R Medicine > RC Internal medicine > RC0321 Neuroscience. Montreal cognitive assessment cognitive screening dementia hearing impairment 11 Medical and Health Sciences Geriatricsī Philosophy. The intraclass correlation for test–retest reliability was 0.92 (95%CI 0.78–0.97).Ĭonclusion: The MoCA-H is a sensitive and reliable means of identifying dementia among adults with acquired hearing impairment. At a cut-point of 24 points or less sensitivity and specificity for dementia was 92.8% and 90.8%, respectively. 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). Twenty-eight participants were retested between 2–4 weeks after initial testing. 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. 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. We then evaluated the performance and reliability of the final tool, including making any required adjustments for demographic factors. 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. Three and four candidate items respectively were constructed and field-tested along with the items adapted to written form. One Attention domain and two Language domain items required substitution by alternative items. Handleiding voor afname en scoring Cognitive Screening Test: Manual for. Methods: We adapted existing MoCA 8.1 items for people with hearing impairment by presenting instructions and stimuli in written rather than spoken format. Paired t-tests between MoCA results for version 7.1 (baseline). We developed and validated a version of the Montreal Cognitive Assessment (MoCA) for people with hearing impairment. Background: Hearing impairment is common among older adults and affects cognitive assessments for identification of dementia which rely on good hearing function.

Moca test version 8.1 pdf