Validation Of The Flemish Montreal Cognitive Assessment (MoCA) For Persons With Hearing Impairment
University Ghent
450 participants
Sep 1, 2023
OBSERVATIONAL
Conditions
Summary
The Montreal Cognitive Assessment (MoCA) is a screening test for detecting cognitive impairment that assesses several cognitive domains (attention and concentration, arithmetic and orientation, memory, etc.). The instructions as well as some test items of the MoCA are presented auditory (spoken). Consequently, performance on the MoCA may be co-dependent on hearing. Therefore, to rule out the possible negative influence of hearing loss on performance on the MoCA, a MoCA for individuals with hearing loss was recently developed. More specifically, the original MoCA was modified by providing the instructions audiovisually (spoken with visual support) as well as by replacing hearing-dependent items. Since replacing items may affect sensitivity and specificity, the MoCA for persons with hearing loss should be revalidated.
Eligibility
Inclusion Criteria7
- Individuals aged 60 years or older
- Individuals with normal vision (with lenses or glasses if needed)
- Individuals with age-related hearing loss
- Dutch-speaking individuals
- Individuals capable of giving consent to participate in the study themselves
- Individuals still residing in their own homes
- Individuals with an official diagnosis of dementia (Alzheimer's, vascular, or mixed) or mild cognitive impairment. This inclusion criterion applies only to the group with cognitive impairment.
Exclusion Criteria2
- (History of) neurological problems (brain tumor, epilepsy, history of stroke, etc.)
- Use of influencing medication (e.g., Ritalin and antidepressants)
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Interventions
The Dutch Montreal Cognitive Assessment for persons with hearing loss (MoCA-HI) is a modified version of the original MoCA test specifically designed for individuals with hearing loss. It includes adaptations such as visual aids to accommodate for hearing loss, ensuring fair assessment of cognitive abilities in this population.
Four audiological tests are included in the audiological assessment 1. Tympanometry to assss the middle ear status 2. Pure-tone audiometry with headphone to evaluate the hearing thresholds 3. Speech audiometry in free field to assess the ability to understand spoken words in the presence of background noise 4. The hAVICOP questionnaire to assess the hearing-related quality of life
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT06400173