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Development and validation of the Montreal Cognitive Assessment for People with Vision Impairment (MOCA-VI)

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.authorDAVID, Renaud
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorHELMER, Catherine
dc.contributor.authorKEAY, Lisa
dc.contributor.authorKUMARAN, Sheela
dc.contributor.authorLEIGHTON, Rebecca E
dc.contributor.authorLITTLE, Julie-Anne
dc.contributor.authorMARTINS, Ralph N
dc.contributor.authorPIANO, Marianne
dc.contributor.authorPOLITIS, Antonis
dc.contributor.authorPYE, Annie
dc.contributor.authorROBINSON, Gail
dc.contributor.authorRUSSELL, Gregor
dc.contributor.authorSHEIKH, Saima
dc.contributor.authorSOHRABI, Hamid R
dc.contributor.authorTHODI, Chryssoula
dc.contributor.authorGALLANT, Kathleen
dc.contributor.authorNASREDDINE, Ziad
dc.contributor.authorLEROI, Iracema
dc.date.accessioned2025-04-24T09:03:22Z
dc.date.available2025-04-24T09:03:22Z
dc.date.issued2025-03-01
dc.identifier.issn1939-134Xen_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/206391
dc.description.abstractEnVision impairment is common among older adults and affects dementia screening assessments, which include visually presented items. We developed and validated a version of the Montreal Cognitive Assessment (MoCA) for people with vision impairment that includes all the cognitive domains included in the standard MoCA. Visual components of the MoCA were adapted by developing alternative spoken forms. We used both individual item analysis and item substitution to identify the optimal set of alternative items for inclusion in the Montreal Cognitive Assessment for People With Vision Impairment (MoCA-VI) in place of the original items to maximize sensitivity and specificity for dementia. We evaluated the performance and reliability of the final tool, including adjustments for demographic factors. One hundred twenty-eight participants with vision impairment (presenting distance visual acuity worse than 6/12), 79 cognitively healthy and 49 with dementia, completed the adapted MoCA. An additional 86 participants with normal vision completed the standard MoCA and alternative items to assess score equivalence and independence from vision impairment. Twenty-six participants were retested 2-4 weeks after initial testing. With the optimal item set, the final MoCA-VI had an area under the curve of 0.96 (95% CI [0.93, 0.99]). At a cut point of 24 points or less, sensitivity was 95.9%, with a specificity of 92.4%. The intraclass correlation for test-retest reliability was 0.84 (95% CI [0.81, 0.96]). The MoCA-VI is a specific and reliable test for possible dementia among adults with vision impairment. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
dc.language.isoENen_US
dc.title.enDevelopment and validation of the Montreal Cognitive Assessment for People with Vision Impairment (MOCA-VI)
dc.title.alternativePsychol Assessen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1037/pas0001357en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed39946630en_US
bordeaux.journalPsychological Assessmenten_US
bordeaux.page114-122en_US
bordeaux.volume37en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.issue3en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamLEHA_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-05045207
hal.version1
hal.date.transferred2025-04-24T09:03:26Z
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exporttrue
dc.rights.ccPas de Licence CCen_US
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