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.
RAS ID
71189
Document Type
Journal Article
Date of Publication
1-1-2024
Volume
72
Issue
10
Funding Information
European Union / NIHR Manchester Biomedical Research Centre
PubMed ID
38847346
School
School of Medical and Health Sciences
Grant Number
668648, RC-1215-20007
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
Publisher
Wiley
Recommended Citation
Theocharous, S., Savage, G., Charalambous, A., Côté, M., David, R., Gallant, K., Helmer, C., Laforce, R., Leroi, I., Martins, R. N., Nasreddine, Z., Politis, A., Reeves, D., Russell, G., Sirois, M., Sohrabi, H. R., Thodi, C., Völter, C., Yeung, W., & Dawes, P. (2024). A cross-cultural study of the Montreal Cognitive Assessment for people with hearing impairment. DOI: https://doi.org/10.1111/jgs.19020
Comments
Theocharous, S., Savage, G., Charalambous, A. P., Côté, M., David, R., Gallant, K., Helmer, C., Laforce, R., Leroi, I., Martins, R. N., Nasreddine, Z., Politis, A., Reeves, D., Russell, G., Sirois, M., Sohrabi, H. R., Thodi, C., Völter, C., Yeung, W. K., & Dawes, P. (2024). A cross‐cultural study of the Montreal Cognitive Assessment for people with hearing impairment. Journal of the American Geriatrics Society, 72(10), 3156-3162. https://doi.org/10.1111/jgs.19020