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Highlighting and Reducing the Impact of Negative Aging Stereotypes During Older Adults' Cognitive Testing
Published on: January 24, 2020
Understanding Older Korean Americans' Experiences with the MoCA-K: A Qualitative Study
Yuri Jang1,2, Min-Kyoung Rhee1, Hi-Woo Lee1
1Edward R. Roybal Institute on Aging, Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, California, USA.
Older Korean Americans found the Korean version of the Montreal Cognitive Assessment (MoCA-K) to be an emotional experience. Performance on the MoCA-K was influenced by item challenges and contextual factors.
Area of Science:
- Gerontology
- Cognitive Assessment
- Qualitative Research
Background:
- Early cognitive screening is crucial for diverse aging populations.
- The Montreal Cognitive Assessment (MoCA) is widely used for cognitive assessment.
- Understanding cultural nuances in cognitive screening is essential.
Purpose of the Study:
- To explore how older Korean Americans perceive and experience the Korean version of the MoCA (MoCA-K).
- To identify factors influencing performance on the MoCA-K in a community setting.
Main Methods:
- A qualitative study involving twelve older Korean Americans in Los Angeles.
- Semi-structured interviews conducted in Korean post-MoCA-K administration.
- Constant comparative method used for thematic analysis of interview data.
Main Results:
- Three key themes emerged: emotional responses to testing, challenges with specific MoCA-K items, and contextual factors affecting performance.
- Cognitive screening is an evaluative and emotionally significant experience.
- Performance is influenced by item-specific difficulties and environmental context.
Conclusions:
- Culturally and contextually sensitive approaches are vital for cognitive screening.
- Considering participant characteristics and context can improve engagement and reduce misclassification.
- Future research should focus on the interplay between individual and environmental factors in cognitive assessment.
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