The Screening Accuracy of a Visually Based Montreal Cognitive Assessment Tool for Older Adult Hearing Aid Users

Utoomprurkporn, Nattawan; Stott, Joshua; Costafreda, Sergi G.; North, Courtney; Heatley, Mary; Bamiou, Doris‐Eva

doi:10.3389/fnagi.2021.706282

Cited by 11 publications

(11 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This result is in line with the results of MacDonald et al ( 2012 ) study, which noted significant improvements in the MMSE after hearing augmentation in the elderly. Hence, a modified visually cognitive assessment and its cutoff point should be validated for cognitive tests in the population with hearing loss (Utoomprurkporn et al, 2021 ). As for the disagreements among the sub-domains of cognition, the characteristics of each tool and different aspects of cognitive function might be responsible.…”

Section: Discussionmentioning

confidence: 99%

Effect of hearing aids on cognitive functions in middle-aged and older adults with hearing loss: A systematic review and meta-analysis

Zeng

Teng

et al. 2022

Front. Aging Neurosci.

View full text Add to dashboard Cite

ObjectiveThe study aimed to examine the effects of hearing aids on cognitive function in middle-aged and older adults with hearing loss.Data sources and study selectionPubMed, Cochrane Library, and Embase were searched for studies published before 30 March 2022. Randomized controlled trials (RCTs) and non-randomized studies of interventions (NRSIs) were included in the search. Restriction was set on neither types, severity, or the time of onset of hearing impairment nor cognitive or psychiatric statuses.Data extraction and synthesisTwo independent reviewers extracted data and assessed the study quality of RCTs. Cognitive function outcomes were descriptively summarized and converted to standardized mean difference (SMD) in the meta-analysis. Meta-analysis was conducted in RCTs. Sub-group analyses were conducted by cognitive statuses, psychiatric disorders, and cognitive domains.ResultsA total of 15 studies met the inclusion criteria, including five RCTs (n = 339) and 10 NRSIs (n = 507). Groups were classified as subjects without dementia or with normal global cognition, subjects with AD or dementia, and subjects with depressive symptoms. For subjects without dementia, improvements were found in global cognition, executive function, and episodic memory. For subjects with depressive symptoms, improvements were found in immediate memory, global cognition, and executive function. No improvement was found in subjects with AD or dementia. In total, four RCTs were included in the meta-analysis. For subjects without dementia (SMD = 0.11, 95% confidence interval [CI]: −0.15–0.37) and those with AD, no significant effect was found (SMD = −0.19, 95% CI: −0.65–0.28). For subjects without dementia, no significant effect was found in language (SMD = 0.14, 95% CI: −0.30–0.59) or general executive function (SMD = −0.04, 95% CI: −0.46–0.38). Further sub-group analysis found no significant effect in executive function (SMD = −0.27, 95% CI: −0.72–0.18) or processing speed (SMD = −0.02, 95% CI: −0.49–0.44).ConclusionHearing aids might improve cognitive performance in domains such as executive function in subjects without dementia. The effects on subjects with depressive symptoms remained unclear. No improvement was found in subjects with AD or dementia. Long-term RCTs and well-matched comparison-group studies with large sample sizes are warranted.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/, identifier: CRD42022349057.

show abstract

Section: Discussionmentioning

confidence: 99%

Effect of hearing aids on cognitive functions in middle-aged and older adults with hearing loss: A systematic review and meta-analysis

Zeng

Teng

et al. 2022

Front. Aging Neurosci.

View full text Add to dashboard Cite

show abstract

“…This may be because the assessment mode of most commonly used cognitive tools is auditory based, which may hinder the hearing-impaired population responses. Therefore, our result suggested that visually based cognitive screening tools may also be considered when assessing the hearing-impaired population ability (Utoomprurkporn et al, 2021b). It may unveil their compensated cognitive ability via other means such as visuospatial found in our cohort.…”

Section: Rey Osterrieth Complex Figure Test Copymentioning

confidence: 66%

“…Therefore, we opted for the visually based MoCA to accurately assess the cognitive abilities of the hearing impaired participants. The detailed description of the test instruction and materials can be found in our previously published paper (Utoomprurkporn et al, 2021b).…”

Section: Montreal Cognitive Assessmentmentioning

confidence: 99%

“…Moreover, the age and education years were slightly different among the cognitively normal and cognitively impaired cohorts. This discrepancy and its implications of it were discussed and explored more in our previous published work (Utoomprurkporn et al, 2021b). With a relatively small sample size, the lack of difference of ROCFT scores for the MCI-HI and the D-HI compared with norms could also be due to inadequate statistical power.…”

Section: Limitationmentioning

confidence: 99%

See 1 more Smart Citation

The Impact of Hearing Loss and Hearing Aid Usage on the Visuospatial Abilities of Older Adults in a Cohort of Combined Hearing and Cognitive Impairment

Utoomprurkporn

Stott

Costafreda

et al. 2022

Front. Aging Neurosci.

Self Cite

View full text Add to dashboard Cite

IntroductionIt has been proposed that hearing loss may result in improved visuospatial abilities. The evidence for this assertion is inconsistent, and limited to studies in congenitally deaf children, despite older adults with age-related hearing loss constituting the vast majority of the hearing impaired population. We assessed visuospatial (visuoconstruction and visuospatial memory) ability in older adult hearing aid users with and without clinically significant cognitive impairment. The primary aim of the study was to determine the effect of hearing loss on visuospatial abilities.MethodSeventy-five adult hearing aid users (HA) aged over 65 were recruited, out of whom 30 had normal cognition (NC-HA), 30 had mild cognitive impairment (MCI-HA), and 15 had dementia (D-HA). The Rey Osterrieth Complex figure test (ROCFT) copy, 3 min recall and 30 min recall tests were performed to evaluate the visuoconstructional and visuospatial memory abilities of the participants.ResultsThere were significant differences between the ROCFT copy, 3 min recall, and 30 min recall among the three cohorts (p < 0.005). Compared with previously published normative data, the NC-HA performed significantly better in the ROCFT copy (p < 0.001), immediate recall (p < 0.001), and delay recall (p = 0.001), while the MCI-HA performed similarly to the expected norms derived from population (p = 0.426, p = 0.611, p = 0.697, respectively), and the D-HA performed below this norm.ConclusionThough visuospatial abilities tend to decline when the global cognitive functioning declines, we found suggestive evidence for positive effects of age-related hearing loss on visuospatial cognitive ability. Participants with mild cognitive impairment and hearing loss, who would have been expected to perform worse than normative data, were in fact performing as well as cognitively healthy subjects without hearing loss. Visuospatial ability could be targeted when providing rehabilitation for the older adults with hearing loss.

show abstract

“…A comparison with the Consortium to Establish a Registry for Alzheimer's Disease (CERAD) and the Mini Mental Status Examination (MMSE) showed that the computerized MoCA-HI correlated with the CERAD plus battery ( 38 ). Utoomprurkporn et al (2021) tested a modified version of Lin et al's computerized visual MoCA in 75 hearing aid users ( 39 ), 30 cognitive healthy, 30 with MCI and 15 with a clinical diagnosis of dementia reporting good sensitivity and specificity for MCI and dementia in their analysis. However, the small sample size and group differences in age and educational level limit the reliability of sensitivity/specificity estimates.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the non-auditory neurocognitive test MoCA-HI for hearing-impaired

et al. 2022

View full text Add to dashboard Cite

BackgroundSince hearing loss and cognitive decline often co-occur among older adults, a cognitive screening test suitable for hearing-impaired people is of high clinical relevance. We report the first evaluation of a German language version of the Montreal Cognitive Assessment—Hearing Impaired version (MoCA-HI).ObjectiveThe aim of the present study was to compare cognitively healthy participants with and without hearing loss, to examine the impact of age, sex, educational level and degree of hearing impairment on the German MoCA-HI performance, and to develop normative data.Material and methodsThe German MoCA-HI was tested in 94 participants with normal or mild hearing impairment (group 1: 4PTA ≤ 40 dB on the better hearing ear) and 81 participants with moderate to profound hearing loss (group 2: 4PTA > 40 dB on the better hearing ear). Additionally, all participants performed the standard MoCA (version 8.2).ResultsNo significant group difference between group 1 and 2 was found in the MoCA-HI total score (p = 0.05). In contrast, group 1 performed significantly better than group 2 on the standard MoCA (p < 0.001). There was no difference between the MoCA and the MoCA-HI performance in group 1 (p = 0.12), whereas individuals of group 2 performed significantly better on the MoCA-HI than on the standard MoCA (p < 0.001). Test-retest reliability of the MoCA-HI was high (p < 0.001). Higher age (p < 0.001), male sex (p = 0.009) and lower education (p < 0.001) were associated with a lower overall MoCA-HI score. Based on the demographic data normative data were developed by a regression-based approach.ConclusionThe MoCA-HI is a cognitive screening test which is suitable for people with hearing impairment.

show abstract

The Screening Accuracy of a Visually Based Montreal Cognitive Assessment Tool for Older Adult Hearing Aid Users

Cited by 11 publications

References 22 publications

Effect of hearing aids on cognitive functions in middle-aged and older adults with hearing loss: A systematic review and meta-analysis

Effect of hearing aids on cognitive functions in middle-aged and older adults with hearing loss: A systematic review and meta-analysis

The Impact of Hearing Loss and Hearing Aid Usage on the Visuospatial Abilities of Older Adults in a Cohort of Combined Hearing and Cognitive Impairment

Evaluation of the non-auditory neurocognitive test MoCA-HI for hearing-impaired

Contact Info

Product

Resources

About