Assessing performance on the Montreal Cognitive Assessment (MoCA) in experienced cochlear implant users: use of alternative scoring guidelines

Hillyer, Jake; Parada, Jennifer; Parbery‐Clark, Alexandra

doi:10.1080/13825585.2019.1624684

Cited by 6 publications

(10 citation statements)

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“…The second goal of our study explored whether calculating alternate scores that systematically removed items from the attention and language sections and the delayed recall task on the standard MoCA and the HI‐MoCA yielded comparable results and provided insight into whether modality of presentation influenced performance on these items. Consistent with previous findings, CI users scored significantly higher on the standard MoCA and HI‐MoCA when the delayed recall task was removed and when all of the items (ie, items from the attention and language sections and the delayed recall task) were removed. Furthermore, when comparing pass/fail status on the original and alternate scores, a significant number of participants that failed based on their original score passed based on their second or third alternate score, indicating that the differences in performance when using the alternate scores also influenced pass/fail status.…”

Section: Discussionsupporting

confidence: 91%

“…Hillyer et al 19 showed similar results in participants with cochlear implants (CIs). Though it is important to note that HI individuals underperform on the delayed recall task, removing these test items may decrease test sensitivity.…”

Section: And the Montreal Cognitive Assessmentmentioning

confidence: 83%

“…Lastly, all of our CI users were postlingually deafened and should be considered relatively good performers in terms of speech understanding with their implants (see Table for speech perception scores by CI device). A recent study with a demographically similar sample obtained higher passing rate on the standard MoCA than our participants . This passing rate difference could suggest greater test variability in postlingually deafened CI users with high speech perception.…”

Section: Discussionmentioning

confidence: 99%

“…A recent study with a demographically similar sample obtained higher passing rate on the standard MoCA than our participants. 19 This passing rate difference could suggest greater test variability in postlingually deafened CI users with high speech perception.…”

Section: Future Directionsmentioning

confidence: 99%

“…It was found that removing the delayed recall task and all auditory‐based items (ie, items from the attention and language sections and the delayed recall task) significantly increased performance scores for hearing‐impaired (HI) participants. Hillyer et al showed similar results in participants with cochlear implants (CIs). Though it is important to note that HI individuals underperform on the delayed recall task, removing these test items may decrease test sensitivity .…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Performance on the standard and hearing‐impaired Montreal Cognitive Assessment in cochlear implant users

Parada

Hillyer

Parbery‐Clark

2020

Int J Geriat Psychiatry

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Objectives Commonly used cognitive screening tools were not originally developed for patients with hearing loss (HL) and rely heavily on the ability to hear the instructions and test stimuli. Recently, the Montreal Cognitive Assessment (MoCA) was modified for use with hearing‐impaired populations (ie, HI‐MoCA). In order to investigate the clinical utility of the HI‐MoCA, we assessed performance between the standard MoCA and HI‐MoCA among postlingually deafened cochlear implant (CI) users. Methods We administered the standard MoCA and HI‐MoCA to 21 CI users and compared their performance. We assessed differences in pass/fail status when items from the attention and language sections and the delayed recall task were removed. Results There was no significant difference in performance between the standard MoCA and HI‐MoCA. Participants scored higher on both test versions when the delayed recall task was removed. Participants also performed better on the delayed recall task on the HI‐MoCA than on the standard MoCA. Conclusions While our findings suggest that the modality of presentation for the MoCA does not influence overall performance for postlingually deafened CI users, visual presentation of stimuli impacted performance on delayed recall. Furthermore, irrespective of presentation modality, our participants scored higher on both MoCA versions when the delayed recall task was removed. Clinically, modifications to the presentation of the MoCA might not be necessary for CI users; however, clinicians should be aware that the delayed recall task is inherently harder for these patients.

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Section: Discussionsupporting

confidence: 91%

Section: And the Montreal Cognitive Assessmentmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Section: Future Directionsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Performance on the standard and hearing‐impaired Montreal Cognitive Assessment in cochlear implant users

Parada

Hillyer

Parbery‐Clark

2020

Int J Geriat Psychiatry

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How Does Cochlear Implantation Lead to Improvements on a Cognitive Screening Measure?

Vasil

Ray

Lewis

et al. 2021

J Speech Lang Hear Res

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Purpose Cognitive screening tools to identify patients at risk for cognitive deficits are frequently used by clinicians who work with aging populations in hearing health care. Although some studies show improvements in performance on cognitive screening exams when hearing loss intervention is provided in the form of a hearing aid or cochlear implant (CI), it is worth examining whether these improvements are attributable to increased auditory access to test items. This study aimed to examine whether performance and pass rate on a cognitive screening measure, the Montréal Cognitive Assessment (MoCA), improve as a result of CI, whether improved performance on auditory-based test items drives changes in MoCA performance, and whether postoperative MoCA performance relates to post-CI speech perception ability. Method Data were collected in adult CI candidates pre-implantation and 6 months postimplantation to examine the effect of intervention on MoCA performance. Participants were 77 CI users between the ages of 55 and 85 years. Participants completed the MoCA, administered audiovisually, and speech perception testing with monosyllabic (CNC) words at both intervals. Results Compared to 31 participants pre-operatively, 45 participants passed the MoCA postoperatively, which was a significant difference in pass rate. An improvement in MoCA scores could be attributed primarily to improvement in the “Delayed Recall” test domain, which was auditory based. Post-CI MoCA performance was related to post-CI CNC speech perception performance. Conclusions Improved performance and pass rates were demonstrated on the traditional MoCA test of cognitive screening from before to 6 months after CI. Improvements could primarily be attributed to better performance on a delayed recall task dependent on auditory access, and post-CI MoCA scores were related to post-CI speech perception abilities. Further studies are needed to investigate the application of cognitive screening tools in patients receiving hearing loss interventions, and these interventions' impact on patients' real-world functioning.

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The Characteristics of Cognitive Disorders Among Patients With Arterial Hypertension Comorbid With Hypothyroidism

Orel,

Martynyuk

2023

Scientific and practical journal

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В усьому світі когнітивні порушення та деменція діагностуються в недостатній мірі та на відносно пізній стадії, тому вкрай важливою є їх своєчасна діагностика та лікування. Для оцінки когнітивного статусу у хворих, зокрема із серцево-судинними захворюваннями, використовують різноманітні спеціальні опитувальники та тести, серед яких Монреальська шкала оцінки когнітивних функцій (The Montreal Cognitive Assessment (MоCA – тест)). Мета: вивчити особливості когнітивних порушень у хворих на артеріальну гіпертензію у поєднанні з гіпотиреозом за допомогою нейропсихологічного тестування. Матеріали і методи. У дослідженні взяли участь 99 пацієнтів із артеріальною гіпертензією ІІ стадії, які були розподілені на три групи залежно від функціонального стану щитоподібної залози: І група – 31 особа із субклінічним гіпотиреозом, ІІ група – 34 хворих на первинний гіпотиреоз, ІІІ група – 34 особи із збереженою функцією щитоподібної залози. Функціональний стан щитоподібної залози оцінювали лабораторно методом ІФА шляхом визначення концентрації тиреотропного гормону в сироватці крові. Стан когнітивної функції оцінювали на підставі суб’єктивних скарг пацієнта на зниження пам’яті та розумової працездатності, та за результатами МоСА – тесту. Статистичний аналіз проводили з використанням програм MS Excel 2016, Statistica 10. Результати. Виявлено відмінності у скаргах пацієнтів та результатах виконання завдань розділів нейропсихологічного тестування серед обстежуваних залежно від їх тиреоїдного статусу. За результатами кореляційного аналізу встановлено негативний сильний кореляційний взаємозв’язок між вираженістю когнітивних порушень та віком пацієнтів (r=-0,6013, P=0,000) та негативний середньої сили взаємозв’язок із тривалістю підвищеного артеріального тиску у них (r=-0,2741, P=0,006). Висновки. Встановлено більш виражені порушення когнітивних функцій у хворих на артеріальну гіпертензію у поєднанні з гіпотиреозом у порівнянні з пацієнтами із збереженою функцією щитоподібної залози.

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Assessing performance on the Montreal Cognitive Assessment (MoCA) in experienced cochlear implant users: use of alternative scoring guidelines

Cited by 6 publications

References 53 publications

Performance on the standard and hearing‐impaired Montreal Cognitive Assessment in cochlear implant users

Performance on the standard and hearing‐impaired Montreal Cognitive Assessment in cochlear implant users

How Does Cochlear Implantation Lead to Improvements on a Cognitive Screening Measure?

The Characteristics of Cognitive Disorders Among Patients With Arterial Hypertension Comorbid With Hypothyroidism

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