Researchers removed 3 spoken questions (one assessing attention and two assessing language) from the MoCA test. In this study, the team replaced spoken questions with written questions. However, this approach made the test less accurate. Other researchers have tried removing spoken questions from this test to accommodate hearing loss. The Montreal Cognitive Assessment (MoCA) is commonly used to diagnose cognitive impairment or dementia. People with hearing loss score worse in these tests, which could lead to a false diagnosis of dementia. But many standard tests for assessing memory, attention and language include spoken questions and rely on good hearing. Many people with dementia therefore also have hearing loss. More than 3 in 4 people aged over 75 years have hearing problems. More information about cognitive assessment can be found on the NHS website. Women tended to score lower than men, and it was less effective in different languages. However, it needs to be explored further. The new test could accurately diagnose dementia in people with hearing problems. People scored similarly when they were tested 2 to 4 weeks after their first test. It was evaluated in a study of 256 people and found to be accurate and reliable. The new test replaces spoken questions with written ones. Hearing loss commonly occurs alongside dementia, yet tests for dementia often include verbal questions that rely on hearing. It is accurate in people with and without hearing loss. The test is an adapted version of a standard test for dementia. Researchers have developed the first reliable test for dementia in people with hearing loss. The views expressed are those of the author(s) and reviewer(s) at the time of publication. This is a plain English summary of an original research article.
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