蒙特利尔认知评估听力障碍 (MoCA-H) 在巴西葡萄牙语:标准和构造有效性
Gabriela Konrath1, Rochele Martins Machado1, Karina Carlesso Pagliarin1
1Departamento de Fonoaudiologia, Universidade Federal de Santa Maria - UFSM - Santa Maria (RS), Brasil.
CoDAS
|October 15, 2025
概括
蒙特利尔认知评估听力障碍 (MoCA-H) 协议显示,查巴西葡萄牙语使用者的认知衰退的标准有效性很好. 然而,构造有效性并不令人满意,这表明需要进一步的研究.
科学领域:
- 神经科学是一个神经科学.
- 老年学是一门学科.
- 心理测量 心理测量 心理测量
背景情况:
- 认知障碍在老年人群中越来越令人担忧.
- 听力障碍可能会影响认知评估结果.
- 蒙特利尔认知评估听力障碍 (MoCA-H) 是一种旨在评估听力损失患者认知能力的工具.
研究的目的:
- 在巴西葡萄牙语中评估标准并构建MoCA-H协议的有效性.
- 确定MoCA-H是否可靠地区分有或没有认知衰退的老年人,考虑到听力损失.
主要方法:
- 一个由70名老年人组成的样本被分为两组:50名有听力损失且没有认知衰退的老年人,以及20名有听力损失和认知衰退的老年人.
- 通过比较两个组之间的MoCA-H分数,使用曼·惠特尼U测试和学生T测试来评估标准的有效性.
- 通过将MoCA-H分数与认知障碍组的迷你精神状态检查 (MMSE) 分数相关联来检查构造有效性. 使用斯皮尔曼相关性测试.
主要成果:
- 在MoCA-H中,在命名,注意力,语言,抽象,记忆和延迟回忆以及整体得分方面,群体之间存在显著差异,支持标准有效性.
- 在没有认知衰退的组中,显著更高的MoCA-H性能证明了标准的有效性.
- 构造有效性分析显示,MoCA-H和MMSE得分之间的相关性很弱,不显著 (Rho=0.384;p=0.095).
结论:
- 摩卡-H协议表现出良好的标准有效性,用于选轻度认知衰退的巴西葡萄牙语老年人听力损失.
- 与MMSE相比,该协议没有显示出令人满意的构造有效性.
- 建议进行进一步的研究,以使用替代参考协议验证MoCA-H.
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