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Development and validation of the Montreal cognitive assessment for people with hearing impairment (MoCA-H)

dc.rights.licenseopenen_US
dc.contributor.authorDAWES, Piers
dc.contributor.authorREEVES, David
dc.contributor.authorYEUNG, Wai Kent
dc.contributor.authorHOLLAND, Fiona
dc.contributor.authorCHARALAMBOUS, Anna Pavlina
dc.contributor.authorCOTE, Mathieu
dc.contributor.authorDAVID, Renaud
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorHELMER, Catherine
dc.contributor.authorLAFORCE, Robert
dc.contributor.authorMARTINS, Ralph N.
dc.contributor.authorPOLITIS, Antonis
dc.contributor.authorPYE, Annie
dc.contributor.authorRUSSELL, Gregor
dc.contributor.authorSHEIKH, Saima
dc.contributor.authorSIROIS, Marie-Josee
dc.contributor.authorSOHRABI, Hamid R.
dc.contributor.authorTHODI, Chyrssoula
dc.contributor.authorGALLANT, Kathleen
dc.contributor.authorNASREDDINE, Ziad
dc.contributor.authorLEROI, Iracema
dc.date.accessioned2023-03-14T14:32:16Z
dc.date.available2023-03-14T14:32:16Z
dc.date.issued2023-05
dc.identifier.issn1532-5415 (Electronic) 0002-8614 (Linking)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/172307
dc.description.abstractEnBACKGROUND: Hearing impairment is common among older adults and affects cognitive assessments for identification of dementia which rely on good hearing function. We developed and validated a version of the Montreal Cognitive Assessment (MoCA) for people with hearing impairment. METHODS: We adapted existing MoCA 8.1 items for people with hearing impairment by presenting instructions and stimuli in written rather than spoken format. One Attention domain and two Language domain items required substitution by alternative items. Three and four candidate items respectively were constructed and field-tested along with the items adapted to written form. We used a combination of individual item analysis and item substitution to select the set of alternative items to be included in the final form of the MoCA-H in place of the excluded original items. We then evaluated the performance and reliability of the final tool, including making any required adjustments for demographic factors. RESULTS: One hundred and fifty-nine hearing-impaired participants, including 76 with normal cognition and 83 with dementia, completed the adapted version of the MoCA. A further 97 participants with normal hearing completed the standard MoCA as well as the novel items developed for the MoCA-H to assess score equivalence between the existing and alternative MoCA items and for independence from hearing impairment. Twenty-eight participants were retested between 2-4 weeks after initial testing. After the selection of optimal item set, the final MoCA-H had an area under the curve of 0.973 (95% CI 0.952-0.994). At a cut-point of 24 points or less sensitivity and specificity for dementia was 92.8% and 90.8%, respectively. The intraclass correlation for test-retest reliability was 0.92 (95%CI 0.78-0.97). CONCLUSION: The MoCA-H is a sensitive and reliable means of identifying dementia among adults with acquired hearing impairment.
dc.language.isoENen_US
dc.rightsAttribution-NonCommercial 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/3.0/us/*
dc.subject.enCognitive screening
dc.subject.enDementia
dc.subject.enHearing impairment
dc.subject.enMontreal cognitive assessment
dc.title.enDevelopment and validation of the Montreal cognitive assessment for people with hearing impairment (MoCA-H)
dc.title.alternativeJ Am Geriatr Socen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1111/jgs.18241en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed36722180en_US
dc.description.sponsorshipEuropeEars, Eyes and Mind: The ‘SENSE-Cog Project’ to improve mental well-being for elderly Europeans with sensory impairmenten_US
bordeaux.journalJournal of the American Geriatrics Societyen_US
bordeaux.page1485-1494
bordeaux.volume71
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.issue5
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamLEHA_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-04028763
hal.version1
hal.date.transferred2023-03-14T14:32:41Z
hal.exporttrue
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Journal%20of%20the%20American%20Geriatrics%20Society&rft.date=2023-05&rft.volume=71&rft.issue=5&rft.spage=1485-1494&rft.epage=1485-1494&rft.eissn=1532-5415%20(Electronic)%200002-8614%20(Linking)&rft.issn=1532-5415%20(Electronic)%200002-8614%20(Linking)&rft.au=DAWES,%20Piers&REEVES,%20David&YEUNG,%20Wai%20Kent&HOLLAND,%20Fiona&CHARALAMBOUS,%20Anna%20Pavlina&rft.genre=article


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