A need exists for easily administered assessment tools to detect mild cognitive changes that are more comprehensive than screening tests but shorter than a comprehensive neuropsychological battery. The Toronto Cognitive Assessment (TorCA) was developed to achieve this goal.
The TorCA [formally known as the Behavioural Neurology Assessment – Revised (BNA-R)] is a domain based neurocognitive tool designed for early detection of single and multi-domain amnestic mild cognitive impairment (aMCI). It is intended to give pattern and severity of different cognitive deficits, and to assist in diagnosis of clinical endophenotyping. It provides a relatively quick and reliable assessment of seven cognitive domains: orientation, immediate verbal recall, delayed verbal and visual recall, delayed verbal and visual recognition, visuospatial function, working memory/attention/executive control, and language It is currently being evaluated in different dementias.
The TorCA was normed in cognitive normal persons in the ages 60 to 90. Age did not appear to be a major factor when determining normal cognition. Thus there does not necessarily need an age correction for this test. See poster A – presented at the Canadian Conference in Dementia 2015.
The TorCA is a 25-40 minute assessment able to detect amnestic mild cognitive impairment more readily than the MoCA. See poster B – presented at the Alzheimer Association International Conference 2016.
The TorCA can be readily administered using the iPad app which provides easy scoring and probability of amnestic mild cognitive impairment. See poster C – presented at the Alzheimer Association International Conference 2016.
The TorCA assessment, tools and training and certification is currently in process of becoming available for download on the website. Sign up here to be informed when the TorCA assessment becomes available in 2018.
The Behavioural Neurology Assessment – Short Form (BNA-SF) is a 20-30 minute cognitive assessment tool designed for use by healthcare professionals as an intermediate between short screening tests and more lengthy neuropsychological assessments in an ambulatory or inpatient setting. It consists of 13 subtests divided into the following domains: Attention, Memory, Naming, Visuospatial Function, and Executive Function. It provides qualitative as well as quantitative information and is suitable for patients with mild to moderate stage dementia. It is less sensitive that the TorCA to Mild Cognitive Impairment.
The BNA short form assessment, tools and training and certification is currently in process of becoming available for download on the website. Sign up here to be informed when the BNA short form assessment becomes available in 2018.