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A cross-cultural study of the Montreal Cognitive Assessment for people with hearing impairment
Journal article   Open access   Peer reviewed

A cross-cultural study of the Montreal Cognitive Assessment for people with hearing impairment

Stacey Theocharous, Greg Savage, Anna Pavlina Charalambous, Mathieu Cote, Renaud David, Kathleen Gallant, Catherine Helmer, Robert Laforce, Iracema Leroi, Ralph Martins, …
Journal of the American Geriatrics Society
2024
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CC BY V4.0 Open Access

Abstract

Background Cognitive screening tools enable the detection of cognitive impairment, facilitate timely intervention, inform clinical care, and allow long-term planning. The Montreal Cognitive Assessment for people with hearing impairment (MoCA-H) was developed as a reliable cognitive screening tool for people with hearing loss. Using the same methodology across four languages, this study examined whether cultural or linguistic factors affect the performance of the MoCA-H. Methods The current study investigated the performance of the MoCA-H across English, German, French, and Greek language groups (n = 385) controlling for demographic factors known to affect the performance of the MoCA-H. Results In a multiple regression model accounting for age, sex, and education, cultural–linguistic group accounted for 6.89% of variance in the total MoCA-H score. Differences between languages in mean score of up to 2.6 points were observed. Conclusions Cultural or linguistic factors have a clinically significant impact on the performance of the MoCA-H such that optimal performance cut points for identification of cognitive impairment derived in English-speaking populations are likely inappropriate for use in non-English speaking populations. To ensure reliable identification of cognitive impairment, it is essential that locally appropriate performance cut points are established for each translation of the MoCA-H.

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Collaboration types
Domestic collaboration
International collaboration
Citation topics
1 Clinical & Life Sciences
1.52 Neurodegenerative Diseases
1.52.60 Dementia
Web Of Science research areas
Geriatrics & Gerontology
Gerontology
ESI research areas
Social Sciences, general
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