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

Piers Dawes; David Reeves; Wai Kent Yeung; Fiona Holland; Anna Pavlina Charalambous; Mathieu Cote; Renaud David; Catherine Helmer; Robert Laforce; Ralph N. N. Martins; Antonis Politis; Annie Pye; Gregor Russell; Saima Sheikh; Marie-Josee Sirois; Hamid R. R. Sohrabi; Chyrssoula Thodi; Kathleen Gallant; Ziad Nasreddine; Iracema Leroi

doi:10.1111/jgs.18241

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

Journal article

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

Piers Dawes, David Reeves, Wai Kent Yeung, Fiona Holland, Anna Pavlina Charalambous, Mathieu Cote, Renaud David, Catherine Helmer, Robert Laforce, Ralph N. N. Martins, …

Journal of the American Geriatrics Society (JAGS), Vol.71(5), pp.1485-1494

2023

DOI: https://doi.org/10.1111/jgs.18241

PMID: 36722180

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Abstract

Geriatrics & Gerontology

Gerontology

Life Sciences & Biomedicine

Science & Technology

Background: 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.

Details

Title: Development and validation of the Montreal cognitive assessment for people with hearing impairment (MoCA-H)
Authors/Creators: Piers Dawes - The University of Queensland
David Reeves - Manchester Academic Health Science Centre
Wai Kent Yeung - Manchester Academic Health Science Centre
Fiona Holland - Univ Manchester, Fac Biol Med & Hlth, Ctr Biostat, Sch Hlth Sci, Manchester, England
Anna Pavlina Charalambous - European University Cyprus
Mathieu Cote - Université Laval
Renaud David - Centre Hospitalier Universitaire de Nice
Catherine Helmer - Bordeaux Population Health
Robert Laforce - Université Laval
Ralph N. N. Martins - Edith Cowan University
Antonis Politis - Eginition Hospital
Annie Pye - University of Manchester
Gregor Russell - Bradford District Care NHS Foundation Trust
Saima Sheikh - Keele University
Marie-Josee Sirois - Université Laval
Hamid R. R. Sohrabi - Murdoch University
Chyrssoula Thodi - European University Cyprus
Kathleen Gallant - MoCA Clin & Inst, Quebec City, PQ, Canada
Ziad Nasreddine - MoCA Clin & Inst, Quebec City, PQ, Canada
Iracema Leroi - Trinity College Dublin
Publication Details: Journal of the American Geriatrics Society (JAGS), Vol.71(5), pp.1485-1494
Publisher: Wiley Periodicals LLC on behalf of The American Geriatrics Society.
Number of pages: 10
Grant note: 668648 / European Union; European Union (EU) BRC-1215-20,007 / NIHR Manchester Biomedical Research Centre; National Institutes of Health Research (NIHR)
Identifiers: 991005598269507891
Murdoch Affiliation: Centre for Healthy Ageing; School of Psychology
Language: English
Resource Type: Journal article

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Collaboration types: Domestic collaboration; International collaboration
Citation topics: 1 Clinical & Life Sciences; 1.150 Hearing Loss; 1.150.427 Hearing Technologies
Web Of Science research areas: Geriatrics & Gerontology; Gerontology
ESI research areas: Social Sciences, general