![]() Hearing loss and dementia are among the most common chronic diseases in older age and frequently co-occur ( World Health Organization, 2020, 2021 McDonough et al., 2021). However, screening test batteries cannot replace a comprehensive cognitive evaluation. The choice of a cut-off range might help to better reflect the difficulty in clinical reality in detecting MCI. In the MCI group, a cut-off range between 22 and 24 points is proposed to increase diagnostic accuracy to a sensitivity and specificity of 97.5 and 90%, respectively.Ĭonclusion: The German MoCA-H seems to be a sensitive screening test for MCI and dementia and should replace commonly used auditory-based cognitive screening tests in older adults. The optimum cut-off for the detection of dementia was ≤21 points with a sensitivity of 96.3% and a specificity of 90%. Results: A mean score of 25.49 (SD = 3.01) points in the German MoCA-H was achieved in cognitively healthy participants, 20.08 (SD = 2.29) in the MCI and 15.80 (SD = 3.85) in the dementia group. Performance cut-offs for normal cognition, MCI and dementia were estimated for the MoCA-H score and z-scores using the English MoCA-H cut-off, the balanced cut-off and the Youden’s Index. Materials and methods: A total of 346 participants aged 60–97 years (M = 77.18, SD = 9.56) were included 160 were cognitively healthy, 79 with MCI and 107 were living with dementia based on the GPCOG and a detailed medical questionnaire as well as a comprehensive examination by a neurologist in case of cognitive impairment. The aim of the present study was to assess the diagnostic accuracy of the German MoCA-H among those with normal cognition, mild cognitive impairment (MCI) and dementia and to determine an appropriate performance cut- off. As the MoCA is known to perform differently across languages, revalidation of the German MoCA-H was necessary. To address the need for a cognitive screening test suitable for people with hearing loss, a visual version of the Montreal-Cognitive-Assessment was developed and recently validated in English (MoCA-H), with good sensitivity and specificity for identifying cases of dementia. Most neurocognitive screening tests are auditory-based, and performance can be affected by hearing loss. 4Centre for Hearing Research (CHEAR), School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, QLD, Australiaīackground: Hearing loss and dementia are highly prevalent in older age and often co-occur.3MoCA Clinic and Institute, Greenfield Park, QC, Canada.2Department of Geriatric Medicine, Marien Hospital Herne, Ruhr University Bochum, Herne, Germany.1Department of Otorhinolaryngology, Head and Neck Surgery, Catholic Hospital Bochum, Ruhr University Bochum, Bochum, Germany.Epub 2014 Nov 11.Christiane Völter 1*† Hannah Fricke 1† Sarah Faour 1 Gero Lueg 2 Ziad S. doi: 10.1089/tmj.2019.0134.Ī feasibility study of conducting the Montreal Cognitive Assessment remotely in individuals with movement disordersĪ Abdolahi, MT Bull, KC Darwin… – Health informatics …, 2016 – ![]() Iiboshi K, Yoshida K, Yamaoka Y, Eguchi Y, Sato D, Kishimoto M, Funaki K, Mimura M, Kishimoto T. 2019 Dec 9:1357633X19890788.Ī Validation Study of the Remotely Administered Montreal Cognitive Assessment Tool in the Elderly Japanese Population. Here are some references validating the remote administration of the MoCA :Ĭomparing face-to-face and videoconference completion of the Montreal Cognitive Assessment (MoCA) in community-based survivors of stroke.Ĭhapman JE, Cadilhac DA, Gardner B, Ponsford J, Bhalla R, Stolwyk RJ. On that page, select the version (MoCa Audiovisual) and language (MoCA Test Full – Telemed instructions), then choose one of the options listed below, then click on Download Test. To download the modified instructions and audiovisual stimuli files, please log in to your account, click MoCA TEST, choose PAPER. Test and Instructions are now available on the website as well as the initial validation results comparing the 5 min version to the full version.įull version can be administered via Skype, FaceTime, or Teleconference, or any locally approved platform. You can download the Blind version of the MoCA from our website and administer it over the phone. MoCA without the visual elements, scored out of 22. Here are a few options that have been validated to use for remote testing:
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |