Brazilian Version of the Protocole Montréal d'Évaluation de la Communication (Protocole MEC): Normative and Reliability Data

Fonseca, Róchele Paz; Joanette, Yves; Côté, Hélène; Ska, Bernadette; Giroux, Francine; Fachel, Jandyra Maria Guimarães; Ferreira, Gabriela Damasceno; Parente, Maria Alice de Mattos Pimenta

doi:10.1017/s1138741600004686

Cited by 23 publications

(15 citation statements)

References 20 publications

(23 reference statements)

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“…The procedures for language assessment were previously described. 28 , 32 In brief, they included the following: the Boston naming test (shortened version) was administered and analyzed according to parameterized data for Brazil, 33 , 34 adopting a cutoff equivalent to the correct naming of 12 of 15 possible figures; SVF and PVF tests were administered and computed using the following cutoffs: <9 points for illiterate individuals, <12 points for individuals with 1–7 years of schooling, and <13 points for individuals with ≥8 years of schooling; 35 oral narratives were elicited using a picture stimulus – the cookie theft picture from Boston Diagnosis Aphasia test using previously published criteria on the information content of the image, including the number of key concepts, narrative efficiency, number of units of information, the total number of words, and concision ratio (ratio of information units to the total number of words); 36 , 37 the Montréal cognitive assessment (MoCA) was administered and measured in accordance with guidelines validated for the Brazilian population 38 , 39 comprising the following tests: metaphors (explanation and alternatives), DSA, and indirect speech acts (ISA) (explanation and alternatives), linguistic and emotional prosody, and narrative discourse (partial retelling, total retelling, and full-text comprehension).…”

Section: Methodsmentioning

confidence: 99%

Beneficial effects of multisensory and cognitive stimulation in institutionalized elderly: 12-months follow-up

Macedo¹,

Oliveira²,

Soares³

et al. 2015

CIA

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We previously demonstrated the beneficial effects of a multisensory and cognitive stimulation program, consisting of 48 sessions, twice a week, to improve the cognition of elderly subjects living either in long-term care institutions (institutionalized – I) or in communities with their families (noninstitutionalized – NI). In the present study, we evaluated these subjects after the end of the intervention and compared the rate of age-related cognitive decline of those living in an enriched community environment (NI group, n=15, 74.1±3.9 years old) with those living in the impoverished environment of long-term care institutions (I group, n=20, 75.1±6.8 years old). Both groups participated fully in our stimulation program. Over 1 year, we conducted revaluations at five time points (2 months, 4 months, 6 months, 8 months, and 12 months) after the completion of the intervention. Both elderly groups were evaluated with the mini-mental state examination and selected language tests. Progressive cognitive decline was observed in both groups over the period. Indeed, it took only 4–6 months after the end of the stimulation program for significant reductions in language test scores to become apparent. However, earlier reductions in test scores were mainly associated with I group, and linguistic prosody test scores were significantly affected by institutionalization and time, two variables that interacted and reduced these scores. Moreover, I group reduced the Montréal cognitive assessment battery language tests scores 4 months before NI group. It remains to be investigated what mechanisms may explain the earlier and more intense language losses in institutionalized elderly.

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Section: Methodsmentioning

confidence: 99%

Beneficial effects of multisensory and cognitive stimulation in institutionalized elderly: 12-months follow-up

Macedo¹,

Oliveira²,

Soares³

et al. 2015

CIA

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show abstract

“…The MEC battery was administered, and performance was measured in accordance with the guidelines validated for the Brazilian population 29. The cutoff points were those suggested for the age-group 60–75 years, with adjustments for education: metaphors (2–7 years of education, 19 points; ≥8 years of schooling, 25 points), Direct and Indirect Speech (2–7 years of education, 26 points; ≥8 years of schooling, 27 points), Linguistic Prosody (2–7 years of education, 6 points; ≥9 years of schooling, 9 points), Emotional Prosody (2–7 years of education, 6 points; ≥8 years of schooling, 8 points), partial retelling (2–7 years of education, 5 points; ≥8 years of schooling, 11 points), complete retelling (2–7 years of schooling, 2 points; ≥8 years of schooling, 8 points), and full-text comprehension (2–7 years of education, 5 points; ≥8 years of schooling, 8 points) 29,30…”

Section: Methodsmentioning

confidence: 99%

Beneficial effects of multisensory and cognitive stimulation on age-related cognitive decline in long-term-care institutions

Oliveira

Soares

Macedo

et al. 2014

CIA

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The aim of the present report was to evaluate the effectiveness and impact of multisensory and cognitive stimulation on improving cognition in elderly persons living in long-term-care institutions (institutionalized [I]) or in communities with their families (noninstitutionalized [NI]). We compared neuropsychological performance using language and Mini-Mental State Examination (MMSE) test scores before and after 24 and 48 stimulation sessions. The two groups were matched by age and years of schooling. Small groups of ten or fewer volunteers underwent the stimulation program, twice a week, over 6 months (48 sessions in total). Sessions were based on language and memory exercises, as well as visual, olfactory, auditory, and ludic stimulation, including music, singing, and dance. Both groups were assessed at the beginning (before stimulation), in the middle (after 24 sessions), and at the end (after 48 sessions) of the stimulation program. Although the NI group showed higher performance in all tasks in all time windows compared with I subjects, both groups improved their performance after stimulation. In addition, the improvement was significantly higher in the I group than the NI group. Language tests seem to be more efficient than the MMSE to detect early changes in cognitive status. The results suggest the impoverished environment of long-term-care institutions may contribute to lower cognitive scores before stimulation and the higher improvement rate of this group after stimulation. In conclusion, language tests should be routinely adopted in the neuropsychological assessment of elderly subjects, and long-term-care institutions need to include regular sensorimotor, social, and cognitive stimulation as a public health policy for elderly persons.

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“…The Montréal d’Evaluation de la Communication battery was administered and the performance measured in accordance with guidelines validated for the Brazilian population. 40 , 41 …”

Section: Methodsmentioning

confidence: 99%

CANTAB object recognition and language tests to detect aging cognitive decline: an exploratory comparative study

Soares¹,

Oliveira²,

Macedo³

et al. 2014

CIA

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ObjectiveThe recognition of the limits between normal and pathological aging is essential to start preventive actions. The aim of this paper is to compare the Cambridge Neuropsychological Test Automated Battery (CANTAB) and language tests to distinguish subtle differences in cognitive performances in two different age groups, namely young adults and elderly cognitively normal subjects.MethodWe selected 29 young adults (29.9±1.06 years) and 31 older adults (74.1±1.15 years) matched by educational level (years of schooling). All subjects underwent a general assessment and a battery of neuropsychological tests, including the Mini Mental State Examination, visuospatial learning, and memory tasks from CANTAB and language tests. Cluster and discriminant analysis were applied to all neuropsychological test results to distinguish possible subgroups inside each age group.ResultsSignificant differences in the performance of aged and young adults were detected in both language and visuospatial memory tests. Intragroup cluster and discriminant analysis revealed that CANTAB, as compared to language tests, was able to detect subtle but significant differences between the subjects.ConclusionBased on these findings, we concluded that, as compared to language tests, large-scale application of automated visuospatial tests to assess learning and memory might increase our ability to discern the limits between normal and pathological aging.

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Brazilian Version of the Protocole Montréal d'Évaluation de la Communication (Protocole MEC): Normative and Reliability Data

Cited by 23 publications

References 20 publications

Beneficial effects of multisensory and cognitive stimulation in institutionalized elderly: 12-months follow-up

Beneficial effects of multisensory and cognitive stimulation in institutionalized elderly: 12-months follow-up

Beneficial effects of multisensory and cognitive stimulation on age-related cognitive decline in long-term-care institutions

CANTAB object recognition and language tests to detect aging cognitive decline: an exploratory comparative study

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