Document Type

Journal Article

Publication Title

Journal of the American Geriatrics Society

PubMed ID

38847346

Publisher

Wiley

School

School of Medical and Health Sciences

RAS ID

71189

Funders

European Union / NIHR Manchester Biomedical Research Centre

Grant Number

668648, RC-1215-20007

Comments

Theocharous, S., Savage, G., Charalambous, A. P., Côté, M., David, R., Gallant, K., ... & Dawes, P. (2024). A cross‐cultural study of the Montreal Cognitive Assessment for people with hearing impairment. Journal of the American Geriatrics Society. Advance online publication. https://doi.org/10.1111/jgs.19020

Abstract

Background: Cognitive screening tools enable the detection of cognitive impairment, facilitate timely intervention, inform clinical care, and allow long-term planning. The Montreal Cognitive Assessment for people with hearing impairment (MoCA-H) was developed as a reliable cognitive screening tool for people with hearing loss. Using the same methodology across four languages, this study examined whether cultural or linguistic factors affect the performance of the MoCA-H. Methods: The current study investigated the performance of the MoCA-H across English, German, French, and Greek language groups (n = 385) controlling for demographic factors known to affect the performance of the MoCA-H. Results: In a multiple regression model accounting for age, sex, and education, cultural–linguistic group accounted for 6.89% of variance in the total MoCA-H score. Differences between languages in mean score of up to 2.6 points were observed. Conclusions: Cultural or linguistic factors have a clinically significant impact on the performance of the MoCA-H such that optimal performance cut points for identification of cognitive impairment derived in English-speaking populations are likely inappropriate for use in non-English speaking populations. To ensure reliable identification of cognitive impairment, it is essential that locally appropriate performance cut points are established for each translation of the MoCA-H.

DOI

10.1111/jgs.19020

Creative Commons License

Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.

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