Montreal Cognitive Assessment Hearing Impairment (MoCA-H): cross-cultural adaptation to Brazilian Portuguese
Rochele Martins Machado; Karina Carlesso Pagliarin; Fernanda Soares Aurélio Patatt
Abstract
Keywords
Referências
1 Oliveira AS. Transição demográfica, transição epidemiológica e envelhecimento populacional no Brasil. Hygeia; Rev Bras Geogr Med Saude. 2019;15(32):69-79.
2 Michels TC, Duffy MT, Rogers DJ. Hearing loss in adults: differential diagnosis and treatment. Am Fam Physician. 2019;100(2):98-108. PMid:31305044.
3 Golub JS, Brickman AM, Ciarleglio AJ, Schupf N, Luchsinger JA. Association of subclinical hearing loss with cognitive performance. JAMA Otolaryngol Head Neck Surg. 2020;146(1):57-67.
4 Lin FR, Metter EJ, O’Brien RJ, Resnick SM, Zonderman AB, Ferrucci L. Hearing loss and incident dementia. Arch Neurol. 2011;68(2):214-20.
5 Lin FR, Yaffe K, Xia J, Xue QL, Harris TB, Purchase-Helzner E, et al. Hearing loss and cognitive decline in older adults. JAMA Intern Med. 2013;173(4):293-9.
6 Loughrey DG, Kelly ME, Kelley GA, Brennan S, Lawlor BA. Association of age-related hearing loss with cognitive function, cognitive impairment, and dementia: a systematic review and meta-analysis. JAMA Otolaryngol Head Neck Surg. 2018;144(2):115-26.
7 Diao TX, Han QH, Shan HJ, Wu XQ, Lin YJ, Li Q, et al. [Study on the relationship between age-related hearing loss and cognitive impairment]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2019;54(2):110-5. PMid:30776862.
8 Uchida Y, Sugiura S, Nishita Y, Saji N, Sone M, Ueda H. Age-related hearing loss and cognitive decline - The potential mechanisms linking the two. Auris Nasus Larynx. 2019;46(1):1-9.
9 Borges MGS, Labanca L, Couto EAB, Guarisc LPCS. Correlations between the audiological evaluation and cognitive screening in elderly. Rev CEFAC. 2016;18(6):1285-93.
10 Pichora-Fuller MK, Mick P, Reed M. Hearing, cognition, and healthy aging: social and public health implications of the links between age-related declines in hearing and cognition. Semin Hear. 2015;36(3):122-39.
11 Ren F, Luo J, Ma W, Xin Q, Xu L, Fan Z, et al. Hearing loss and cognition among older adults in a han chinese cohort. Front Neurosci. 2019;13:632.
12 Martins NIM, Caldas PR, Cabral ED, Lins CCDSA, Coriolano MDGWS. Cognitive assessment instruments used in elderly Brazilians in the last five years. Cien Saude Colet. 2019;24(7):2513-30.
13 Kempen JH, Kritchevsky M, Feldman ST. Effect of visual impairment on neuropsychological test performance. J Clin Exp Neuropsychol. 1994;16(2):223-31.
14 Folstein MF, Folstein SE, McHugh PR. Mini-mental state: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189-98.
15 Carvalho VA, Caramelli P. Brazilian adaptation of the Addenbrooke’s Cognitive Examination-Revised (ACE-R). Dement Neuropsychol. 2007;1(2):212-6.
16 Nasreddine ZS, Phillips NA, Bédirian V, Charbonneau S, Whitehead V, Collin I, et al. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc. 2005;53(4):695-9.
17 Li T, Zhang Y, Fu X, Zhang X, Luo Y, Ni H. Microstructural white matter alterations in Alzheimer’s disease and amnestic mild cognitive impairment and its diagnostic value based on diffusion kurtosis imaging: a tract-based spatial statistics study. Brain Imaging Behav. 2022;16(1):31-42.
18 Sur S, Lin Z, Li Y, Yasar S, Rosenberg P, Moghekar A, et al. Association of cerebrovascular reactivity and Alzheimer pathologic markers with cognitive performance. Neurology. 2020;95(8):e962-72.
19 Smid J, Studart-Neto A, César-Freitas KG, Dourado MCN, Kochhann R, Barbosa BJAP, et al. Subjective cognitive decline, mild cognitive impairment, and dementia - syndromic approach: recommendations of the Scientific Department of Cognitive Neurology and Aging of the Brazilian Academy of Neurology. Dement Neuropsychol. 2022;16(3, Suppl 1):1-24.
20 Castelli MB, Alonso-Recio L, Carvajal F, Serrano JM. Does the Montreal Cognitive Assessment (MoCA) identify cognitive impairment profiles in Parkinson’s disease? An exploratory study. Appl Neuropsychol Adult. 2024;31(3):238-47.
21 Gülke E, Alsalem M, Kirsten M, Vettorazzi E, Choe CU, Hidding U, et al. Comparison of Montreal cognitive assessment and Mattis dementia rating scale in the preoperative evaluation of subthalamic stimulation in Parkinson’s disease. PLoS One. 2022;17(4):e0265314.
22 Lajoie AC, Crane J, Robinson AR, Lafontaine AL, Benedetti A, Kimoff RJ, et al. Feasibility of remote neurocognitive assessment: pandemic adaptations for a clinical trial, the Cognition and Obstructive Sleep Apnea in Parkinson’s Disease, Effect of Positive Airway Pressure Therapy (COPE-PAP) study. Trials. 2021;22(1):910.
23 Parmera JB, Tumas V, Ferraz HB, Spitz M, Barbosa MT, Smid J, et al. Diagnosis and management of Parkinson’s disease dementia and dementia with Lewy bodies: recommendations of the Scientific Department of Cognitive Neurology and Aging of the Brazilian Academy of Neurology. Dement Neuropsychol. 2022;16(3, Suppl 1):73-87.
24 Azevedo PC. Avaliação cerebelar por morfometria baseada em voxel (VBM) e correlação entre marcadores clínicos e achados de ultrassonografia transcraniana em indivíduos com doença de Huntington [dissertação]. Campinas: Universidade Estadual de Campinas; 2015.
25 Ramirez-Garcia G, Galvez V, Diaz R, Campos-Romo A, Fernandez-Ruiz J. Montreal Cognitive Assessment (MoCA) performance in Huntington’s disease patients correlates with cortical and caudate atrophy. PeerJ. 2022;10:e12917.
26 Rosca EC, Simu M. Montreal cognitive assessment for evaluating cognitive impairment in Huntington’s disease: a systematic review. CNS Spectr. 2022;27(1):27-45.
27 Al-Falaki TA, Hamdan FB, Sheaheed NM. Assessment of cognitive functions in patients with multiple sclerosis. Egypt J Neurol Psychiat Neurosurg. 2021;57(1):1.
28 Shaaban SM, Elmongui AE, Razek AAKA, Belal TM. Correlation of cortical lesions of multiple sclerosis at double inversion recovery with cognition screening scores. Egypt J Neurol Psychiat Neurosurg. 2021;57(1):1.
29 Frenette LC, Tinawi S, Correa JA, Alturki AY, LeBlanc J, Feyz M, et al. Early detection of cognitive impairments with the Montreal Cognitive Assessment in patients with uncomplicated and complicated mild traumatic brain injury. Brain Inj. 2018;33(2):189-97.
30 Mishra K, Purohit D, Sharma S, Gonçalves MVM. Montreal cognitive assessment score: a screening tool for cognitive function in Traumatic Brain Injury (TBI) population. J Neurol Neuromedicine. 2020;5(3):35-9.
31 Tay MRJ, Soh YM, Plunkett TK, Ong PL, Huang W, Kong KH. The validity of the montreal cognitive assessment for moderate to severe traumatic brain injury patients: a pilot study. Am J Phys Med Rehabil. 2019;98(11):971-5.
32 Blair M, Coleman K, Jesso S, Desbeaumes Jodoin V, Smolewska K, Warriner E, et al. Depressive symptoms negatively impact montreal cognitive assessment performance: a memory clinic experience. Can J Neurol Sci. 2016;43(4):513-7.
33 Dierckx E, Engelborghs S, De Deyn PP, Van der Mussele S, Ponjaert-Kristoffersen I. The Montreal Cognitive Assessment instrument: influence of depressive symptoms. Alzheimers Dement. 2014;342(10):437-8.
34 Gorska-Ciebiada M, Saryusz-Wolska M, Borkowska A, Ciebiada M, Loba J. Serum levels of inflammatory markers in depressed elderly patients with diabetes and mild cognitive impairment. PLoS One. 2015;10(3):e0120433.
35 Bran M, Ladea M, Stanculescu D, Purnichi T. Psychiatric comorbidities in patients with brain tumors after radiotherapy: an intermediate report. Eur Psychiatry. 2016;33(S1):S204.
36 Edwards BJA, Khalil P, Holmes HM, Sun M, Song J, Valladarez H. Cognitive impairment and dementia in older cancer patients. J Clin Oncol. 2016;34(3, Suppl):e269.
37 Bu X, Lyu R, Ji S, Liang T, Guo X. [Cognitive function and factors related to cognitive function in hospitalized patients with chronic heart failure]. Zhonghua Xin Xue Guan Bing Za Zhi. 2014;42(9):736-9. PMid:25511092.
38 Holm H, Bachus E, Jujic A, Nilsson ED, Wadström B, Molvin J, et al. Cognitive test results are associated with mortality and rehospitalization in heart failure: swedish prospective cohort study. ESC Heart Fail. 2020;7(5):2948-55.
39 Huynh QL, Negishi K, De Pasquale CG, Hare JL, Leung D, Stanton T, et al. Cognitive domains and postdischarge outcomes in hospitalized patients with heart failure. Circ Heart Fail. 2019;12(6):e006086.
40 Bonizzato S, Ghiggia A, Ferraro F, Galante E. Cognitive, behavioral, and psychological manifestations of COVID-19 in post-acute rehabilitation setting: preliminary data of an observational study. Neurol Sci. 2022;43(1):51-8.
41 Mone P, Pansini A, Frullone S, Donato A, Buonincontri V, De Blasiis P, et al. Physical decline and cognitive impairment in frail hypertensive elders during COVID-19. Eur J Intern Med. 2022;99:89-92.
42 Nersesjan V, Fonsmark L, Christensen RHB, Amiri M, Merie C, Lebech AM, et al. Neuropsychiatric and cognitive outcomes in patients 6 months after COVID-19 requiring hospitalization compared with matched control patients hospitalized for non–COVID-19 illness. JAMA Psychiatry. 2022;79(5):486-97.
43 Dawes P, Pye A, Reeves D, Yeung WK, Sheikh S, Thodi C, et al. Protocol for the development of versions of the Montreal Cognitive Assessment (MoCA) for people with hearing or vision impairment. BMJ Open. 2019;9(3):e026246.
44 Cunha CM, Almeida OP No, Stackfleth R. Principais métodos de avaliação psicométrica da validade de instrumentos de medida. Rev Aten Saúde. 2016;14(48):98-103.
45 Echevarría-Guanilo ME, Gonçalves N, Romanoski PJ. Psychometric properties of measurement instruments: conceptual bases and evaluation methods - part I. Texto Contexto Enferm. 2017;26(4):e1600017.
46 Chaves ML, Izquierdo I. Differential diagnosis between dementia and depression: a study of efficiency increment. Acta Neurol Scand. 1992;85(6):378-82.
47 WHO: World Health Organization. Basic ear and hearing care resource [Internet]. Geneva: WHO; 2020 [cited 2023 Sept 21]. Available from:
48 Altmann RF, Ortiz KZ, Benfica TR, de Oliveira EP, Pagliarin KC. Brief Montreal-Toulouse Language Assessment Battery: adaptation and content validity. Psicol Reflex Crit. 2020;33(1):18.
49 Baldisserotto ML, Theme-Filha MM, Griep RH, Oates J, Renó J Jr, Cavalsan JP. Transcultural adaptation to the Brazilian Portuguese of the Postpartum Bonding Questionnaire for assessing the postpartum bond between mother and baby. Cad Saude Publica. 2018;34(7):e00170717.
50 Costa VB, Harsányi E, Martins-Reis O, Kummer A. Translation and cross-cultural adaptation into Brazilian Portuguese of the children’s communication checklist-2. CoDAS. 2013;25(2):115-9.
51 Oliveira FF, Guimarães LAM, Massuda-Junior J, Demarch RB, Pina-Oliveira AA, Yano AC, et al. Cross-cultural adaptation of Indicators of Integration scorecard to the Brazilian Portuguese language. Rev Bras Med Trab. 2020;17(2):228-38.
52 Gubiani MB, Pagliarin KC, McCauley RJ, Keske-Soares M. Dynamic evaluation of motor speech skill: adaptation for Brazilian Portuguese. J Commun Disord. 2021;93:106114.
53 Gjersing L, Caplehorn JR, Clausen T. Cross-cultural adaptation of research instruments: language, setting, time and statistical considerations. BMC Med Res Methodol. 2010;10(1):13.
54 Hambleton RK, Li S. Translation and adaptation issues and methods for educational and psychological tests. In: Frisby CL, Reynolds CR, editors. Comprehensive handbook of multicultural school psychology [Internet]. Hoboken: John Wiley & Sons; 2005. p. 881-903 [cited 2024 Jan 21]. Available from:
55 MoCA Cognition. MoCA test: paper versions. MoCA Hearing Impairment [Internet]. 2023 [cited 2024 Jan 21]. Available from:
56 Barata VPBA. Presbycusis: risk factor for cognitive decline? [dissertation]. Lisbon: University of Lisbon; 2019. 29 p.
57 Kopper H, Teixeira AR, Dorneles S. Cognitive performance of a group of elders: influence of hearing, age, sex, and education. Int Arch Otorhinolaryngol. 2009;13(1):39-43.
58 Chourdakis M, Grammatikopoulou MG, Poulia KA, Passakiotou M, Pafili ZK, Bouras E, et al. Translation of the modified NUTRIC score and adaptation to the Greek ICU setting. Clin Nutr ESPEN. 2019;29:72-6.
59 Fonseca RP, Casarin FS, Oliveira CR, Gindri G, Ishigaki ECSS, Ortiz KZ, et al. Adaptation of verbal neuropsychological instruments: a flowchart of procedures beyond translation. Interação Psicol. 2011;15:59-69.
60 Batista MJ, Marques ACP, Silva MF Jr, Alencar GP, Sousa MDLR. Translation, cross-cultural adaptation and psychometric evaluation of Brazilian Portuguese version of the 14-item Health Literacy Scale. Cien Saude Colet. 2020;25(7):2847-57.
61 Borsa JC, Damásio BF, Bandeira DR. Cross-cultural adaptation and validation of psychological instruments: some considerations. Paidéia. 2012;22(53):423-32. http://doi.org/10.1590/S0103-863X2012000300014.
62 Dominguez JC, Orquiza MGS, Soriano JR, Magpantay CD, Esteban RC, Corrales ML, et al. Montreal Cognitive Assessment--Filipino Version (MoCA-P, MoCA) [Internet]. Washington, D.C.: APA PsycTests; 2013.
63 Lee MJ, Whitehead J, Ntoumanis N, Hatzigeorgiadis A. Relationships among values, achievement orientations, and attitudes in youth sport. J Sport Exerc Psychol. 2008;30(5):588-610.
64 Ávila R, Miotto EC. Funções executivas no envelhecimento normal e na doença de Alzheimer. J Bras Psiquiatr [Internet]. 2003 [cited 2024 Apr 20];52(1):53-63. Available from:
65 Dortas-Junior SD, Lupi O, Dias GAC, Guimarães MBS, Valle SOR. Cross-cultural adaptation and validation of health questionnaires. Braz J Allergy Immunol. 2016;4(1):1.
66 Bailer C, Tomitch LMB, D’ely RCSF. O planejamento como processo dinâmico: a importância do estudo piloto para uma pesquisa experimental em linguística aplicada. Intercâmbio [Internet]. 2012 [cited 2024 Apr 20];24:129-46. Available from:
67 Salles JF, Fonseca RP, Cruz-Rodrigues C, Mello CB, Barbosa T, Miranda MC. Development of the child brief neuropsychological assessment battery NEUPSILIN-INF. Psico-USF. 2011;16(3):297-305.
68 Mourão CA Jr, Melo LBR. Integração de três conceitos: função executiva, memória de trabalho e aprendizado. Psicol, Teor Pesqui. 2011;27(3):309-14.
Submetido em:
20/04/2024
Aceito em:
16/07/2024