Considering Age-Related Hearing Loss in Neuropsychological Practice: Findings from a Feasibility Study

Dupuis, Kate; Yusupov, Iris; Vandermorris, Susan; Murphy, Kelly L.; Rewilak, Dmytro; Stokes, Kathryn A.; Reed, Mark

doi:10.1017/s0714980818000557

Cited by 3 publications

(3 citation statements)

References 25 publications

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“…Consistent with their findings, Dupuis et al (2015) found that older adults with hearing loss had poorer recall of visually presented words than those with normal hearing and that environmental testing conditions (e.g., noise) affected test results, especially for older adult with clinically significant pure-tone hearing loss, but also including those who had clinically normal audiometric thresholds (Dupuis et al, 2016). These kinds of findings have important implications for the potential mechanisms underlying the associations as well as for clinical best practices (Dupuis et al, 2019).…”

Section: Sensory Status and Cognitive Performancementioning

confidence: 99%

Hearing and visual acuity predict cognitive function in adults aged 45–85 years: Findings from the baseline wave of the Canadian Longitudinal Study on Aging (CLSA).

Phillips¹,

Isler²,

Kabir³

et al. 2022

Psychology and Aging

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Associations between sensory status and cognitive performance are now widely reported. However, important open questions remain, including whether the associations are similar across sensory modalities, whether sensory status predicts cognitive performance independent of the cognitive task modality, and whether demographic/health variables moderate these associations. We examined data from a population sample of 30,029 Canadians aged 45-85 (the Canadian Longitudinal Study on Aging). Hearing was measured as the better ear pure-tone threshold average and vision as the better-eye pinhole-corrected visual acuity. Controlling for age, education, sex, multilingual status, and the other sensory modality, participants with poorer hearing had poorer auditory verbal learning and memory (Rey Auditory Verbal Learning Test) and executive function (Stroop, phonemic and semantic oral fluency, mental alternation) and those with poorer vision had poorer executive function. The sensory-cognitive associations were largely independent of the modality of test administration. The association between hearing loss and executive function was greater for persons who were data set Version 3.3 and Baseline Comprehensive data set Version 3.2, under Application Number 160605. The CLSA is led by Drs. Parminder Raina, Christina Wolfson, and Susan Kirkland. Disclaimer: The opinions expressed in this article are the authors' own and do not reflect the views of the CLSA. An earlier report of this was presented by Natalie A. Phillips and Paul Mick, "Hearing, Seeing, and Thinking: The cross-sectional relationship between sensory status and cognitive function in CLSA participants." Canadian Longitudinal Study of Aging Webinar Series. September 12, 2019. https:// www.youtube.com/watch?v=zRugEF0ZDUw&feature=youtu.be.Access to the statistical code to replicate these analyses can be found at https://osf.io/e8n3z/?view_only=635f457e6df045adbd43ee2baece8f11.

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Section: Sensory Status and Cognitive Performancementioning

confidence: 99%

Hearing and visual acuity predict cognitive function in adults aged 45–85 years: Findings from the baseline wave of the Canadian Longitudinal Study on Aging (CLSA).

Phillips¹,

Isler²,

Kabir³

et al. 2022

Psychology and Aging

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“…6 Hearing deficits are more prevalent with the aging population. 7,8 Using a telephone, the patient may not hear well the examiners' instructions, and it may be difficult for the examiner to distinguish between the patient's hearing difficulty versus attentional impairment or an external distraction. In an office setting, visual cues could compensate over reduced hearing.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a Telephone Version for the Montreal Cognitive Assessment: Establishing a Cutoff for Normative Data From a Cross-Sectional Study

Klil-Drori

Phillips

Fernandez

et al. 2021

J Geriatr Psychiatry Neurol

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Objective: Compare a telephone version and full version of the Montreal Cognitive Assessment (MoCA). Methods: Cross-sectional analysis of a prospective study. A 20-point telephone version of MoCA (Tele-MoCA) was compared to the Full-MoCA and Mini Mental State Examination. Results: Total of 140 participants enrolled. Mean scores for language were significantly lower with Tele-MoCA than with Full-MoCA (P = .003). Mean Tele-MoCA scores were significantly higher for participants with over 12 years of education (P < .001). Cutoff score of 17 for the Tele-MoCA yielded good specificity (82.2%) and negative predictive value (84.4%), while sensitivity was low (18.2%). Conclusions: Remote screening of cognition with a 20-point Tele-MoCA is as specific for defining normal cognition as the Full-MoCA. This study shows that telephone evaluation is adequate for virtual cognitive screening. Our sample did not allow accurate assessment of sensitivity for Tele-MoCA in detecting MCI or dementia. Further studies with representative populations are needed to establish sensitivity.

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“…Importantly, hearing loss can negatively affect performance on the most frequently used screening tests for cognition, such that tests administered verbally can result in an over-estimation of the presence or level of cognitive impairment when sensory impairments are not considered [ 66, 67 ]. The presence and severity of hearing impairment has not only been found to be under-estimated by the specialists tasked with the assessment and diagnosis of cognitive disorders [ 64, 65 ], but also by the health professionals responsible for the care of older adults living with dementia, many of whom may have multiple comorbidities [ 50 ].…”

Section: Introductionmentioning

confidence: 99%

Hearing Screening for Residents in Long-Term Care Homes Who Live with Dementia: A Scoping Review

Höbler

McGilton

Wittich

et al. 2021

JAD

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Background: Hearing loss is highly prevalent in older adults, particularly among those living with dementia and residing in long-term care homes (LTCHs). Sensory declines can have deleterious effects on functioning and contribute to frailty, but the hearing needs of residents are often unrecognized or unaddressed. Objective: To identify valid and reliable screening measures that are effective for the identification of hearing loss and are suitable for use by nursing staff providing care to residents with dementia in LTCHs. Methods: Electronic databases (Embase, Medline, PsycINFO, CENTRAL, and CINAHL) were searched using comprehensive search strategies, and a stepwise approach based on Arksey & O’Malley’s scoping review and appraisal process was followed. Results: There were 193 scientific papers included in the review. Pure-tone audiometry was the most frequently reported measure to test hearing in older adults living with dementia. However, measures including self- or other-reports and questionnaires, review of medical records, otoscopy, and the whisper test were found to be most suitable for use by nurses working with older adults living with dementia in LTCHs. Conclusion: Although frequently used, the suitability of pure-tone audiometry for use by nursing staff in LTCHs is limited, as standardized audiometry presents challenges for many residents, and specific training is needed to successfully adapt test administration procedures and interpret results. The whisper test was considered to be more suitable for use by staff in LTCH; however, it yields a limited characterization of hearing loss. There remains an urgent need to develop new approaches to screen hearing in LTCHs.

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Considering Age-Related Hearing Loss in Neuropsychological Practice: Findings from a Feasibility Study

Cited by 3 publications

References 25 publications

Hearing and visual acuity predict cognitive function in adults aged 45–85 years: Findings from the baseline wave of the Canadian Longitudinal Study on Aging (CLSA).

Hearing and visual acuity predict cognitive function in adults aged 45–85 years: Findings from the baseline wave of the Canadian Longitudinal Study on Aging (CLSA).

Evaluation of a Telephone Version for the Montreal Cognitive Assessment: Establishing a Cutoff for Normative Data From a Cross-Sectional Study

Hearing Screening for Residents in Long-Term Care Homes Who Live with Dementia: A Scoping Review

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