Montreal Cognitive Assessment Hearing Impairment (MoCA-H) no português brasileiro: análise de desempenho
Montreal Cognitive Assessment Hearing Impairment (MoCA-H) in brazilian portuguese: performance analysis
Larianny Rutzen Lazzari; Rochele Martins Machado; Karina Carlesso Pagliarin; Fernanda Soares Aurélio Patatt
Resumo
Objetivo: Analisar o desempenho do Montreal Cognitive Assessment Hearing Impairment (MoCA-H) em português brasileiro em idosos neurologicamente saudáveis, comparando aqueles com audição normal e com perda auditiva usuários de próteses auditivas. Método: Estudo observacional, transversal e quantitativo, com 20 idosos neurologicamente saudáveis (sem sinais de declínio cognitivo), pareados por idade e escolaridade, divididos em dois grupos: um com média quadritonal dentro da normalidade e outro com perda auditiva bilateral de grau moderado ou superior, usuários de Aparelhos de Amplificação Sonora Individual (AASI). Os participantes foram avaliados por meio de anamnese, audiometria tonal liminar, logoaudiometria, imitanciometria, Mini Exame do Estado Mental (MEEM) e MoCA-H. As comparações entre os grupos foram realizadas com o teste t de Student e Mann Whitney com nível de significância de 5%. Resultados: Observou-se desempenho semelhante entre os grupos em sete das oito habilidades avaliadas pelo MoCA-H. A única diferença estatisticamente significativa foi identificada no domínio visuo-espacial/executivo, com desempenho inferior no grupo com perda auditiva. A pontuação total do MoCA-H não apresentou diferença significativa entre os grupos. Conclusão: Os idosos neurologicamente saudáveis sem e com perda auditiva tratada apresentaram desempenho semelhante nas tarefas do MoCA-H. Apenas a tarefa visuo-espacial/executivo distinguiu os grupos avaliados. O MoCA-H mostrou-se uma ferramenta eficaz e sensível na avaliação cognitiva de idosos com perda auditiva moderada à severa, ao menos na amostra estudada.
Palavras-chave
Abstract
Purpose: To analyze the performance of the Montreal Cognitive Assessment Hearing Impairment (MoCA-H) in Brazilian Portuguese in neurologically healthy older adults, comparing those with normal hearing and those with hearing loss who use hearing aids. Methods: Observational, cross-sectional, and quantitative study involving 20 neurologically healthy older adults (with no signs of cognitive decline), matched by age and education, divided into two groups: one with a quadritonal average within normal limits, and the other with bilateral moderate or greater hearing loss, all users of bilateral Hearing Aids (HA). Participants were assessed through anamnesis, puretone audiometry, speech audiometry, tympanometry, Mini-Mental State Examination (MMSE), and MoCA-H. Comparisons between groups were conducted using Student’s t-test, with a significance level of 5%. Results: Similar performance was observed between groups in seven of the eight cognitive domains assessed by the MoCA-H. The only statistically significant difference was found in the visuo-spatial/executive domain, with lower performance in the group with hearing loss. No significant difference was found in the total MoCA-H score between the groups. Conclusion: Neurologically healthy older adults with and without treated hearing loss showed similar performance on the MoCA-H tasks. Only the visuospatial/executive task distinguished the groups evaluated. The MoCA-H proved to be an effective and sensitive tool in the cognitive assessment of older adults with moderate to severe hearing loss, at least in the sample studied.
Keywords
Referências
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Submetido em:
04/07/2025
Aceito em:
08/01/2026
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