PubTransformer

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PMID- 28409842
OWN - NLM
STAT- MEDLINE
DA  - 20170414
DCOM- 20170425
LR  - 20170425
IS  - 1531-4995 (Electronic)
IS  - 0023-852X (Linking)
VI  - 127 Suppl 1
DP  - 2017 May
TI  - Development of cognitive screening test for the severely hearing impaired:
      Hearing-impaired MoCA.
PG  - S4-S11
LID - 10.1002/lary.26590 [doi]
AB  - OBJECTIVES: To develop a version of the Montreal Cognitive Assessment (MoCA) to
      be administered to the severely hearing impaired (HI-MoCA), and to assess its
      performance in two groups of cognitively intact adults over the age of 60. STUDY 
      TYPE: Test development followed by prospective subject recruitment. METHODS: The 
      MoCA was converted into a timed PowerPoint (Microsoft Corp., Redmond, WA)
      presentation, and verbal instructions were converted into visual instructions.
      Two groups of subjects over the age of 60 were recruited. All subjects passed
      screening questionnaires to eliminate those with undiagnosed mild cognitive
      impairment. The first group had normal hearing (group 1). The second group was
      severely hearing impaired (group 2). Group 1 received either the MoCA or HI-MoCA 
      test (T1). Six months later (T2), subjects were administered the test (MoCA or
      HI-MoCA) they had not received previously to determine equivalency. Group 2
      received the HI-MoCA at T1 and again at T2 to determine test-retest reliability. 
      RESULTS: One hundred and three subjects were recruited into group 1, with a score
      of 26.66 (HI-MoCA) versus 27.14 (MoCA). This was significant (P < 0.05), but
      scoring uses whole numerals and the 0.48 difference was found not clinically
      significant using post hoc sensitivity analyses. Forty-nine subjects were
      recruited into group 2. They scored 26.18 and 26.49 (HI-MoCA at T1 and T2). No
      significance was noted (P > 0.05), with a test-retest coefficient of 0.66.
      CONCLUSION: The HI-MoCA is easy to administer and reliable for screening
      cognitive impairment in the severely hearing impaired. No conversion factor is
      required in our prospectively tested cohort of cognitively intact subjects. LEVEL
      OF EVIDENCE: 1b. Laryngoscope, 127:S4-S11, 2017.
CI  - (c) 2017 The American Laryngological, Rhinological and Otological Society, Inc.
FAU - Lin, Vincent Y W
AU  - Lin VY
AUID- ORCID: http://orcid.org/0000-0003-0505-158X
AD  - Department of Otolaryngology-Head & Neck Surgery, Sunnybrook Health Sciences
      Centre, Toronto, Ontario, Canada.
AD  - Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto,
      Ontario, Canada.
AD  - Department of Otolaryngology-Head & Neck Surgery, Faculty of Medicine, University
      of Toronto, Toronto, Ontario, Canada.
FAU - Chung, Janet
AU  - Chung J
AD  - Department of Otolaryngology-Head & Neck Surgery, Sunnybrook Health Sciences
      Centre, Toronto, Ontario, Canada.
AD  - Department of Otolaryngology-Head & Neck Surgery, Faculty of Medicine, University
      of Toronto, Toronto, Ontario, Canada.
FAU - Callahan, Brandy L
AU  - Callahan BL
AD  - Division of Neurology, Sunnybrook Health Sciences Centre, Toronto, Ontario,
      Canada.
AD  - Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto,
      Ontario, Canada.
FAU - Smith, Leah
AU  - Smith L
AD  - Department of Otolaryngology-Head & Neck Surgery, Sunnybrook Health Sciences
      Centre, Toronto, Ontario, Canada.
AD  - Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto,
      Ontario, Canada.
FAU - Gritters, Nils
AU  - Gritters N
AD  - Department of Otolaryngology-Head & Neck Surgery, Sunnybrook Health Sciences
      Centre, Toronto, Ontario, Canada.
AD  - Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto,
      Ontario, Canada.
FAU - Chen, Joseph M
AU  - Chen JM
AD  - Department of Otolaryngology-Head & Neck Surgery, Sunnybrook Health Sciences
      Centre, Toronto, Ontario, Canada.
AD  - Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto,
      Ontario, Canada.
AD  - Department of Otolaryngology-Head & Neck Surgery, Faculty of Medicine, University
      of Toronto, Toronto, Ontario, Canada.
FAU - Black, Sandra E
AU  - Black SE
AD  - Division of Neurology, Sunnybrook Health Sciences Centre, Toronto, Ontario,
      Canada.
AD  - Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto,
      Ontario, Canada.
FAU - Masellis, Mario
AU  - Masellis M
AD  - Division of Neurology, Sunnybrook Health Sciences Centre, Toronto, Ontario,
      Canada.
AD  - Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto,
      Ontario, Canada.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Laryngoscope
JT  - The Laryngoscope
JID - 8607378
SB  - IM
MH  - Aged
MH  - Cognition
MH  - Cognition Disorders/complications/*diagnosis
MH  - Female
MH  - Hearing Loss/*diagnosis
MH  - Humans
MH  - Male
MH  - Mass Screening/*methods
MH  - Middle Aged
MH  - Neuropsychological Tests
MH  - Prospective Studies
MH  - Reproducibility of Results
OTO - NOTNLM
OT  - dementia
OT  - elderly
OT  - hearing loss
OT  - screening
EDAT- 2017/04/15 06:00
MHDA- 2017/04/26 06:00
CRDT- 2017/04/15 06:00
PHST- 2017/02/21 [accepted]
AID - 10.1002/lary.26590 [doi]
PST - ppublish
SO  - Laryngoscope. 2017 May;127 Suppl 1:S4-S11. doi: 10.1002/lary.26590.

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