
Scoring 0-30 (high scores more favorable). Total score and subscores on each of 6 domains: >26; normal; 18–25 mild; 10–17 moderate; <10 severe cognitive impairment 1
Test-retest/ reproducibility 
  • Test-retest r=0.92, p<0.001 1
  • Internal consistency Cronbach a= 0.83 1
Validity  Content validity vs. MMSE 1,2
Responsiveness to PR 

· 3 months post PR, Pre 22, post 25 p<.01 3

· Those with mild CI and ECOPD 6 wk PR (Δ1.6 ± 2.4, p = 0.004), no change in those without CI 4

MID Not available in pulmonary disease
Languages >100 (https://mocacognition.com)
References

1. Nasreddine et. al. J Am Geriatr Soc 2005; 53: 695-699.

2. Eastus et al. Front Rehabil Sci 2022; 3: 987356.

3. Bonnevie et. al. Int J Chronic Obstruct Pulmon Dis 2020; 15: 1111-1121

4. Frances et. al. Respir Med 2021; 176: 106249.

Date of most recent changes  January 2026

 

PRA OUTCOMES

Rey Auditory Verbal Learning Test

 

Description

Name of Questionnaire Rey Auditory Verbal Learning Test
Abbreviation/Alternate Name RAVLT™; Rey AVLT; AVLT
Description: Assesses verbal learning, immediate recall, delayed recall, and recognition memory. Evaluates episodic memory and susceptibility to interference. 1,2,3 
Developer André Rey (Original, 1958). Adapted by Michael Schmidt (1996).
E-mail https://www.wpspublish.com/ravlt-rey-auditory-verbal-learning-test (Publisher)
Cost Fees apply for commercial kits (manuals/forms). Word lists often found in public domain for research, but standardized norms/forms require purchase.
License required Copyright © 1996 by Western Psychological Services.
Self-or rater-administered Rater-administered.
Time to complete 10–15 minutes (active testing). Total time ~45 mins including delay interval.4 
Number of items 30 words total (15 words in List A + 15 words in List B).
Domains & categories (#) 5
Name of domains/ categories Learning (List A Trials 1–5); Interference (List B); Immediate Recall (List A Trial 6); Delayed Recall (List A Trial 7); Recognition (List A).
Scaling of items 0-15/trial
Scoring Number of correct words.4,5 
Test-retest/ reproducibility

Test-retest total learning recall (Trials 1-5, r= 0.68).

Internal consistency Cronbach a = 0.80 in young healthy adults.6 

Validity 

RAVLT learning (i.e., sum of first 5 trials) correlates with Benton Visual Retention Test (BVRT) immediate recall (r = 0.44, p < 0.01).

RAVLT delayed recall correlates with BVRT delayed recall (r = 0.39, p < 0.05).6 

Responsiveness to PR 

3-months PR:

RAVLT sum of first 5 trials: = 6.23, 95% CI [3.24, 9.23]

RAVLT immediate recall: = 1.14, 95% CI [0.34, 1.94]

RAVLT delayed recall: = 1.11, 95% CI [0.16, 2.07]7 

MID Not established for pulmonary diseases.
Languages Available in several languages.
References

1. Rosenberg SJ et al. J Clin Psychol. 1984;40:785-787.

2. Loring DW et al. J Int Neuropsychol Soc. 2023;29:397-405.

3. McMinn et al. Clin Neuropsychol. 1988;2:67-87.

4. UDS Instructions Form C2T. Univ of Washington; 2025;30-31.

5. Stricker et al. J Int Neuropsychol Soc. 2020;27;211-226.

6. Magalhaes SDS et al. Clin Neuropsych. 2012;9:129-137.

7. Pereira ED et al. Lung. 2011;189:279-285.

Date of most recent updates January 2026

 

PRA OUTCOMES

Trail Making Test

 

Description

Name of Questionnaire Trail Making Test 1
Abbreviation/Alternate Name TMT
Description: A test to assess cognitive function (psychomotor speed, visual attention, working memory, executive function). Trail A and B; are part of the Halstead-Reitan Neuropsychological Battery.
Developer John E. Partington & Russell G. Leiter 1
E-mail https://eatspeakthink.com/wp-content/uploads/2018/06/IowaTrailMaking.pdf
Cost Free.
License required No
Self-or rater-administered Rater-administered.
Time to complete 5 to 10 minutes.
Number of items Part A consists of connecting 25 numbered circles (1 to 25) in ascending order; Part B 25 circles alternating numbers and letters (1 to 13, A to L).
Domains & categories (#) Two.
Name of domains/categories Parts A & Part B.
Scaling of items In seconds
Scoring Number of seconds to complete Part A and Part B. Higher scores indicate greater cognitive impairment. 1
Test-retest/reproducibility

Test-retest reliability:

  • Part A: r = 0.46 (young adult males)2, 0.78 (cerebrovascular disease)2, and

0.69 (neuropsychiatric patients). 3

  • Part B: r = 0.44 (young adult males)2, 0.67 (cerebrovascular disease)2, and

0.66 (neuropsychiatric patients). 3

Validity  Construct validity: Part A (visuoperceptual abilities) and Part B (working memory and task-switching).
Responsiveness to PR 

· Part A: pre-post mean D = -2.17 (in male COPD patients) and -4.02 (in female COPD patients).

· Part B: pre-post mean D = -33.89 (in male COPD patients) and -40.4 (in female COPD patients) (p < 0.05). 5

MID Not available for pulmonary diseases.
Languages Available in several languages.
References

1. Reitan RM.. Percept Mot Skills . 1958;8:271-276..

2. Matarazzo JD et al. J Nerv Ment Dis. 1974;158:37-49.

3. Goldstein G et al. Clinical Neuropsychol.1989;3:265-272.

4. Sanchez-Cubillo I et al. J Int Neuropsychol Soc. 2009;15:438-50.

5. Emery CF et al. Chest. 1991;100:613-7.

Date of most recent changes  January 2026